GENERAL SURGERY
ABDOMINAL SURGERY (LIVER, BILE DUCTS, PANCREAS AND SPLEEN)
The Abdominal Surgery area offers a wide range of surgical procedures for the treatment of conditions of the liver, bile ducts, pancreas and spleen through minimally invasive techniques such as laparoscopic surgery and percutaneous surgery, which with small incisions provide treatment with less postoperative pain, better cosmetic result and faster recovery.
The team of surgeons also offers solutions for patients who require more complex procedures such as abdominal organ transplantation.
LAPAROSCOPIC PROCEDURES
Laparoscopic surgery consists of approaching abdominal pathology through small incisions. To do this, the surgeon trained in this technique, inflates the abdomen with a gas (carbon dioxide) and introduces a video camera, which sends the image to a monitor. through which you can see and perform different surgical maneuvers for the treatment of the disease and the evaluation of the rest of the abdomen.
This technique offers many advantages (better results, fewer complications, faster recovery). However, it is essential that the patient is previously evaluated by the surgeon and his team in a comprehensive manner since this approach is indicated only in patients who meet certain conditions.
Some of the laparoscopic procedures performed at the Favaloro Foundation are:
Laparoscopic cholecystectomy (removal of gallbladder and stones)
Laparoscopic instrumentation of the bile duct (for removal of stones lodged in the bile duct)
Laparoscopic Choledochal Cyst Resections
Laparoscopic pancreatectomy
Treatment of liver cysts by laparoscopy
Laparoscopic splenectomy
Laparoscopic colectomy
Laparoscopic appendectomy
Laparoscopic adrenalectomy (treatment of adrenal gland tumors)
Laparoscopic excision of retroperitoneal tumors
Hepatectomy of living related liver donor
Laparoscopic Hernioplasty and Eventhroplasty
LAPAROSCOPIC HEPATECTOMY
Liver surgery can currently be performed minimally invasively by videolaparoscopy.
Using this technique, simple liver cysts, hydatid cysts, benign tumor pathology (adenomas, focal nodular hyperplasia, symptomatic hemangiomas) and malignant (primary tumors and liver metastases) can be operated. Likewise, living donor hepatectomy is performed for liver transplantation. Other procedures that can be performed by video laparoscopy are oncological staging of abdominal tumors, portal vein ligation, radiofrequency of liver tumors, and biopsies of cirrhotic livers.
Through videolaparoscopic surgery, patients with a diagnosis of colon cancer and liver metastases can be operated at the same time (simultaneous surgery).
PERCUTANEOUS SURGERY
Percutaneous surgery is one of the specialties of minimally invasive surgery.
Through percutaneous surgery, it is possible to perform different treatments through puncture and skin instrumentation with the benefits of mini-invasive surgery, such as short hospitalizations, less postoperative pain, less time for labor reinsertion, among others, with the same results as conventional surgery. .
The procedures that can be performed range from the treatment of tumors by radiofrequency or microwave ablation, instrumentation of the bile duct, placement of digestive stents, to the drainage of abscesses and abdominal liquid collections, among others. These procedures are performed under local anesthesia or brief sedation, and most of these are outpatient.
COLONIC SURGERY
Colonic surgery comprises surgical procedures in which, in the vast majority of cases, resections of different colonic segments are performed depending on the location of the affected segment and the underlying pathology that the patient presents.
Patients referred to these types of procedures are evaluated in a multidisciplinary way by a medical team made up of clinicians, gastroenterologists, surgeons, imaging specialists, oncologists (in oncological pathology), etc.
Colon resections are called colectomies. They may be indicated in inflammatory pathologies (eg Crohn's disease, Ulcerative Colitis), Enf. Diverticular, Oncological Pathology, Polyposic Syndromes, Polyps not feasible for endoscopic treatment, etc.
Colectomies are sometimes indicated in emergency surgeries or on a scheduled basis. After the resection (in the same surgical act) the most likely option is the restitution of the intestinal transit by joining the colonic ends, this union is called anastomosis, on other occasions in which an anastomosis is not recommended, exteriorization of the or from the ends such as an ostomy, where the intestinal contents are dumped into a bag designed for collection.
These procedures were traditionally performed through a large abdominal incision, known as the laparotomic approach, "open surgery". With the advent of technology and as in surgical treatment of other pathologies, the use of the laparoscopic approach has intensified.
Laparoscopic surgery consists of performing surgery through small incisions through which material designed for this purpose is introduced. This type of surgery, when it can be performed, has shown benefit over laparotomic surgery due to early recovery, fewer complications, fewer hospital readmissions, obtaining the same long-term survival results in oncological pathology as “open surgery”.
PERMANENT VASCULAR ACCESSES FOR PARENTERAL NUTRITION
The treatment of patients with intestinal failure requires a multidisciplinary approach. A fundamental part of the treatment is to achieve a route for the administration of nutrients. In cases where the digestive route is not possible to perform for the correct nutrition of the patient, the intravenous route is appropriate, this is called Parenteral Nutrition.
Parenteral Nutrition consists of administering nutrients directly into the bloodstream through the puncture and placement of a catheter in a vein. This vein must be characterized by high blood flow. Likewise, catheters are designed for this purpose in order to obtain better results.
The placement of the catheters is performed in the operating room, maintaining absolute sterility, guided by intraoperative ultrasound and fluoroscopy to be able to observe the correct positioning of the catheter and reduce complications. In cases where the patient has repeated vein thrombosis (veins that have been previously covered), these procedures are performed in Hemodynamics by the Interventional Cardiology team of the Institution, which are world leaders in this type of procedure.
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