tentative list of faculty - dott. luca savelli...lips: surgical skills & suturing techniques...

Mauricio AbrãoLeila AdamyanArnold AdvinculaCarolina AforsJaime AlbornozMasaaki AndouRoberto AngioliIstvan ArgayStavros AthanasiouPere N. BarriValentino BergaminiStefano BettocchiLinda BradleyJubilee BrownFrancesco BruniMauro BusaccaGiuseppe CampagnaStefano CalzolariRudi CampoFederica CampoloMassimo CandianiMichel CanisGiuseppe CaritiFrancisco CarmonaUrsula CatenaMarcello CeccaroniGabriele CentiniVito CelaAntonio ChianteraVito ChianteraEttore CicinelliEttore CittadiniRoberto ClariziaHenri ClavéNicola ColacurciBarbara CostantiniCarlo De AngelisAlessandra Di GiovanniAttilio Di Spiezio Sardo

Sao Paulo, BrazilMoscow, RussiaNew York, NY, USALondon, UKSantiago, ChileOkayama, JapanRome, ItalyStrasbourg, FranceAthens, GreeceBarcelona, SpainVerona, ItalyBari, ItalyCleveland, OH, USACharlotte, NY, USANegrar, VR, ItalyMilan, ItalyRome, ItalyFlorence, ItalyLeuven, BelgiumTourin, ItalyMilan, ItalyClermont Fd., FranceFlorence, ItalyBarcelona, SpainRome, ItalyNegrar, VR, ItalySiena, ItalyPisa, ItalyNaples, ItalyPalermo, ItalyBari, ItalyPalermo, ItalyNegrar, VR, ItalyNice, FranceNaples, ItalyRome, ItalyRome, ItalyAvellino, ItalyNaples, Italy

Ivan Jon EinarssonAlfredo ErcoliCaterina ExacoustosAnna FagottiFrancesco FanfaniGustavo FernandesLuis Flavio FernandesSimone FerreroValerio GallottaFabio GhezziSalvatore Gueli AllettiStefano GreggiGrigoris GrimbizisGiampietro GubbiniStefano GuerrieroNassir HabibKathy HuangRosanne Marie KhoJoerg KecksteinPhilippe KoninckxDomenico IuzzolinoGabriele LanzoLucia LazzeriTed Teh Min LeeNucelio LemosDonatella LippiFranklin D. LofferAngelo MaggioniJavier F. MagrinaAntonio MaioranaMario MalzoniGiambattista MassiAlberto MatteiDaniele MautoneIvan MazzonLiliana MereuMichele MeschiaGaby MoawadAndrea Moglia

Boston, MA, USAMessina, ItalyRome, ItalyRome, ItalyRome, ItalySao Paulo, BrazilSao Paulo, BrazilGenoa, ItalyRome, ItalyVarese, ItalyRome, ItalyNaples, ItalyThessaloniki, GreeceBologna, ItalyCagliari, ItalyMantes Lajolie, FranceNew York, NY, USAPhoenix, AZ, USAVillach, AustriaLeuven, BelgiumAvellino, ItalyBiella, ItalySiena, ItalyPittsburgh, PA, USAToronto, ON, CanadaFlorence, ItalyPhoenix, AZ, USAMilan, ItalyPhoenix, AZ, USAPalermo, ItalyAvellino, ItalyFlorence, ItalyFlorence, ItalyNegrar, VR, ItalyRome, ItalyTrento, ItalyMilan, ItalyWashington DC, USAPisa, Italy

Tentative list of Faculty

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Ludovico MuziiLuigi NappiPier Luca NarducciWendel NaumannMustafa OuaidMarie Fidela R. ParaisoFelice PetragliaMarc PossoverShailesh PuntambekarAndrea PuppoBenoit RabischongMarianna RasileHenry ReichValentino RemorgidaArmando RomeoCristiano RossittoGiovanni RoviglioneStefano SalvatoreLuca SavelliGiovanni ScambiaRenato SeracchioliMaurizio SeratiAntonio SetubalTommaso SimonciniMarco SoligoEugenio SolimaJonathon SolnikAssia StepanianAnna StepniewskaMilind Arvind TelangMarco TorellaStefano UccellaAnastasia UssiaPaolo VercelliniMichele VignaliJuan D. Echeverri VillegasEnrico VizzaArnaud WattiezVanna Zanagnolo

Rome, ItalyFoggia, ItalyPerugia, ItalyCharlotte, NC, USACasablanca, MorocCleveland, OH, UsaFlorence, ItalyZurich, SwitzerlandPune, IndiaMondovì (CN), ItalyClermont Fd, FranceAvellino, ItalyNew York, NY, USAGenoa, ItalySao Paulo, BrazilRome, ItalyNegrar, VR, ItalyMilan, ItalyBologna, ItalyRome, ItalyBologna, ItalyMilan, ItalyLisbon, PortugalPisa, ItalyMilan, ItalyMilan, ItalyToronto, ON. CanadaAtalnta, GA, USANegrar, VR, ItalyPune, IndiaNaples, ItalyBiella, ItalyRome, ItalyMilan, ItalyMilan, ItalyPereira, ColombiaRome, ItalyDubai, UAEPalermo, Italy

Fulvio ZulloErrico Zupi

Naples, ItalySiena, Italy

Tentative list of Faculty

3

DAY AT A GLANCE

Diagnostic Ultrasound in Gynecology and HysteroscopicApproach to Uterine Patologies

