18th European Congress of Trauma & Emergency Surgery...Beuran Mircea – Bucharest, Romania Carmo...

FINAL PROGRAMME

18th European Congress ofTrauma & Emergency Surgery

May 7 – 9, 2017Bucharest International Conference Centre, Palace of ParliamentBucharest, Romania

Organised byEuropean Society for Trauma & Emergency Surgery Romanian Society of Surgery Romanian Society for Trauma & Emergency Surgery

www.estesonline.org

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Table of Contents

Table of Contents

Welcome .......................................................................................................................................................................2

Organisation & Committees .................................................................................................................................4

Invited Faculty ............................................................................................................................................................4

Acknowledgements of Guest Societies .............................................................................................................5

ESTES Board of Directors ......................................................................................................................................6

ESTES Society ..............................................................................................................................................................7

EBSQ Examinations ..................................................................................................................................................9

General Information / Scientific Programme Information ...................................................................... 10

Speaker / Chairperson Information ................................................................................................................. 12

Programme at a Glance ........................................................................................................................................ 14

Scientific Programme ............................................................................................................................................ 17

Sunday, May 7, 2017 ................................................................................................................................. 17

Monday, May 8, 2017 ............................................................................................................................... 30

Tuesday, May 9, 2017 ............................................................................................................................... 44

Poster Index .............................................................................................................................................................. 54

Important Addresses ............................................................................................................................................. 99

Registration............................................................................................................................................................ 100

Official Networking Programme .................................................................................................................... 102

General Information Bucharest ..................................................................................................................... 103

Sponsor Acknowledgements ........................................................................................................................... 107

Exhibition ................................................................................................................................................................ 107

Exhibition Floor Plan .......................................................................................................................................... 108

Industry Supported Sessions .......................................................................................................................... 109

Invited Faculty Index .......................................................................................................................................... 110

Authors Index ........................................................................................................................................................ 112

Notes ...................................................................................................................................................................... 135

Floor Plan .............................................................................................................................................................. 141

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Welcome

Welcome

MESSAGE FROM THE ESTES PRESIDENT

Dear friends,

It gives me great pleasure on behalf of the European Society for Trauma and Emergency Surgery to welcome you to Bucharest for the 18th European Congress of Trauma and Emergency Surgery.

The Congress is the culmination of more than 2 years' work by Mircea Beuran, Bogdan Diacone-scu and their organising committee. Together with members of the Society's sections and edu-cation committee they have worked hard to put together an exciting, relevant and informative programme that will update you on the latest integrated approach to trauma and emergency surgery and provide the opportunity to experience some of the best of Romanian culture. We have a distinguished international faculty who will deliver 100 instructional lectures and lead 26 keynote sessions. More than 200 scientific papers will be presented and discussed and you will have the opportunity to discuss 450 posters with their authors.

This year there will be pre-congress courses in the management of mass casualty incidents, po-lytrauma and point of care ultrasound. Once again the Congress will play host to the European Board of Surgery examinations in both Trauma & Emergency Surgery.

This year is also the 10th Anniversary of the formation of ESTES. Since the original merger of EATES and ETS it has gone from strength to strength. That merger created a powerful synergy that has been built on over the years to create one of the world's foremost surgical societies. Acknowledging that history, it is my pleasure to welcome Abe Fingerhut and Christian Krettek to give eponymous lectures named in honour of Sten Lennquist and Otmar Trentz, two of the founding fathers of the society.

As a meeting point for European surgeons, where could be more appropriate than Romania which, located midway between the Atlantic coast and the Ural mountains, lies in the middle of Europe? It also has a wealth of traditions, history and beautiful countryside. Bucharest is one of of the most interesting cities in Eastern Europe. I hope you can take some time to enjoy it.

Whether your work is concerned purely with trauma or acute care surgery, a mixture of both, or an elective practice with on-call responsibility, I hope you will feel welcome at ECTES 2017. This Congress is a great opportunity to learn from each other and find new and powerful solutions to the problems we face: so get involved and make it work for you.

I look forward to seeing you in Bucharest for what promises to be an unforgettable experience.

Jonathan Tilsed

ESTES President 2016-2017

Jonathan Tilsed, ESTES President

2016-2017

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Welcome

MESSAGE FROM THE ECTES PRESIDENT

Dear colleagues, dear friends,

It is a great honour to welcome you to the 18th European Congress of Trauma and Emergency Surgery, due to take place from May 7–9, 2017 in Bucharest, Romania.The 18th European Congress of Trauma and Emergency Surgery is organised by the European Society for Trauma and Emergency Surgery (ESTES) in close cooperation with the Romanian Society for Trauma and Emergency Surgery and the Romanian Society of Surgery.

The leading theme of this congress is:

“Give and take – share your experience”

Colleagues of all national ESTES member societies in Europe and also from other continents will share their knowledge about prevention and caring for trauma and emergency care patients during these three days.

The meeting will cover a wide variety of topics such as Damage Control Principles, Acute Care Surgery, Peritonitis, Management of Colonic Obstruction, Vascular Injuries, Acute Management of Pancreatic Injury and Disease, Polytrauma, Trauma Systems, Collective Burn Injuries, Multiple Fractures, Pelvic Injury and many others. Instructional lecture courses, keynote sessions, case presentations and poster sessions will present the state of the art in emergency and trauma surgery.Also, the EBSQ trauma surgery examination as well as the emergency surgery examination exam will be held in association with the meeting.

Furthermore, several pre-congress courses will be organised such as the European Mass Casualty Incident Course (ECMI), the Modular Ultra Sound Estes Course (MUSEC) and the Polytrauma course.

During the sessions there will be time for discussion to share knowledge. The networking events will provide opportunities for renewing contacts and exchanging experiences between colleagues from all over the world. I am very grateful that so many experienced and young colleagues in Romania supported the organisation of this powerful event by investing a lot of time and effort.

Today, Bucharest is a cosmopolitan city with a mosaic of the old and new, traditional and modern, Eastern and Western that all contribute to its originality and charm. There are contrasts and pa-radoxes; grandeur and simplicity, remnants of other times and other values.

I am honoured and proud to welcome you to Bucharest!

Mircea Beuran

Congress President

Mircea Beuran, Congress President

2017

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Organisation & Committees

Organisation & Committees

CONGRESS PRESIDENT

Mircea Beuran – Bucharest, Romania

ORGANISING COMMITTEE

Bogdan Diaconescu – Bucharest, RomaniaMarius Anastasiu – Bucharest, RomaniaPol M. Rommens – Mainz, GermanyJonathan Tilsed – Beverley, United Kingdom

Invited Faculty

For the full list of invited speakers and chairpersons, please turn to page 110.

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Acknowledgements of Guest Societies

Acknowledgements of Guest Societies

Special thanks to the following societies and organisations which responded to our invitation and contributed to the 18th European Congress of Trauma and Emergency Surgery.

PARTICIPATING INTERNATIONAL

SOCIETIES

ATLS in Europe

ATCN Europe

Austrian Trauma Society

Belgian Orthopaedic Trauma Association

Belgian Trauma Society

Bosnian Trauma Society

Croatian Trauma Society

Croatian Urgent Medicine and Surgery Association

Czech Trauma Society

Dutch Trauma Society

Finnish Trauma Society

French Emergency Surgery Society

German Trauma Society

Hellenic Society for Trauma & Emergency Surgery

Hungarian Trauma Society

Israel Trauma Society

Italian Trauma & Emergency Surgery Society (SICUT)

Lusitanian Association for Trauma and Emergency Surgery

Norwegian Trauma Competency Service

Pancyprian Association of Trauma & Emergency Surgery

Pan-Ukrainian Association of Traumatology and Osteosynthesis

Portuguese Surgical SocietyRomanian Society for Trauma & Emergency SurgerySerbian Trauma SocietySlovakian Trauma SocietySlovenian Association of Surgeons Slovenian Society of Trauma Surgeons Spanish Surgeons AssociationSwedish Trauma AssociationSwiss Society of General Surgery and TraumatologySwiss Trauma Society (SGTV)Turkish Society of Orthopedics & TraumatologyTurkish Association of Trauma & Emergency Surgery

SUPPORTING SOCIETIESAdvanced Trauma Care for Nurses (ATCN)

AOTraumaAsociatia Romana pentru Chirurgie Endoscopica si alte Tehnici Interventionale (ARCE)

Deutsche Gesellschaft für Unfallchirurgie (DGU)

Gerhard Küntscher Society

International Bone and Joint Infection

Committee

Romanian Society for Trauma & Emergency

Surgery

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ESTES Board of Directors

ESTES Board of Directors

ESTES EXECUTIVE BOARD

ESTES President 2016-2017

Tilsed Jonathan – Beverley, United Kingdom

President Elect

Keel Marius – Berne/Zurich, Switzerland

General Secretary

Rommens Pol M. – Mainz, Germany

Past President

Pape Hans-Christoph – Zurich, Switzerland

Vice President

Voiglio Eric – Lyon, France

Treasurer

Kurihara Hayato – Rozzano, Italy

Advisory Council Chair

Zago Mauro – Bergamo, Italy

Editor-in-chief (EJTES)

