"By allowing a faster and less painful recovery, these techniques make it possible to treat many patients in a day hospital regime."

MINIMALLY INVASIVE SURGERY

Minimally invasive surgical techniques are those that minimize surgery-related trauma, especially those techniques that avoid large incisions, leading to procedures with the smallest possible ones.

There are many minimally invasive techniques that can be applied in coloproctology, which has revolutionized surgical practice in the specialty since the 1990s. Examples of minimally invasive techniques in coloproctology are colorectal procedures performed by videolaparoscopy and the video-assisted techniques that were developed later.

In these techniques, optical equipment and special instruments allow an internal structure of the body to be visualized in detail and delicately manipulated, using dedicated equipment.

In this way, through small incisions, these devices are inserted into body cavities and the surgeon can visualize everything he is doing on a screen, in real time.

The interest in minimally invasive techniques in coloproctology was responsible for leading Dr. Fábio to do his medical residency in coloproctology at the Federal University of Ceará, a service led by Prof. Sérgio Regadas, who would become his Master’s advisor. Professor Regadas was responsible for performing the first colorectal laparoscopic surgery in Latin America, back in 1991.

However, minimally invasive techniques in coloproctology are not limited to intestinal or rectal procedures. New minimally invasive techniques have made it possible to treat hemorrhoidal disease, anal fistulas, and pilonidal cysts.

In addition to these techniques, new video-assisted approaches make it possible to treat rectal injuries transanally. That is, operating the rectum through the anus itself.

The great advantages for patients of minimally invasive techniques is to enable a faster recovery and with less discomfort, when compared to a conventional technique.

And the advantages don’t stop there: by allowing a faster and less painful recovery, these techniques make it possible to treat many patients in a day hospital regime.

Dr. Fábio is an enthusiast of these techniques, having pioneered many of them both in Brasília and in Brazil. Techniques such as PPH and THD (for treating hemorrhoids), LIFT and VAAFT (for treating anal fistulas), STARR, POPS, TRREMS and Apex Technique (for treating rectoceles and rectal prolapses), EPSiT and Bascom (for treating pilonidal cysts) and TAMIS and TaTME (for the treatment of rectal tumors) are some that were pioneered by Dr. Fábio.

Most of these techniques are now performed in our own Ambulatory Surgery Unit, in its own pathway. Thus, most of our patients return home for recovery assisted by our multidisciplinary team.

To learn more about our Ambulatory Surgery Program, click here.

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