Almino CARDOSO RAMOS | WebSurg, the online university of IRCAD

How to avoid complications intraoperatively

In this key lecture, Dr. Cardoso Ramos focuses on ways to prevent complications intraoperatively.
Dr. Cardoso Ramos, specialized in bariatric and metabolic surgery, exposes the most frequent causes of intraoperative and postoperative complications during bariatric surgery and highlights the importance of knowing not only the surgical technique but also the characteristics of the materials and the mechanism of action of the instruments used. He also describes the importance of adequate preoperative preparation, the maintenance of an adequate work space, along with strategies to deal with unexpected events.

How to avoid complications intraoperatively

In this key lecture, Dr. Cardoso Ramos focuses on ways to prevent complications intraoperatively.
Dr. Cardoso Ramos, specialized in bariatric and metabolic surgery, exposes the most frequent causes of intraoperative and postoperative complications during bariatric surgery and highlights the importance of knowing not only the surgical technique but also the characteristics of the materials and the mechanism of action of the instruments used. He also describes the importance of adequate preoperative preparation, the maintenance of an adequate work space, along with strategies to deal with unexpected events.

Laparoscopic Roux-en-Y gastric bypass: double loop technique and linear anastomosis

In this didactic live video, Dr. Cardoso Ramos presents a conventional laparoscopic gastric bypass procedure in a 37-year-old woman with a BMI of 41. He briefly describes the technical aspects, maneuvers, the main principles, and key steps of the surgical procedure in a live interactive session. He also takes into account the importance of a tailor-made surgical procedure based on the patient’s characteristics.

Surgical intervention

Laparoscopic Roux-en-Y gastric bypass: double loop technique and linear anastomosis

In this didactic live video, Dr. Cardoso Ramos presents a conventional laparoscopic gastric bypass procedure in a 37-year-old woman with a BMI of 41. He briefly describes the technical aspects, maneuvers, the main principles, and key steps of the surgical procedure in a live interactive session. He also takes into account the importance of a tailor-made surgical procedure based on the patient’s characteristics.

Roux-en-Y gastric bypass (RYGB): reversal to normal anatomy

In this key lecture, Dr. Cardoso Ramos considers reversal to normal anatomy in a Roux-en-Y gastric bypass.

Roux-en-Y gastric bypass (RYGB): reversal to normal anatomy

In this key lecture, Dr. Cardoso Ramos considers reversal to normal anatomy in a Roux-en-Y gastric bypass.

Laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB)

In this didactic video, Dr. Cardoso Ramos presents the key steps and main principles of laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB) in a patient with 20 years of morbid obesity, with a BMI of 40, and a hiatal hernia. Technical aspects, key steps, and the safe use of a linear stapler in the Roux-en-Y gastric bypass are thoroughly demonstrated in a live interactive session.

Surgical intervention

Laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB)

In this didactic video, Dr. Cardoso Ramos presents the key steps and main principles of laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB) in a patient with 20 years of morbid obesity, with a BMI of 40, and a hiatal hernia. Technical aspects, key steps, and the safe use of a linear stapler in the Roux-en-Y gastric bypass are thoroughly demonstrated in a live interactive session.

The technique to perform a safe and effective gastrojejunostomy in RYGB

In this key lecture, Dr. Cardoso Ramos presents the main principles to perform a safe and effective gastrojejunostomy in Roux-en-Y gastric bypass (RYGB). He briefly describes the history of RYGB with the basic techniques for gastrojejunostomies (GJ), VBG, banded vs. Non-banded RYGB. He also highlights studies determining the methods of the ideal pouch size and GJ, as well as technical aspects of sleeve gastrectomies (SG) with case series.

The technique to perform a safe and effective gastrojejunostomy in RYGB

In this key lecture, Dr. Cardoso Ramos presents the main principles to perform a safe and effective gastrojejunostomy in Roux-en-Y gastric bypass (RYGB). He briefly describes the history of RYGB with the basic techniques for gastrojejunostomies (GJ), VBG, banded vs. Non-banded RYGB. He also highlights studies determining the methods of the ideal pouch size and GJ, as well as technical aspects of sleeve gastrectomies (SG) with case series.

Gastric plications, PROs

Greater curvature plication is a promising new bariatric surgical procedure that has been shown to be effective in adults with severe obesity. In this authoritative lecture, Dr. Cardoso Ramos presents his experience with this procedure.

Gastric plications, PROs

Greater curvature plication is a promising new bariatric surgical procedure that has been shown to be effective in adults with severe obesity. In this authoritative lecture, Dr. Cardoso Ramos presents his experience with this procedure.

Sleeve failure, standard Roux-en-Y gastric bypass

Despite the initial effectiveness of sleeve gastrectomy (SG), some patients who undergo this purely restrictive technique have inadequate weight loss or renewed weight gain or could present severe complications. In this lecture, Dr. Cardoso Ramos presents a case of failed sleeve gastrectomy converted in a Roux-en-Y gastric bypass.

Sleeve failure, standard Roux-en-Y gastric bypass

Despite the initial effectiveness of sleeve gastrectomy (SG), some patients who undergo this purely restrictive technique have inadequate weight loss or renewed weight gain or could present severe complications. In this lecture, Dr. Cardoso Ramos presents a case of failed sleeve gastrectomy converted in a Roux-en-Y gastric bypass.

