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32

nd

International Gastrointestinal

Surgery Workshop 2015

February 28 – March 6, 2015, Congress Center Davos, Switzerland

Advanced Course 2015

Colorectal & Hernia Surgery Modules

Organized by the Foundation for Gastro intestinal Surgery Davos. A member of Academia Rætica Pilot Project

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Welcome Message Advanced Course

Dear Colleagues

We wish you a special warm welcome to Davos. This year the 32nd practical course in gastrointestinal surgery takes place and you are part of the first advanced course modules.

Since the inauguration of this course, over 30 years ago, gastrointestinal surgery has been pushed forward towards minimal invasive procedures. Professional education and inter­ national collaboration are the keystones of the long lasting success of the Davos courses, as well as renewal.

This year we offer the next, advanced step: Beside the basic and intermediate courses we introduced a pilot project for an advanced course focused on colorectal and hernia surgery. Concept and program was set up by international collaboration again, in particular by Walter Brunner, Harry van Goor and Friedrich Herbst.

In the program you will find an arrangement of lectures and practical exercises using various models.

The theoretical part will cover interactive lectures, split group theory sessions with rotation, case discussions and meet the experts rounds. You as participants will also be involved in moderations, should bring in your experience and own cases, ask questions and be part in the exchange of knowledge. Therefore you are requested to bring your smart phones and laptops to special interactive sessions and literature research.

Furthermore, the main issue to improve your skills in practical exercises was always a focus of the Davos course and will be part of the advanced course as well. You will be trained on different modules including perfunded organs in POP­Trainers. At each table expert instructors in the topic of the advanced course will be happy to welcome and guide you. Make frequent use of it!

Since this is the first year as a pilot course we kindly ask you in advance for your under­ standing in case of short rearrangement of lectures, topics or lecturer and are highly interested in your feed back to improve the courses for the next years.

It is a great pleasure to welcome you to our Davos­Course 2015.

We very much hope you will find this new advanced course both stimulating and creative.

Walter Brunner Daniel Oertli

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Faculty and Lecturers

PD Dr. med. Felix Aigner, Berlin, Germany

Prof. Dr. med. Thue Bisgaard, Copenhagen, Denmark Dr. med. Walter Brunner, Rorschach, Switzerland

Prof. Dr. med. Nicolas Demartines, Lausanne, Switzerland Dr. med. Arne Eklund, Västeras, Sweden

Dr. med. Christian Fretz, St. Gallen, Switzerland PD Dr. med. Christian Hamel, Lörrach, Germany Prof. Dr. med. Dieter Hahnloser, Lausanne, Switzerland Prof. Dr. med. Friedrich Herbst, Wien, Austria

Prof. Dr. med. Raffaele Rosso, Lugano, Switzerland Prof. Dr. med. Norbert Senninger, Münster, Germany Dr. med. Thorbjorn Sommer, Aarhus, Denmark

Prof. Dr. med. Henk O. ten Cate Hoedemaker, Groningen, The Netherlands Prof. Dr. med. Harry van Goor, Nijmegen, The Netherlands

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Instructors

Dr. med. Stephan Bischofberger, St. Gallen, Switzerland Dr. med. Otmar Buyne, Nijmegen, The Netherlands Dr. med. Bernhard Dauser, Wien, Austria

Prof. Dr. med. Ulrich Dietz, Würzburg, Germany PD Dr. med. René Fortelny, Wien, Austria

Prof. Dr. med. Thomas Kocher, Baden, Switzerland Univ.­Doz. Dr. med. Andreas Shamiyeh, Wien, Austria PD Dr. med. Gerd Silberhumer, Wien, Austria

Dr. med. Alexander Szyszkowitz, Graz, Austria Dr. med. Lisa Traine, Grabs, Switzerland

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Sponsors and Exhibitors

Main Sponsor

Covidien Schweiz, 8832 Wollerau, Switzerland

Sponsors

Anklin AG, 4102 Binningen, Switzerland

Erbe Elektromedizin GmbH, 72072 Tübingen, Germany Mölnlycke Health Care AG, 8953 Dietikon, Switzerland Karl Storz GmbH & Co., 78532 Tuttlingen, Germany AFS Medical GmbH, 2524 Teesdorf, Austria A.M.I. GmbH, 6800 Feldkirch, Austria Maquet AG, 9200 Gossau, Switzerland

