ABDOMINAL WALL RECONSTRUCTION SUMMIT -...

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FEBRUARY 25 – 27, 2016 Vail Marriott Mountain Resort, Vail, Colorado ABDOMINAL WALL RECONSTRUCTION SUMMIT CONTINUING MEDICAL EDUCATION Presented by: Sponsored by:

Transcript of ABDOMINAL WALL RECONSTRUCTION SUMMIT -...

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FEBRUARY 25 – 27, 2016 Vail Marriott Mountain Resort, Vail, Colorado

ABDOMINAL WALL RECONSTRUCTION SUMMIT

CONTINUING MEDICAL EDUCATION

Presented by: Sponsored by:

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2 | University Hospitals | 1-866-UH4-CARE

2016 Abdominal Wall Reconstruction Summit brought to you by the Case Comprehensive Hernia Center

Earn up to 18.5 CME Credits

Summit Highlights:

• Laparoscopic VHR 2.0: What the experts do today

• Perforator sparring and endoscopic anterior component separation

• Posterior component separation (TAR)

• Robotic ventral and inguinal repair

• Plastic surgeon tips for soft tissue challenges

• Patient optimization and enhanced recovery pathway

• Video highlights of open and laparoscopic inguinal hernia repairs

• Management of groin pain and sports hernia

Corporate Support Acknowledgement:

We gratefully acknowledge Bard Davol Inc. for its generous support. Acceptance of funding in support of this program does not constitute endorsement of any product or manufacturer.

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The reconstruction of abdominal wall defects remains one of the

most challenging dilemmas facing surgeons. A multitude of prosthetic

materials are available to improve outcomes in ventral hernia repair.

The surgeon can choose from both laparoscopic approaches and

open repairs and, in certain circumstances, a combination of the

two. Furthermore, robotic ventral and inguinal repairs are gaining in

popularity. Even though ventral hernia repair remains one of the most

common procedures performed, there is little consensus as to the

best surgical technique, prosthetic material of choice, or strategies to

repair complex defects.

In this summit, participants will be exposed to all aspects of abdominal wall reconstructions including:

• Laparoscopic hernia repairs

• Complex open abdominal wall reconstruction techniques

– Open (traditional) anterior component separation

– Laparoscopic and periumbilical sparring component separation

– Posterior component separation and transversus abdominis release (TAR)

– Robotic TAR

• Parastomal, flank and other difficult hernia repairs

• Reconstructions in the setting of infection, contamination, enterocutaneous fistulas and loss of abdominal domain

• Umbilical and inguinal hernia repairs, including open, laparoscopic and robotic repairs as well as diagnosis and management of groin pain

Participants will also gain an in-depth understanding of the various meshes and their potential advantages and disadvantages. The benefits and limitations of the minimally invasive techniques will be examined. Modern modifications to the traditional laparoscopic ventral hernia repairs, including defect closure, mesh positioning devices, absorbable fixation, etc. will be discussed. In addition, top robotic surgeons will share the experience in utilization and application of robotics in modern hernia practice. This summit will stress detailed operative descriptions of each of the experts’ approaches to various reconstructive challenges to provide the surgeons’ valuable insights through video education and an interactive panel of expert herniologists. Important issues of mesh selection, surgical approaches and post-op groin pain will be discussed. Finally, top plastic surgeons will share their experience with dealing with soft tissue challenges in hernia surgery. This comprehensive summit is suited for general, plastic and trauma surgeons involved in both routine and complex abdominal reconstructions.

OVERVIEWEarn up to 18.5 CME Credits

Summit Highlights:

• Laparoscopic VHR 2.0: What the experts do today

• Perforator sparring and endoscopic anterior component separation

• Posterior component separation (TAR)

• Robotic ventral and inguinal repair

• Plastic surgeon tips for soft tissue challenges

• Patient optimization and enhanced recovery pathway

• Video highlights of open and laparoscopic inguinal hernia repairs

• Management of groin pain and sports hernia

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4 | University Hospitals | 1-866-UH4-CARE

Thursday, February 25, 2016

4 p.m. Registration

4:30 p.m. Welcome and Introductions Yuri Novitsky, MD

4:50 p.m. Synthetic Mesh: How to Make Educated Choices

Bruce Ramshaw, MD

5:10 p.m. Biologic and Biodegradable Meshes Yuri Novitsky, MD

5:30 p.m. Traditional Laparoscopic Ventral Hernia Repair: Tricks, Pitfalls, Contraindications Brent Matthews, MD

5:50 p.m. Novel Modifications in Laparoscopic VHR: Defect Closure and Mesh Positioning Devices Eric Pauli, MD

6:10 p.m. Robotic Pre-Peritoneal VHR Conrad Ballecer, MD

6:30 p.m. Hybrid Approach to Laparoscopic VHR Brian Jacob, MD

6:50 p.m. Evidence-Based Optimal Fixation During Laparoscopic VHR: Sutures, Absorbable Tacks, Glues Eric Pauli, MD