LIPS: Surgical Skills & Suturing Techniques

Theoretical and Practical Course on Vaginal Surgeryand Pelvic Floor

Laparoscopic Hysterectomy from A to Z

Endometriosis: The Everlasting Challenge

Hotel Garden Siena, Tuesday 7 May PG COURSES

08.30 am04.30 pm

Upgrade in Robotic Gynecological Surgery

University of Pisa, Tuesday 7 May PG COURSES

08.30 am05.00 pm

C1

C2

C3

C4

C5

D1

08.30 am05.00 pm

08.30 am - 04.30 pm

08.30 am - 05.00 pm

TUESDAY 7 MAY

Scientific Agenda

SIENA DAY • Venue: Hotel Garden Siena

PG COURSE - C1. Diagnostic Ultrasound in Gynecology and Hysteroscopic Approach to Uterine Pathologies

Chairs: R. Campo, U. Catena, A. Di Giovanni, A. Di Spiezio SardoC. Exacoustos, G. Grimbizis, S. Guerriero, L. Lazzeri

Chairs: K. Afors, I. Argay, F. Campolo, G. Centini, N. Habib, G. Lanzo,E. Zupi

PG COURSE - C2. LIPS: Surgical Skills and Suturing Techniques

Imaging is a crucial part of gynaecological practice. Gynaecologists performing endoscopic surgery should be able to perform gynecological ultrasound to diagnose benign and malignant diseases. The course aims to provide the necessary knowledge and practical skills to become a gynaecological ultrasound practitioner. The programme consists of brief lectures and hands-on-training sessions using transvaginal simulators, PC stations and ultrasound machines.

Laparoscopic suturing is not only a way to acquire a fundamental tool in laparoscopic surgery required when approaching more complex procedure but is also the only way to enhance our psychomotor skills outside the operative room. The objectives of the course are to acquire competences on instrument and techniques related to laparoscopic suturing in gynecological surgery.

The course is open to beginners and advanced surgeon, the hands-on will be tailored on the participant experience.

5

• Uterine Malformations and Classifications• Ultrasound for Myometrial Pathologies: A Pictorial Review• The Essentials of Diagnostic Hysteroscopy• Tips & Tricks for Volume Acquisition of 3D in Gynecology• Sonohysterography and Intrauterine Lesions: When Water is Needed • How to Perform Ultrasonography in Endometriosis • Present and Future Ultrasonographic Techniques for Analyzing Ovarian Masses • Current Methods of Tubal Patency Assessment

TUESDAY 7 MAYSIENA DAY • Venue: Hotel Garden Siena

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10.50 am - 11.00 am HANDS-ON - Stitch in Camembert + Z Line + Greek Line

02.00 pm - 03.00 pm HANDS-ON| Knotting Lab Gladiator

IntroductionFunctional Anatomy of the Pelvic Floor from a Laparoscopic anda Vaginal ApproachClassification of Pelvic Floor Disorders

03.00 pm - 04.00 pm HANDS-ON| Intracorporeal Alternative Techniques

08.30 am - 04.30 pm PG COURSE - C3. Theoretical and Practical Course on Vaginal Surgery and Pelvic Floor

Chairs: M.Candiani, R. Kho, S. SalvatoreFaculty: S. Athanasiou, V. Bergamini, G. Campagna, A. Ercoli,M. Meschia, M. Serati, M. Soligo, M. Torella, S. Uccella

04.00 pm - 05.00 pm Suturing Challenge05.00 pm End of the Session

10.30 am - 10.50 am Break

01.00 pm - 02.00 pm Light lunch

11.00 am - 12.30 pm HANDS-ON - Stitching Sequences: The Crazy Camembert12.30 pm - 01.00 pm Intracorporeal Knotting: The Gladiator Rule

08.30 am - 09.00 am Suturing Principle09.00 am - 09.30 am The Perfect Stitch09.30 am - 10.30 am HANDS-ON - Loading the Needle

This course covers the basics of laparoscopic and vaginal procedures for the treatment of pelvic floor dysfunctions. It aims to exchange knowledge, skills and experience between surgeons that prefer one or the other approach. Both laparoscopy and vaginal surgery are characterized by minimally invasiveness and, ideally, a pelvic surgeon should have a portfolio of surgical procedures that would include both of them. The course tries to illustrate the tips and tricks of the most common procedures of vaginal and laparoscopic procedure with a final practical part with pelvic trainers.

Scientific Agenda


08.30 am - 05.00 pm PG COURSE - C4. Laparoscopic Hysterectomy from A to Z

Laparoscopic hysterectomy is nowadays the gold standard to remove the uterus and despite being considered an easy procedure, it encompasses a lot of variances and requires specific competences to be performed safely. The objectives of the course are to provide the participant basic knowledge to perform a safe procedure and at the same time an overview of the different techniques and tools

Chairs: M. Busacca, M. Canis, J. Einarsson, A. Mattei, G. Scambia,E. Solima, M. Vignali

08.30 am - 09.00 am Opening

09.20 am - 09.40 am Preoperative Work-up: Indications and Limits

09.40 am - 10.00 am TLH: Standard Technique

10.00 am - 11.00 am Live Surgery and Scan

09.00 am - 09.20 am Anatomy for Hysterectomy: All You Need to Know

Which are the Grey Areas for Choosing the Right Surgical Approach?Cistoscopy: Why We Should Be Familiar with itStep by Step Vaginal Hysterectomy with Included Proceduresto Prevent Future ProlapseStep by Step Laparoscopic Hysterectomy with Included Proceduresto Prevent Future ProlapseStep by Step Vaginal Repair of Vault ProlapseStep by Step Laparoscopic Repair of Vault ProlapseStep by Step Vaginal Repair of Anterior Vaginal Prolapse with NativeTissue and Mesh SurgeryStep by Step Laparoscopic Repair of Anterior Vaginal ProlapseStep by Step Vaginal Repair of Posterior Vaginal Prolapse withNative Tissue Step by Step Laparoscopic Repair of Posterior Vaginal Prolapse

