ABDOMINAL WALL RECONSTRUCTION SUMMIT
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1 CONTINUING MEDICAL EDUCATION ABDOMINAL WALL RECONSTRUCTION SUMMIT FEBRUARY 25 27, 2016 Vail Marriott Mountain Resort, Vail, Colorado Presented by: Sponsored by:
2 Earn up to 18.5 CME Credits Summit Highlights: Laparoscopic VHR 2.0: What the experts do today Perforator sparring and endoscopic anterior component separation Posterior component separation (TAR) Robotic ventral and inguinal repair Plastic surgeon tips for soft tissue challenges Patient optimization and enhanced recovery pathway Video highlights of open and laparoscopic inguinal hernia repairs Management of groin pain and sports hernia Corporate Support Acknowledgement: We gratefully acknowledge Bard Davol Inc. for its generous support. Acceptance of funding in support of this program does not constitute endorsement of any product or manufacturer Abdominal Wall Reconstruction Summit brought to you by the Case Comprehensive Hernia Center 2 University Hospitals UH4-CARE
3 OVERVIEW The reconstruction of abdominal wall defects remains one of the most challenging dilemmas facing surgeons. A multitude of prosthetic materials are available to improve outcomes in ventral hernia repair. The surgeon can choose from both laparoscopic approaches and open repairs and, in certain circumstances, a combination of the two. Furthermore, robotic ventral and inguinal repairs are gaining in popularity. Even though ventral hernia repair remains one of the most common procedures performed, there is little consensus as to the best surgical technique, prosthetic material of choice, or strategies to repair complex defects. In this summit, participants will be exposed to all aspects of abdominal wall reconstructions including: Laparoscopic hernia repairs Complex open abdominal wall reconstruction techniques Open (traditional) anterior component separation Laparoscopic and periumbilical sparring component separation Posterior component separation and transversus abdominis release (TAR) Robotic TAR Parastomal, flank and other difficult hernia repairs Reconstructions in the setting of infection, contamination, enterocutaneous fistulas and loss of abdominal domain Umbilical and inguinal hernia repairs, including open, laparoscopic and robotic repairs as well as diagnosis and management of groin pain Participants will also gain an in-depth understanding of the various meshes and their potential advantages and disadvantages. The benefits and limitations of the minimally invasive techniques will be examined. Modern modifications to the traditional laparoscopic ventral hernia repairs, including defect closure, mesh positioning devices, absorbable fixation, etc. will be discussed. In addition, top robotic surgeons will share the experience in utilization and application of robotics in modern hernia practice. This summit will stress detailed operative descriptions of each of the experts approaches to various reconstructive challenges to provide the surgeons valuable insights through video education and an interactive panel of expert herniologists. Important issues of mesh selection, surgical approaches and post-op groin pain will be discussed. Finally, top plastic surgeons will share their experience with dealing with soft tissue challenges in hernia surgery. This comprehensive summit is suited for general, plastic and trauma surgeons involved in both routine and complex abdominal reconstructions. UHhospitals.org/Hernia UH Case Medical Center 3
4 PROGRAM AGENDA Thursday, February 25, p.m. Registration 4:30 p.m. Welcome and Introductions 4:50 p.m. Synthetic Mesh: How to Make Educated Choices Bruce Ramshaw, MD 5:10 p.m. Biologic and Biodegradable Meshes 5:30 p.m. Traditional Laparoscopic Ventral Hernia Repair: Tricks, Pitfalls, Contraindications Brent Matthews, MD 5:50 p.m. Novel Modifications in Laparoscopic VHR: Defect Closure and Mesh Positioning Devices Eric Pauli, MD 6:10 p.m. Robotic Pre-Peritoneal VHR Conrad Ballecer, MD 6:30 p.m. Hybrid Approach to Laparoscopic VHR Brian Jacob, MD 6:50 p.m. Evidence-Based Optimal Fixation During Laparoscopic VHR: Sutures, Absorbable Tacks, Glues Eric Pauli, MD 7:10 p.m. Panel Discussion: Indications/Limitations of LVHR All Faculty 8 p.m. Adjourn Friday, February 26, 2016 MORNING SESSION 6 a.m. Session Introduction/Defining the Clinical Challenge 6:20 a.m. Open Anterior Component Separation & Perforator-Preserving Modifications Charles Butler, MD 6:50 a.m. Endoscopic Anterior Component Separation David Chen, MD 7:20 a.m. Endoscopic Subcutaneous Component Separation Jorge Daes, MD 7:50 a.m. Posterior Component Separation TAR 4 University Hospitals UH4-CARE