Unusual bowel obstruction after RYGB: bezoar

In this key lecture, Dr. Cardoso Ramos presents some videos of laparoscopic bariatric revisional surgery.

Unusual bowel obstruction after RYGB: bezoar

In this key lecture, Dr. Cardoso Ramos presents some videos of laparoscopic bariatric revisional surgery.

Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman

Laparoscopic sleeve gastrectomy has become a genuine morbid obesity procedure. Its frequency of use is quickly increasing as compared to other interventions. The rationale for such a success stems from the fact that the procedure is easy to perform, and weight loss is comparable to laparoscopic Roux-en-Y gastric bypass at least during the first three years. Its main immediate postoperative complication is the occurrence of fistula at the superior part of the cardia. Remotely, increased gastroesophageal reflux and strictures at the middle part of the stomach (at the incisura) can be observed. Although the technique seems easy, it should be performed in an extremely rigorous fashion to minimize complications. This video demonstrates the performance of a stepwise sleeve gastrectomy. Authors lay special emphasis on the entire steps which allow to reduce the risk of complications.

Surgical intervention

Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman

Laparoscopic sleeve gastrectomy has become a genuine morbid obesity procedure. Its frequency of use is quickly increasing as compared to other interventions. The rationale for such a success stems from the fact that the procedure is easy to perform, and weight loss is comparable to laparoscopic Roux-en-Y gastric bypass at least during the first three years. Its main immediate postoperative complication is the occurrence of fistula at the superior part of the cardia. Remotely, increased gastroesophageal reflux and strictures at the middle part of the stomach (at the incisura) can be observed. Although the technique seems easy, it should be performed in an extremely rigorous fashion to minimize complications. This video demonstrates the performance of a stepwise sleeve gastrectomy. Authors lay special emphasis on the entire steps which allow to reduce the risk of complications.

Simplified laparoscopic Roux-en-Y gastric bypass

Roux-en-Y gastric bypass (RYGB) has become a common procedure for the management of morbid obesity. However, learning to perform such a procedure is difficult as it is made up of very technical operative steps in complex cases of overweight patients with a great amount of adipose tissue. The authors have acquired great experience and an acute sense of didactics. As such, they implemented an operative strategy allowing for an easy and rapid acquisition of the technique. Each step is perfectly mastered and outlined. This method was taught to numerous surgeons worldwide and proved its efficacy.

Surgical intervention

Simplified laparoscopic Roux-en-Y gastric bypass

Roux-en-Y gastric bypass (RYGB) has become a common procedure for the management of morbid obesity. However, learning to perform such a procedure is difficult as it is made up of very technical operative steps in complex cases of overweight patients with a great amount of adipose tissue. The authors have acquired great experience and an acute sense of didactics. As such, they implemented an operative strategy allowing for an easy and rapid acquisition of the technique. Each step is perfectly mastered and outlined. This method was taught to numerous surgeons worldwide and proved its efficacy.

NOTES transvaginal bariatric surgery

The advent of minimally invasive surgery and the advances in endoluminal flexible endoscopy have converged to generate a new concept in digestive surgery, whose acronym natural orifice transluminal/translumenal endoscopic surgery (NOTES), has become a familiar term in the surgical community. In this lecture, Dr. Cardoso Ramos presents the application of NOTES in bariatric surgery.

NOTES transvaginal bariatric surgery

The advent of minimally invasive surgery and the advances in endoluminal flexible endoscopy have converged to generate a new concept in digestive surgery, whose acronym natural orifice transluminal/translumenal endoscopic surgery (NOTES), has become a familiar term in the surgical community. In this lecture, Dr. Cardoso Ramos presents the application of NOTES in bariatric surgery.

Laparoscopic simplified gastric bypass

Laparoscopic gastric bypass is currently the gold standard in bariatric surgery. This procedure is complex and yet, it can be perfectly standardized in order to shorten the learning curve. This video presents a well-standardized and easily reproducible technique. All operative steps have been systematized and unroll very naturally. Once the gastric pouch has been divided, the gastrojejunal anastomosis is performed by means of a linear stapler by calibrating a 3cm pouch. The jejunojejunal anastomosis is performed using a 45mm long linear stapler without any division of the alimentary loop. Consequently, it is easy to control the patency of the two anastomoses. Mesenteric defects are closed to avoid internal hernias. Reproducibility is the main advantage of this technique, which has been used by operators to train more than 700 surgeons in South America, Europe, and Asia.

Surgical intervention

Laparoscopic simplified gastric bypass

Laparoscopic gastric bypass is currently the gold standard in bariatric surgery. This procedure is complex and yet, it can be perfectly standardized in order to shorten the learning curve. This video presents a well-standardized and easily reproducible technique. All operative steps have been systematized and unroll very naturally. Once the gastric pouch has been divided, the gastrojejunal anastomosis is performed by means of a linear stapler by calibrating a 3cm pouch. The jejunojejunal anastomosis is performed using a 45mm long linear stapler without any division of the alimentary loop. Consequently, it is easy to control the patency of the two anastomoses. Mesenteric defects are closed to avoid internal hernias. Reproducibility is the main advantage of this technique, which has been used by operators to train more than 700 surgeons in South America, Europe, and Asia.