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Scientific Agenda


08.30 am - 05.00 pm PG COURSE - C5. Endometriosis: The Everlasting Challenge. From Accurate Diagnosis to Appropriate Medical and Surgical Treatment

This course provides an overview of the most recent and contemporary approaches for deep endometriosis, from diagnosis to treatment and the relation between endometriosis and cancer.Course ObjectivesAt the conclusion of this activity, the participant will be able to:think about deep endometriosis as a specific disease; recognize the best pre-operative strategy to diagnose deep endometriosis; define the best way to treat endometriosis in infertile patients; become aware of new minimally invasive approaches to treating adenomyosis; become familiar of the relationship between endometriosis and cancerunderstand the current state of the surgical treatment of urinary tract and bowel endometriosis.

02.00 pm - 02.20 pm The Big Uterus: When the Size Matters

03.00 pm - 04.20 pm Total vs Subtotal: The Unsolved Debate

04.20 pm - 04.40 pm Live-Surgery

04.40 pm - 05.00 pm Ovaries: Take It or Leave It

05.00 pm Questions & Answers

02.20 pm - 03.00 pm Round Table: This is My Weapon and Why

11.20 am - 11.40 am Primary Devascularization

12.20 pm - 12.40 pm Vaginal Closure: Does it Make a Difference?

11.40 am - 12.20 pm Round Table: To Manipulate or not to Manipulate. This is the Problem

11.00 am - 11.20 am Break

12.40 pm - 02.00 pm Light lunch

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Chairs: M. Abrão, P. Koninckx, M. Malzoni, A. Wattiez

Scientific Agenda


9

08.30 am - 08.45 am Welcome, Introduc�on and Course Overview

10.50 am - 11.15 am Deep Endometriosis and Infer�lity: When Surgery is Indicated?A. Setubal

11.15 am - 11.40 am Endometriomas: Minimizing the Ovarian Damage - M. Candiani

10.25 am - 10.50 am Endometriosis and Infer�lity: Which is the Road Map - L. Muzii

10.00 am - 10.25 am Surgical Strategies Today and Tomorrow: Laparoscopic vs Robo�cSurgery: What is the Evidence? - F. Bruni

11.40 am - 12.05 pm Deep Endometriosis and Pain: When Surgery is Indicated? - J. Keckstein

12.05 pm - 12.30 pm Nerve Sparing: Is this Feasible? - V. Remorgida

12.30 pm - 01.15 pm Ques�ons & Answers

04.05 pm - 05.00 pm Ques�ons & Answers

01.15 pm - 02.00 pm Light Lunch

02.00 pm - 02.25 pm Adenomyosis: Current Treatment and Laparoscopic Alterna�ves - R. Kho

02.25 pm - 02.50 pm Urinary Tract Endometriosis: Therapeu�c Strategies - R. Seracchioli

03.15 pm - 03.40 pm Unraveling Deep Endometriosis: New Paradigms for an Old DiseaseM. Abrão

03.40 pm - 04.05 pm Extrapelvic Endometriosis, a Rare En�ty or an Under DiagnosedCondi�on? - F. Carmona

09.10 am - 09.35 am Pre-opera�ve Diagnosis: an Essen�al Tool to Define the SurgicalStrategy. US Evalua�on of Pelvic and Abdominal Disease’s ExtensionA. Di Giovanni

02.50 pm - 03.15 pm Surgical Strategies for Bowel Endometriosis - M. Malzoni

08.45 am - 09.10 am Anatomic Landmarks for the Surgical Treatment of Deep EndometriosisL.F. Fernandes

Chairs: M. Abrão, M. Malzoni

Chairs: P. Koninckx, A. Wa�ez

09.35 am - 10.00 am Pre-opera�ve Diagnosis: An Essen�al Tool to Define the SurgicalStrategy. IDEA Project and other Imaging Techniques: Which and WhenS. Guerriero

Scientific Agenda

08.30 am - 05.00 pm PG COURSE - D1. Upgrade in Robotic Gynecological Surgery

08.00 am - 08.30 am Introduction and Course Overview - A. Advincula, V. Cela

08.30 am - 09.00 am Myomectomy: What You Should Know about Myomectomy to do aGood Surgery - A. Advincula

09.00 am - 10.00 am Live Surgery on Hysterectomy: Deeps and Tricks - V. Cela

10.00 am - 10.15 am Questions & Answers

10.15 am - 10.45 am Robotic Sentinel Limphnode Sampling with IGG - L. Mereu

10.45 am - 12.15 pm Live Surgery Sacralcolpopexy: Robotic Surgical Strategies inPelvic Defets - T. Simoncini

12.15 pm - 12.30 pm Questions & Answers

12.30 pm - 01.00 pm Radical Hysterectomy: Surgical Technique and Anatomical LandmarksV. Zanagnolo

Chairs: A. Advincula, V. Cela

TUESDAY 7 MAYPISA DAY • Venue: Robotics Multidisciplinary Center for Surgery University of Pisa

Robotic surgery is still the most innovative and effective alternative to surgery performed with classical technique. The Course is aimed at surgeons who have already gained experience in using this technology. Consequently, the training project has the objectives of:

