Video : LOW IMPACT SURGERY AND ANESTHESIA IN LAPAROSCOPY

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Friday, June 19^th 2020 - 06pm to 08:30pm (GMT+2)

Oncology / Coelioscopie basse pressionlaparoscopy-lowpressure / Live

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DESCRIPTION
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Course submitted for accreditation in Belgium

Program

All hours indicated are CET

06:00pm

INTRODUCTION

Alex Mottrie - Geert Vandenbroucke (OLV Aalst)

06:15pm

LOW IMPACT IN BARIATRIC SURGERY

Anne-Catherine Dandrifosse - Matthieu Clanet (Chirec Delta Brussels)

06:45pm

LOW IMPACT IN COLORECTAL SURGERY

Albert Wolthuis – Marc Van de Velde (UZ Leuven)

07:15pm

LOW IMPACT ROBOTIC CYSTECTOMY

Karel Decaestecker - Caroline Vanpeteghem (UZ Gent)

07:45pm

LOW IMPACT IN GYNECOLOGY

Laurent de Landsheere - Thais Dengis (Citadelle Liège)

08:15pm

PANEL DISCUSSION

Shooting date : 2020-06-19
Last update : 2020-09-07

Alexandre Mottrie

Surgeon, OLV Aalst, Belgium

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Geert Vandenbroucke

Anesthesiologist, OVL Aalst, Belgium

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Anne-Catherine Dandrifosse

Surgeon, Chirec Delta Brussels, Belgium

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Matthieu Clanet

Anesthesiologist, Chirec Delta, Brussels, Belgium

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Albert Wolthuis

Leuven, Belgium

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Marc Van De Velde

Leuven, Belgium

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Karel Decaestecker

Surgeon, UZ Gent, Belgium

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Caroline Vanpeteghem

Anesthesiologist, UZ Gent, Belgium

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Laurent De Landsheere

Surgeon, Citadelle Liège, Belgium

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Thais Dengis

Anesthesiologist, Citadelle Liège, Belgium

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Join the Discussion

See previous comments (11)

Abdelazeem E. During covid era, is ERAS program still performed as planned or there is some modification?

2020-06-19, 18h26
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Abdelazeem E. pls describe your opioid free anesthesia protocol?

2020-06-19, 18h36
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Samah A. Thank you for sharing your experience with us.
In our reality is not easy to select one team for all opeartins

2020-06-19, 18h44
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Abdelazeem E. in my setting we use moderate NMB and everybody happy with it. Even the recovery is excellent using it. Do you have a comment on moderate NMB?

2020-06-19, 18h56
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Nebojsa G. At what level of spine you place epidural for colorectal surgery?

2020-06-19, 19h05
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Jan Paul M. low opioid dose intra operative is nice concept but only on one condition and that is "giving other drugs or using loco regional infiltration in combination to block sympathetic and humoral reactions." The very high dose opioids intraoperative were needed when no other drugs were given to block these unwanted reflexes, certainly in major surgery.

2020-06-19, 19h07
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Jan Paul M. toxic dose is described at dose of 5 mg/kg or higher although this overdose is just giving deep anesthesia as you said totally different from levobupivacaine that is cardio and cerebral toxic on overdose

2020-06-19, 19h12
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Jan Paul M. Be very careful that no drapes are laying between skin and bump of trend guard !! or patient slides off

2020-06-19, 19h39
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Jan Paul M. IL 6 / IL 10 ratio is all about peritoneal inflammation and this is indeed dramatic reduced when IAP is kept below 8 mmHg. The big interesting question is indeed if this reduced IAP by improving bowel perfusion reduces also the ileus. However you have to control for opioids as these are the number one factor inducing ileus. If you use OFA it would be easier to verify the hypothesis...

2020-06-19, 19h49
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Jan Paul M. the CO2 absorption through the peritoneum increases after 30 min PP. Airseal can reduce the absorption by reducing the ischemia as air leaks slowly inside, and just 4 % O2 is already enough to keep the peritoneum longer alive when IAP are higher than 8 mmHg.

2020-06-19, 20h07
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Jan Paul M. surgeon is faster in recognizing as PTC is not automatic and the diaphragm can still move when PTC = 1

2020-06-19, 20h18
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Jan Paul M. Matthieu understood the physiology very good. congratulations

2020-06-19, 20h20
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Jan Paul M. congrats to all

2020-06-19, 20h26
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Abdulla Rasheed Hassan Ahmed A. Nice lectures which increasing our knowledge, my appreciation to all the lecturers. thanks.

2020-06-19, 20h29
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Gazi C. Thanks a ton for very informative presentation.Kindly share the PowerPoint presentations.

2020-06-20, 10h28
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