Médico, Professor Associado da Faculdade de Medicina da UFMG,Coloproctologista
Belo Horizonte, Brasil
Joined July 2019
- Tweets394
- Following500
- Followers447
- Likes940
Rodrigo Gomes da Silva MD, PhD retweeted
AI-guided biliary cannulation during ERCP: new technology unveiled at #UEGWeek 😍🤩
Rodrigo Gomes da Silva MD, PhD retweeted
Amid rapid GLP-1 receptor agonist adoption, bariatric surgery volume declined 49% from 2021 to 2025, while bariatric surgeons maintained operative activity by shifting toward other general surgery procedures. ovid.com/10.1097/SLA.0000000…
Rodrigo Gomes da Silva MD, PhD retweeted
53min 🤖 Whipple resection in a straight forward case, sped up 4x unedited 👇🏻
youtu.be/Cq5z1A9Wy18?is=MFIT…
IMO the SMA-first approach with specimen hanging left is the hack. Deal with the uncinate as step 1 while you’re fresh & uncinate not congested.
C&C welcomed. Short version:
Rodrigo Gomes da Silva MD, PhD retweeted
𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗟𝗲𝗳𝘁 𝗜𝗻𝗴𝘂𝗶𝗻𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝘄𝗶𝘁𝗵 𝗜𝗖𝗚
Surgical Approach:
🔴Initial assessment of small bowel with ICG
🔴Small bowel placed in pelvis with warm wet swabs overlying
🔴TAPP approach to hernia repair
➡️Critical view of MPO
➡️ICG to help delineate key structures
➡️Progrip mesh
➡️3-0 absorbable V-lock to close peritoneum
🔴Reassessment of small bowel after hernia repair
➡️ICG present in bruised area demonstrating viability
➡️Aided decision making to not resect or oversew
Robotics in EGS:
🟢Case selection key
🟢MDT approach with anaesthetic and scrub teams to coordinate
🟢Minimally invasive approaches in EGS should be encouraged
#FOAMed #GITwitter #MedEd #Surgery #Hernia #EGS
Rodrigo Gomes da Silva MD, PhD retweeted
Editorial: Transanal total mesorectal excision (taTME) can be performed safely with oncologic outcomes comparable to other approaches in experienced hands. But in an era of increasingly widespread robotic surgery, what role remains for taTME? ovid.com/10.1097/SLA.0000000…
Rodrigo Gomes da Silva MD, PhD retweeted
🏥 Anastomotic leak after colorectal surgery: current landscape and future directions
🗨️ Multifactorial complication, risk reduction by ICU fluorescence angiography, tension-free anastomosis, modulation of microbiota and defunctioning stoma. - @GormsenJohanne
➡️ bjsacademy.com/bjs-academy/y…
Rodrigo Gomes da Silva MD, PhD retweeted
New Publication: Survival benefit of adjuvant radiation therapy after local excision of T1-2 and N0 anal squamous cell carcinoma: A National Cancer Database Analysis pubmed.ncbi.nlm.nih.gov/4210…
Rodrigo Gomes da Silva MD, PhD retweeted
Johnson & Johnson anunció hoy que la @US_FDA le otorgó autorización a su 🤖 #OTTAVA™, el primer sistema robótico integrado a la mesa de operaciones. La primer competencia real para el DaVinci de @IntuitiveSurg #Cirujanos
Rodrigo Gomes da Silva MD, PhD retweeted
In patients undergoing permanent colostomy for #RectalCancer, use of a funnel-shaped intra-abdominal mesh reduced parastomal hernia incidence and size at 3 years without increased complications compared with no mesh. ja.ma/4eGxikD
ALT JAMA Surgery RCT: Prevention of Parastomal Hernia. Population: 62 Men, 39 Women, undergoing surgery for rectal adenocarcinoma. Intervention: 101 participants. Findings: CT-confirmed PSH incidence lower in mesh group. Mesh 57%, Control 82%.
Rodrigo Gomes da Silva MD, PhD retweeted
Small-bites fascial closure after elective midline laparotomy reduced long-term risk and size of incisional hernia vs traditional large-bites technique, supporting small bites as standard practice for abdominal closure.
ja.ma/4di06iV
Rodrigo Gomes da Silva MD, PhD retweeted
Exciting Update: TotalSegmentator supports segmentation of liver lesions on both CT and MR images. Free and easy to use. Great team effort by the University Hospital Basel Radiology team.
paper: link.springer.com/article/10…
code: github.com/wasserth/TotalSeg…
Rodrigo Gomes da Silva MD, PhD retweeted
This is how a large polyp is removed from the colon to prevent cancer.
Rodrigo Gomes da Silva MD, PhD retweeted
🆕Indocyanine green fluorescence angiography for anastomotic perfusion assessment in colorectal surgery: a systematic review with meta-analysis, meta-regression, and trial sequential analyses
thelancet.com/journals/langa…
#GITwitter #SurgTwitter
Rodrigo Gomes da Silva MD, PhD retweeted
Single institution comparison of open, lap, and robotic Hartmann's reversal. Is there a difference in morbidity? Read more in this month's #DCRJournal: bit.ly/4aW4bre
Rodrigo Gomes da Silva MD, PhD retweeted
March Issue: Robotic Intracorporeal Single-Stapled Anastomosis (RISS) is Associated with Lower #AnastomoticLeakage Rates than the Double-Stapled Technique After Minimally Invasive Total #MesorectalExcision for #RectalCancer
rdcu.be/e7NpN
@SyedAAhmad5
@SocSurgOnc
Rodrigo Gomes da Silva MD, PhD retweeted
Robotic ileal pouch–anal anastomosis was associated with lower conversion to open surgery, less blood loss, and shorter length of stay than the laparoscopic approach, with similar 30-day outcomes. journals.lww.com/annalsofsur…
Rodrigo Gomes da Silva MD, PhD retweeted
Video Vignette | Laparoscopic TME and Systematic Infrarenal Para-aortic Lymph Node En Bloc Resection After Total Neoadjuvant Therapy for Rectal Cancer: bit.ly/4rRpIHd
Rodrigo Gomes da Silva MD, PhD retweeted
MRI to guide clinical management of rectal cancer: updated consensus recommendations from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR)—PART I primary staging.link.springer.com/article/10…
Rodrigo Gomes da Silva MD, PhD retweeted
Neoadjuvant chemotherapy did not improve disease-free survival vs upfront surgery in patients with locally advanced #ColonCancer, but reduced need for adjuvant chemotherapy and showed safety and feasibility.
ja.ma/4l4ELLE