Deepen the basic technological knowledge, including the problems related to the organization of the operating room, the medical and paramedical staffImprove the manual skills to use the robotAnalyze possible complications and discuss the related treatments.At the end of the course, the participant surgeon will have increased the technical capacity in the use of robotic machine for the surgical treatment of:MyomectomyReconstruction of pelvic floor defectsSimple and radical hysterectomy

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Scientific Agenda

01.00 pm - 01.30 pm How to Avoid Complications During Robotic Surgery - J.F. Magrina

02.30 pm - 05.00 PM Hands on Session with Simulator

Tutor: A. Moglia

Station 1 - Dry LabStation 2 - Robotic SimulatorStation 3 - Virtual Reality: Hysterectomy

TRAINING SESSION

01.30 pm - 01.45 pm Questions & Answers01.45 pm - 02.30 pm Lunch

TUESDAY 7 MAYPISA DAY • Venue: Robotics Multidisciplinary Center for Surgery University of Pisa

11

Scientific Agenda

DAY AT A GLANCE

Opening Ceremony

Olimpic Games

General Assembly

PRE CONGRESS DAYFlorence - Palazzo dei Congressi, Wednesday 8 May

What’s the best surgeon knots?Romeo’s Gladiator Rule: Master in Knot-Tying and Loading

of the needle

07.00 am05.00 pm

Brea

kout

Roo

m

Room 4

Room 2

ISSA Theoretical Basic and Advanced, Intensive Courseon Laparoscopic Surgical Anatomy for Abdomino Pelvic Surgery

09.00 am01.00 pm

ISSA Practical Basic and Advanced, Intensive Handson Cadaveric Course on Laparoscopic Surgical Anatomy

for Abdomino-Pelvic Surgery with 3D Technology

01.30 pm05.30 pm

Cadaveric Course on NeuropelveologicalProcedures and Techniques

08.00 am06.00 pm

09.00 am05.30 pm

Basic and Advanced Intensive Hands-on Cadaveric Courseon Robotic Surgical Anatomy for Abdomino-Pelvic Surgery

01.30 pm05.30 pm

05.45 pm06.45 pm

07.00 pm08.30 pm

Room 5

Room 1

Room 1

Room 3

B5

B3

B1

B2

B4

09.00 am - 01.00 pm B1. How to Escape from the Pelvic Labyrinth: ISSA Theoretical Basicand Advanced, Intensive Course on Laparoscopic Surgical Anatomyfor Abdomino-Pelvic Surgery

PRE CONGRESS COURSES DAY

Chairs: M. Ceccaroni, S. Puntambekar

Faculty: M. Ceccaroni, R. Clarizia, T.T.M. Lee, J.F. Magrina,S. Puntambekar, G. Roviglione, P.N. Barri, S. Uccella

WEDNESDAY 8 MAY

FLORENCE • Venue: Palazzo dei Congressi

Laparoscopic surgery for benign and deeply infiltrative diseases represents complex challenges for pelvic surgeons. Instructors from the International School of Surgical Anatomy (ISSA) of Verona, Italy will provide participants a comprehensive overview of the pelvic anatomy and guidance on how to navigate the retroperitoneal space and structure. These approaches will help surgeons to formulate a well strategized treatment plan leading to optimal surgical outcomes. At the conclusion of this course, the participant will be able to:1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection for basic, intermediate and advanced procedures;2) Discuss laparoscopic surgical techniques to enter and expose avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vessels and their relations to the ureter and retroperitoneal structures;3) Review the principles of a nerve-sparing;4) Provide step-by- step dissection of the uterine artery and the pelvic ureter related to gynecologic retroperitoneal procedures (i.e. big uteri, intraligamentary myomas, deep endometriosis and gynecologic cancers).

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09.30 am - 09.55 am Laparoscopic Surgical Anatomy of a Safe Hysterectomy Step-by-stepP.N. Barri

09.00 am - 09.05 am Welcome, Introduction and Course Overview 09.05 am - 09.30 am Laparoscopic Surgical Anatomy of the Pelvis and Retroperitoneum:

What We Need to Know for a Safe Surgery - S. Uccella

Scientific Agenda

WEDNESDAY 8 MAY



01.00 pm Adjourn

10.55 am - 11.10 am Break

09.55 am - 10.20 am Laparoscopic Surgical Anatomy of Parametrial Ligaments for a Safe andTaylored Radical Hysterectomy - S. Puntambekar

10.20 am - 10.45 am Laparoscopic Surgical Anatomy of Retroperitoneum for a Safe Pelvicand Para-Aortic Lymphadenectomy - G. Roviglione

11.10 am - 11.35 am Laparoscopic Surgical Anatomy of Anterior Compartment (Bladder,Ureters, Ligaments): Tips and Tricks for a Safe Pelvic SurgeryR. Clarizia

11.35 am - 12.00 pm Laparoscopic Surgical Anatomy of Posterior Compartment (Uterine andRectal Ligaments, Douglas Pouch): Tips and Tricks for a Safe Pelvic SurgeryT.T.M. Lee

12.00 pm - 12.25 pm Laparoscopic Surgical Anatomy of Visceral and Somatic PelvicInnervation for a Safe and Nerve-Sparing Radical Pelvic SurgeryM. Ceccaroni

12.25 pm - 12.50 pm “Retroperitoneum is Your Best Friend”: How Can Anatomy Help theSurgeon in Preventing Complications - J.F. Magrina

14


Scientific Agenda

WEDNESDAY 8 MAY

B3. Cadaveric Course on Neuropelveological Procedures andTechniques: A Systematic Approach to the Diagnosis and Managementof Complex Pelvic Pain and Pelvic Neuropathies

08.00 am - 06.00 pm

Chairs: V. Chiantera, N. Lemos

This Live Dissection and Theoretical course will provide a thorough understanding of pelvic neuroanatomy, neurophysiology and the neural pathways involved chronic pelvic and perineal pain and their implications for an effective, anatomic and etiologically-based, diagnosis and treatment. With a didactic strategy of practical and theoretical information running in parallel, with simultaneous projections of the theory and corresponding live cadaveric dissections, this course will integrate and organize knowledge that is currently scattered in medical literature, providing a practical use for pelvic neuroanatomy in clinical and surgical practice.

