Flamourakis Manthos, MD, MSc. General Surgeon.

Classical surgery
Flamourakis Manthos, MD, MSc. General Surgeon - Heraklion Crete

Despite the significant progress of laparoscopic surgery, classical (open) surgery remains necessary and irreplaceable in many cases. It is mainly applied when immediate and extensive access to the affected area is required, in cases of severe inflammation, anatomical peculiarities or complex surgical cases.

Experience, proper preoperative evaluation and meticulous surgical planning ensure the safe and effective performance of these procedures, aiming at the best possible therapeutic treatment for each patient.

Classical procedures performed
Colorectal and Rectal Diseases

The open surgical approach is applied in cases where wider surgical access and direct control of the affected area are required.

Particularly indicated in:

• Advanced inflammation
• Abscesses
• Extensive neoplasms
• Intestinal obstructions
• Complex surgical procedures requiring greater access

The classic technique allows direct visual control and safe management of complex surgical situations.

Anal Diseases

Diseases of the anal region are particularly common and can cause significant discomfort to the patient. With the use of appropriate surgical techniques, diseases such as:

• Hemorrhoids (classical techniques and specialized methods)

• Anal fissures
• Perianal fistulas
• Coccyx cyst (hair cyst)

The selection of the appropriate technique is based on the type and severity of the disease, with the aim of rapid healing and substantial relief from symptoms.

Surgical Oncology

Classical oncological surgery is applied in cases where extensive surgical intervention and full access to the affected area are required.

It is mainly indicated when:

• Extensive lymph node dissection
• Complete access to the tumor
• Treatment of large or invasive tumors

Careful preoperative assessment and proper planning of the operation are key factors for the successful treatment of oncological cases.




	Abdominal Wall Hernias Open surgical repair of hernias is a proven and reliable method, especially in cases of: • Large hernias • Complex or recurrent hernias • Cases where the laparoscopic method is not indicated Modern materials and techniques are used for the repair that ensure a stable and durable surgical result. Classic Cholecystectomy Open cholecystectomy is applied when the laparoscopic method is not feasible or safe, such as in cases of: • Extensive inflammation • Anatomical peculiarities • Advanced complications Despite the progress of minimally invasive techniques, this method remains effective and completely safe when required. Classic Appendectomy Classic appendectomy is applied in cases where laparoscopic treatment is not possible or not indicated, such as in: • Perforated appendicitis • Extensive inflammation • Intra-abdominal abscesses The method allows for immediate surgical control and effective treatment of difficult cases. Removal of Moles – Cysts – Lipomas With particular attention to the aesthetic result, procedures such as: • Removal of moles (olives) • Excision of skin cysts • Removal of lipomas • Removal of small skin lesions Each removed sample is sent for histological examination, in order to ensure a complete diagnostic evaluation. Soft Tissue and Skin Lesion Biopsies Targeted biopsies are performed to investigate pathological lesions, such as: • Skin lesions • Lymph nodes • Soft tissues • Suspicious masses The procedure contributes to reliable diagnosis and the correct planning of further therapeutic treatment.