Marzi Ingo – Frankfurt, Germany

SECTION CHAIRS & CO-CHAIRS

Emergency Surgery

Shamiyeh Andreas – Linz, AustriaMartinez Casas Isidro – Alicante, Spain

Disaster & Military Surgery

Bemelman Mike – Utrecht, The NetherlandsVice-chair to be confirmed

Skeletal Trauma and Sports Medicine

Wendt Klaus – Groningen, The NetherlandsRadko Komadina – Celje, Slovenia

Visceral Trauma

Riddez Louis – Linköping, SwedenVice-chair to be confirmed

Polytrauma

Pape Hans-Christoph – Zurich, Switzerland

NATIONAL DELEGATES

Bahouth Hany – Haifa, IsraelBaker Andrew – Durban, South AfricaBakota Bore – Karlovac, CroatiaBeuran Mircea – Bucharest, RomaniaCarmo Caldeira Maria – Madeira, PortugalCimerman Matej – Ljubljana, SloveniaChrysanthos Georgiou – Nicosia, CyprusDrác Pavel – Olomouc, Czech RepublicGaarder Christine – Oslo, NorwayGavrankapetanovic Ismet – Sarajevo, Bosnia and HerzegovinaHeim Dominik – Frutigen, SwitzerlandHreckovski Boris – Slavonski Brod, CroatiaJosten Christoph – Leipzig, GermanyKalashnikov Andriy – Kiev, UkraineKdolsky Richard – Vienna, AustriaKomadina Radko – Celje, SloveniaLantto Iikka – Oulu, FinlandLodier Frédéric – Lyon, FranceMartinez Casas Isidro – Alicante, SpainMesquita Carlos – Coimbra, PortugalMitkovic Milorad B. – Nis, SerbiaNijs Stefaan – Leuven, BelgiumOkçu Güvenir – Manisa, TurkeyPlatz Andreas – Zurich, SwitzerlandPons Francois – Clamart, FrancePonsen Kees-Jan – Alkmaar/Beverwijk, The NetherlandsPutzeys Guy – Bellegem, BelgiumRiddez Louis – Linköping, SwedenSimko Peter – Bratislava, SlovakiaStergiopoulos Spiros – Athens, GreeceVarga Endre – Szeged, HungaryYanar Hakan – Istanbul, TurkeyZago Mauro – Bergamo, Italy

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ESTES Society

ESTES Society

ESTES GENERAL ASSEMBLY

Monday, May 8, 2017, from 12:45Room Iorga, Bucharest International Conference Centre, The Palace of Parliament

Agenda

1. Opening and welcome 2. Approval of the agenda 3. Approval of the minutes of the General Assembly on April 25, 2016, in Vienna, Austria 4. Election of Manuela Walland as recording secretary 5. Presidential Report 6. Report of the Secretary General 7. Approval of new members & Termination of membership 8. Report of the Treasurer 9. Report of the Financial Committee Chairman 10. Discharge of the Treasurer from his responsibility 11. Appointment of the Financial Committee members for the year 2017 12. Report of the Vice-President 13. Report of the Endorsement Committee Chairman 14. Report of the Editor-in-Chief of the European Journal of Trauma and Emergency Surgery 15. Report of the Chairman of the Advisory Council 16. Report of the Section Chairs

a. Disaster & Military Surgery b. Emergency Surgery c. Skeletal Trauma & Sports Medicine d. Visceral Trauma e. Polytrauma

17. Report of the Education Committee 18. Approval of the Education Committee Chair 2017 – 2020: Peep Talving 19. Approval of the Education Committee Co-Chair 2017 – 2020: Luca Ponchietti 20. Report of the Congress President 2017 21. Election of the President Elect (2017-2018) – suggestion: Christoph Josten, Germany 22. Election of the Secretary General (2017 – 2020) – suggestion: Klaus Wendt, The

Netherlands 23. Outlook at future ESTES Congresses 24. Miscellaneous 25. Closing Remarks

Jonathan Tilsed, ESTES President 2016-2017

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ESTES Society

ESTES SECTION MEETINGS

Disaster & Military Surgery

Sunday, May 7, 201707:30 – 08:30ESTES loungeSection Chair: Mike Bemelman

Emergency Surgery

Monday, May 8, 201707:30 – 08:30Human Rights HallSection Chair: Andreas ShamiyehVice Chair: Isidro Martinez Casas

EJTES EDITORIAL BOARD MEETING

Sunday, May 7, 201712:00 – 14:00Board room – Entrance level

ESTES INDIVIDUAL MEMBERSHIP

Annual fees:

— Regular: EUR 120 — Doctors in training / non-doctors: EUR 85

Benefits:

— Save up to 22% at the annual congress of the society, including industry exhibition — Register for endorsed courses and meetings at a reduced fee — Receive 6 issues of the European Journal of Trauma and Emergency Surgery, published

by Springer, including the ESTES News — Join one of ESTES’ five specialist sections: Disaster and Military Surgery, Emergency

Surgery, Polytrauma, Skeletal Trauma & Sports Medicine, Visceral Trauma — Receive a diploma confirming your individual membership (upon request)

For more information, visit the ESTES booth in the exhibition area or check out the website www.estesonline.org

ESTES INTERNATIONAL VILLAGE

Come in and find out more about the history, milestones and aims of the ESTES member socie-ties! ESTES International Village is located in the exhibition area in the left-hand corner next to the entrance.

Skeletal Trauma and Sports Medicine

Sunday, May 7, 201712:45 – 13:45Human Rights HallSection Chair: Klaus WendtVice Chair: Radko Komadina

Visceral Trauma

Sunday, May 7, 201707:30 – 08:30Board roomSection Chair: Louis Riddez

Polytrauma

Sunday, May 7, 201718:30 – 19:30Human Rights HallInterim-Section Chair: Hans-Christoph Pape

Education Committee

Sunday, May 7, 201718:30 – 19:30Board roomChair: Miriam RüsselerVice-Chair: Peep Talving

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EBSQ Examinations

EBSQ Examinations

FRIDAY, MAY 5, 2017

EBSQ Examination in Emergency Surgery

Start: 08:30Carol Davila University of Medicine and Pharmacy Chair: Jonathan Tilsed

SUNDAY, MAY 7, 2017

EBSQ Examination in Trauma Surgery

Start: 07:45- written exam: Human Rights Hall, Palace of Parliament- oral exam: ESTES lounge, Palace of ParliamentChair: Hans-Jörg Oestern

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General Information / Scientific Programme Information


ABSTRACT ONLINE SUPPLEMENT

You will find the abstracts of the 18th European Congress of Trauma and Emergency Surgery in the online archive of the “European Journal of Trauma and Emergency Surgery”.

To access the publications, please follow this link:http://link.springer.com/article/10.1007/s00068-017-0781-y

BEST ORAL PRESENTATION & BEST POSTER AWARDS

The three Awards for Best Oral Presentation (of EUR 1000 / 500 / free congress registration for ECTES 2018) and the three Best Poster Awards (of EUR 1000 / 500 / free congress registrati-on for ECTES 2018) will be presented during the Closing Ceremony on Tuesday, May 9, 2017. Please note that the award winners need to be present at the ceremony to be eligible to receive the prize.

CERTIFICATE OF ATTENDANCE

Your Certificate of Attendance will be included in your congress materials available at the regis-tration desk.

CME CREDITS

The scientific programme of the 18th European Congress of Trauma and Emergency Surgery is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activity for medical specialists.The 18th European Congress of Trauma and Emergency Surgery has been accredited with 17 CME Credits. The EACCME is an institution of the European Union of Medical Specialists (UEMS), www.uems.net. EACCME credits are recognised by the American Medical Association towards the Physician‘s Recognition Award (PRA). To convert EACCME credits to AMA PRA category 1 credits, please contact the AMA.

CONGRESS LANGUAGE

The official language of the congress is English. No simultaneous interpretation will be provided.

CONGRESS STAFF

The Mondial Congress & Events team members are present at the registration counter and con-gress hostesses are present in all lecture rooms as well as at the Preview Centre and as badge monitors. Do not hesitate to approach them with queries – they will gladly assist you.

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ESTES BOOTH

For matters regarding ESTES membership and other ESTES activities, participants are cordially invited to visit the ESTES booth in the exhibition area.

PREVIEW CENTRE

The Preview Centre is located on the right-hand side of the entrance area.Staff and equipment will be available for you to arrange and preview your PowerPoint presenta-tion. Please find more detailed information on page 12.

SCIENTIFIC POSTER AREA

All scientific posters can be viewed throughout the congress on the left-hand side of the exhibi-tion area on the ground floor.

PARKING

Attendants may park in Constituției Square, in the public parking lot. Please note that there is only a limited number of parking spaces available.

CLOAKROOM

A cloakroom and luggage storage facilities are available in the entrance area behind the regist-ration counters.

COFFEE BREAKS

Coffee during the indicated coffee breaks is included in the registration fee and will be served in the exhibition area on the ground floor.

FIRST AID

In case of need, please contact the staff at the registration desk. General emergency number: 112

SMOKING

Thank you for not smoking inside the congress venue. Smoking areas are available outside the venue, at the entrance in C1 Gallery.

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Speaker / Chairperson Information


OPENING HOURS SPEAKERS’ PREVIEW CENTRE

— Saturday, May 6, 2017 16:00 – 19:00 — Sunday, May 7, 2017 07:30 – 18:00 — Monday, May 8, 2017 07:30 – 18:00 — Tuesday, May 9, 2017 07:30 – 14:30

IF YOU ARE A CHAIRPERSON

1. Please locate your session room in due time. Please be at your session room at least 15 minutes prior to the start of the session.

2. We may remind you that speakers need to strictly observe the time schedule. Panelists should not speak before they are recognized by the chair and must first clearly state their name, institution and country of origin.

3. Please fill in the questionnaire which will be handed to you after the respective session.

IF YOU ARE A SPEAKER IN A SESSION

1. Please locate your session room in due time. Please be at your session room at least 15 minutes prior to the start of the session.

