Dr. Xavier Centeno Forniés

Dr. Xavier Centeno Forniés
Colon & Rectal Surgery
Barcelona


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Dr. Xavier Centeno Forniés Colon & Rectal Surgeon
Barcelona

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Dr. Xavier Centeno Forniés areas of expertise:

Professional statement

Dr. Centeno has been trained at the University of Minnesota (USA), has pioneered the application of laser in hemorrhoidal pathology, implementing minimally aggressive techniques. Since 2010, he is the coordinator of General and Digestive Surgery at the prestigious Teknon Medical Center.

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Diseases, Medical Tests and Treatments

Anal Fissure

An anal fissure is a tear in the outer skin of the anus, which causes severe pain in the anus during and after defecation. The most common causes of a ...

Colorectal cancer surgery

  Colon cancer is the proliferation of malignant cells in the colon, which, along with the rectum, is in charge of storing faeces which are then ex ...

Hemorrhoid Surgery

Hemorrhoid surgery (piles) is surgery that is done to treat the veins that have been swollen or expanded around the anus. Hemorrhoid surgery is indic ...

Anal abscess

Anal abscess is an infection of perianal cavities that causes inflammation of the anal canal. The main symptom is an intense and sharp increases anal ...

Anal condyloma

Condyloma, or genital wart is a disease that affects the skin area around the anus or genitals. Also called genital warts that appear as small warts grow in size and are spreading to the genital area. They are usually asymptomatic and, therefore, patients do not even know they have it until later. Genital warts are caused by the Human Papilloma Virus (HPV). It is a sexually transmitted disease in 95% of cases, so it is transmitted from person to person by direct contact, although other methods of transmission. ...

Anal fistula

Fistula surgery is surgery to remove the path of a channel or abnormal connection between an organ, vessel, or intestine and another structure. Fistula can occur in many parts of the body and usually the result of injury or surgery. There are different types of fistulas (blind, complete, incomplete, horseshoe) according to their type and require one kind or another intervention. Fistula operation can be approached with different techniques (cold, electrical or laser scalpel) and may include both fistulotomy (incision in the path of the fistula to the tissues heal from the inside out) as a fistulectomy (removal of the fistula tract) or marsupialization (close the channel forming a bag). In certain cases, you choose to seal the fistula with biological glues or plugs. Furthermore, the placement of special drains (seton) may be necessary, as in the case of an operation of perianal fistula, abscess associated. On occasion the only existing solution to a fistula may be the ultimate placement of a seton (drainage). Most fistulas respond well to surgical treatment but in some cases perianal fistula surgery can leave sequels such as incontinence. ...

Anal fistula surgery

Fistula surgery is surgery to remove the path of a channel or abnormal connection between an organ, vessel, or intestine and another structure. Fistula can occur in many parts of the body and usually the result of injury or surgery. There are different types of fistulas (blind, complete, incomplete, horseshoe) according to their type and require one kind or another intervention. Fistula operation can be approached with different techniques (cold, electrical or laser scalpel) and may include both fistulotomy (incision in the path of the fistula to the tissues heal from the inside out) as a fistulectomy (removal of the fistula tract) or marsupialization (close the channel forming a bag). In certain cases, you choose to seal the fistula with biological glues or plugs. Furthermore, the placement of special drains (seton) may be necessary, as in the case of an operation of perianal fistula, abscess associated. On occasion the only existing solution to a fistula may be the ultimate placement of a seton (drainage). Most fistulas respond well to surgical treatment but in some cases perianal fistula surgery can leave sequels such as incontinence. ...

Anal Incontinence

  Fecal incontinence is the inability to voluntarily control the evacuation of intestinal contents. Depending on the degree of damage, may cause occasional small leaks or, in advanced degrees, total loss of control of bowel movements. This is a very common ailment in older adults because the muscles responsible for this control have been weakening over the years, but can also be caused by excessive consumption of laxatives, periods of severe diarrhea, chronic constipation, or after surgery gynecological, prostate and rectal. It is essential to find the cause before beginning any treatment. You may resort to surgery to repair damaged muscles, but more important is to take adequate to the causes that have led to diet: for constipation, fiber-based; in case of chronic diarrhea by eating foods that restructure the intestinal flora. ...

