APRIL, SATURDAY SILVER ROOM

Transcription

1 APRIL, SATURDAY SILVER ROOM SILVER ROOM LIVE SURGERY PRIMARY INGUINAL HERNIA REPAIR Room 1, via satellite connection from Clinica La Madonnina, Milan Lichtenstein repair Sutureless repair Trabucco Room 2, via satellite connection from Clinica La Madonnina, Milan TAPP TEP KEY NOTE LECTURE "MADE IN ITALY" FOR HERNIA. THE ITALIAN HISTORY OF GROIN HERNIA REPAIR PLENARY MILAN CONSENSUS ON HERNIASURGE INTERNATIONAL GUIDELINES FOR PRIMARY INGUINAL HERNIA Introduction and methods of development Herniasurge: methods of development Consensus of statements, voting methodology Risk Factors Are indications for treatment, treatment options, individualisation necessary? What is the preferred technique in Inguinal hernia surgery? TEP technique specifics

2 TAPP technique specifics Bilateral repair, occult hernia Recurrent hernia, emergency repair Mesh fixation, mesh selection Anaesthesia/postoperative pain management Expertise and training/specialised centres? Pain prevention and treatment Complication level 1, antibiotic prophylaxis Day surgery/ cost/ quality control/ PROMS Registries/future research What to do with femoral hernia and hernia in women RED1 RED ROOM # AGE AND EXPERIENCE: DO THEY INFLUENCE THE RESULT OF A TRIAL IN INGUINAL HERNIA? DEBATE "YOUNG" TRIALIST SURGEONS VS "OLD" EXPERIENCED SURGEONS IS REALITY MORE REAL THAN SCIENCE? Does TEP impair sperm motility? RCT, three-year follow-up Does fibrin glue achieve the same result in recurrence rate as sutures in Lichtenstein repair? Glue versus suture fixation of mesh in open repair of inguinal hernias: a systematic review and meta-analysis

3 Does laparoscopic incisional hernia repair improve the postoperative recovery of the patient? The INCH trial Do lightweight meshes work better than heavyweight meshes? Comparison of lightweight versus heavyweight mesh in Lichtenstein repair of hernia. Randomized Control Trial. Does TAPP cause less complications in the treatment of recurrent inguinal hernia? Comparison of Lichtenstein and laparoscopic transabdominal pre-peritoneal repair of recurrent inguinal hernias RED ROOM #2 BLUE ROOM # BLUE ROOM #2 YELLOW ROOM #1+2

4 APRIL, SUNDAY SILVER ROOM SILVER ROOM KEY NOTE LECTURE THE IMPORTANCE OF ANATOMY FOR A GOOD SURGERY, THE IMPORTANCE OF A PLEASANT RELATIONSHIP FOR A GOOD PROFESSIONAL LIFE PLENARY COMPLEX VENTRAL SITUATION Loss of domain Extra-peritoneal approach Onlay possibility Posterior component separation TAPE repair for sovra-pubic incisional hernia Lateral complex hernia Flank hernia open repair Compartmental syndrome Quick hot spot Calculating post-operative risk of complications after large ventral hernia repair based on hernia volume

5 MESH: PRESENT AND "MOSTLY" THE FUTURE Quick hot spot Intra-abdominal propylene: is it worthwhile? : a decade of important innovation in hernia implant The need for improvement: what surgeons expect from future implants Resorbable synthetic implant: is this the next hype in hernia surgery? Biologics: a reality check New imaging technique: making the progress in implantology visible Tissue and engineering in abdominal wall repair (stem cell, 3D printing and beyond) EXPERT HOT TOPIC INGUINAL HERNIA IN EMERGENCY Strangulated hernia WSES Guidelines KEY NOTE LECTURE MODERN ERA OF HERNIA SURGERY: FROM TRANSATLANTIC CONNECTION TO MONDIAL MEETING OF HERNIA SURGERY PLENARY EVERYTHING CARRIES ITS OWN BURDEN (CIT. AESCHYLUS) PURE TISSUE -> MESH, LAPAROSCOPIC -> ROBOTIC SURGERY; WHERE IS THE TRUTH? Why we must discuss pure tissue repairs in the "century" of mesh repairs The influence of industry! What would Hippocrates say? Why we need pure tissue repairs for inguinal hernia

6 Individual risk factors and the problem of recurrence in inguinal hernias How and why I do Bassini repair The comeback of pure tissue repair on new principles - Desarda repair, a global review How and why I do Shouldice repair How and why I do Guarnieri repair Clinical trials: inherent limitation of RCTs & meta-analysis in comparing hernia therapies. A dilemma 10-minute break Role of robotic in hernia surgery Indication advantages and amenable hernia types Inguinal hernia Ventral IPOM Robotic retromuscular hernia repair Results Robotic Prostatectomy and hernia surgery OPENING CEREMONY WELCOME COCKTAIL