2. Speakers should deliver and view/check their PowerPoint presentations at the Spea-kers’ Preview Centre (entrance area) at least 3 hours prior to the start of the respective session. For sessions starting at 08:30, the PowerPoint presentations should be delivered the previous day.

In order to avoid delays, speakers are kindly requested to hand in their PowerPoint presentations on USB.

Speakers are not permitted to take PowerPoint presentations directly to the technical assistant in the session rooms as it needs to be transferred onsite in the Preview Centre.

If you wish to bring your own laptop, it is crucial to make this known in the Preview Centre three hours in advance for organisational reasons.

Please note that your speaking time as indicated has to be strictly followed: ICL = 15 min, keynote = 12 min, free paper = 6 min. Your remaining speaking time will be displayed during your presentation.

You may rest assured that your files will be deleted from the congress server after your pre-sentation.

The best oral presentations will be chosen by a jury and receive the Best Oral Presentation Awards during the Closing Ceremony on Tuesday, May 9, 2017. Presence at the ceremony is mandatory for the award winners.

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IF YOU ARE PRESENTING A POSTER

The poster area is located on the ground floor in front of the Human Rights Hall.

Each poster will be displayed for the duration of the congress. Posters have to be mounted Sa-turday, May 6, 2017 between 16:00 and 19:00 or on Sunday, May 7, 2017, between 08:00 and 10:30. Please attach the poster to the board with the corresponding poster placement number and remove it on Tuesday, May 9, 2017, between 13:00 and 15:00; otherwise, the staff will dispose of it.

Stripes for mounting the posters will be available in the poster area. Please note that only these stripes may be used for mounting posters to avoid damaging the panel surface.

Out of all submitted abstract the 11 best posters were selected by the scientific committee prior to the congress. These posters will be presented in the Best Poster session which will take place on:

— Date: Monday, May 8, 2017 — Room: Balcescu — Time: 10:30 – 12:00

A jury will assess all poster presentations and select the three best posters.

The prizes for the three best posters will be awarded to the winners at the Closing Ceremony, which takes place on Tuesday, May 9, 2017, at 15:30. Please note that the award winners need to be present at the ceremony to be eligible to receive the prize.

If you have any questions regarding your poster(s), please do not hesitate to contact the staff at the registration desk.

Programme at a Glance – Sunday

Programme at a Glance – Sunday

See ECTES 2017_Programme grid – Verknüpfung

No industry names in programme at a glance

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Programme at a Glance – Monday

Programme at a Glance – Monday

See ECTES 2017_Programme grid – Verknüpfung


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17

Sunday, May 7, 2017

SUN

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• Emergency Surgery • Military & Disaster • Polytrauma • Skeletal Trauma • Visceral Trauma • Education

SCIENTIFIC PROGRAMME

Sunday, May 7, 2017

08:30 – 10:00 Alexandru Ioan Cuza

ICL •POLYTRAUMA – DEFINITION AND MANAGEMENT ASPECTS

Chairs: Hans-Christoph Pape, Zurich, CH & Mihaela Vartic, Bucharest, RO

1. The definition revisited Hans-Christoph Pape, Zurich, CH

2. Trauma induced coagulopathy Jean-Louis Vincent, Brussels, BE

3. Prophylaxis and treatment of hypothermia Dorel Sandesc, Timisoara, RO

4. Pain control Mihaela Vartic, Bucharest, RO

5. Thromboembolic prophylaxis Rolf Rossaint, Aachen, DE

08:30 – 10:00 Bratianu

ICL •LAPAROSCOPY IN EMERGENCY SURGERY

Chairs: Mauro Zago, Bergamo, IT & Catalin Copaescu, Bucharest, RO

1. Laparoscopy in upper gastrointestinal emergencies Luigi Boni, Varese, IT

2. Emergencies in bariatric surgery Catalin Copaescu, Bucharest, RO

3. Laparoscopy for small bowel obstruction Günther Klimbacher, Graz, AT

4. Laparoscopy in perforated diverticulitis Eugen Dorin Popa, Värnamo, SE

5. Laparoscopy for bleeding after elective surgery Mathias Biebl, Berlin, DE

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08:30 – 10:00 Iorga

Keynote session •ABDOMINAL EMERGENCIES

Chairs: Ari Leppäniemi, Helsinki, FI & Sorin Paun, Bucharest, RO

1. Keynote: Primary anastomosis in peritonitis Sorin Paun, Bucharest, RO

2. O001 - The use of ROTEM in predicting the severity of sepsis in patients undergoing emergency laparotomy M. Elniel, N. Misra; Liverpool, GB

3. O002 - Damage Control Surgery for non-traumatic abdominal emergencies E. Girard, J. Abba, C. Lanchon, B. Boussat, P. Bouzat, C. Letoublon, M. Chirica, C. Arvieux; Grenoble, FR

4. O003 - Sepsis as a determinant variable in establishing the optimum timing for reintervention after abdominal surgery M. Bratu, M. Beuran; Bucharest, RO Nominated for best oral award

5. O004 - The effect of abdominal negative pressure wound therapy on the measurement of intra-abdominal pressure A. Garcia1, A. Sanchez1, J. Bayona2, A. Gutierrez1, J.C. Puyana; 1Cali, CO, 2C, CO, 3Pittsburgh, PA/US

6. O005 - Left-Sided Complicated versus Uncomplicated Colon Cancer M. Beuran, I. Negoi, S. Paun, B. Stoica, C. Ciubotaru, A. Cruceru, A. Runcanu, M. Vartic; Bucharest, RO

7. O006 - A Retrospective Study of Clinical Outcome After the Open Abdomen Management in Our Single Center K. Sekiya, Y. Otomo, K. Morishita; Tokyo, JP

08:30 – 10:00 Balcescu

Keynote Session • • •TRAUMA EDUCATION AND SIMULATION

Chairs: Andrew Peitzman, Pittsburgh, US & Valeriu Surlin, Craiova, RO

1. Keynote: Rescue surgery – what, when, where and who? Kenneth Boffard, Johannesburg, SA

2. O007 - Impact of the implementation of the course TEAM (Trauma Evaluation and Management) in the final year students of Degree of Medicine J. Tinoco-González1, I. Ramallo-Solís1, M. Rubio Manzanares Dorado1, F. López-Bernal1, M.J. Tamayo2, F.J. Padillo Ruíz2, F. Pareja Ciuró2; 1Seville, ES, 2Sevilla, ES

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3. O008 - Motivation and acceptance of peer examination in a clinical skills course for medical students M. Burggraf1, J. Kristin2, M. Jäger1, M. Kauther1; 1Essen, DE, 2Duesseldorf, DE

4. O009 - Using e-learning as a training tool for trauma surgeons O. Lupescu, M. Nagea, C. Patru, T.E. Avramescu, P. Niculescu, G.I. Popescu; Bucharest, RO

5. O010 - Definitive Surgical Trauma Care course: participant survey E. Kostidou1, G. Konstantoudakis2, I. Pentara2, A. Mantzouni3, P. Vasiliou1; 1Chaidari, Athens, GR, 2Nafplion, GR, 3Athens, GR

6. O011 - The art of teaching on European Trauma Course (ETC): an insights from active ETC Austria instructors M. Huepfl1, M. Hüpfl1, D. Lulic2, F. Trummer1, A. Deixler1, K. Kalan Ustar1, V. Tregubov1, C. Schreiber1, I. Lulic2; 1Vienna, AT, 2Zagreb, HR

7. O012 - Simulation-Based Training For Patient Safety: Postsurgical Analysis Of Failed Iliosacral Screw Placement By A Novel Fluoroscopic Surgery Simulator E. Vacas1, J. Ferrero Recasens1, P. Paramo Diaz1, S. López-López1, M. Herrero2, I. Ávila2, P. Caba-Doussoux1; 1Madrid, ES, 2Colmenar Viejo, ES Nominated for best oral award

8. O013 - Endovascular workshop and educational activity in Japanese Society of Diagnostic and Interventional Radiology in Emergency, Critical Care, and Trauma (DIRECT); Implementation of prompt and rapid radiology in trauma T. Funabiki1, Y. Matsumura2, H. Kondo3, K. Idoguchi4, J. Matsumoto5; 1Yokohama, JP, 2Baltimore, MD/US, 3Itabashi, JP, 4Izumisano, JP, 5Kawasaki City, JP

9. O014 - Tactical Combat Rescue (TCR) Course. A new era in military trauma and emergency education. I. Gerogiannis1, A. Toumbelis2, G. Sassos2; 1Oxford, GB, 2Thessaloniki, GR

08:30 – 10:00 Human Rights Hall

Keynote Session • SKELETAL TRAUMA: UPPER LIMB

Chairs: Klaus Wendt, Groningen, NL & Ovidiu Alexa, Iasi, RO

1. Keynote: Upper extremity fractures Ovidiu Alexa, Iasi, RO

2. O015 - Our experience in the treatment of scapulothoracic dissociation N. Tzachev, A. Georgiev, V. Stoichkov, B. Zlatev; Sofia, BG

3. O016 - Epidemiology of Injuries to the Sternoclavicular Joint and the Medial Clavicula in Germany J. Unterkofler1, D. Merschin1, S. Trach1, D. Gümbel2, A. Ekkernkamp1, S. Schulz-Drost1; 1Berlin, DE, 2Greifswald, DE

