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Dr Oliver Florica Dr Oliver Florica
Dr Oliver Florica
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Dr Oliver Florica
Dr Oliver Florica

Dr Oliver Florica
MD FRACS
Surgeon of excellence at Sydney and Dalcross Adventist Hospitals

I am an Australian Surgeon with seven years training in surgery in Australia with emphasis on complex lower and upper gastrointestinal procedures such as bowel cancer, diverticular disease, gastric, anti-reflux, hernia, obesity surgery, etc. My experience is also enhanced by additional years of training in surgical and orthopaedic trauma, plastic and reconstructive surgery, intensive care and advanced life support and resuscitation techniques in centres of excellence in South Africa and Australia. Over a period of ten years of training with six monthly rotations I have been awarded with assessments of very good and excellent in my performance. In 2002 I became fellow of the Australian College of Surgeons and subsequently member of the Australian Obesity Surgery Society. My training however has never stopped and to present I am staying abreast of most modern surgical techniques, attending numerous conferences, courses and workshops in Australia and overseas. In 2008 and 2012 I was awarded a Diploma in Laparoscopic Surgery from the University of Strasbourg, France. In my career I participated or performed in excess of 4,000 laparoscopic procedures.

Currently my practice is focused mainly on laparoscopic abdominal surgery and bariatric procedures.

I have been involved with gastric band surgery since I was a surgical trainee in 1998 and have been pursuing this surgery in my own practice for over a decade. I am amongst the first in Australia to be trained in laparoscopic gastric sleeve surgery and currently offer a diversity of surgical procedures for weight loss.

In the last few years I introduced a laparoscopic gastric plication technique which I believe complements the gastric band, simplistically offering the combination of a smaller stomach to the alimentary flow restriction provided by the band. While the perception is that gastric plication results may be good as a standalone procedure the combination with the gastric band adds the benefit of maintaining adjustability which long term is beneficial to keep the weight loss under control. The procedure remains fully reversible and in my opinion combines the advantages of both techniques and reduces the complications of either of them. My experience with this technique is now solid and in approximately 500 patients with follow up close to entering the fifth year I have not seen any complications related to gastric band surgery and have not re-operated on any patients, while weight loss results are immediate after surgery; routinely the patients spend one night in hospital and in selected cases some can go home the same day; there have been no surgical complications, no readmission and no return to surgery for any reasons in a diversity of patients with a wide range of BMI and comorbidities and age up to 77. On endoscopy, to the unaware examiner the stomach appears "skinnier" but otherwise normal (there are no pockets or folds where the food gets trapped).

Due to the fact that the plication is reversible, there is no introduction of foreign body, there is no cutting, stapling or re-routing of bowels, this year I have started to offer the gastric plication as a sole operation to patients with lower BMI, who otherwise would not qualify for surgery. The early results speak for themselves immediate resolution of pre-existing heartburn and cessation of anti-acid medication in patients who suffered from chronic acid reflux while the weight loss is often more than 50% within weeks after surgery. Typically the patients continue to eat almost a normal diet, two or three course meals of reasonable size and leave the table satisfied and full with longer lasting satiety.

Due to its' results, reversibility, cost effectiveness, simplicity and especially safety various gastric plication techniques are gaining grounds and recently reputable clinics such as Cleveland Clinic, Ohio have listed gastric plication as a promising technique amongst their procedures, making it available to patients in the overweight group with a BMI as low as 27, patients which in the past were not considered for surgery:

Introducing Laparoscopic Gastric Plication A promising less invasive weight loss procedure" Cleveland Clinic, Ohio

Research Papers

July 2008 – Thredbo, Australia - Biennial International Congress of Australasian Hernia Society – oral presentation "Laparoscopic mesh repair inguinal hernia (TEP) – cost effective optical trocar technique"

Feb 2008 - Florida, US - 3rd International Congress of Laparoscopic Colorectal Surgery - video presentation: "Optical trocar a safe technique in establishing pneumoperitoneum" (600 cases review)

Dec 2007 - "Laparoscopic resection of splenic artery aneurysm with splenic preservation" - paper accepted and published in 2008 in the Singapore Medical Journal

Sept 2007, Europe - The 17th World Congress of the International Association of Surgeons, Gastroenterologists and Oncologists

"Laparoscopic insertion of adjustable gastric band - single surgeon, minimal dissection, three port technique" - video presentation and patient review; author Dr O Florica (faculty)

"Laparoscopic total extraperitoneal mesh repair of inguinal hernia - cost effective optical trocar technique" - (video presentation and patient review) Florica O

August 2006, Sydney - The 11th World Congress of the International Federation for the Surgery of Obesity

"Visiport technique - evaluation of safety in laparoscopic abdominal surgery" - poster presentation; authors Dr O Florica, Dr S Y Lee, Dr R Curran

May 2006, Bucharest - The 23rd National Congress of Surgery

"Visiport technique - safety evaluation in laparoscopic abdominal surgery" - video presentation and patient review; presenter Dr O Florica

"Laparoscopic cholecystectomy - has the time arrived to bury open cholecystectomy?" - poster presentation Dr Oliver Florica

April 2006, Dallas - Society of American Gastrointestinal and Endoscopic Surgeons - Annual Scientific Session

"Visiport technique - evaluation in abdominal surgery" Author Dr. O Florica, Dr S Y Lee, Dr R Curran

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