08.00 am - 08.15 am Welcome, Introduction and Course Overview - V. Chiantera, N. Lemos

10.00 am - 10.30 am Break

08.15 am - 09.00 am Neuropelveology: A New Groundbreaking Area in MedicineM. Possover

09.00 am - 10.00 am Principles of Nerve-Sparing Surgery - Didactic and Parallel Live Dissection

15


At the conclusion of this activity, the participant will be able to:Discuss pelvic neuroanatomy on a practical-surgical level, by meansof integrated theoretical concepts in parallel to cadaveric dissectionsIncorporate a practical, anatomy-based systematization of theapproach to chronic pelvic pain into their daily practiceApply the concepts and guidelines for the treatment ofnerve-entrapment syndromes

•

•

•

•

Scientific Agenda

Part I: Somatic Nerves of the Pelvic and Abdominal WallDidactic: N. LemosLive Dissection: V. Chiantera, B. Rabischong

WEDNESDAY 8 MAY


02.00 pm - 02.20 pm Strategies for Systematic Approach to Refractory Pelvic Pain PatientsM. Possover

02.20 pm - 02.40 pm Intrapelvic Nerve Entrapments: Definition and Diagnosis - G. Fernandes

02.40 pm - 03.00 pm Treatment of Endometriosis of the Pelvic Sidewall and Sacral PlexusV. Chiantera

03.00 pm - 03.20 pm Perioperative Care in Neuropelveology: Management of PostDecompression Pain - N. Lemos

04.30 pm - 04.50 pm The LION Possover Procedure for the Rehabilitation of SpinalCord-Injured People - M. Possover

04.50 pm - 05.10 pm Perioperative Care in Neuropelveology: Rehabilitation of SCI Patientsbefore and after the LION- Possover Procedure - G. Fernandes

05.10 pm - 05.30 pm A Step-by-Step Guide to Learning Neuropelveology - M. Possover


06.00 pm Adjourn


12.30 pm - 02.00 pm Lunch

04.00 pm - 04.30 pm Break

16


10.30 am - 12.00 pm Principles of Nerve-Sparing Surgery. Didactic and Parallel Live Dissection

Scientific Agenda

• Part II: Nerves Involved in Visceral and Pelvic Floor ControlDidactic: N. Lemos Live Dissection: V. Chiantera, B. Rabischong

WEDNESDAY 8 MAY01.30 pm - 05.30 pm B2. How to Escape from the Pelvic Labyrinth: ISSA Practical Basic and

Advanced, Intensive Hands-On Cadaveric Course on LaparoscopicSurgical Anatomy for Abdomino-Pelvic Surgery with 3D Technology

Following the principles taught in the International School of Surgical Anatomy (ISSA), this hands-on cadaveric course will provide a step-by-step surgical approach to the pelvic viscera, retroperitoneal avascular spaces and pelvic ureters. Emphasis will be put upon identi-fying anatomical landmarks, including surgical principles and techniques to enter the retroperitoneal avascular spaces.Instruction on techniques for gentle tissue handling to avoid bleeding,proper traction, counter-traction, sharp and blunt dissections while preventing vascular, urinary, bowel and nervous complications. Special care will be given to nerve-sparing techniques during laparoscopicdissection, with demonstration of main pathways of visceral and somatic pelvic innervation. This course includes cadaveric specimen with intact uteri and cervix using laparoscopic instrumentation. At the conclusion of this course, the participant will be able to:1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection;2) Apply laparoscopic surgical techniques to enter and expose the avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vasculature and their relations to the ureter and intraperitoneal structures;3) Illustrate the step-by-step dissection of the pelvic ureter and pelvic-nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery.

Chairs: M. Ceccaroni, S. Puntambekar

Faculty and Course Supervisors: M. Ceccaroni, M.F.R. Paraiso,S.P. PuntambekarFaculty: J. Albornoz, F. Bruni, R. Clarizia, K. Huang, T.T.M. Lee,D. Mautone, A. Puppo, G. Roviglione, P.N. Barri, J.D. Villegas-Echeverri

17

Scientific Agenda

WEDNESDAY 8 MAY

B4. Basic and Advanced, Intensive Hands-On Cadaveric Course onRobotic Surgical Anatomy for Abdomino-Pelvic Surgery

01.30 pm - 05.30 pm

Chairs: A. Advincula, J.F. Magrina

Chair: A. Romeo

07.00 am - 05.00 pm B5. What's the Best Surgeon Knots? Romeo'sGladiator Rule: Master in Knot-Tying and Loading of the Needle

18

01.30 pm - 01.35 pm Welcome, Introduction and Course Overview - M. Ceccaroni

03.35 pm - 03.50 pm Break

05.15 pm - 05.30 pm Questions & Answers05.30 pm Adjourn

01.35 pm - 03.35 pm LAB I: Hands-on Laparoscopic Dissection of Uterus, Adnexa, ParametrialLigaments and Lateral Pelvic Sidewall: Tips and Tricks to Perform SafeLaparoscopic Hysterectomy and Adnexal Surgery

Suturing is a turning point towards Advanced Laparoscopic Surgery. Combination of the correct stitch and knot-tying can be responsible for the success of a complex surgery. Appropriate rules make difficult things easy. The Romeo’s Gladiator Rule put suturing at the hands of all laparoscopists. The knowledge acquired by Romeo’s Gladiator School explain which knots are safe and unsafe or dangerous and how to perform them.This course provides a broad comprehension about the art of laparoscopic suturing, mixing theory and practice.