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4. O017 - Varus displaced proximal humeral fractures in the elderly treated by molded locking plate osteosynthesis with inferiorly directed screws combined with subchondral anchors reduces significantly secondary varus displacement and screw-penetration. G. Putzeys, Kortrijk, BE

5. O018 - Plate fixation of the proximal humerus: A comparative study of postoperative complications in two European countries F. Beeres1, N. Hallensleben1, S. Rhemrev2, J..C. Goslings3, N. Schep4, R. Babst1; 1Luzern, CH, 2Den Haag, NL, 3Amsterdam, NL, 4Rotterdam, NL

6. O019 - The Amsterdam Wrist Rules safely reduces need for radiography after wrist trauma: an implementation study M. Mulders1, M. Walenkamp1, N. Sosef2, F. Ouwehand1, J..C. Goslings1, N. Schep3; 1Amsterdam, NL, 2Hoofddorp, NL, 3Rotterdam, NL

7. O020 - Conservative treatment of distal radial fractures in octogenarians F. van Brussel1, E. Van Delft2, J. Vermeulen3; 1Amsterdam, NL, 2Haarlem, NL, 3Hoofddorp, NL Nominated for best oral award

8. O021 - Non displaced distal radial fractures in adult patients: Three weeks versus five weeks of cast immobilization, a randomized controlled trial. E.A.K. van Delft1, A. Bentohami1, N. Sosef1, J. Vermeulen1, J..C. Goslings2, N. Schep3; 1Hoofddorp, NL, 2Amsterdam, NL, 3Rotterdam, NL Nominated for best oral award


ICL • • • • • •DAMAGE CONTROL IN TRAUMA AND EMERGENCY SURGERY

Chairs: Selman Uranues, Graz, AT &Kenneth Boffard, Johannesburg, ZA

1. Goal driven hemostasis Ernest Moore, Denver, US

2. Endpoints of resuscitation Louis Riddez, Stockholm, SE

3. Damage control in abdominal trauma Demetrios Demetriades, Los Angeles, US

4. Damage Control in skeletal trauma Klaus Wendt, Groningen, NL

5. Damage control – is over-use an issue? Kenneth Boffard, Johannesburg, ZA

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10:30 – 12:00 Bratianu

ICL •RECENT DISASTERS: LESSONS LEARNED

Chairs: Stefaan Nijs, Leuven, BE & Serban Popescu, Bucharest, RO

1. Nice track attack Patrick Baqué, Nice, FR

2. Istanbul airport attack Mehmet Ozdogan, Antalya, TK

3. Munich terror attacks Stefan Schultz-Drost, Berlin, DE

4. Brussels attacks Stefaan Nijs, Leuven, BE

5. Bucharest fire Serban Popescu, Bucharest, RO

10:30 – 12:00 Iorga

Guest Symposium: AOTrauma

FRACTURE OF THE DISTAL RADIUS

Chairs: Ana Ekman, Stockholm, SE & Mircea Popescu, Timisoara, RO

1. Fractures of the distal radius - who should we operate? Andrey Ursache, RO

2. Pearls and pitfalls in distal radius fracture surgery Johan Scheer, Sweden

+ Case discussion

10:30 – 12:00 Balcescu

Keynote Session •ACUTE CARE SURGERY

Chairs: Eric Voiglio, Lyon, FR & Viorel Scripcariu, Iasi, RO

1. Keynote: Perforated diverticulitis – the optimal approach Eric Voiglio, Lyon, FR

2. O022 - Utility of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score and Haemogram-derived scores in Fournier‘s Gangrene – a cross-sectional study M. Ferreira, N. Carvalho, F. Borges, M. Costa, J. Simoes, A. Folgado, J. Corte Real; Almada, PT

3. O023 - The role of the early Gastrografin test in a decision-making algorithm for the management of patients with adhesive small bowel obstruction (ASBO)

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L. Cobuccio, A. Bertolucci, D. Tartaglia, C. Cremonini, S. Musetti, M. Pucciarelli,C. Galatioto, M. Chiarugi; Pisa, IT

4. O024 - LRINEC SCORE(Laboratory Risk Indicator for Necrotizing Fasciitis) in soft tissueinfections–A small study from the Indian subcontinentA. Rekha, N. Datluri; Chennai, INNominated for best oral award

5. O025 - Laparostomy - a 2 year cohort analysisN. Tenreiro, S. Silva, C. Ferreira, F. Próspero Luis; Vila Real, PT

6. O026 - Necrotizing fasciitis - a rare but life-threatening septic emergencyM. Greitbauer, V. Weihs, S. Hajdu; Vienna, AT

7. O027 - Upper gastrointestinal bleeding in patients with head traumaE. Radu, I. Coman, O. David, M. Paraschiv, S. Tanasescu, V. Grigorean; Bucharest, RO

8. O028 - Obstructed colon cancer in patients over 80 years of ageM. Rubio Manzanares Dorado1, F. Pareja Ciuró2, S. Martín Núñez2, J. Tinoco González,M.J. Tamayo2, F. Lopez Bernal, F.J. Padillo Ruíz2; 1Seville, ES, 2Sevilla, ES


Keynote Session • • •GERIATRIC TRAUMA PATIENTS

Chairs: Jean-Louis Vincent, Brussels, BE & Liliana Mirea, Bucharest, RO

1. Keynote: Trauma in extremely agesLiliana Mirea, Bucharest, RO

2. O029 - Decision making for geriatric emergency patients with severe irreversible neurological deterioration – an analysis of two European surveysM. Paduraru3, I. Martinez Casas2, L. Ponchietti3, J. Pereira4, A. Landaluce-Olavarria5, D. Mariani6; 1Tomelloso, ES, 2Jaen, ES, 3Miton-Keynes, GB, 4Viseu, PT, 5Gualdacano(vizcaya), ES, 6Legnano, ITNominated for best oral award

3. O030 - WITHDRAWN4. O031 - Our Experience In Treating Elderly Polytraumatised People

F.S. Groseanu, C. Budica, R. Visan, S. CRISTEA; Bucuresti, RO5. O032 - Alarmingly low sacral bone mass in sacra with a fragility fracture of the sacrum

D. Wagner1, A. Hofmann1, L. Kamer2, T. Sawaguchi3, H. Noser2, P. Rommens1; 1Mainz, DE, 2Davos, CH, 3Toyama, JP

6. O033 - Fragility fractures of the pelvis cause hemorrhagic shock: Which fracture pattern causes severe bleeding?

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Y. Ueda1, H. Tsuji2, Y. Kurata2, J. Saito2, K. Sato2; 1Sapporo City, JP, 2Sapporo, JP7. O034 - Pelvic ring fractures in the elderly population, does the presence of a hip

prosthesis alters the fracture pattern?J. Anthonissen, G. Putzeys; Kortrijk, BE

8. O035 - Hematological markers of preoperative mortality in geriatric population withtrochanteric fracturesT.S. Gheorghevici1, B. Puha1, B. Veliceasa1, G. Puha2, O. Alexa1; 1Iasi, RO, 2Iași, RO

9. O036 - COMplex Fracture Orthopedic Rehabilitation (COMFORT) – Ambulatorymonitoring of rehabilitation patterns after proximal femur fractures in elderlyM. Raaben1, S. Redzwan2, R. Augustine2, A. Granqvist3, R. Galmin3, L. Derks4, H.Schwietert4, T. Blokhuis5; 1Utrecht, NL, 2Uppsala, SE, 3Stockholm, SE, 4Amsterdam, NL,5Maastricht, NLNominated for best oral award


Named Lecture

THE STEN LENNQUIST LECTURE: MYTHS IN EMERGENCY SURGERY

Abraham Fingerhut, Paris, FR


ICL •WHAT DOES THE CRITICALLY ILL PATIENT REQUIRE?

Chairs: Jonathan Tilsed, Beverley, UK & Ioana Grintescu, Bucharest, RO

1. What competence is required?Jonathan Tilsed, Beverley, UK

2. Surgical critical care: where are we?Christine Gaarder, Oslo, NO

3. How to feed: enteral or parental?Ioana Grintescu, Bucharest, RO

4. Prevention of infectionJean-Louis Vincent, Brussels, BE

5. ECMO in the service of the critically ill patientElias Degiannis, Johannesburg, ZA

14:00 – 15:30 Bratianu

ICL •FEMORAL NECK FRACTURES IN THE ELDERLY

Chairs: Milorad Mitkovic, Nis, RS & Mircea Popescu, Timisoara, RO

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1. Is there a standard of care? Milorad Mitkovic, Nis, RS

2. Hip preserving versus arthroplasty Peter Simko, Bratislava, Slovakia

3. Does cement augmentation make sense? Andreas Platz, Zurich, CH

4. Arthroplasty versus hemiarthroplasty Guy Putzeys, Kortrijk, BE

5. Do we have to operate within 24 hours? Inger Schipper, Leiden, NL

14:00 – 15:30 Iorga

Keynote Session • •VASCULAR TRAUMA

Chairs: Juan A. Asensio, Omaha, US & Dragos Ene, Bucharest, RO

1. Keynote: Resuscitative endovascular balloon occlusion of the aorta (REBOA) – how, who, what and why? Juan A. Asensio, Omaha, US

2. O037 - Vascular Trauma of the Extremities With Respect to Differences between Upper and Lower Limbs G. Hohenberger1, P. Konstantiniuk1, J. Cambiaso-Daniel1, V. Matzi2, A. Schwarz1, R. Krassnig1, U. Berzins1, P. Holweg1, T. Cohnert1; 1Graz, AT, 2Leoben, AT