7 RED ROOM #1 RED COMPLICATIONS IN INGUINAL AND ABDOMINAL HERNIA REPAIR Overview Complaints after hernia surgery: how to avoid and manage them Cost Management of complication Recurrence after LAP ventral Periprosthetic infection Seroma in lap ventral Pain following laparoscopic inguinal hernia repair EXPERT HOT TOPIC LITIGATION IN HERNIA SURGERY INDUSTRY SPONSORED LUNCH RED ROOM # INDUSTRY SPONSORED LUNCH

8 INDUSTRY SPONSORED MEET THE EXPERT EDUCATION AND TRAINING Introduction The need to learn Learning curve in laparoscopic hernia surgery Proctorship in complex hernia surgery training Gaming in laparoscopic training Simulation models in hernia surgery education Taxonomy of learning hernia surgery New technology coaching hernia surgery BLUE ROOM #1 BLUE ROOM # INDUSTRY SPONSORED LUNCH

9 YELLOW ROOM #1+2 YELLOW UNSOLVED PROBLEMS IN DAILY PRACTICE IN INGUINAL HERNIA REPAIR The perfect anaesthesia How to manage nerves Which mesh and why Which fixation No fixation Choose pre-peritoneal Recurrences Obesity and hernia INDUSTRY SPONSORED MEET THE EXPERT WHITE ROOM #1

10 APRIL, MONDAY SILVER ROOM KEY NOTE LECTURE HERNIOLOGY AND EVOLUTION SILVER ROOM LIVE SURGERY INGUINAL HERNIA: IS IT BETTER POSTERIORLY? Room 1, via satellite connection from Clinica La Madonnina, Milan Open approach Room 2, via satellite connection from Clinica La Madonnina, Milan Laparoscopic approach INDUSTRY SPONSORED LUNCH KEY NOTE LECTURE THE IMPORTANCE OF RESEARCH IN SURGERY AND THE IMPORTANCE OF RESEARCH IN LIFE PLENARY POSTPARTUM FLOPPY ABDOMEN DIASTASIS: THE SURGEON, THE PLASTIC SURGEON, THE PHYSIOTHERAPIST A plastic surgeon s perspective: when to operate and what to do How to improve profile: a combined approach Component separation: how and when Which mesh and how

11 Women with no more pregnancy, medium diastasis, small umbilical and epigastric hernia and little excess skin: what to do if they do not want abdominoplastic Non-surgical approach: the Tupler technique QUICK SHOT AND YOUNG SURGEON PRESENTATIONS RED ROOM # SYMPOSIUM: ABDOMINAL WALL CLOSURE AND PROPHYLACTIC MESH Risk factor for incisional hernia Evolution of abdominal wall closure Physiology and healing of abdominal wall: developing of the correct technique of closure Paradigm shift in closure technique of primary midline laparotomy Prevention of incisional hernia by mesh augmentation or suture technique? Abdominal wall closure guidelines Prevention of incisional hernia during open abdominal surgery EXPERT HOT TOPIC FIX OR NOT FIX THE MESH IN LAPAROSCOPIC INGUINAL HERNIA REPAIR: FACE-TO-FACE DEBATE Pros vs Cons

12 EXPERIMENTAL : AT THE BENCH, BEFORE THE BEDSIDE Cell response: Biomaterial induces fibrosis Adhesion and the omentum Cellular changes in response to hernia/genetics and collagen ratios Model in hernia research: In vitro testing In vivo testing Working together: harmonization and standardization: EHS Experimental working group/ Presentation and validating adhesion score PARASTOMAL HERNIA Classification of parastomal hernia Frequency of short and long term stoma complications after expert colon surgery Role of relocation for parastomal hernia repair Open repair of parastomal hernia Laparoscopic approach: why keyhole failed Why Sugarbaker is really superior Can prophylactic mesh also be used for therapy? Do we need the sandwich technique?

13 EXPERT HOT TOPIC HERNIA IN WOMEN: FACE-TO-FACE DEBATE RED 2 RED ROOM # :30 EBM VS DAILY PRACTICE: IS REALITY MORE REAL THAN SCIENCE? Introduction Do the top 10 trials influence or not daily practice? Influence of guidelines on daily practice Importance of RCTs "Normal" surgeons utilization The academic perspective Registry outcomes vs RCT Result of trials vs registry data 17:30-18:00 EXPERT HOT TOPIC EMERGENCY INGUINAL HERNIA Laparoscopic approach Mortality after emergency

14 BLUE ROOM # OLD NEW TREND IN ABDOMINAL WALL REPAIR, HOW I DO IT STEP BY STEP TAR Endoscopic-assisted mini-open sub-lay: the new rives? Close the defect during laparoscopy Open anterior component separation Laparoscopic subfascial component separation Laparoscopic subcutaneous anterior component separation New technique for retromuscular mesh placement in large midline incisional hernias EXPERT HOT TOPIC PERINEAL HERNIA Management Treatment of perineal eventration after miles: perineal approach