At the conclusion of this activity, the participant will be able to:1) identify safe, unsafe and dangerous knots;2) perform bimanual knot tying following the Romeo’s Gladiator Rule.3) Loading the needle and stitching with both hands and supra pubic route.

03.50 pm - 05.15 pm LAB II: Hands-on Laparoscopic Dissection of Posterior Compartmentand Pelvic Nerves

Scientific Agenda

Faculty: P. Bellelis, F. Campolo, U. Catena,A.C. do Amaral, L.F. Fernandes, C. Fujimoto, R. Luna, K. Lustosa,L. Puyacan, D. Ramos, C. Rocha, A. Romeo, M. Vieira

WEDNESDAY 8 MAY

19

07.00 am - 07.05 am Welcome, Introduction and Course OverviewChair: A. Romeo

07.05 am - 07.30 am Safe, Unsafe and Dangerous Knots in Laparoscopy: How to Teach?A. Romeo

07.30 am - 07.55 am Romeo’s Gladiator Rule: The Universal Knot tying TechniqueK. Lustosa

07.55 am - 08.15 am The Theory of the Perfect Stitch - A. Romeo08.15 am - 08.30 am Loading of the Needle - D. Ramos


10.50 am - 12.00 pm Questions & Answers on the Blocking Sequences: TEST12.00 pm - 01.00 pm Very Complicated Angles of Stitches: Vertical Sovrapubic Route

All Faculty

01.00 pm - 02.00 pm End of Knot Tying Warm Up

08.55 am - 09.25 am LAB Romeo’s Gladiator Knot Tying Technique with Right DominantKnot Tying Hand from Lateralports - All Faculty

09.25 am - 09.55 am LAB Romeo’s Gladiator Knot Tying Technique with Right Hand Dominantin Supra Pubic Port and the Assistant in Left Hand Port - All Faculty

09.55 am - 10.15 am LAB: Knot Tying with Left Dominant Hand and Right Assistant Handin Supra Pubic Trocar - All Faculty

10.15 am - 10.50 am LAB: Loading of the Needle ManeuversThe Perfect stitch with Right and Left Hands - Training with bimanualStitches - All Faculty

08.45 am - 08.55 am Break

Scientific Agenda

WEDNESDAY 8 MAY

05.45 pm - 06.45 pm SEGi General Assembly

OPENING CEREMONY07.00 pm - 08.30 pm

20

02.00 pm - 02.30 pm Study of the Anatomy Status of Cadaver

02.30 pm - 05.00 pm Application on Cadaver Tissue as Follows:

Ligature of vessels

Promontosacrofixation

Restoration of muscular layers after shaving of the bowels

Ureter suturing stitches and difficult anastomosis end to end.

Two layers Bladder Restore

Vaginal cuff closure where is possible after Hysterectomy

Scientific Agenda

Master Romeo’s Gladiator Suturing Course on Cadaver

DAY AT A GLANCE

Video Workshop on Gynecologic Oncology

Selected Abstracts: Video Session

Selected Abstracts: Oral Session

Symposium on: Ultra Minimally Invasive Surgery: Is it Really Minimal?

Symposium on: Ultra Radical Minimally Invasive Surgeryfor Gynecologic Oncology

Live Hysteroscopic Surgery

GYNECOLOGIC ONCOLOGYFlorence - Palazzo dei Congressi, Thursday 9 May

Surgical Renaissance of Skills & Techniques in Gynecologic Oncology

Break

Welcome Address

Keynote Lecture: The Discovery of the Woman and the Developmentof Gynecological Surgery: Art & Medicine

Keynote Lecture: The Emerging Role of Minimally-Invasive Approachesin Gynecologic Oncology

Keynote Lecture: Neuropelveology: A New GroundbreakingArea in Medicine

Cadaveric Keynote Live Dissection

Live Surgery

08.30 am09.00 am

09.00 am09.30 am

09.30 am10.00 am

10.00 am11.00 am

11.00 am02.30 pm

02.30 pm03.00 pm

03.00 pm03.30 pm

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06.00 pm07.30 pm

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Satellite Symposium: Changing the Paradigms in Minimally InvasiveSurgery for Benign Disease

04.30 pm06.00 pm Ro

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08.30 am - 09.00 am Welcome Addresses & Opening Sessions Speech

09.00 am - 09.30 am Keynote Lecture: The Discovery of the Woman and the Developmentof Gynecological Surgery: Art & Medicine - D. Lippi

09.30 am - 10.00 am Keynote Lecture: The Emerging Role of Minimally-Invasive Approachesin Gynecologic Oncology - G. Scambia

02.30 pm - 03.00 pm Keynote Lecture: Neuropelveology: A New Groundbreaking Area inMedicine - M. Possover

