JORGE DAES

@mwassermannl Dear Professor Wasserman, I hope you are doing well. I’m following up briefly on my recent email invitation, in case it may have escaped notice. With kind regards, Jorge

Identidades: atrás como cangrejo eltiempo.com/opinion/column…

Recently published in GSN

Just Published — eTEP Hernia Repairs: An Illustrated Book What began as a series of access maneuvers to expand the extraperitoneal working space has grown into a global approach, now fully captured in this comprehensive, illustrated volume.

Autonomic neural blockade can reduce postoperative visceral pain, nausea, and vomiting following minimally invasive surgery. It may also provide an important adjunct to enhanced recovery protocols. ja.ma/4f2W0sG

ANB targets autonomic pathways during minimally invasive procedures to effectively manage related visceral pain, nausea, and vomiting, promoting intraoperative hemodynamic stability, reducing anesthesia needs, and enhancing recovery. #SurgicalInnovation #AutonomicBlockade JAMA

@Herniadoc @daes_jorge Always the reviewer #2 lol 😂

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@RajMisraDO @Herniadoc @hgok @VNikolian @kunjiezhang2 @DesmondHuynh @OHSUsurgery @OrensteinSean @AzarowKen @tsikitis @andrewswright @jdimick1 @EricKnauerMD @abhishekpar @GenSurg_CS I believe complex seromas that require further surgical management are not a frequent occurrence to be detected in observational studies with an insufficient number of patients. However, it is a real and unwanted occurrence in a busy practice. Preventive measures are worthwhile.

@Herniadoc @hgok @VNikolian @kunjiezhang2 @DesmondHuynh @OHSUsurgery @OrensteinSean @AzarowKen @tsikitis @andrewswright @jdimick1 @EricKnauerMD @abhishekpar @GenSurg_CS @daes_jorge I believe it was Flavio Malcher's data that showed no increased risk of seroma formation with abandoning the sac in large inguinoscrotal hernias.

Love the collaborations we have developed through #HerniaRounds. Rising star, @DesmondHuynh presenting at #WSA22. He discussed robotic repair of giant inguinoscrotal hernias & featured an interesting case. Full video: youtu.be/vpZpXvygBbE #OHSUHernia #HerniaGeeks

@VNikolian @Herniadoc @hgok @kunjiezhang2 @DesmondHuynh @OHSUsurgery @OrensteinSean @AzarowKen @tsikitis @andrewswright @jdimick1 @EricKnauerMD @abhishekpar @GenSurg_CS I believe both abandoning the distal sac and trying to remove altogether the distal sac have risks. Large seromas, hematomas, and pseudo hydroceles in the first and orchitis, lesion to cord’s elements, and hematomas in the second. Here's a third option youtu.be/FB64sb6Ouas

@Herniadoc @hgok @kunjiezhang2 @DesmondHuynh @OHSUsurgery @OrensteinSean @AzarowKen @tsikitis @andrewswright @jdimick1 @EricKnauerMD @abhishekpar @GenSurg_CS @daes_jorge I abandon sac regularly, and proactively. In video, I discuss my rationale and mention that I was on verge of doing so. The sac pneumodissected and inverted, easily being reduced.

@anhanssen @OMGhanemMD @Cirbosque @acocib @MISIRG1 @VesaliusCX @YANKEEDOC44 @abrahambet @SVCirugia @ascolcirugia @SOVCIBAM @Cirugiaunilibre @UnimetroCO A well-executed procedure and an educational video. Thank you for sharing.

@OMGhanemMD @Cirbosque @acocib @MISIRG1 @VesaliusCX @YANKEEDOC44 @abrahambet @SVCirugia @ascolcirugia @SOVCIBAM @Cirugiaunilibre @UnimetroCO @daes_jorge #SoMe4Surgery Take a look on Our SADI-S video. Comments and critics are welcome. youtu.be/qxx3I0cKZp0

@Cirbosque @daes_jorge @anhanssen @draelikaluque @LinaMariasurg @daes_jorge and his team in Colombia should be commended for this groundbreaking concept in the post-op management of bariatric patients. Really revolutionary/innovative stuff here.

Paragastric Autonomic Neural Blockade to Prevent Early Visceral Pain After Laparoscopic Sleeve Gastrectomy: A Randomized Clinical Trial by Drs @daes_jorge @anhanssen @draelikaluque @ericpaulimd @linamariasurg! Amazing 🇨🇴 contribution to academic bariatric world community ⤵️💥🌎!

@JFarellSurgeon @Cirbosque @anhanssen @draelikaluque @ericpaulimd @LinaMariasurg This is a more recent video with additional footage on the block performance. youtu.be/lcbhHu8uPUo

@Cirbosque @daes_jorge @anhanssen @draelikaluque @ericpaulimd @LinaMariasurg Video : youtu.be/RxO8blhLLAs

@DrSumeetShah @ericpaulimd @OMaxFisher I have not studied diabetic patients particularly. The autonomous system is complex. Visceral pain and associated symptoms such as nausea, vomiting, perspiration and anxiety seem to be carried by afferent pathways shared by sympathetic and parasympathetic nerves.

@daes_jorge @ericpaulimd @OMaxFisher Thanks for your explanation. Many diabetic patients already suffer from autonomic dysfunction. Have you also looked at difference, if any, between diabetic & non diabetic. diabetesjournals.org/care/article/2…

@ericpaulimd got a video of this technique?

@DrSumeetShah @ericpaulimd @OMaxFisher VP substantially impacts patients’ quality of life, recovery time, nursing time allocation, and resultant risk of opioid abuse. Nausea, food intolerance, and pain are responsible for most of the readmission after LSG and other bariatric procedures[6,7].

@daes_jorge @ericpaulimd @OMaxFisher Most of LSG patients are up & around the same day. Many are doing routine activities within 48 hrs. I don't find pain scores to be very different from LC or even Lap Extraperitoneal VHR. So, my question is why did you find the need to do this additional pain control procedure ?

@DrSumeetShah @ericpaulimd @OMaxFisher Autonomic impulses are, in part, responsible for the visceral pain and associated symptoms, such as nausea and vomiting, observed in a substantial number of patients in the immediate postoperative period after LSG and other minimally invasive procedures [1-5].

@ericpaulimd @OMaxFisher We are currently finishing a protocol on an RCT comparing ANB performed at the outset with at the end of the LSG. Performing the procedure at the beginning has been shown in an observational study to reduce the amount of remifentanil and halogenated anesthesia significantly.

@OMaxFisher The article includes a video of the technique. @daes_jorge may have a separate one.

@ericpaulimd @OMaxFisher Here's a video of the ANB performed at the end of the procedure. youtu.be/lcbhHu8uPUo

@sbjonesmd @SEAnesHQ Respectfully, I would like your opinion on this investigation. Now we have started a protocol using this ANB at the outset of the procedure noting a remarkable reduction in remifentanil and sevoflurane consumption and hemodynamic stability.

Drs Barbara Orlando and Bryan Mahoney kick off #SEAFall22 ⁦@SEAnesHQ⁩!

@sbjonesmd @SEAnesHQ twitter.com/JournalObesity…