laparoscopiaLaparoscopic surgery is an advanced MINIMALLY INVASIVE surgical alternative to conventional or open surgery. Three to four 5 to 10 mm diameter incisions are made in the abdominal wall, through which the instruments and a camera are introduced. Inspection of the abdominal cavity is facilitated by introducing gas to expand the abdomen and thus allowing the display of its content and the surgery on a monitor.

 

What benefits do I get from laparoscopic surgery?

  • Minor postoperative pain.

  • Lower risk of complications: infection of the incisions, incidence of hernias.

  • Minimal hospitalization period. In some cases the person can leave the hospital the day after the operation.

  • Early recovery and incorporation into daily activities within 5 to 10 days.

  • Much more aesthetic due to the absence of large scars.

 

What are the most common laparoscopic procedures?

  • Bariatric Surgery (Obesity)

  • Hernias of the Abdominal Wall

  • Esophagus

  • Stomach

  • Colon

  • Liver and gallbladder

 

SUBSPECIALTIES:

A.BARIATRIC SURGERY

 

bariatricaBariatric surgery is the most effective therapy available for the multidisciplinary treatment of morbid obesity and can result in an improvement or complete resolution of co-morbidities (the presence of one or more diseases in addition to the primary disease).

The objective of bariatric surgery is to improve health, life quality, and reduce risk factors especially in people with severe and significant obesity-related medical and psychological complications.

 

The success of bariatric surgery depends largely on the patient’s compliance with medical recommendations. There are various bariatric procedures, all of which enable a significant weight loss. The magnitude and duration of the goals achieved are directly related to the patient’s understanding of the need for a profound and permanent change in his/her lifestyle, and his/her commitment to the medical recommendations.  These include changes in habits: behavior, eating, regular exercise, taking vitamin and nutritional supplements and attending medical monitoring appointments periodically.

 

B.LIVER AND BILIARY TRACT

higado_y_vias-biliaresThe liver is the recipient of food absorbed from the gastrointestinal tract (especially the small intestine) and acts as customs duties, playing a role in defense, potentially toxic substance detoxification, and storage of energy products.

 The biliary system consists of the gallbladder and associated structures involved in the production and transport of bile that helps break down fats. The main functions of the biliary system include draining waste products from the liver and aiding digestion by releasing bile (made up of waste products, cholesterol and bile salts) in a controlled manner. The two main functions of bile are hauling waste and breaking down fats during digestion.

 

C.ABDOMINAL WALL HERNIAS

hernias abdominalesAbdominal wall hernias are one of the most common pathologies encountered by a gastrointestinal surgeon in his/her daily practice. It is a defect of the abdominal wall through which a tissue or organ pushes through the abdominal cavity. There are many types of abdominal wall hernias, the most common are inguinal, umbilical and ventral hernias. It may be congenital or acquired.

 

D.ESOPHAGUS

51334.imgThe esophagus is a muscular tube for food and liquid, which runs from the back of the mouth (the throat) to the upper stomach. It is divided into three sections: cervical in the upper part, thoracic in the central part, and abdominal in the lower part. Here, the sphincter opens to allow food to enter the stomach and closes to prevent gastric fluids and bile acids from entering the esophagus. Unfortunately, this is one of the weak points of the digestive system. Old age, overeating, obesity and a number of conditions can cause gastroesophageal junction malfunctions, allowing stomach fluids to pass into the esophagus. When this happens we call it heartburn, burning sensation or acid reflux. When this happens constantly it becomes a gastroesophageal reflux disease.

 

E.COLON

colonIt is the large intestine where the small intestine empties the metabolic waste from digestion that is not absorbed in the body. Common diseases of the colon include irregular bowel movements, polyp growth and colon cancer. With age, small bags called colon diverticula which bulge out in the intestine offen appear and sometimes can cause bleeding and infections.

 

F.STOMACH

estomagoThe stomach is a hollow resilient bag in the shape of a “J”, which has a smooth outer surface, an inner surface that has folds which promote the mixing of food with the different digestive juices, which is the wider part of the digestive tube. It is a muscular organ, and thanks to its contractions the mechanical digestive action is completed. It has a strong anatomical relationship with the liver, pancreas, transverse colon and bile duct. One of the main functions of the stomach is to aid in the digestion process, actively participating to break down the food and mix it with different enzymes and acids, finally releasing the resulting chyme into the small intestine.

The known stomach diseases are: gastritis (irritation of the gastric mucosa that usually causes inflammation); peptic ulcer (a wound caused by the destruction of the gastric mucosa passing the muscularis mucosa); gastric cancer,  Menetrier’s disease, and stomach infections.