5 PROGRAM AGENDA continued 8:20 a.m. Robotic TAR Alfredo Carbonell, DO 8:50 a.m. Open Parastomal Hernia Repair Eric Pauli, MD 9:20 a.m. Panel Discussion All Faculty 10 a.m. Adjourn AFTERNOON SESSION 4 p.m. Umbilical Hernias: The Trials and Tribulations of Choosing the Right Approach William Hope, MD 4:20 p.m. Open Inguinal Hernia Repair: Tricks and Tips David Chen, MD 4:40 p.m. Laparoscopic TEP Repair: How and Why Bruce Ramshaw, MD 5 p.m. Laparoscopic TAPP Repair: How and Why Alfredo Carbonell, DO 5:20 p.m. etep: How and Why Jorge Daes, MD 5:40 p.m. Robotic Inguinal Hernia Conrad Ballecer, MD 6 p.m. Recurrent Inguinal Hernia: Differential Diagnosis and Surgical Options Brian Jacob, MD 6:20 p.m. Groin Pain After Surgery: Practical Guide to Diagnosis and Management David Chen, MD 6:40 p.m. The Surgical Approach to Sports Hernia Michael Brunt, MD 7 p.m. Adjourn 7 8:30 p.m. Cocktail Reception UHhospitals.org/Hernia UH Case Medical Center 5
6 PROGRAM AGENDA continued Saturday, February 27, 2016 MORNING SESSION 6 a.m. Session Introduction/Defining the Clinical Challenge 6:20 a.m. Optimizing Your Patient for Major Hernia Surgery: What Everyone Should Be Doing 6:40 a.m. Postoperative Seromas: Prevention and Management Maurice Nahabedian, MD 7 a.m. Enterotomy During VHR: What Do I Do Now? Brent Matthews, MD 7:20 a.m. Complications of Abdominal Wall Reconstructions: Dealing with My Own Disasters Alfredo Carbonell, DO 7:40 a.m. Enhanced Recovery Pathway After Abdominal Wall Surgery 8 a.m. How Can Social Media Help Me and My Practice? Brian Jacob, MD 8:20 a.m. Adding Robotics to Your Hernia Practice: How Do I Start? Conrad Ballecer, MD 8:40 a.m. Put Me in Coach: Telementoring Shifting Paradigm in Adopting New Hernia Techniques Paul Szotek, MD 9 a.m. Maximizing Your Reimbursement Through Improving Value in Hernia Repair Bruce Ramshaw, MD 9:20 a.m. Panel Discussion All Faculty 10 a.m. Adjourn AFTERNOON SESSION 4 p.m. Session Introduction/Defining the Clinical Challenge 4:20 p.m. Preoperative Pneumoperitoneum: When and How Alfredo Carbonell, DO 4:40 p.m. Management of the Open Abdomen and Adjuncts to Wound Closure William Hope, MD 5 p.m. AWR in the Setting of Enterocutaneous Fistula 5:20 p.m. Treatment Options for Diastesis Recti Maurice Nahabedian, MD 6 University Hospitals UH4-CARE
7 PROGRAM AGENDA continued 5:40 p.m. Utilization of Tissue Expanders Hooman Soltanian, MD 6 p.m. Panniculectomy: Indications and Technical Pearls Maurice Nahabedian, MD 6:20 p.m. Soft Tissue Challenges: Plastic Surgeon Tips for a General Surgeon Charles Butler, MD 6:40 p.m. PANEL: Stump the Professor: Decision Making in Complex Cases 7:50 p.m. Closing Comments 8 p.m. Adjourn LEARNING OBJECTIVES After attending the course, participants will be able to: Summarize the various synthetic, biologic and absorbable meshes available Identify benefits and limitations of laparoscopic ventral hernia repairs Discuss modern modifications and adjuncts to traditional laparoscopic techniques Define advanced reconstructive techniques for abdominal wall reconstruction, including open and endoscopic anterior and posterior component separations Familiarize with the role and application of robotics in modern hernia practice Obtain in-depth understanding for inguinal hernia repairs and management of postoperative groin pain Define advanced techniques of skin/soft tissue mobilization/transfer, expansion and panniculectomies UHhospitals.org/Hernia UH Case Medical Center 7
8 2016 AWR SUMMIT FACULTY COURSE DIRECTOR: Yuri W. Novitsky, MD Director, Case Comprehensive Hernia Center Director, Advanced GI Surgery/MIS Fellowship UH Case Medical Center Professor of Surgery Case Western Reserve University School of Medicine Cleveland, Ohio Hooman Soltanian, MD Interim Chairman, Department of Plastic Surgery Director, Plastic and Reconstruction Residency Program UH Case Medical Center Associate Professor, Plastic Surgery Case Western Reserve University School of Medicine Cleveland, Ohio GUEST FACULTY Conrad Ballecer, MD Co-Director, Center for Minimally Invasive and Robotic Surgery Clinical Assistant Professor Attending Faculty, General Surgical Residency Program Maricopa Integrated Health System Phoenix, Arizona L. Michael Brunt, MD Chief, Section of Minimally Invasive Surgery Director, MIS Fellowship Director, Washington University Institute for Minimally Invasive Surgery Professor of Surgery Washington University School of Medicine St. Louis, Missouri Charles E. Butler, MD Professor and Chairman, Department of Plastic Surgery University of Texas MD Anderson Cancer Center Houston, Texas Alfredo M. Carbonell II, DO Chief, Division of Minimal Access and Bariatric Surgery Program Director, Minimally Invasive