3. O038 - Long-term consequences of Abdominal Aortic & Junctional Tourniquet (AAJT) application to control junctional hemorrhage in a survival swine model B. Kheirabadi, M. Dubick; Jbsa, Ft. Sam Houston, Texas, TX/US Nominated for best oral award

4. O039 - Aortic size index for AAA rupture prediction in women T. Cohnert, Graz, AT, S. Koter, Graz, AT

5. O040 - Outcome in patients with blunt aortic injury undergoing endovascular treatment V. Makaloski, T. Wyss, J. Schmidli; Bern, CH

6. O041 - Management of Iatrogenic Vascular Injuries and Lessions in a Role 3 Hospital During Period 2014-2016N. Degermetzoglou1, K. Stavrides2, N. Zacharopoulos2, I. Lazarides2, N. Saratzis2; 1Athens, GR, 2Thessaloniki, GR

7. O042 - Simulation on vascular surgical techniques in aortoiliac pathology and trauma B. Stancu, F. Beteg, A. Mironiuc, A. Muste, C. Gherman, O. Andercou; Cluj-Napoca, RO

8. O043 - Local hemostatic agents might not be superior to wound packing by standard gauze in a swine model of lethal groin injury

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V. Reva1, A. Denisov1, V. Adamenko1, A. Yudin1, S. Telickiy1, E. Semenov1, I. Yablokov1, A. Churkin1, I. Samokhvalov2; 1Saint-Petersburg, RU, 2Sankt-Peterburg, RU

9. O044 - Pericardial involvement in thoracic trauma – diagnosis and treatment O. David, I. Calangea, I. Coman, E. Radu, V. Porojan, V. Grigorean; Bucharest, RO

14:00 – 15:30 Balcescu

Keynote Session • • PELVIC INJURY

Chairs: Ingo Marzi, Frankfurt, DE & Ion Georgescu, Craiova, RO

1. Keynote: Management of severe haemorrhage from pelvic injury Pol M. Rommens, Mainz, DE

2. O045 - Place of preperitoneal pelvic packing in severe pelvic injuries: a study of 14 cases performed in a French level 1 trauma centrerM. Coisy1, T. Monchal1, E. Hornez2, S. Bourgouin1, Y. Baudoin2, P. Savoiie1, P. Balandraud1; 1Toulon Cedex, FR, 2Clamart, FR

3. O046 - Angio-Embolization following mechanical pelvic stabilization and pelvic packing in patients with severe pelvic ring fractures: A safe method to address ongoing bleeding T. Lustenberger1, S. Wutzler1, P. Störmann1, H. Laurer1, I. Marzi2; 1Frankfurt Am Main, DE, 2Please Enter, DE

4. O047 - Active involvement of a dedicated interventional radiology team contribute to rapid procedures and hemodynamic improvement of severe pelvic fracture patients K. Tanaka1, K. Morimoto1, Y. Ichinose1, Y. Matsumura2, J. Matsumoto3; 1Tachikawa, JP, 2Baltimore, MD/US, 3Kawasaki City, JP

5. O048 - Surgical treatment of pelvic fractures in children M. Petrov, D. Pavlova; Moscow, RU

6. O049 - Defining the Pubic Symphysis Angle with Respect to the Coronal Plane – Clinical and Biomechanical Considerations B. Link1, N..B. Ha2, L..B. Solomon3, M. Rickman2; 1Lucerne, CH, 2Adelaide, SA/AU, 3Adelaide, AU

7. O050 - Acetabular fracture plus hip dislocation: is always a deadly combination for the hip outcome? M. Popescu, M. Dragusanu, B. Tunescu, R. Dagla, A. Tiris, D. Cojocaru, A. Totorean, G. Noditi; Timisoara, RO

8. O051 - The risk of the vascular injury in the S2 sacroiliac screw fixation: CT-angiography study S. Kitada, Nishimomiya, Hyogo, JP

9. O052 - A New technique for stabilizing ilio-sacral joint by using spinal instrumentation T. Miyake1, A. Mogami1, S. Ogura2; 1Izunokuni-Shi, JP, 2Gifu-Shi, JP

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Guest Symposium International Bone and Joint Infection Committee INFECTION

Chairs: Günter Lob, Munich, DE & Heinz Winkler, Vienna, AT

1. The essence of Osteomyelitis: Pathology, diagnostic and basic therapeutical featuresAndreas Tiemann, Suhl, DE

2. Infections of the hand & forearm compartmentsKonstantinos Malizos, Biopolis, GR

3. Antibacterial protected implants: what is the evidence?Carlo Romano, Milan, IT

4. Bridging infected long bone defectsGünter Lob, Munich, DE

5. Allografts in Septic SurgeryHeinz Winkler, Vienna, AT


ICL •GERIATRIC EMERGENCY SURGERY

Chairs: Rolf Rossaint, Aachen, DE & Mihai Paduraru, Milton Keynes, UK

1. Population aging and its impact on emergency surgeryMihai Paduraru, Milton Keynes, UK

2. The perspective of the emergency surgeonMahir Ozmen, Ankara, TK

3. The perspective of the anaesthesiologistLaura Rodríguez Melguizo, Valencia, ES

4. The problem of anticoagulantsRolf Rossaint, Aachen, DE

5. Multimodal rehabilitationJorge Pereira, Viseu, PT

16:00 – 17:30 Bratianu

ICL •COMPLEX ARTICULAR INJURIES

Chairs: Pol M. Rommens, Mainz, DE & Andrei Ursache, Bucharest, RO

1. Intra-articular distal radius fracturesChristoph Nau, Frankfurt, DE

2. Distal humeral fractures

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Pavel Drac, Olomouc, CZ3. Role of nailing in distal tibia fractures

Pol M. Rommens, Mainz, DE4. Pilon tibiale fracture

Dominik Heim, Frutigen, CH5. Ankle fracture dislocation

Ismet Gavrankapetanovic, Sarajevo, BA

16:00 – 17:30 Iorga

Guest Symposium ARCE

MIS FOR GI EMERGENCIES – PARTICULAR CASES AND PITFALLS

Moderators: Catalin Copaescu, Bucharest, RO & Victor Tomulescu, Bucharest, RO & Ciprian Duta, Timisoara, RO

Expert Panel: Florin Turcu, Bucharest, RO & Bogdan Martian, Bucharest, RO & Valentin Calu, Bucharest, RO & Valeriu Surlin, Craiova, RO & Calin Tiu, Campina, RO

1. Difficult acute colecistitis2. Diverticulitis3. Postoperative bleeding after elective GI surgery4. Bowel obstruction

+ Discussion

16:00 – 17:30 Balcescu

Keynote Session • •POLYTRAUMA: ORGANISATION OF CARE AND OUTCOME

Chairs: Peep Talving, Tartu, EE & Valentin Calu, Bucharest, RO

1. Keynote: The value of surgical education on cadavers: experiences and the result of an European ESTES Survey Peep Talving, Tartu, EE

2. O053 - Causes, Injury Patterns and Outcomes of Older Multitrauma Patients – An analysis of the Dutch trauma registry R. de Vries, I. Reininga, M. El Moumni, K. Wendt; Groningen, NL

3. O054 - Optimizing the use of the trauma room A. Braslavsky, A. Bukin, O. Efremov, A. Fedorenko, A. Rapoport, W. Krayim, M. Vaskovic, S. Biswas, D. Fuchs, E. Solomonov; Safed, IL

4. O055 - The trauma patient in the computed tomography lab- how long does it take and are there barriers to good patient flow? L.I. Simonsen1, C. Gaarder1, P.A. Naess1, H. York2; 1Oslo, NO, 2Herts, GB Nominated for best oral award

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5. O056 - Abdominopelvic injuries due to road traffic accidents: characteristics in a French registry of 162,695 victimsT. Monchal, A. Ndiaye2, B. Gadegbeku2, M. Hours2, E. Javouhey2, F. Rongieras2, O. Monneuse3, J. Martin; 1Toulon Cedex, FR, 2Bron Cedex, FR, 3Lyon, FR

6. O057 - Deep coma dose not always predict poor outcome for the patients with polytrauma J. Huang1, C.Y. Fu2, Y. WU3; 1Taoyuen, TW, 2Taoyuan, TW, 3Taoyuan County, TW

7. O058 - Relative factor VIII depletion may be a critical driver of massive transfusion need and mortality secondary to hemorrhagic shock after traumatic injury. P. Einersen, Aurora, US Nominated for best oral award

8. O059 - Differences in characteristics and outcome of patients with penetrating injuries in the U.S. and the Netherlands: A multi-institutional comparison A. Hage1, S. Dijkink2, P. Krijnen3, G. van der Wilden4, G. Kasotakis5, D. den Hartog6, J..C. Goslings7, F. Bloemers7, S. Rhemrev1, D. King5, G. Velmahos5, I. Schipper3, R. Hoencamp4; 1The Hague, NL, 2Den Haag, NL, 3Leiden, NL, 4Leiderdorp, NL, 5Boston, MA/US, 6Rotterdam, NL, 7Amsterdam, NL

9. O060 - Perceived QoL after trauma: a focus group study N. Kruithof1, M. Traa1, M. Karabatzakis1, S. Polinder2, J. de Vries1, M. de Jongh1; 1Tilburg, NL, 2Rotterdam, NL


Keynote Session • • •ABDOMINAL TRAUMA 1

Chairs: Andrew Peitzman, Pittsburgh, US & Constantin Copotoiu, Targu Mures, RO

1. Keynote: Contemporary management of pancreatic injuries Andrew Peitzman, Pittsburgh, US

2. O061 - Nonoperative Management of Blunt Injuries of the Spleen – Our Experience M. Venter, I. Gheju, R.C. Marian, A. Chiotoroiu, C. Oprescu, D. Venter, M. Hirshi, M. Beuran; Bucharest, RO