03.00 pm - 03.30 pm Break

11.00 am - 02.30 pm Plenary SessionChairs: A. Fagotti, S. Greggi, J.F. Magrina, G. ScambiaLive Transmission from Rome - University Hospital Policlinico A. GemelliSurgeons: B. Costantini, F. Fanfani, S. Puntambekar, E. Vizza

03.30 pm - 06.00 pm Main SessionSurgical Renaissance of Skills and Techniques in Gynecologic Oncology

Cadaveric Keynote Dissection from Leonardo’s Anatomical TheatreM. CeccaroniLive from Santa Maria Nuova Hospital - Florence

10.00 am - 11.00 am “Learning Never Exhausts the Mind” Evolution of Surgical Anatomy500 Years after Leonardo Da Vinci

03.30 pm - 03.50 pm “When you’re a Stranger”: Risks and Safety in Management of SuspiciousAdnexal and Uterine Masses - R. Seracchioli

Chairs: M. Candiani, M. Malzoni, L. Michels, M.F. Paraiso

Chairs: P.N. Barri, K. Huang, M.F.R. ParaisoDiscussant: A. Mattei

03.50 pm - 04.10 pm Tracing the Path for Survival: Sentinel Lymph-Node Mapping inGynecologic Cancers - S. Uccella

04.10 pm - 04.30 pm Tracing the Highways for Survival: Challenges and Techniques in Pelvicand Para-Aortic Lymphadenectomy - A. Ercoli

04.30 pm - 04.50 pm The “Perfect Storm”: Surgical Anatomy and Different Classes of RadicalHysterectomy for Cervical Carcinoma - M. Malzoni

Chairs: J. Brown, S. Gueli Alletti

THURSDAY 9 MAY

GYNECOLOGIC ONCOLOGY

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Chair: B. Rabischong

06.00 pm - 07.30 pm Main SessionHysteroscopic Surgery: Live Transmission from Florence Santa MariaNuova HospitalChairs: C. De Angelis, G. Gubbini, A. StepanianSurgeons: S. Bettocchi, A. Di Spiezio Sardo, I. Mazzon

03.00 pm - 06.00 pm Satellite Symposium 1Video Workshop on Gynecologic Oncology: Surgical Anatomy,Technological Evolution and Techniques

03.00 pm - 06.00 pm Satellite Symposium 2Ultra-Minimally-Invasive Surgery: Is it Really Minimal?Chairs: F. Ghezzi, C. Rossitto

03.00 pm - 06.00 pm Satellite Symposium 3Selected Abstract Presentations: Video SessionChairs: D. Mautone, M. Rasile

03.00 pm - 06.00 pm Satellite Symposium 4Selected Abstract Presentations: Oral SessionChair: D. Iuzzolino

03.00 pm - 06.00 pm Satellite Symposium 5Ultra-Radical Minimally-Invasive Surgery for Gynecologic Oncology:Crossing the BoardersChairs: S. Greggi, J.F. Magrina

THURSDAY 9 MAY


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04.50 pm - 05.10 pm Rise and Falls of Laparoscopic Radical Hysterectomy: Updates, Facts andControversies - W. Naumann

05.10 pm - 05.30 pm Passing the Borders: Bravery, Vision and Techniques for MIS inGynecologic Cancers - M. Andou

05.30 pm - 05.50 pm “Luck Helps the Bold”: How to Face Complications in MIS forGynecologic Cancers - J.F. Magrina

05.50 pm - 06.00 pm Discussion

04.30 pm - 06.00 pm Satellite Symposium 6 - Changing the Paradigms in Minimally InvasiveSurgery for Benign DiseaseChairs: J. Solnik, G. Moawad

That’s too much Screen Time! How Best to Manage the Use of Roboticsin Benign SurgeryK. Huang (Myomectomy) and G. Moawad (Endometriosis)Moderator: M.F.R. Paraiso

What do you Mean You Want to Skip Practice Today? Does practice andSurgical Volume Translate to a Winning Game?G. Moawad, K. Huang

Moderator: J. Solnik

You have been Coming Home too Late! Should We Make the ChangeTowards Same Day Discharge after Complex Benign Surgery?M.F.R. Paraiso, J. Solnik

Moderator: K. Huang

THURSDAY 9 MAY


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DAY AT A GLANCE

Video Workshop on Deep Endometriosis Surgery

Selected Abstracts: Video Session

Selected Abstracts: Oral Session

LAPAROSCOPYFlorence - Palazzo dei Congressi, Friday 10 May

Keynote Lecture: Embryogenesis, History and Evolution ofLaparoscopic Hysterectomy: 30 Years After

Keynote Lecture: The Journey of Uterine Transplant: The SurgicalAnatomy of Pelvic Vascularization

Live Surgery

Laparoscopy meets Vaginal Surgery

Break with the Exhibitors

Surgical Renaissance of Skills and Techniques in Endometriosis Surgery

09.00 am09.30 am

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10.00 am02.00 pm

02.00 pm03.00 pm

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Symposium on: Pelvic Anatomy

Symposium on: Hysteroscopic Surgery

Satellite Symposium

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09.00 am - 09.30 am Keynote Lecture: Embryogenesis, History and Evolution of LaparoscopicHysterectomy: 30 Years After - H. Reich

09.30 am - 10.00 am Keynote Lecture: The Journey of Uterine Transplant: The SurgicalAnatomy of Pelvic Vascularization - S. Puntambekar

02.00 pm - 03.00 pm Break

10.00 am - 02.00 pm Plenary SessionChairs: V. Bergamini, A. Ercoli, Live Transmission from Santa Maria Nuova Hospital, FlorenceSurgeons: J. Einarsson, A. Mattei

