- MINIMALLY INVASIVE SURGERY

1.- New suturing technique with titanium clips in Vascular Surgery Paediatrics.

2.- Ophthalmology. New treatment of corneal ectasias.

3.- Monitoring of anaesthetic depth. Anaesthesia in minimally invasive surgery.

4.- Minimally invasive treatment of obstructive uropath.

The JUMISC has pioneered the study on the effect of metallic titanium clips (VCS), as opposed to conventional sutures, in vessels in growth (arteries and veins), and their application in paediatric surgery, vascular and renal heterotopic autotransplantation. Anastomosis with titanium clips favour the longitudinal and transverse growth of vessel during growth, while being very simple and efficient for the surgeon, hence significantly reducing the clamping time.

The ophthalmology research has helped develop a prototype laser application in ophthalmology led by fibreoptics (Patented in 2002), which allows simultaneous detection and photocoagulation of a lesion. In turn a capsulorhexis simulator for capsular surgical training in phacoemulsification has been designed, and other similar advances have been made relating to oral surgery, dentistry and maxillofacial surgery, allowing for training of microsurgical suture techniques in this specialty. In addition, studies are carried out to establish a nomogram for the insertion of intracorneal rings (INTACS ™ and KERARING ™) in experimental animals, as well as other new techniques of corneal remodelling, for the treatment of corneal ectasias.

Research in anaesthetic techniques for minimally invasive surgery, focusing on the assessment and feasibility of new technologies for anaesthetic monitoring (BIS, ANSiscope, haemodynamic monitoring), as well as in the comparative study of mechanical ventilation with continuous flow versus ventilation mechanics with volume control.

It is also working on the evaluation of the patient's physiological responses to aggressive surgery to analyse the physiological response of clamping the aorta during infrarenal laparoscopic surgery, trying to establish the recommended times of ischaemia and the development of a technique of minimally invasive surgery for the administration of drugs directly to the pericardium through a very fine incision which minimises pain and post-operative recovery. Since the drug's direct contact with the pericardium causes a high concentration with less side- effects, and avoid the introduction of the drug into the bloodstream.

On the other hand, the unity of the Endoscopy JUMISC, focuses his research in urological surgery and minimally invasive endoluminal ultrasonography, especially in the minimally invasive treatment of obstructive uropathy for the resolution of paediatric medical conditions such as ureteral-pelvic junction obstruction and the megauréter, as well as the treatment of ureteral stenosis and the development of new metal prosthesis for the resolution of ureteral obstruction.