Anal itching

Pruritus ani or anal itching is a symptom characterized by anal and perianal itching, initially found in the area around the anus, but can spread to the scrotum and vagina. It may be asymptomatic for periods. Predominates at night when the perineal temperature increases, a fact that increases sensitivity to itching. Anal itching can be severe, causing itching and scratching injuries. In extreme cases it can cause insomnia and thus, anxiety and depression. In most cases, no specific cause is even more associated with pruritus ani are poor hygiene or excessive cleaning of the area of ​​the anus and rectum diseases (fissures, fistulas, hemorrhoids ...), infection of certain bacteria or viruses in the gut, as psicolígicas causes anxiety, dermatological and systemic diseases and exist as certain foods and other antibiotics. ...

Anal laser surgery

  Laser surgery is a surgical procedure that is performed by the beam of any laser to perform necessary and close the incisions. The word laser is Light Amplification by Stimulated Emission of Radiation (which translates as light amplified by the emission of radiation). This type of surgery is increasingly used for their accuracy and because postoperative patient is much faster. It is used in various branches of medicine, including specializing in Coloproctology for diseases of the anal area. ...

Colitis

Colitis is an inflammation of the colon that causes abdominal pain and diarrhea. There are several types of colitis that differ in their level of involvement and treatment. One of the most common is the nervous colitis, which appears when constant stress and nervousness occur, so that should reduce stress levels to placate. Furthermore, pseudomembranous colitis is one of the most aggressive forms of this inflammation, caused by bacteria (Clostridium difficile). Usually occurs in people who have been treated with antibiotics, and in patients with weakened immune systems due to other causes. It is a disease that weakens the patient and can have fatal consequences, making it necessary to initiate a shock treatment with antibiotics. Besides, it is also very common to ulcerative colitis, which affects the lining of the colon and rectum, and whose cause is unknown. The symptoms of ulcerative colitis are roaring and sounds on the intestine, mouth sores, joint pain and also from those of this ailment. ...

Colorectal surgery

Or coloproctology colorectal surgery is the specialty of medicine derived from general surgery that deals with the diagnosis and treatment, both surgical and non fitness for repair, diseases of the colon, rectum and anus. The specter of exercise coloproctology includes ostomy management, colonoscopies, laparoscopic surgery, anal manometry, pelvic floor dysfunction and defecography. ...

Endometriosis surgery

Endometriosis is the presence and self-functional growth of the endometrium (the mucous membrane that lines the uterus) in an abnormal location; usually in the ovaries, behind the uterus, bowel or bladder. Although many women have no symptoms, this displaced tissue can cause pain, very heavy periods and pain during intercourse. The first sign may be the difficulty in achieving a pregnancy. Regarding the treatment of endometriosis or surgery will depend on the patient, in cases where it is not widespread, the doctor may prescribe pain medication to relieve pain, or drugs regulating hormones and birth control pills; in cases that present more complications, endometriosis operation, which aims to remove the endometrial tissue is practiced by places has spread ...

Fistula

It is an abnormal connection between an organ, vessel, or intestine and another structure. L fistula surgery is surgery to remove the path of a channel or abnormal connection between an organ, vessel, or intestine and another structure. Fistula can occur in many parts of the body and is usually the result of injury or surgery. There are different types of fistulas (blind, complete, incomplete, horseshoe) according to their type and require one kind or another intervention. Fistula operation can be approached with different techniques (cold, electrical or laser scalpel) and may include both fistulotomy (incision in the path of the fistula to the tissues heal from the inside out) as a fistulectomy (removal of the fistula tract) or marsupialization (close the channel forming a bag). In certain cases, you opt to seal the fistula with biological glues or plugs. Furthermore, the placement of special drains (seton) may be necessary, as in the case of an operation of perianal fistula, abscess associated. In certain cases the only existing solution to a fistula may be the ultimate placement of a seton (drainage). Most fistulas respond well to surgical treatment but in some cases perianal fistula surgery can leave sequels such as incontinence.   ...