3. O062 - Management of Blunt Splenic Injuries at the American University of Beirut Medical Center: The Six Years Experience Since the Inception of the Trauma Team A. El Rifai1, G. Abi Saad2, H. Farhat2, T. Qaraqe2, M. Harb2, A. Hallal2; 10000, LB, 2Beirut, LB

4. O063 - Management of The Blunt Abdominal Trauma: NOM/OM O. Bulat, L. Ionescu, V. Scripcariu, B. Diaconu, C. Bulat; Iasi, RO

5. O064 - Laparoscopy indications and limits in enteral trauma R. Mehic1, V. Marcu1, V. Indreica1, G. Jinescu1, M. Beuran2; 1Bucuresti, RO, 2Bucharest, RO

6. O065 - Is laparoscopy still recommended in abdominal trauma ?

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A. Nicolau, R. Vasile, M. Craciun, R. Zota; Bucharest, RO7. O066 - Laparoscopic splenectomy after failure of non-operative management

G. Maltinti1, R. somigli2, C. bergamini2, P. prosperi2, A. bruscino2, G. Alemanno2, A. Giordano2, A. valeri2; 1Castelfiorentino, IT, 2Florence, IT

8. O067 - Laparoscopic Management of Blunt Trauma Patients: Single Center´s Results C.A. Menegozzo1, S. Damous1, P. Alves1, A. Andreotti2, D. Andrade2, L. Daia2, E. Utiyama2; 1Sao Paulo, BR, 2São Paulo, BR

9. O068 - Splenic hilum ligation; effects on the injured spleen and its function in rat model M. Hosseinpour, A.H. Irajpour; Isfahan, IR Nominated for best oral award

10. O069 - Trauma Surgery in Patients Receiving Anticoagulant Therapy - Is It Safe? M. Anastasiu, R. Dedu, D. Vicol, N. Micu; Buzau, RO


OPENING CEREMONY

Sunday, May 7, 2017, 17:30 – 18:30 Location: Alexandru Ioan Cuza on the first floorModerators: Mircea Beuran, Bucharest, RO & Bogdan Diaconescu, Bucharest, RO

Opening Ceremony Agenda

— Congress President’s Address, Mircea Beuran

— ESTES President’s Address: Jonathan Tilsed

— Welcome Address, Romanian Government Official

— 10 years of ESTES: What have we achieved? The view from the trauma surgeon Pol M. Rommens

— 10 years of ESTES. What have we achieved? The view of the emergency surgeon Eric Voiglio

— Congress Grants Awards by ESTES President

— Proclamation of new ESTES Honorary Members by ESTES President

— Closing Remarks by Congress Co-Chair Bogdan Diaconescu

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ICL • •STOP THE BLEEDING

Chairs: Andrew Peitzman, Pittsburgh, US & Bogdan Diaconescu, Bucharest, RO

1. Liver injuries: when to observe, embolize or operate? Hakan Yanar, Istanbul, TR

2. Splenic injuries: when to observe, embolize or operate? Bogdan Diaconescu, Bucharest, RO

3. Management of retroperitoneal bleeding Andrew Peitzman, Pittsburgh, US

4. Massive pelvic bleeding - packing or angioembolization Ingo Marzi, Frankfurt, DE

5. Massive transfusion Raul Coimbra, San Diego, US

08:30 – 10:00 Bratianu

Keynote Session • •ACUTE CARE SURGERY: ORGANISATIONAL MODELS

Chairs: Luca Ponchietti, Milton Keynes, UK & Rojnoveanu Gheorghe, Chisinau, Moldova

1. Keynote: Necessity for reorganization of surgical emergency services: rota, training and cross-service relationships Luca Ponchietti, Milton Keynes, UK

2. O070 - Emergency abdominal surgery profile in extremely elderly patients (95+) - a national analysisM. Paduraru2, L. Ponchietti2, I. Martinez Casas3, B. UGARTE-SIERRA4; 1Tomelloso, ES, 2Miton-Keynes, GB, 3Jaen, ES, 4Galdakao-Usansolo, ES

3. O071 - Consensus of the Italian Society of Trauma and Emergency Surgery (SICUT) on a clinical pathway for the early recognition and treatment of septic complication after emergency abdominal surgery P. Bisagni1, A. De Sol2, S. Ribaldi2, A. Bertolucci3, F. stagnitti2; 1Genova, IT, 2Roma, IT, 3Pisa, IT

4. O072 - Emergency surgery in the elderly: is a multidisciplinary approch necessary? S. Mei1, A. Ardito2, M. Ceolin1, J. Guerrini2, G. Costa1, H. Kurihara1; 1Milano, IT, 2Rozzano, IT

5. O073 - Standardising patients follow-up after common emergency surgical procedures in UK A. Mihailescu1, M. Obreja2, C. Dimitriu1; 1Ashton-Under-lyne, GB, 2Boston, GB

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6. O074 - Impact of an Emergency surgery unit on the acute cholecystitis treatment.M. Flores Cortes, M. Rubio Manzanares Dorado1, J. Tinoco González, V.M. Durán Muñoz-Cruzado2, P. Garcia1, F. López-Bernal2, M.J. Tamayo2, F.J. Padillo Ruíz2, F. Pareja Ciuró2;1Seville, ES, 2Sevilla, ESNominated for best oral award

7. O075 - Emergency Colon Surgery is a Predictor of Negative Postoperative OutcomesS. Stancu1, F. Iordache2, C. Turculet2, M. Beuran2; 1011503, RO, 2Bucharest, RO

8. O076 - Finances and Flow – A Dedicated Emergency Surgery Unit Improves Both.N. Spiteri, J. Jensen2, R. Lunevicius2, K. Shahzad2, J. Taylor3, N. Misra2; 1Luqa, MT,2Liverpool, GB, 3Al, GB

08:30 – 10:00 Iorga

Keynote Session •COMPLEX ARTICULAR INJURIES

Chairs: Dominik Heim, Frutigen, CH & Octav Russu, Targu Mures, RO

1. Keynote: Management priorities in complex articular injuriesMarius Keel, Berne/Zurich, CH

2. O083 - Soft Tissue Protection By Locked Nail Osteosynthesis Of Ankle Fractures WithThe XS Nail. A New Concept In The Management Of Ankle Fractures.W. Friedl, Haibach, DE

3. O077 - Simple elbow dislocation in adults. Comparative study of functional treatmentversus acute ligamentous repair.D. Ira, M. Krtička, M. Flek, R. Pikula, M. Stancikova, J. Svancara; Brno, CZ

4. O078 - The Treatment of Posterior Acetabular Fractures with a New Design PosteriorAcetabular PlateG. Altun, G. Saka; Istanbul, TR

5. O079 - Angular stable mini-plate fixation of chronic unstable scaphoid nonunion. Is it thefuture?P. Schormans, P. Brink, M. Poeze, P. Hannemann; Maastricht, NL

6. O080 - Mid-term results after locking plate fixation of complex radial head fracture.D. Gruszka, T. Nowak, D. Wagner, P. Rommens; Mainz, DE

7. O081 - Timing in anterior cruciate ligament surgeryO. Russu1, A. Feier1, E. Binzari2, T. Pop2, I. Gergely2; 1Mures, RO, 2Tirgu Mures, RO

8. O082 - Combined Arthroscopic And Mini-Invasive release of adhesions in Themanagement of Post-Operative Stiff KneesA. Eid, M. Mahmoud; Zagazig, EG

9. O084 - Reconstruction of the distal tibiofibular syndesmosis in chronic instability using asplit peroneus brevis tendonJ. Broertjes1, B. Mirck2, P. Joosse1; 1Beverwijk, NL, 2Alkmaar, NL

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08:30 – 10:00 Balcescu

Guest Symposium Küntscher Society

OSTEOPOROSIS AND NAILING

Chairs: Jan Verbruggen, Maastricht, NL & Georg Gradl, Munich, DE

1. Osteoporosis and fracture healing David Seligson, Kentucky, US

2. Nailing of proximal humeral fractures in osteoporotic patients. How to do it? Roland Biber, Nürnburg, DE

3. Proximal humeral fractures: nailing or plating? Matthaios Savvidis, Thessaloniki, GR

4. Proximal femoral fractures. Tips and Tricks Rüdiger Haase, Berlin, DE

5. Proximal femoral fractures: which nail design is the best in case of osteoporosis? Wilhelm Friedl, Aschaffenburg, DE

6. Osteoporotic fractures of the distal tibia Pieter Reynders, Brussels, BE


Keynote Session • • • •TRAUMA SYSTEMS 1

Chairs: Michael Rotondo, Rochester, US & Rolant Kiss, Sibiu, RO

1. Keynote: Trauma education, simulation and systems Michael Rotondo, Rochester, US

2. O085 - The Epidemiology of Work-related Road Traffic Injuries in Qatar: Road user characteristics inform injury prevention programs R. Peralta1, N. Hirani1, A. Mehmood2, A. El-Menyar1, H. Al-Thani1, M. Mollazehi1, A. Hyder2, R. Consunji1; 1Doha, QA, 2Baltimore, MD/US

3. O086 - Trauma registries: when do we merge civilian and military registries? T. van Dongen1, J. de Graaf1, E. Huizinga1, H. Champion2, R. Hoencamp3, L. Leenen1; 1Utrecht, NL, 2Bethesda, MD/US, 3Leiderdorp, NL

4. O087 - Structural validity of the Dutch Version of the Disability of Arm, Shoulder and Hand questionnaire in patients with hand and wrist injuries. M. van Eck, C. Lameijer, M. el Moumni; Groningen, NL

5. O088 - Performance of the TRISS for evaluating trauma care in the Dutch trauma population L. de Munter1, S. Polinder2, K. Lansink1, E. Steyerberg2, M. de Jongh1; 1Tilburg, NL, 2Rotterdam, NL

6. O089 - The Manchester Triage System in the Surgical Field - The experience of an

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emergency department in a non-central hospital from Portugal B. Pinto1, S. Nogueira2, R. Martins2; 1Parede, PT, 2Venteira, PT

7. O090 - Trauma systems around the world: an overview of the current state S. Dijkink1, C. Nederpelt2, P. Krijnen2, I. Schipper2; 1Den Haag, NL, 2Leiden, NL

8. O091 - A Physiological Trauma Score with Easy Computability and Improved Prognostication for Hospital Mortality A. Shiraishi1, Y. Otomo2; 1Kamogawa, JP, 2Tokyo, JP


ICL •POLYTRAUMA – HOW TO PRIORITIZE?

