More robo RTL. I particularly like to apply this technique when addressing lateral hernias where the tissue quality is poor. This video demonstrates a stoma site hernia with semilunar line reconstruction. #NYUHernia#HerniaGeeks Full video with narration:
https://t.co/bsL547ByE5
Post-sternotomy ventral hernias can be deceptively nuanced to treat. This video demonstrates how to do a robotic reinforced tension line, expose the central tendon of diaphragm, and perform TAPPRA.
https://t.co/bwATbmOhFv #HerniaGeeks#NYUHernia
🚑🩺Pancreatitis aguda: diagnóstico clínico (≥2/3 criterios) y estratificación temprana definen el pronóstico. La reanimación con líquidos (Lactato de Ringer) en las primeras horas reduce complicaciones. BISAP orienta riesgo inicial; PCR >150 mg/L a las 48–72 h sugiere severidad. Evitar TAC precoz: reservar imagen para duda o mala evolución. Manejo oportuno en urgencias cambia la mortalidad.🚨
Surgical management of small intestinal neuroendocrine tumours
➡️ https://t.co/IB3jb3wXWQ
Les TNE de l’intestin grêle nécessitent une approche chirurgicale différente, conciliant contrôle oncologique, préservation de la fonction intestinale, soulagement des symptômes et qualité de vie à long terme. Cette Commission BJS souligne l’importance d’une prise en charge multidisciplinaire, experte des TNE, ainsi que la nécessité de stratégies plus standardisées et fondées sur les preuves tout au long du parcours périopératoire.
Travail de Julie Hallet , Massimo Falconi , Sean Bennet , Andrea Frilling , Alexandra Gangi , Sébastien Gaujoux , Rodney Pommier , Emilio Bertani , Gabriela A Buerba , Jennifer Chan , Callisia N Clarke , Sophie Deguelte , Jaydira Del Rivero , Els Nieveen van Dijkum , Teodora Dumitra , Dilmurodjon Eshmuminov , Anton Engelsman , Francesca Fermi , Simona Grozinsky-Glasberg , James R Howe , Angela Lamarca , Léamarie Meloche-Dumas , Frédéric Mercier , Sten Myrehaug , Julie Perinel , Charles De Ponthaud , Ville Sallinen , Yun Song , Heather Stuart , Eva T Janson , Pascale Tinguely , Francesca Tozzi , Tessa van Ginhoven , Susanne Warner , Kjetil Soreide , Stefano Partelli
#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 #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net@Augishealth@roux_group@T4UGIS@SARONG_Trial@YoungIFSO #bariatricsurgery
Surgery resident @AaronGilani asked why people close the fascia of trocar sites with a figure-of-eight suture instead of a horizontal mattress.
Let us look at these briefly via one of my experiments.
(1/ )
🧭 Lost on ultrasound? Landmarks are your map.
Ultrasound landmarks are fixed anatomic reference points that help you stay oriented especially when anatomy gets confusing.
👇 What’s your go-to landmark when things get messy? #FOAMed
🚨 Fuga biliar tras colecistectomía subtotal (STC): la mayoría NO necesita reoperación.
🎯 Clave: el dren debe ir a gravedad, NO con succión. La succión puede “robar” bilis y disparar el débito, cambiando (mal) tu conducta.
@CirujanoGZ@dr_vic_mtz El mayor porcentaje de hernias ocurren porque se rompe la fascia antes que la sutura, esto fue lo novedoso de RTL. Que el cierre "descansa" sobre la RTL cuando la fascia falla, al cambiar el calibre como lo hacen los autores sucede lo siguiente:
Reinforced tension-line suture after laparotomy: long-term results of Rein4CeTo1 randomized clinical trial
➡️https://t.co/AqYmnd5yex
The aim of this randomized clinical trial was to investigate whether a reinforced tension-line (RTL) suture reduces 3-year computed tomography-detected incisional hernia incidence. The RTL technique significantly reduced the incidence of incisional hernia compared with the standard facial closure technique in patients undergoing open colorectal cancer surgery. The incisional hernia incidence was 6 of 43 (14%) in the RTL and 21 of 58 (36%) in the standard facial closure group.
👏👏👏Charlotta L Wenzelberg , Peder Rogmark , Olle Ekberg , Ulf Petersson , Carl-Fredrik Rönnow
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery@eurohernias #hernia #hernia @herniaistanbul@BritishHernia@HerniaIndia@awrsurgeons
JSES IllustCon 63
📌Anatomical Landmarks and Dissection Planes in Transversus Abdominis Release (TAR): Linear Semilunaris, EIT Ambivium, and Differences Between Upper and Lower Abdomen
📝This illustration aims to depict the differences in dissection planes between the upper and lower abdomen in Transversus Abdominis Release (TAR), and the newly proposed term EIT Ambivium for the lateral border of the rectus sheath.
🖊Hirukawa Hiroshi
#JSESイラストコンテスト #JSES_illustration_contest
@drteoa IPUM +, sobre una recurrencia de IPUM....no creo que sea la técnica mejor adaptada para ese caso, malla sobre malla no creo que exista una adecuada integración de la misma.
This Review highlights that difficult cholecystectomies are associated with distinct patient, disease, and imaging factors, and emphasizes the need for careful assessment, advanced imaging, and adaptable surgical strategies to prevent serious injuries.
https://t.co/efa5JxEsaK
New article just published in Obesity Surgery!!👌👌
First case of Petep approach in a patient with BMI>50.����
Also with the first description of the latero-medial technique (Red Cross Step) ❌😊 and a suplementary video.
Read the details here:🔽🔽 https://t.co/x1G52i8Uej
Algoritmo de tratamiento para erradicación de la infección por Helicobacter pylori en México:
Revista de Gastroenterología de México 2025; DOI: https://t.co/b0IQvlrAWw