Live Transmission from San Raffaele Hospital, MilanChair: M.F.R. ParaisoSurgeons: M. Candiani, H. Clavè, M.R. Kho

03.00 pm - 05.20 pm Main SessionSurgical Renaissance of Skills and Techniques in Endometriosis Surgery

FRIDAY 10 MAY

LAPAROSCOPY

03.00 pm - 03.20 pm Ultrasound Navigation through Pelvic Endometriotic AnatomicalDistortion: Tracing the Road Map for Proper and Safe Surgical StrategyA. Di Giovanni

Chairs: J. Albornoz, P.N. Barri

03.20 pm - 03.40 pm The “Perfect Harmony” between Surgery and Medical Treatment for DIEP. Vercellini

03.40 pm - 04.00 pm “Heat can Treat”: Radiofrequency Thermal Ablation for ConservativeTreatment of Uterine Adenomyosis - G. Roviglione

04.00 pm - 04.20 pm Tackling Hysterectomy in the Setting of Endometriosis - T.T.M. Lee

04.20 pm - 04.40 pm Unfreezing a Frozen Pelvis: Strategies for Approaching SevereEndometriosis of Anterior and Posterior Compartment - M. Malzoni

04.40 pm - 05.00 pm Nerve-Sparing Radical Surgery for Deep Endometriosis: Its Time hascome? - M. Ceccaroni

05.00 pm - 05.20 pm Discussion

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Chairs: M. Ceccaroni, M. Malzoni

FRIDAY 10 MAY

LAPAROSCOPY

05.20 pm - 07.00 pm

05.20 pm - 07.00 pm Satellite Symposium 2Pelvic Anatomy from Baseline to Distortion and How to Come Back:Surgical Principles in Deep Infiltrating Endometriosis SurgeryChairs: R. Clarizia, K. Huang

05.20 pm - 07.00 pm Satellite Symposium 1Hysteroscopic SurgeryChairs: E. Cicinelli, M.A. Telang

Evidence for Hysterectomy with Different Approaches and NewTechnologies - S. Salvatore

Learning Curves for Laparoscopic and Vaginal HysterectomyR.M. Kho

Trying to Identify the Limits of Vaginal Hysterectomy - M. Candiani

A New Vaginal Perspective - H. Clavè

Why Laparoscopy Instead of Vaginal Surgery for Uterine Prolapse?S. Athanasiou

Discussion and Round Table to Finalize a Consensus Document

Main SessionLaparoscopy meets Vaginal Surgery. First Round: HysterectomyChair: M. Candiani

05.20 pm - 05.35 pm

05.35 pm - 05.50 pm

05.50 pm - 06.05 pm

06.05 pm - 06.20 pm

06.20 pm - 06.35 pm

Ultrasound Imaging for Treatment Assessment and Targeted SaferSurgery - L. Savelli

05.20 pm - 05.35 pm

Reproductive Anatomy for Endometriosis: Surgery of the Ovaries andTubes is not that Easy! - S. Ferrero

05.35 pm - 05.50 pm

Diging under the Surface to find Landmarks: Treatment of DouglasPouch, Rectovaginal Septum and Vaginal Endometriosis - R. Clarizia

05.50 pm - 06.05 pm

“Whigs and Tories” in Bowel Surgery for Deep Endometriosis:Conservative vs Resective Approaches - P. Koninckx

06.05 pm - 06.20 pm

Normal Anatomy and Distorted Anatomy of the Anterior Compartment:Urinary Tract Endometriosis Means Parametrial Surgery - A. Puppo

06.20 pm - 06.35 pm

Questions & Answers06.35 pm - 07.00 pm

06.35 pm - 07.00 pm

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FRIDAY 10 MAY

LAPAROSCOPY

05.20 pm - 07.00 pm Satellite Symposium 4Affiliated Society Symposium

05.20 pm - 07.00 pm Satellite Symposium 6Selected Abstract Presentations: Oral Session

05.20 pm - 07.00 pm Satellite Symposium 3Video Workshop in Deep Endometriosis Surgery

05.20 pm - 07.00 pm Satellite Symposium 5Selected Abstract Presentations: Video Session

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DAY AT A GLANCE

ENDOMETRIOSISFlorence - Palazzo dei Congressi, Saturday 11 May

Keynote Lecture: Long-Term Evolution and TreatmentStrategies for Endometriosis

Keynote Lecture: Challenges and Perspectives for theTreatment of Endometriosis

Live Surgery

Closing Remarks

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09.00 am - 09.30 am Keynote Lecture: Long-Term Evolution and Treatment Strategies forEndometriosis - F. Petraglia

09.30 am - 10.00 am Keynote Lecture: Challenges and Perspectives for the Treatment ofEndometriosis - M. Abrão

10.00 am - 02.00 pm Plenary SessionChairs: M. Abrão, H. Reich, L. SavelliLive Surgery from Endoscopica Malzoni, AvellinoPre-Operative Ultrasound Scan - A. Di GiovanniSurgeons: M. Malzoni, E. Solima

Live Surgery from IRCCS Sacro Cuore Don Calabria Hospital,Negrar (VR)Pre-Operative Ultrasound Scan - A. StepniewskaSurgeon: M. Ceccaroni

02.00 pm - 02.30 pm Closing remarks

SATURDAY 11 MAY

ENDOMETRIOSIS

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Chair: M. Candiani, A. Maiorana

tentative list of faculty - dott. luca savelli...lips: surgical skills & suturing techniques...

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