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Asst. Course Coordinator

Jérôme Ammann

ak­medizin

feat. „cut­away“ ammann Stein, Switzerland e­mail: ja@ak­medizin.com Course Coordinator Victor Bertschi ISS/SIC Lupsingen, Switzerland e­mail: victor.bertschi@iss­sic.ch Dr. med. Walter Brunner Departement Chirurgie Rorschach Kantonsspital St. Gallen 9400 Rorschach e­mail: [email protected] Dr. med. Christian A. Nebiker Departement Chirurgie Universitätsspital Basel Spitalstrasse 31 4031 Basel, Switzerland e­mail: [email protected] Tel: +41 61 328 76 49 Course Administrator Marianne Bertschi ISS/SIC Lupsingen, Switzerland e­mail: marianne­bertschi@iss­sic.ch

Organizers

Organizer and Medical Director of the Course

Course Secretariat AGC­Course Secretariat c/o ISS/SIC Seltisbergerstrasse 16 CH­4419 Lupsingen Switzerland Tel: +41 61 815 96 62 Fax: +41 61 811 47 75 e­mail: surgery@iss­sic.ch Homepage: www.davoscourse.ch

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General Information

Course Venue

Congress Center Davos Platz, South entrance Tel: +41 81 414 62 15

Fax +41 81 414 62 29

e­mail during Course: surgery@iss­sic.ch

Opening Hours of the Secretariat in Davos Saturday, February 28, 2015 10.00 – 19.00 Sunday, March 1, to Thursday, March 5, 2015 08.00 – 12.30 and 14.00 – 19.30 Friday, March 6, 2015 08.00 – 12.00

Practical Exercises according to Individual Schedule

The schedule of practical exercices is given in colors at the end of the program outline.

List

Colorectal Surgery Module ACC

Hernia surgery Module ACH

Program of Lectures

Lectures will be held daily in conjunction with the practical exercices as of the following pages.

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General Information

Surgical Instruments

Participants are requested to bring their own surgical instruments along to Davos which should include the following:

– 1 large needle holder (approx. 20 cm) – 1 short needle holder (approx. 12 cm) – 1 pair of fine long forceps (non­toothed) – 1 pair of short forceps

– 1 pair of dissecting scissors

– 1 pair of straight­stitch cutting scissors – 6 –10 fine artery forceps (mosquitos)

Smart phones and laptops

Participants are requested to bring their smart phones and laptops for the interactive sessions and voting, as well as literature research.

Surgical Gloves

Mölnlycke Health Care AG will provide surgical gloves for the practical exercises.

Confirmation of Participation and Diplomas

Certificates will be available at the end of each module of the advanced course. All participants, including instructors must hand in their personal evaluation sheets in exchange for the diplomas.

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The secretariat will not mail your confirmation of participation and your diploma if not picked up in Davos.

General Information

Confirmation for Tax Purposes

In order to meet the requirements to obtain tax exemption each course participant may ask the secretariat to obtain a personal form at the beginning of the course. This form is optional and not compulsory.

It is the responsibility of each participant to have this form signed daily by the table instructor immediately after the session and to get it confirmed daily by the course secretariat.

Free Internet Access

All participants are offered free Internet Access on WLAN during the course. User Name: AGC

Password: AGC2015

Social Events

Course Banquet on Wednesday, March 4, 2015 at 20.00

All Course Participants, Instructors and Lecturers are invited to this special event. Vouchers, which have to be handed in at the entrance, will be provided with the course documents upon registering.

The voucher will entitle for the dinner including non­alcoholic drinks for free. Alcoholic drinks can be purchased before or during the banquet dinner at the Cash­Bar in the Foyer of the ballroom in Wing A.

The already traditional Banquet will start at 20.00 in the Hall Davos (Wing A) at the Convention Centre and will last until about 24.00.

Dress for this event is informal. Participants are invited to be seated at their tables where dinner will be served by 20.15.

A limited number of extra tickets for accompanying persons can be purchased at a price of CHF 60.– at the Registration Counter. Tickets must be purchased by Tuesday evening the latest.

