General and Digestive Surgery

We treat obesity and its associated conditions through bariatric surgery. We choose the most suitable technique for each person based on their body mass index, the conditions that accompany it, and their long-term health goals.

Techniques we performsleeve gastrectomy, gastric bypass, SADI-S, and biliopancreatic diversion.

When a previous bariatric operation does not achieve the expected result or complications arise, we assess and perform a second procedure tailored to each situation.

We treat conditions of the colon, rectum, and anus, from colorectal cancer to benign disease and functional disorders of the pelvic floor. It is one of the department's broadest areas.

We remove the tumor and the affected segment of bowel following oncological criteria, prioritizing whenever possible the preservation of function and a minimally invasive approach.

Techniques we performsegmental colon resections, anterior resection of the rectum, abdominoperineal resection, subtotal colectomy with ileorectal or ileosigmoid anastomosis, total proctocolectomy with ileoanal pouch, local excision, transanal resection (including TAMIS), pelvic exenteration, and diverting stomas.

We operate on ulcerative colitis and Crohn's disease when medical treatment is not enough or complications arise, aiming to control the disease and preserve as much healthy bowel as possible.

Techniques we performproctocolectomy with ileostomy or with ileoanal pouch, strictureplasties in Crohn's disease, and segmental bowel resections.

We operate on diverticular disease when it causes complications or repeated episodes that do not resolve with medical treatment.

Techniques we performcolectomies.

We offer everything from minimally invasive in-office treatments to surgery, depending on the grade and symptoms, to choose the least aggressive option that solves the problem.

Techniques we performsurgical hemorrhoidectomy (Milligan-Morgan, Ferguson), rubber band ligation, infrared photocoagulation, sclerotherapy, dearterialization with hemorrhoidopexy, and laser hemorrhoidoplasty.

We correct the descent of the rectum to restore normal anatomy and improve continence, using an abdominal or perineal approach depending on the case.

Techniques we performAltemeier procedure, Delorme procedure, and ventral rectopexy.

We treat anal fissure when it does not heal with conservative measures, with options aimed at relieving pain and promoting healing.

Techniques we performlateral internal sphincterotomy, V-Y anoplasties (rotation flaps), fissurectomy, and botulinum toxin injection.

We drain abscesses and treat perianal fistulas, aiming to heal the tract and preserve continence, with techniques matched to the complexity of each fistula.

Techniques we performabscess drainage, fistulectomy or fistulotomy with sphincter repair, loose draining seton or cutting seton, endoanal advancement flap, sealing with biological glues, stem cell or platelet-rich plasma therapy, laser closure of the tract, and the LIFT technique.

We treat pilonidal cysts and sinuses, from abscess drainage to reconstructive techniques that reduce recurrence and improve healing.

Techniques we performabscess drainage, laying open, Bascom I and II techniques, and other flaps.

We repair abnormal connections between the rectum and the vagina or bladder, choosing the surgical approach according to the cause and location.

Techniques we performlocal repair (endoanal advancement flap, transvaginal repair), transperineal repair (sliding flap, Martius procedure, gracilis interposition), and transabdominal repair.

We treat loss of bowel control with options ranging from nerve stimulation to sphincter repair, to restore continence and quality of life.

Techniques we performsacral nerve stimulation and anal sphincteroplasty.

We operate on the liver, bile ducts, and pancreas, including highly complex tumors and liver transplantation. This is a major surgical area that requires specialized teams and experience.

We treat primary liver tumors and metastases from other organs, combining surgery with targeted techniques when appropriate.

Techniques we performatypical hepatectomies and segmentectomies, radiofrequency ablation, chemoembolization, radioembolization, and electroporation.

We remove tumors of the bile ducts and reconstruct bile drainage, with approaches adapted to the tumor's location.

Techniques we performliver resection, biliary bypass, biliary resection, and bile duct surgery.

We treat pancreatic adenocarcinoma and other pancreatic tumors with complex surgery aimed at removing the tumor following oncological criteria. We also treat cystic and neuroendocrine tumors.

Techniques we performpancreaticoduodenectomy, distal pancreatectomy, Appleby procedure, RAMPS (anterior and posterior), and total pancreatectomy.

We operate on severe forms of acute pancreatitis and on the sequelae of chronic pancreatitis when they require surgery.

Techniques we performin acute pancreatitis, drainage and lavage, debridement, and pancreatectomy; in chronic pancreatitis, pancreaticojejunal drainage, body-and-tail pancreatectomy, and pancreaticoduodenectomy.

We perform liver transplantation in patients with advanced liver disease, from both living and deceased donors.

We treat stones in the gallbladder and bile duct, the most common benign condition in this area.

Techniques we performcholecystectomy and bile duct exploration.

We repair hernias and abdominal wall defects to relieve symptoms and prevent complications, with techniques aimed at a lasting result and a quick recovery.

We correct inguinal hernia by reinforcing the weakened area of the wall, with an open or minimally invasive approach depending on the case.

We repair umbilical hernias and the separation of the abdominal rectus muscles, restoring the strength of the wall.

We treat hernias that appear over scars from previous surgery, including the most complex ones.

We operate on the adrenal glands, the thyroid, and the spleen, using a minimally invasive approach whenever possible.

We remove tumors of the adrenal gland, usually laparoscopically.

We surgically treat nodules, goiter, and thyroid tumors, preserving function when possible.

We perform removal of the spleen, splenectomy, in hematological diseases and other indications.

We treat peritoneal carcinomatosis, the spread of a tumor across the peritoneum, the membrane that lines the abdominal cavity. It is a highly complex condition that we address in a specialized way, combining surgery with treatment directed at the abdominal cavity itself.