Chairs: Luke Leenen, Utrecht, NL & Olivera Lupescu, Bucharest, RO

1. First things first Kees Jan Ponsen, Alkmaar, NL

2. Thoracic trauma: when is surgery needed? Luke Leenen, Utrecht, NL

3. Brain versus abdomen: how to decide? Harald Widhalm, Vienna, AT

4. Abdomen and pelvic injury: best sequence for initial management Stefaan Nijs, Leuven, BE

5. Skeletal trauma of the extremities: What to do first? Olivera Lupescu, Bucharest, RO

10:30 – 12:00 Bratianu

ICL •ENDOSCOPY IN THE CRITICAL PATIENT

Chairs: Hayato Kurihara, Rozzano, IT & Vlad Constantin, Bucharest, RO

1. Endoscopic bypass in malignant gastric outlet obstruction Ioan-Cristian Nedelcu, Bucharest, RO

2. Endoscopic treatment of biliary peritonitis after surgery Gian Franco Donatelli, Paris, FR

3. Endoscopic treatment options for pancreatitis Andrea Anderloni, Rozzano, IT

4. Endoscopic treatment of anastomotic leaks Andreas Shamiyeh, Linz, AT

5. The acute gallbladder: Do we need a multidisciplinary team? Hayato Kurihara, Rozzano, IT

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10:30 – 12:00 Iorga

Keynote Session •LAPAROSCOPY IN EMERGENCY SURGERY

Chairs: Spiros Stergiopoulos, Athens, GR & Ionut Negoi, Bucharest, RO

1. Keynote: Laparoscopy in emergency surgery Ionut Negoi, Bucharest, RO

2. O092 - Bedside Diagnostic Laparoscopy in Intensive Care Unit G. Alemanno1, P. prosperi1, C. bergamini1, R. somigli1, A. bruscino1, G. Maltinti2, A. Giordano1, A. valeri1; 1Florence, IT, 2Castelfiorentino, IT

3. O093 - Laparoscopic treatment of peritonitis and perforated duodenal ulcer A. Sabau1, D. Bratu1, C. Smarandache2, V. Marcu-Iordanescu1, A. Dumitra1, A. Popentiu1, D. Sabau1; 1Sibiu, RO, 2Bucharest, RO

4. O094 - Perforated peptic ulcer – laparoscopic vs. Open surgery M. Bica, M. Lazar, S. Ramboiu, T. Bratiloveanu, D. CARTU, A. Vochin, M. Olteanu, G. Graure, L. Duica, I. Georgescu, V. Surlin; Craiova, RO

5. O095 - Laparoscopy for perforated duodenal ulcer: A new morbidity score. S. Baccouch, Z. Mzoughi, A. Chelbi, G. Talbi, R. Bayar, L. Gharbi, N. Arfa, M.T. Khalfallah; Tunis, TN

6. O096 - Laparoscopic vs. Classic Approach in Acute Appendicitis. Comparative study. S. Pantea, C. Tarta, D. Brebu, A. Dobrescu, C. Lazar, G. Verdes, G. Noditi, C. Duta, F. Lazar; Timisoara, RO

7. O097 - Laparoscopic Management of Small Bowel Obstruction: Indication or Controindication? G. Ricci, E. Adami, B. Benini, G. Liotta, A. Serao, C. Di Cosimo, M.A. Liguori, R. Mancuso, P. Marini; Rome, IT

8. O098 - The Laparoscopic Approach of Small Bowel Obstruction – The Experience of a Medium Volume Primary Center A. Miron, C.L. Giulea, M. Nadragea, O. Enciu; Bucuresti, RO

9. O099 - The role of minimally invasive surgery in the management of bowel ischemia C. Bergamini1, G. Alemanno1, P. prosperi1, R. somigli1, A. bruscino1, G. Maltinti2, A. Giordano1, B. Menegatti1, A. valeri1; 1Florence, IT, 2Castelfiorentino, IT

10:30 – 12:00 Balcescu

Best Poster Session • • • • • •Chairs: Mircea Beuran, Bucharest, RO & Bogdan Diaconescu, Bucharest, RO & Jonathan Tilsed, Beverley, UK

1. P003 - Impact of point of care ultrasound(POCUS) in diagnosis and/or management policies at the emergency room

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A. Landaluce-Olavarria1, B. Ugarte Sierra1, I. Martinez Casas2, F.J. Ibañez Aguirre1;1Galdacano, ES, 2Jaen, ES

2. P065 - Application of multimodal Enhanced Recovery After Surgery protocols for patientswith perforated duodenal ulcerO. Shepetko-Dombrovskyi, G. Shepetko-Dombrovskyi, S. Savoluk; Kyiv, UA

3. P104 - New biomarker for traumatic brain injuryA. Harel, M. Kvist, L. Välimaa; Turku, FI

4. P245 - Implant‘s Elasticity Modulus vs Reparative OsteogenesisA. Kalashnikov, O. Yukhymchuk; Kyiv, UA

5. P254 - A 10-point Surgical Site Infection (SSI) checklist can lead to a reduction in surgicalsite infections post-operatively in open abdominal emergency surgery operations.I. Gerogiannis, T. Urbonas, N. Chander, G. Bond-Smith; Oxford, GB

6. P260 - Optimized hydroxyapatite nanoparticles inhibits bacterial growth in a rat woundmodel.P. Alina1, A. Prodan1, F. Iordache1, G. Teleanu1, C. Turculet1, M. Beuran1, D. Predoi2,M. Virgil1; 1Bucharest, RO, 2Magurele, RO

7. P261A - Ultrasound-guided injection for Carpal tunnel syndrome (CTS): Results in ourpatients group and review of literatureA. Sahu1, M. Ali1, A. Chourasia2, M. Saleh1, A. Mehta3, A. Narasimhan4, A. Mehdi1; 1London,GB, 2Rh, GB, 3Ponzan, PL, 4Dubai, AE

8. P286 - Delayed massive hemothorax requiring surgery after blunt thoracic trauma overa five-year period: complicating rib fracture with sharp edge associated with diaphragminjuryS. Chang, Cheonan-Si, Chungcheongnam-do, KR

9. P336 - Diagnostic laparoscopy and intraoperative indocyanine green fluorescenceangiography for the early detection of intestinal ischemiaR. somigli1, G. Alemanno1, P. prosperi1, C. bergamini1, A. bruscino1, G. Maltinti2,A. Giordano1, A. valeri1; 1Florence, IT, 2Castelfiorentino, IT

10. P386 - Rectal abdominal and thoracic impalement - survivable traumaD. Andronic, N. Vlad, R. Palihovici, V. Fotea, C. Lupascu; Iasi, RO

11. P435 - Double “endotracheal intubation” for severe dermatitisB. Pinto1, S. Nogueira2; 1Parede, PT, 2Venteira, PT


Keynote Session • •INNOVATIONS AND ADVANCED TECHNOLOGY

Chairs: Mike Bemelman, Tilburg, NL & Ciprian Duta, Timisoara, RO

1. Keynote: 3D printing on pelvis fracturesFrank Ijpma, Groningen, NL

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2. O100 - The hybrid theater and the Influence of implant material for radiological imaging and irradiation dose. M. Bemelman, Tilburg, NL

3. O101 - VRinOR - The world‘s first live streamed virtual reality operation. W. English, O. Trampleasure, A. Jawad, S. Ahmed; London, GB

4. O102 - SPIF: A Rapid Manufacturing Technique For the Development of Custom Made Thin Walled Medical Implants M. Herteleer1, Y. Carette2, S. Vancleef2, H. Vanhove2, F. Van Calenbergh1, J. Duflou1; 1Leuven, BE, 2Heverlee, BE

5. O103 - Prehospital deployment, Partial occlusion and Conversion from resuscitative thoracotomy are significant options in REBOA trauma strategy; DIRECT-IABO registry in Japan Y. Matsumura1, J. Matsumoto2, H. Kondo3, K. Idoguchi4, T. Ishida5, Y. Kon6, K. Tomita7, K. Ishida8, T. Hirose9, K. Umakoshi10, T. Funabiki11; 1Baltimore, MD/US, 2Kawasaki City, JP, 3Itabashi, JP, 4Izumisano, JP, 5Koriyama, JP, 6Hachinohe, JP, 7Chiba, JP, 8Osaka, JP, 9Suita, JP, 10Ehime, JP, 11Yokohama, JP

6. O104 - Resuscitative endovascular occlusion of the aorta with transcatheter arterial embolization could not decrease mortality – a propensity score analysis M. Aoki, S. Hagiwara, M. Murata, M. Kaneko, J. Nakajima, Y. Isshiki, Y. Sawada, Y. ichikawa, K. Oshima; Maebashi, JP

7. O105 - Experiences in Sternoclavicular Joint Arthroplasty – Developing a Novel Prosthesis and Surgical Technique S. Burns, T. Thangarajah, S. Lambert; London, GB

8. O106 - 3D statistical model of the pelvic ring – Anatomical variability and potential biomechanical relevance C. Arand1, D. Wagner1, H. Noser2, L. Kamer2, G. Richards2, P. Rommens1; 1Mainz, DE, 2Davos, CH

9. O107 - 3D-printing with Complex fractures the benefit. A. Teutelink, L. Brouwers, K. Lansink, M. Bemelman; Tilburg, NL


Named Lecture

THE OTMAR TRENTZ LECTURE: POSTTRAUMATIC INTRAARTICULAR DEFORMITIES &

DEFECTS – NEW JOINT PRESERVING OPTIONS?