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Saturday, 28.2.2015

ACC

10.00 Opening of the Course Secretariat and Registration

11.00 – 11.30 Instructors briefing (for instructors only)

(Hall Davos, Wing A) – W. Brunner, Rorschach – C. Nebiker, Basel – D. Oertli, Basel

11.30 – 12.30 Train the trainers (for instructors only)

– S. Post, Mannheim

12.30 – 13.30 Lunch break

Advanced Course Colorectal Module ACC

14.00 – 14.30 Course opening together with Basic & Intermediate Course

(Hall Davos, Wing A) – W. Brunner, Rorschach – C. Nebiker, Basel – D. Oertli, Basel

14.30 – 16.15 Advanced Course Colorectal Module (ACC) (Room Studio, Wing A)

Introduction: W. Brunner, Rorschach F. Herbst, Wien

Anatomy

– F. Aigner, Berlin Radiology & Quiz – C. Fretz, St. Gallen

16.15 – 16.45 Break

16.45 – 19.00 Practical exercises

(Room Sanada, Wing C)

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Sunday, 1.3.2015

ACC

08.00 – 09.30 Practical exercises

(Room Sanada, Wing C)

See individual schedule on page 16

09.30 – 10.00 Break

10.00 – 12.00 Lectures

(Room Seehorn, Wing A) Perioperative care

– N. Demartines, Lausanne Strategies in left colon resections – T. Kocher, Baden

Strategies in right colon/ transverse colon resections – W. Brunner, Rorschach

Discussion

12.00 Lunch Break

15.00 – 17.00 Practical exercises

(Room Sanada, Wing C)

See individual schedule on page 16

17.00 – 17.30 Break

17.30 – 19.30 Case discussion I

Diverticulitis / Malignant bowel obstruction

(Room Studio, Wing A)

Topic I – Diverticulitis – A. Shamiyeh, Wien – H. van Goor, Nijmegen

Topic II – Malignant bowel obstruction – N. Senninger, Münster

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Monday, 2.3.2015

ACC

08.00 – 09.30 Practical exercises (Room Sanada, Wing C)

See individual schedule on page 16

09.30 – 10.00 Break

10.00 – 12.00 Lectures

(Room Seehorn, Wing A) FAQ’s rectal cancer – W. Brunner, Rorschach – F. Herbst, Wien

Rectal cancer – Video how you do it lap Ileostoma formation / closure

– W. Brunner, Rorschach – D. Hahnloser, Lausanne – F. Herbst, Wien

12.00 Lunch Break

15.00 – 17.00 Practical exercises (Room Sanada, Wing C)

See individual schedule on page 16

17.00 – 17.30 Break

17.30 – 19.30 Case discussion II

IBD-Adhesion / Conversion

(Room Studio, Wing A) Topic III – IBD

– D. Hahnloser, Lausanne – F. Herbst, Wien

Topic IV – Adhesion/Conversion – T. Kocher, Baden

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Tuesday, 3.3.2015

ACC

10.00 – 12.00 Meet the experts brunch 4 Topics – 4 Tables – 8 experts

(Room Schiahorn, 2nd Floor, Wing C) Polyposis FAP

– F. Herbst, Wien – N. Senninger, Münster Anastomic leakage – A. Shamiyeh, Wien – H. van Goor, Nijmegen

TEM/TAMIS

– W. Brunner, Rorschach – G. Silberhumer, Wien Rectal Prolaps Surgery – S. Bischofberger, St. Gallen – D. Hahnloser, Lausanne

12.00 – 12.30 Break

12.30 – 17.00 Practical exercises

(Room Sanada, Wing C)

See individual schedule on page 16

Individual break

17.30 – 18.00 Advanced Course Colorectal Module (ACC)

Closure

(Room Seehorn, Wing A)

Distribution of certificates

Wednesday, 4.3.2015

ACC

08.00 – 09.30 Optional for ACC: Join the lectures of

Basic course or Intermediate course

(Hall Davos, Wing A) (Room Seehorn, Wing A) Colorectal cancer Laparoscopic colorectal surgery – C.T. Hamel, Lörrach – N. Demartines, Lausanne

Proctology Rectal resection and

– D. Hahnloser, Lausanne replacement – F. Herbst, Wien

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Wednesday, 4.3.2015

ACH

Hernia Course Module

13.00 – 13.15 Advanced Course Hernia Module (ACH)

Opening

(Room Seehorn, Wing A)

Introduction: W. Brunner, Rorschach H. van Goor, Nijmegen

13.15 – 14.30 Lectures

Scope of the problem, Epidemiology – H. van Goor, Nijmegen

Anatomy groin, abdominal wall – H. ten Cate Hoedemaker, Groningen Diagnosis, classification

– R. Fortelny, Wien

14.30 – 17.00 Practical exercises

(Room Sanada, Wing C)

See individual schedule on page 17

Individual Break

17.30 – 19.00 Split group theory I

(Room Studio, Wing A) I) Treatment of recurrent hernia – T. Bisgaard, Copenhagen – H. van Goor, Nijmegen II) IPOM / umbilical hernia – B. Dauser, Wien

