Rubber band ligation of hemorrhoids in Dr. Santos Jiménez de los Galanes

Dr. Santos Jiménez de los Galanes operates a private hospital-based practice in Madrid, Spain. The practice is integrated into **Hospital Ruber Internacional** and operates within a single specialized department. It focuses on general and digestive system surgery using robotic and laparoscopic techniques.### Surgical Achievements and RecognitionDr. Santos Jiménez de los Galanes leads the practice. He received the **Doctor of the Year Award** in 2025 for innovation in robotic and digestive surgery. Six doctors form the medical team, including bariatric, metabolic, and oncologic surgeons. The staff holds memberships in major organizations:

• International Hepato-Pancreato-Biliary Association
• Society of Robotic Surgery
• International Federation for the Surgery of Obesity and Metabolic Disorders

Each specialist contributes to a coordinated approach for complex abdominal conditions.

### Specialized Digestive and Oncologic CareThe clinic treats abdominal and digestive conditions with minimally invasive methods. Surgeons manage **peritoneal carcinomatosis** using robotic options and advanced techniques like HIPEC and PIPAC. For colorectal cancer with liver metastases, the team uses a **Liver First** strategy. The practice also performs robotic pancreatic surgery, often with 3D planning reconstructions.Proctology services use laser technology for hemorrhoids and fistulas. This method requires an incision of only **1 millimeter**. Patients typically go home the same day and recover within 24 to 48 hours. The team also treats anal fissures with botulinum toxin to support healing.Abdominal wall surgery highlights include:

• REPA for abdominal diastasis using three small bikini-line incisions
• Robotic umbilical hernia repair with individualized mesh placement
• TAPP and TEP laparoscopic techniques for inguinal hernias
• Single-site umbilical surgery for reduced scarring

For complex cases, surgeons may use botulinum toxin to relax abdominal muscles before closure.

### Robotic and Diagnostic TechnologiesThe clinic uses the **da Vinci** robotic system, including the newer **da Vinci 5** platform. This technology gives surgeons three-dimensional visualization. The system also uses **fluorescence** to locate blood vessels during operations, which reduces bleeding and increases precision during delicate tissue work.Endocrine surgery focuses on thyroid and parathyroid safety. The team uses **PTeye technology** to detect parathyroid glands via autofluorescence. This probe recognizes the specific signal of parathyroid tissue to prevent accidental removal. Surgeons also monitor the recurrent laryngeal nerve during operations to protect vocal function.### Services for International PatientsInternational patients have access to a dedicated scheduling workflow. Coordination is possible through WhatsApp to assist with travel needs. The clinic offers **urgent video consultations** for those who cannot visit in person. Second medical opinions are provided within **72 hours** through a digital two-step process.Preoperative preparation is central to the care process. The clinic provides guidance on nutrition, physical activity, and medication review before surgery. This aims to improve surgical outcomes and safety during recovery.