Pelvic floor reconstructive surgery

  What is pelvic floor reconstructive surgery? Reconstructive surgery of the pelvic floor is a surgical intervention oriented to the repositioning of the internal organs of the female genital tract.   Reconstructive surgery of the pelvic floor can be performed in different ways: via vaginal, abdominal, laparoscopic or by combining the previous ones   Why is it done? The objective of pelvic floor reconstructive surgery is to position the pelvic structures in order to correct urinary and / or faecal incontinence, pelvic pathologies and pelvic symptoms, as well as to protect sexual function.   What does it consist of? Pelvic floor reconstruction surgery is performed to hold the internal organs of the female pelvis: uterus, bladder and rectum. This procedure is performed with a polypropylene mesh, so that genital problems are corrected. It can be performed in different ways: vaginal, abdominal, laparoscopic (minimally invasive) or by combining the previous ones. The most usual way to do it is through the vaginal route.   Preparation for pelvic floor reconstructive surgery The best option for the patient before facing pelvic floor surgery is to undergo a vaginal physiotherapy treatment, in order to strengthen the musculature of the area for the intervention.   Care after the intervention Being a minimally invasive surgery, recovery is faster and better with less time in the operating room. Patients can return to their daily life a week after having undergone the operation. ...

Rectal prolapse

Rectal prolapse is when the end of the large intestine (rectum) out through the anus. The externalization of the rectum may be only the mucosa, the entire wall or consist of a descent through the year without going outside. Rectal prolapse may be caused by the weakness of the tissues that support the rectum, constant efforts when to evacuate, constipation, aging or genetic causes. The most common symptom is a red lump or mass on the year, usually after a deposition. There may also be bleeding, mucus, involuntary leakage of gas or fecal incontinence. Rectal prolapse can be treated effectively with surgery, removing a portion of the intestine (perineal rectosigmoidectomy) or suturing the rectum to the surrounding tissue. You can also place a piece of synthetic mesh around the rectum so that it stays in place (rectopexy). ...

Rectal surgery

Surgery of the year is the branch of coloproctology charge of all surgeries are performed to treat problems affecting this area of ​​the body, ie, the opening end of the gastrointestinal tract by which waste materials (stool) leave the body and the adjacent skin. The anal surgery is indicated for different diseases, disorders or conditions such as hemorrhoids, genital warts, fistula, sacral cyst, fissures, anal cancer, anal stenosis, imperforate anus or trapping of foreign bodies, among others. Interventions can be superficial or internal and may require the use of different materials and techniques: laser, prostheses, catheters, drainage ... ...

Rectocele

  A rectocele is the descent of the rectum in the vaginal canal. The weakening of the muscles that comprise the pelvic floor is the main cause of rectocele. It may be accompanied by decrease of the bladder and decrease the uterus. They not always develop symptoms but the most common are pain during intercourse, constipation, pelvic pressure and feeling a lump in the vagina. Rectocele has several causes, the most frequent are multiple births, the repetition of exercises that increase intra-abdominal pressure and decreased estrogen during menopause. ...

Sacral cyst surgery

The pilonidal cyst, also known as sacral cyst is a disease caused by the accumulation of hair at the base of the spine or the coccyx area. It mainly affects young men, were white and long hair. Its origin is still unclear, some doctors established it as congenital or acquired other. The problem of cyst occurs when hair follicles become infected developing a pilonidal abscess, a collection of pus. The diagnosis is produced with a physical examination by the specialist, who seek dimples in the area, and with symptoms of pain by the patient. Treatment requires surgery in the event that the area where the pilonidal cyst is infected stands, or, you can remove hair around the pilonidal cyst and inject surgical glue. ...

Ulcerative colitis

Ulcerative colitis is a disease that causes ulcers in the lining of the rectum and colon.

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