Dr.Archontovasilis Fotios is one of the reputed laparoscopic surgeons in Greece. He is currently the Director surgeon at the Metropolitan General hospital,Greece. In july 1997 ,he obtained his degree in medicine from the National and Kapodistrian University of Athens, School of Medicine.He specialized in general surgery from the 1st Propaedeutic Surgery Clinic, SICU, University of Athens. He is passionate about laparoscopic surgeries and underwent various training including -Training in Advanced Laparoscopic Surgery of the Large Intestine,in France. He has also specialized in Minimally Invasive Endoscopic Surgery, Natural orifice transluminal endoscopic surgery (NOTES) ,Artificial Nutrition (Parenteral and Enteral Nutrition) to state a few. Dr. Fotios is also a member of the board of directors for the Hellenic Society of Endoscopic Surgery since 2010
Dr.Fotios is a highly skilled and experienced doctor in the field of laparoscopic surgeries. He was a consultant in the 1st Endoscopic surgery clinic at IASO from 2007 to 2015.He is also an eminent speaker in various seminars and medical conferences.He was the Scientific director and basic instructor at numerous seminars held by the Hellenic Society of Surgery and the School of Medicine of the University of Athens on Artificial Nutrition on surgery patients
Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.
Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function. AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.
Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.
Appendectomy is a surgical procedure in which the inflamed appendix causing abdominal pain is removed. An appendix is a pouch-like structure attached to the large intestine and is located on the lower right side of the abdomen.
An appendectomy can be done laparoscopically as well as an open procedure. Complications may arise if an appendix has burst due to inflammation, which may increase the recovery time as a drain is put in the incision for a few days after the surgery.
The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.
There are different types of colectomies such as complete colectomy, right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.
Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:
A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.
Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:
Inguinal hernia is a condition that occurs when intestinal tissues or fatty tissues push through the weaker section of the abdominal wall, through the inguinal canals. The inguinal canals are situated both sides of the anterior abdominal wall, on either side of the midline. Located just above the inguinal ligaments, the inguinal canal is larger as well as more prominent among the men compared to women. It serves an important purpose, as it is associated in the conveyance of the spermatic chords in male as well as the uterine ligament (round) in the females. When a part of the abdominal wall gets weak, the tissues in the region protrude through the abdominal wall into the canal, causing extreme pain and discomfort. This can be felt as a lump in the lower abdominal area in most people, however, may also get unnoticed in candidates dealing with obesity. In such cases, inguinal hernia repair becomes the need of the hour, which can be achieved by surgical operations.
Inguinal hernia can be very painful and may interfere with daily activities to a great extent. Though medications like painkillers may help to cope up with the pain, the best treatment to cure hernia is through surgical procedures. Inguinal hernia repair can be done via surgical methods as the opening can not be sealed with medications and therapies, and needs to be thoroughly sealed. Thus, the candidate is suggested and requested to prepare for surgery. However, pre-surgery, through evaluation of the candidate is done in order to diagnose any kind of chronic or terminal disease which shall complicates the surgery further. Inguinal hernia repair is essential as if the protruding tissues are not retracted, it will keep forcing the opening in the abdominal and worsening the condition.
Laparoscopic gallbladder removal is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or inflamed gallbladder. The gallbladder is a small organ located in the right upper abdomen below the liver. It helps in the storage of bile which is used to breakdown food during digestion. Laparoscopic gallbladder removal is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or inflamed gallbladder. The main reason for having a gallbladder removed is the presence of gallstones and the complications it might cause. Other reason for the surgery might include biliary dyskinesia, cholecystitis, pancreatitis. It is called as laparoscopic cholecystectomy and it carries only a small risk of complications.
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Dr. Archontovasilis Fotios
He has an experience of 19 years as a laparoscopic surgeon
His primary treatments include minimally invasive surgery of the lower gastrointestinal tract,Biliary Surgery.Laser- and U/S-guided treatment of anal and perianal conditions and port placement .
Yes,he provides online consultation services.
Dr. Fotios is a member of the board of directors for the Hellenic Society of Endoscopic Surgery ,He is part of the European Association of Endoscopic Surgery (EAES) ,European Association of Transluminal Surgery (EATS)
There is a need to see a laparoscopic surgeon when a minimally invasive laparoscopic surgery dealing with the lower gastrointestinal tract is needed. He can also be consulted for biliary port replacements and hernia repair.
He can be easily consulted by registering your profile with medigence and writing down your enquiry.A meeting with the surgeon will be scheduled. Following which the consultation can be done.
(+1) 424 283 4838