Surgery Fellowship Co-Director Hernia Center, Greenville Health System Associate Professor of Surgery University of South Carolina School of Medicine Greenville, South Carolina David Chen, MD Associate Director of Surgical Education Clinical Director, Lichtenstein Amid Hernia Clinic at UCLA Associate Professor of Clinical Surgery Section of Minimally Invasive Surgery UCLA Division of General Surgery Santa Monica, California Jorge Daes, MD, FACS General Surgeon, Universidad Javeriana, Bogota-Colombia Subspecialist, Advanced Laparoscopic Surgery, Universidad CES, Medellin-Colombia Chief, Minimally Invasive Surgery, Clinica Bautista and Clinica Porto Azul Barranquilla-Colombia William Hope, MD Director of Surgical Education Surgical Residency Program New Hanover Regional Medical Center Assistant Professor of Surgery University of North Carolina at Chapel Hill Wilmington, North Carolina Brian P. Jacob, MD Laparoscopic Surgical Center of New York Associate Clinical Professor of Surgery Icahn School of Medicine at Mount Sinai, NYC New York, New York Brent D. Matthews, MD Chair and Professor of Surgery University of North Carolina Senior Medical Director Carolinas HealthCare System, Surgery Care Division Charlotte, North Carolina Maurice Nahabedian, MD, FACS Vice-Chairman and Professor Department of Plastic Surgery Georgetown University Hospital Washington, DC Eric M. Pauli, MD Director for Endoscopic Surgery Division of Minimally Invasive and Bariatric Surgery Assistant Professor of Surgery Penn State Milton S. Hershey Medical Center Hershey, Pennsylvania Bruce Ramshaw, MD Chair and Professor Department of Surgery UT Knoxville Graduate School of Medicine Knoxville, Tennessee Paul Szotek, MD Assistant Clinical Professor of Surgery Acute Care & Trauma Surgery IU Health, Indianapolis, Indiana 8 University Hospitals UH4-CARE
9 WHO SHOULD ATTEND This comprehensive hernia summit is suited for general, plastic and trauma surgeons and residents involved in both routine and complex abdominal reconstructions. POLICY DISCLOSURE The policy of Case Western Reserve University School of Medicine CME Program requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the education activity) disclose to the activity participants all relevant financial relationships with commercial interests. Disclosure will be made to activity participants prior to the commencement of the activity. Case Western Reserve University School of Medicine CME Program also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of off-label or investigational use of pharmaceutical products or medical devices. ACCREDITATION STATEMENT Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Case Western Reserve University School of Medicine designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credits earned for this activity are eligible for Maintenance of Certification (MOC) Part 2 credit. The commitment to exceptional patient care begins with revolutionary discovery. University Hospitals Case Medical Center is the primary affiliate of Case Western Reserve University School of Medicine, a national leader in medical research and education and consistently ranked among the top research medical schools in the country by U.S. News & World Report. Through their faculty appointments at Case Western Reserve University School of Medicine, physicians at UH Case Medical Center are advancing medical care through innovative research and discovery that bring the latest treatment options to patients. UHhospitals.org/Hernia UH Case Medical Center 9
10 REGISTRATION INFORMATION Abdominal Wall Reconstruction Summit CID 2545 REGISTRATION RATES MD/DO $625 by Dec. 15, 2015 $725 after Dec. 15, 2015 Resident/Student $300 by Dec. 15, 2015 $350 after Dec. 15, 2015 Corporate $1,325 For complete registration and course details, please go to: Contact for additional information MEETING LOCATION: Vail Marriott Mountain Resort Call: Online: GROUP ROOM RATE*: $389 per night (Standard and Lodge Rooms) $419 per night (Studio King Suite) Daily resort fee is waived with group rate. * Paid registration required. Room block at the above group rate is limited and will expire by January 27, Early reservations are encouraged. 10 University Hospitals UH4-CARE
11 POSTER ROUNDS Returning for 2016 AWR SUMMIT IS NOW ACCEPTING ABSTRACTS FOR POSTER ROUNDS. Submit Abstracts at Submission Deadline: January 8, University Hospitals CME UHhospitals.org/Hernia UH Case Medical Center 11
12 11100 Euclid Ave., MSC-9160 Cleveland, OH FEBRUARY 25 27, 2016 Abdominal Wall Reconstruction Summit Continuing Medical Education NONPROFIT ORG US POSTAGE PAID CLEVELAND OH PERMIT NO 1764
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