Christian Krettek, Hannover, DE

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Consensus Conference •CONSENSUS STATEMENT ON PERITONITIS

Chair: Abraham Fingerhut, Paris, France

1. Definition & Classifications and severity scores Abraham Fingerhut, Paris, France

Management (techniques and indications)2. Initial fluid resuscitation strategy

Mihaela Vartic, Bucharest, RO3. Supportive and antibiotics

Mauro Zago, Bergamo, IT4. Interventional procedure in emergency

Selman Uranues, Graz, AT5. Role of Laparoscopy

Selman Uranues, Graz, AT6. Damage control & open abdomem

Hayato Kurihara, Rozzano, IT

Particularities according to disease and organ7. Upper GI anastomosis leakage & perforated GD ulcer

Rifat Latifi, New York, US8. Biliary peritonitis & small intestinal perforation

Bogdan Diaconescu, Bucharest, RO9. Colorectal perforation / anastomotic leakage & appendicitis

Dorin Popa, Bucharest, RO10. Complicated diverticular disease & tertiary peritonitis

Ari Leppäniemi, Helskini, FI

Lesson learned from other societies 11. What can ESTES add?

Jonathan Tilsed, Beverley, UK

14:00 – 15:30 Bratianu

ICL •FRAGILITY FRACTURES

Chairs: Pol M. Rommens, Mainz, DE & Mircea Popescu, Timisoara, RO

1. Fragility fractures – what do we have to expect? Richard Kdolsky, Vienna, AT

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2. Pertrochanteric fractures Endre Varga, Szeged, HU

3. Osteoporotic spine fractures Sven Hoppe, Berne, CH

4. Fragility fractures of the pelvis Pol M. Rommens, Mainz, DE

5. The perspective of the geriatrician Maria Panourgia, Milton Keynes, UK

14:00 – 15:30 Iorga

Keynote Session • •ABDOMINAL TRAUMA 2

Chairs: Andrew Baker, Durban, ZA & Ion Daniel, Bucharest, RO

1. Keynote: APPS and electronic tools for acute care and trauma surgeons Luca Ponchietti, Milton Keynes, UK

2. O108 - Abdominal Trauma: Are initial clinical findings guiding appropriate imaging and management decisions ? A. Kourdouli1, Y. Kiberu2, M. Popa3, V. Surlin4, M. Bica4; 1Villeneuve Le Roi, FR, 2Essex, GB, 3Ciupercenii Noi, RO, 4Craiova, RO

3. O109 - Blunt intestinal perforations due to abdominal contusions: diagnostic particularities and prognostic factors of death A. Nicolau, R. Vasile; Bucharest, RO

4. O110 - Correlation of Computed Tomography and Operative Findings in Patients with Liver Trauma: Experience of a UK Major Trauma Centre J. Reilly, J. Spiers, A. Navarro, A. Brooks; Nottingham, GB

5. O111 - Angiography and Angioembolization in Blunt Splenic Trauma: If Not Now, Then When? M. Venter1, R.C. Marian1, I. Gheju1, M. Popiel1, L. Gulie1, D. Venter1, C. Oprescu1, R. Ciocan2, A.L. chiotoroiu1, M. Beuran1, B. Popa1; 1Bucharest, RO, 2Bucuresti, RO

6. O112 - Value of Diagnostic and Therapeutic Laparoscopy for Patients with Blunt Abdominal Trauma: A Medical Center 10-year ExperienceH.F. Lin1, Y. Chen2; 1Newtaipei, TW, 2New Taipei, TW

7. O113 - Presentation and Outcomes of Abdominal Trauma Patients Who Underwent Laparotomy M. Ayesh, M. Ellabib, N. Abdurraheim, T. Siddiqui, F. Mustafa, A. Kanbar, B. Younis, A. El-Menyar, H. Al-Thani; Doha, QA

8. O114 - Terrorist attack in Nice: abdominal trauma experience D. Massalou, D. Chetrus-Mariage, G. D‘Andrea, S. Quirin, I. Bentellis, E. Benizri, I. Ben Amor, E. Sejor, C. Guedj, P. Baqué; Nice, FR

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14:00 – 15:30 Balcescu

Keynote Session •HIP FRACTURE

Chairs: Catalin Cirstoiu, Bucharest, RO & Gerrolt Jukema, Zurich, CH

1. Keynote: Periprosthetic fracture of the proximal femur Catalin Cirstoiu, Bucharest, RO

2. O115 - Hip fractures in elderly people: Surgery or no surgery? A systematic review and meta-analysis. C. van de Ree, C. van de Ree, M. de Jongh, L. de Munter, J. Roukema, T. Gosens; Tilburg, NL

3. O116 - The dynamics of preoperative hemoglobin levels in extracapsular hip fractures: a review of 262 casesT.S. Gheorghevici1, B. Puha1, B. Veliceasa1, D. Popescu1, G. Puha2, O. Alexa1; 1Iasi, RO, 2Iași, RO

4. O117 - Nine years of revision surgery after proximal femoral nail implantation – what lessons have been learnt? Can risk factors be identified? D. Sauter, D. Nägeli, R. Vogt, M. Schüler; Münsterlingen, CH

5. O118 - The minimally invasive anterolateral approach vs. the traditional anterolateral approach for hip hemi arthroplasty after a femoral neck fracture: an analysis of clinical outcomes L. de Jong, T. Klem, M. Kuijper, G. Roukema; Rotterdam, NL

6. O119 - Rotation Instability and Micromovements are independent Prognostic Factors for the Failure Rate of dislocated Medial Femour Neck Fractures W. Friedl, Haibach, DE

7. O120 - Proximal Femoral Locking Compression Plate Shows High Rate of Complications in Medium-Term Follow-up for Unstable Proximal Femur Fractures S. Hodel, F. Beeres, R. Babst, B. Link; Luzern, CH

8. O121 - Distal Locking of IM Nail in Trochanteric Femur Fractures: Clinical and Biomechanical Grounding. A. Kalashnikov1, V. Malyk2, I. Lazarev1, I. Stavinskii1, I. Litun1; 1Kyiv, UA, 2Poltava, UA

9. O122 - Cable plate fixation for Vancouver type B1 periprosthetic femoral fractureS. Ajnin1, S. Ajnin2; 17rr, GB, 2Rr, GB

10. O123 - Factors affecting the rate of postoperative surgical site infections in patients after hip hemi arthroplasty L. de Jong, T. Klem, M. Kuijper, G. Roukema; Rotterdam, NL

40


ON

DAY

, MAY

8, 2

017


Keynote Session • • •TRAUMA SYSTEMS 2

Chairs: Chrysanthos Georgiou, Nicosia, CY, Nicosia, CY & Stefan Georgescu Iasi, RO

1. Keynote: Creating a new trauma archive Chrysanthos Georgiou, Nicosia, CY

2. O124 - The effect of antibiotic prophylaxis on wound infections following implant removal; results of the WIFI-trial, a double blind placebo controlled RCT. M. Backes, S. Dingemans, W. I.F.I. Collaboration, J..C. Goslings, T. Schepers; Amsterdam, NL Nominated for best oral award

3. O125 - Prehospital control of life-threatening truncal and junctional haemorrhage is the ultimate challenge in optimizing trauma care; a review of treatment options and their applicability in the civilian trauma setting. S. van Oostendorp1, L. Geeraedts2, E. Tan3; 1Beverwijk, NL, 2Amsterdam, NL, 3Nijmegen, NL

4. O126 - The DENIM communication tool for prehospital trauma hand over: a national consensus A. Harmsen, L. Geeraedts, G. Giannakopoulos, M. Terra, H. Christiaans, F. Bloemers; Amsterdam, NL

5. O127 - Development and internal validation of a prediction model as basis for prehospital triage of trauma patients in the Netherlands E. van Rein1, R. van der Sluijs1, F. Voskens1, M. Dijkgraaf2, R. Lichtveld3, R. Houwert1, L. Leenen1, M. van Heijl1; 1Utrecht, NL, 2Amsterdam, NL, 3Bilthoven, NL

6. O128 - Is the thoracolumbar injury classification and severity score (TLICS) applicable to UK practice? P. Loughenbury, J. Tomlinson, C. Mann, J. Lamb, R. Dunsmuir, P. Millner, A. Rao, A. Khan, N. Gummer

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