– R. Fortelny, Wien

III) Minimal invasive open techniques in groin hernia – O. Buyne, Nijmegen

– H. ten Cate Hoedemaker, Groningen

20.00 BANKETT

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Thursday, 5.3.2015

ACH

08.00 – 09.30 Lectures

(Room Seehorn, Wing A) Complex incisional hernia – H. van Goor, Nijmegen Parastomal hernia – O. Buyne, Nijmegen

Discussion

09.30 Break

10.00 – 11.30 Split group theory II

(Hall Davos, Wing A)

I) Early and late complications with meshes – T. Bisgaard, Copenhagen

– A. Eklund, Västeras II) Chronic pain and ACNES – O. Buyne, Nijmegen – R. Fortelny, Wien III) Reoperation problems – U. Dietz, Würzburg – H. van Goor, Nijemegen

11.30 – 12.00 Interactive quiz

– W. Brunner, Rorschach – O. Buyne, Nijmegen

12.00 Lunch break

14.00 – 17.00 Practical exercises

(Room Sanada, Wing C)

See individual schedule on page 17

17.30 – 19.30 Split group theory III

(Room Studio, Wing A) I) Abdominal wall – W. Brunner, Rorschach

– H. ten Cate Hoedemaker, Groningen II) Groin hernia

– O. Buyne, Nijmegen – R. Fortelny, Wien

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Friday, 6.3.2015

ACH

08.00 – 09.30 Lectures

(Room Studio, Wing A) Rare hernia

– W. Brunner, Rorschach

Perioperative treatment and risk reduction – O. Buyne, Nijmegen

Discussion

09.30 Break

10.00 – 12.00 Open lectures, video presentations (Room Studio , Wing A)

Topics:

– Case demonstrations – Incarcerated hernia – Open abdomen treatment – Ramirez procedure – Single port hernia repair – Sportsmen hernia

H. van Goor, Nijmegen; W. Brunner, Rorschach; B. Dauser, Wien; R. Fortelny, Wien; O. Buyne, Nijmegen; T. Bisgaard, Copenhagen, R. Vonlanthen, Zürich; R. Rosso, Lugano; A. Szyszkowitz, Graz et. al.

12.00 – 12.15 Advanced Course Hernia Module (ACH) Closure

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16 Saturday, 28.2.2015 Sunday, 1.3.2015 Monday, 2.3.2015 Tuesday, 3.3.2015 ACC – colorectal

Room Sanada Wing C 16.45 – 19.00 Moderators:

W. Brunner, F. Herbst , H. van Goor • Trocar placement

• Strategies right/left • Suture techniqes extracorp/

intracorp/running

• 2D- 3D- Slim Star Room Sanada Wing C 08.00 – 09.30

Moderators:

F. Herbst, T. Kocher, B. Dauser • Suture technique • Dissection technique I • Vessel Management I

Room Sanada Wing C 15.00 – 17.00 Moderators:

W. Brunner, A. Shamiyeh, G. Silberhumer • Dissection technique II

• Vesselmanagement II • Suturing Vessels Room Sanada Wing C 08.00 – 09.30

Moderators: T. Kocher, B. Dauser P. van den Boezem

• Specimen retrieval right side • Right side ansatomosis • Extracorporal / intracorporal

No practical exercise Meet the experts

Room Schiahorn 2nd Floor, Wing C

See page 12, 10.00

Room Sanada Wing C 15.00 – 17.00 Moderators:

A. Shamiyeh, G. Silberhumer, S. Bischofberger

• Dissection, suturing • Left side anastomosis

Room Sanada Wing C 12.30 – 17.00 Moderators:

W. Brunner, F. Herbst, B. Dauser, S. Bischofberger • Reduced Port Surgery • Single port approach • Transvaginal approach • Basics, Dissection, suturing • Left side anastomosis

Day and Time

Schedule of Practical Exercises

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Wednesday, 4.3.2015

Thursday, 5.3.2015

ACH – hernia

Room Sanada Wing C 14.30 – 17.00 Moderators:

W. Brunner, O. Buyne, R. Fortelny, H. van Goor • Ventral hernia repair • Suture exercises • Mesh placement No course time 08.00 – 09.30

Free attendance at Lectures in the basic or intermediate course

Lecture time No practical exercise

Room Sanada Wing C 14.00 – 17.00 Moderators:

W. Brunner, B. Dauser, U. Ditz, R. Fortelny

• Groin hernia repair TAPP • Adhesiolysis

• IPOM

Day and Time

Schedule of Practical Exercises

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References

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