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Dr. Luís Sá Vinhas

General Surgeon

[Medical License #34266]

Dr. Luís Sá Vinhas is a specialist in General Surgery, with a degree in Medicine from the School of Medicine of the University of Oporto, where he has been a professor since 1995. Since 2017 he has been the Head of the Emergency Unit Team at Centro Hospitalar de São João in Porto.

He has 20 years of surgical experience with special emphasis on Endocrine and Cervical pathology (thyroid, parathyroid, adrenal, salivary glands, congenital lesions of the neck). Extensive experience in laparoscopic surgery, including bariatric surgery.

Author and co-author of multiple scientific communications, both in scientific journals and in national and international scientific congresses and meetings.

Member of the Specialty College of General Surgery of the Portuguese Medical Association. Member of the Portuguese Society of Endocrinology, Diabetes and Metabolism.

Intervention Areas

General Surgery

 

✔️ Gastric bypass;

✔️ Gastric sleeve;

✔️ Placement of gastric bands;

✔️ Mini gastric bypass;

✔️ Placement of intra-gastric balloons.

 

Medical treatment for clinically severe (morbid) obesity includes various combinations of low calorie diets, behavioral modification, physical exercise and pharmacological agents. The biggest problem with this type of approach is its inability to maintain a reduced body weight in most obese patients, with a high incidence of inefficiency in sustaining a 10% weight loss over time with this type of treatment.

Due to the serious risks related to this degree of obesity, the relatively low risk of surgical treatment and the ineffectiveness of medical or dietary interventions, as well as the severity that weight variations can bring as a result of inefficient conservative treatments (yo-yo effect) , bariatric surgery has been asserting itself in this universe, due to the good results not only in reducing the weight achieved and maintained, but also with the improvement of the diseases that accompany it. Surgery should be considered as a treatment for a debilitating and non-aesthetic disease.

The fundamental principle of obesity or bariatric surgery is to change the energy intake / absorption-consumption ratio, which in obesity is favorable to the first set, thus causing an accumulation of energy by increasing weight. Therefore, reducing food intake or absorption and increasing physical activity will cause weight loss by altering this dynamic.

The types of bariatric surgery can also be divided as follows:

SURGERIES THAT CAUSE GASTRIC RESTRICTIONS

Vertical Gastroplasty
Gastric Bands

COMBINED OPERATION OF MORE RESTRICTION AND LESS MALABSORPTION

Roux-en-Y gastric bypass
Ring bypass
Minigastricbypass

COMBINED OPERATION WITH LESS RESTRICTION AND MORE MALABSORPTION

Biliopancratic Derivation
Distal Roux-en-Y Gastric Bypass
Biliopancreatic shunt with “duodenal loop”
SADIS

All of these surgeries are performed at our clinic laparoscopically.

Laparoscopic Surgery

Endocrine and Cervical Surgery

Thyroid and Parathyroid Surgery

Suprarenal Surgery

Salivary Gland Surgery

Congenital Neck Injuries

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