Haya Fansa

25 🇸🇾🇦🇪General Surgery
I romanticize ☕📚🌱🏇🏃‍♀️🚴‍♀️🍳&rendezvous
if you adore me , dior me

[Haya Fansa @HaieaFansa]

عشّتُ سنواتٌ طويلةٌ و انا أرتَكئُ على قلبٍ ما ، عشّتُ ليالٍ طوال على ضحكةً تنامُ في روحي ،
كَمن يمشِّي في وسّع الكون ويشعر أنهُ في جحر نملة !

[JAMA Surgery @JAMASurgery]

In patients undergoing permanent colostomy for #RectalCancer, use of a funnel-shaped intra-abdominal mesh reduced parastomal hernia incidence and size at 3 years without increased complications compared with no mesh. https://t.co/RZaOCTzeH7

[JAMA Surgery @JAMASurgery]

Retromuscular mesh placement and intraperitoneal onlay mesh were associated with higher risk of reoperation for recurrence and bowel obstruction vs onlay placement after primary ventral hernia repair.

https://t.co/p7Jy92rncP

[Faraz Khan @FarazKh65499316]

https://t.co/h4UYJSp8NZ

[BJS @BJSurgery]

Anastomotic leak after colorectal surgery: current landscape and future directions
➡️ https://t.co/JhVNo8RuJQ

🔗 Anastomotic leak remains one of the most feared complications after colorectal surgery, with major consequences including sepsis, reoperation, permanent stoma, and poorer oncological outcomes
📊 Leak rates remain substantial despite modern care: 3–6% after ileocolic anastomoses and up to 10–20% after low colorectal anastomoses
🧬 Anastomotic healing is multifactorial, involving surgical technique, perfusion, host immune response, and the gut microbiome
💡 ICG fluorescence angiography may improve perfusion assessment, particularly in rectal cancer surgery, but standardized quantitative thresholds are still needed
🦠 The microbiome is emerging as a key contributor, with collagenase-producing bacteria potentially weakening the anastomosis
🎯 Future prevention will likely require personalized risk stratification and targeted interventions rather than a one-size-fits-all approach

Work by Jack A Helliwell , Aaron Quyn , David G Jayne

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto

[Annals of Hepato-Biliary-Pancreatic Surgery @Journal_AHBPS]

Diagnosis, treatment and prognosis of simple hepatic cyst: Clinical practice guideline
🌷https://t.co/8zsgzd49tI
Ann Hepatobiliary Pancreat Surg 2025;29(3). Seoung Yoon Rho
#Cysts #LiverDisease #PracticeGuideline

[Annals of Surgery @AnnalsofSurgery]

Drain fluid amylase levels on postoperative days 1 and 3 accurately estimated the risk of clinically relevant postoperative pancreatic fistula after pancreatoduodenectomy. https://t.co/qHlU55qhU8

[Haya Fansa @HaieaFansa]

https://t.co/O6yZMeZXhf

[Haya Fansa @HaieaFansa]

" you cant force someone into paradise "
- A disappointed physician

[Japan Society for Endoscopic Surgery (JSES) @jses_eng]

JSES IllustCon 113
📌Omental Patch: How Should We Fix It? Key Points in Suture Design
📝Laparoscopic Omental Patch Repair
🖊MK7
#JSESイラストコンテスト　#JSES_illustration_contest

[Keith Siau @drkeithsiau]

New RCT in @UEGJournal offers new hope to patients with recurrent acute pancreatitis, with Naldemedine, a peripherally acting μ‐opioid receptor antagonist (PAMORA), shown to reduce attacks by nearly 50%.

https://t.co/GBKqN7S7rN

[Keith Siau @drkeithsiau]

Segment by segment guide on how to do colonoscopy, a perfect resource for #ColorectalCancerAwarenessMonth

📸: Torbay Endosscopy

[Annals of Hepato-Biliary-Pancreatic Surgery @Journal_AHBPS]

Meta-analysis and trial sequential analysis of pancreatic stump closure using a hand-sewn or stapler technique in distal pancreatectomy
🌷https://t.co/p9NYgAopir
Ann Hepatobiliary Pancreat Surg 2024;28(3). Shahin Hajibandeh
#PancreaticStump #StaplerClosure #HandSewnClosure

[Keith Siau @drkeithsiau]

Everything you need to know about diaphragm anatomy 🫁

[ShAmAn'S | مُلهِم 🇸🇦✨ @Shaman___S]

Pancreas anatomy

[𝗦𝗮𝗹𝗲𝗲𝗺 𝗡. 𝗛𝗮𝗺𝗶𝗹𝗮𝗵 🫁 @SaleemHamilah]

Ventilation–Perfusion (V/Q) Mismatch: From Shunt to Dead Space” 🫁
🔸️The (V/Q) ratio describes the relationship between the amount of air reaching the alveoli (ventilation, V) and the amount of blood reaching the alveoli through pulmonary capillaries (perfusion, Q).

✅️

[Carl Kay, MD @CarlKayMD]

Marginal ulcer after RYGB Mgmt

▪️Stop smoking/NSAIDs
▪️Treat H. pylori
▪️Remove foreign body
▪️Open-cap PPI BID x3m
▪️Sucralfate 1g QID
▪️No response ➡️ H2RA ➡️ misoprostol ➡️ PCAB
▪️Refractory ➡️ endo therapy
▪️Failure ➡️ surgical revision

🔗 https://t.co/9whndNO02v

[JAMA Surgery @JAMASurgery]

Laparoscopic adhesiolysis for #SmallBowelObstruction was not superior to open surgery for long-term recurrence, incisional hernia incidence, or quality of life at 5-year follow-up, confirming both as viable options.

https://t.co/TdzKDMWDMe

[Japan Society for Endoscopic Surgery (JSES) @jses_eng]

JSES IllustCon 85
📌Ta/Tp PE : Anatomy Through the Perineal Lens
📝At our department, transanal and transperineal pelvic exenterations (Ta PE and Tp PE) are performed by two teams: abdominal and perineal. This illustration shows the right pelvic side from the perineal approach.
🖊Nonaka Yukiko
#JSESイラストコンテスト　#JSES_illustration_contest

[Achintya Singh, MD @AchintyaSinghMD]

Multicenter RCT comparing EUS-GJ vs Surgical GJ:

https://t.co/6IHLXj2gHb

🔑 EUS-GJ led to earlier resumption of diet
🔑 Lower costs
🔑 Shorter hospitalization

[Annals of Surgical Oncology @AnnSurgOncol]

January Issue: Two Levels of High Ligation of the Inferior Mesenteric Artery Based on Three Anatomical Fasciae for #ColorectalCancer

https://t.co/SpbjpZZSTk

@DrPandalai
@SyedAAhmad5
@SocSurgOnc