15 BLUE ROOM # FREE PAPER E YELLOW ROOM # HITE INDUSTRY SPONSORED MEET THE EXPERT WHITE ROOM #1

16 APRIL, TUESDAY SILVER ROOM SILVER ROOM KEY NOTE LECTURE HUMANITARIAN HERNIA SURGERY NOW AND IN THE FUTURE LIVE SURGERY ABDOMINAL WALL Room 1, via satellite connection from Clinica La Madonnina, Milan Open Room 2, via satellite connection from Clinica La Madonnina, Milan Laparoscopic KEY NOTE LECTURE THE HORIZON OF HERNIA SURGERY: SUTURE, MESH, OPEN, LAP, ROBOTIC WHERE ARE THE LIMITS? PLENARY PAIN AFTER HERNIA SURGERY MUST BE AVOIDED AND HOPEFULLY TREATED Epidemiology and prevention Assessment and evaluation of patients with inguinodynia after inguinal hernia repair Avoidance of groin pain in inguinal hernia surgery

17 Quick hot spot - Systematic pathological assessment of explanted hernia meshes reveals important information of mesh-body interactions Technical aspects and appraisal of laparoscopic triple neurectomy Neurosurgeon view One step anterior and posterior triple neurectomy and mesh removal Peripheral laparoscopic neuromodulation PLENARY OPEN/BURST GIANT ABDOMEN Staged closure with TAWT for fascial closure Open abdomen in trauma and acute care surgery: the emergency care surgeon s point of view Infected open: treatment Laparoscopic approach of open abdomen trauma Advanced management of acute laparotomy wound failure and the open abdomen Compartmental syndrome EXPERT HOT TOPIC DISASTERS IN LAPAROSCOPIC INGUINAL AND VENTRAL HERNIA REPAIR: PREVENTION AND SOLUTION EXPERT HOT TOPIC FEMORAL HERNIA: FACE-TO-FACE DEBATE

18 RED SYMPOSIUM ADVANCED LAPAROSCOPIC HERNIA REPAIR Lap repair: the evolution of technique Single-incision TAPP Single-incision TEP Single-incision primary abdominal hernia RED ROOM #1 Single-incision IPOM for recurrent abdominal hernia Notes: is it worthwhile? EXPERT HOT TOPIC LUMBAR-FLANK HERNIA, HOW I DO IT: FACE-TO-FACE DEBATE Open LAP IMPORTANCE OF REGISTRY The importance of patient registry Comparison of the registry in Europe The International Hernia Registry The EuraHs platform

19 Hernia surgery in Brazil and South America Hernia surgery in China Hernia surgery in Africa INDUSTRY SPONSORED LUNCH HERNIA AND SOCIAL MEDIA: CAN WE ACHIEVE A BETTER CONSESUS THROUGH ONLINE COLLABORATION THAN BY RCTS? Introduction to social media as a teaching tool and to the International Hernia Collaboration (IHC) Facebook group RISKS of using the IHC and social media to discuss about patients: the European perspective Experience and lessons learned: the Turkish and Australian perspectives Wearable technology in the operating room: what every surgeon must have right now Social media (professional media) may one day replace journals and meetings as we know them Facebook IHC as an international platform for Hernia for the Underserved Live hernia surgery from Barranquilla, Colombia Professionalism of online posting in social media platforms Summary / audience participation with live IHC and linked-in use R

20 ED 2 RED ROOM # PUBIC INGUINAL PAIN SYNDROME (PIPS-SPORTS HERNIA) Multidisciplinary evaluation for pubalgia Sportshernia or groin disruption injury? Minimal repair Surgical approach Tendons, nerves and hernia in one-time treatment Anterior pelvic floor repair The laparoscopic approach Report of the 1st Consensus Conference on the Sportsmen s Groin, Manchester 2014: Journey to a better scientific understanding INDUSTRY SPONSORED LUNCH

21 BLUE ROOM # INDUSTRY SPONSORED LUNCH QUALITY OF LIFE AFTER HERNIA REPAIR BLUE ROOM # INDUSTRY SPONSORED LUNCH YELLOW YELLOW ROOM #1+2

22 APRIL, WENDSDAY SILVER ROOM SILVER ROOM KEY NOTE LECTURE HERNIA REPAIR IN SUB-SAHARAN AFRICA: SURGICAL INDICATIONS AND ECONOMIC DECISION HUMBILICAL AND MIDLINE HERNIA: WHAT WE HAVE TO DO RED ROOM # CLOSING RED ROOM # BLUE ROOM #1

23 BLUE ROOM # YELLOW ROOM #