7:10 p.m. Panel Discussion: Indications/Limitations of LVHR All Faculty

8 p.m. Adjourn

Friday, February 26, 2016

MORNING SESSION

6 a.m. Session Introduction/Defining the Clinical Challenge Yuri Novitsky, MD

6:20 a.m. Open Anterior Component Separation & Perforator-Preserving Modifications Charles Butler, MD

6:50 a.m. Endoscopic Anterior Component Separation David Chen, MD

7:20 a.m. Endoscopic Subcutaneous Component Separation Jorge Daes, MD

7:50 a.m. Posterior Component Separation – TAR Yuri Novitsky, MD

PROGRAM AGENDA

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8:20 a.m. Robotic TAR Alfredo Carbonell, DO

8:50 a.m. Open Parastomal Hernia Repair Eric Pauli, MD

9:20 a.m. Panel Discussion All Faculty

10 a.m. Adjourn

AFTERNOON SESSION

4 p.m. Umbilical Hernias: The Trials and Tribulations of Choosing the Right Approach William Hope, MD

4:20 p.m. Open Inguinal Hernia Repair: Tricks and Tips David Chen, MD

4:40 p.m. Laparoscopic TEP Repair: How and Why Bruce Ramshaw, MD

5 p.m. Laparoscopic TAPP Repair: How and Why Alfredo Carbonell, DO

5:20 p.m. eTEP: How and Why Jorge Daes, MD

5:40 p.m. Robotic Inguinal Hernia Conrad Ballecer, MD

6 p.m. Recurrent Inguinal Hernia: Differential Diagnosis and Surgical Options Brian Jacob, MD

6:20 p.m. Groin Pain After Surgery: Practical Guide to Diagnosis and Management David Chen, MD

6:40 p.m. The Surgical Approach to Sports Hernia Michael Brunt, MD

7 p.m. Adjourn

7 – 8:30 p.m. Cocktail Reception

PROGRAM AGENDA continued

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Saturday, February 27, 2016

MORNING SESSION

6 a.m. Session Introduction/Defining the Clinical Challenge Yuri Novitsky, MD

6:20 a.m. Optimizing Your Patient for Major Hernia Surgery: What Everyone Should Be Doing Yuri Novitsky, MD

6:40 a.m. Postoperative Seromas: Prevention and Management Maurice Nahabedian, MD

7 a.m. Enterotomy During VHR: What Do I Do Now? Brent Matthews, MD

7:20 a.m. Complications of Abdominal Wall Reconstructions: Dealing with My Own “Disasters”

Alfredo Carbonell, DO

7:40 a.m. Enhanced Recovery Pathway After Abdominal Wall Surgery Yuri Novitsky, MD

8 a.m. How Can Social Media Help Me and My Practice? Brian Jacob, MD

8:20 a.m. Adding Robotics to Your Hernia Practice: How Do I Start? Conrad Ballecer, MD

8:40 a.m. Put Me in Coach: Telementoring – Shifting Paradigm in Adopting New Hernia Techniques

Paul Szotek, MD

9 a.m. Maximizing Your Reimbursement Through Improving Value in Hernia Repair Bruce Ramshaw, MD

9:20 a.m. Panel Discussion All Faculty

10 a.m. Adjourn

AFTERNOON SESSION

4 p.m. Session Introduction/Defining the Clinical Challenge Yuri Novitsky, MD

4:20 p.m. Preoperative Pneumoperitoneum: When and How Alfredo Carbonell, DO

4:40 p.m. Management of the Open Abdomen and Adjuncts to Wound Closure William Hope, MD

5 p.m. AWR in the Setting of Enterocutaneous Fistula Yuri Novitsky, MD

5:20 p.m. Treatment Options for Diastesis Recti Maurice Nahabedian, MD

PROGRAM AGENDA continued

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5:40 p.m. Utilization of Tissue Expanders Hooman Soltanian, MD

6 p.m. Panniculectomy: Indications and Technical Pearls Maurice Nahabedian, MD

6:20 p.m. Soft Tissue Challenges: Plastic Surgeon Tips for a General Surgeon Charles Butler, MD

6:40 p.m. PANEL: Stump the Professor: Decision Making in Complex Cases Yuri Novitsky, MD

7:50 p.m. Closing Comments Yuri Novitsky, MD

8 p.m. Adjourn

LEARNING OBJECTIVES

After attending the course, participants will be able to:

• Summarize the various synthetic, biologic and absorbable meshes available

• Identify benefits and limitations of laparoscopic ventral hernia repairs

• Discuss modern modifications and adjuncts to traditional laparoscopic techniques

• Define advanced reconstructive techniques for abdominal wall reconstruction, including open and endoscopic anterior and posterior component separations

• Familiarize with the role and application of robotics in modern hernia practice

• Obtain in-depth understanding for inguinal hernia repairs and management of postoperative groin pain

• Define advanced techniques of skin/soft tissue mobilization/transfer, expansion and panniculectomies

PROGRAM AGENDA continued

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COURSE DIRECTOR:Yuri W. Novitsky, MDDirector, Case Comprehensive Hernia Center Director, Advanced GI Surgery/MIS Fellowship UH Case Medical CenterProfessor of SurgeryCase Western Reserve University School of Medicine Cleveland, Ohio

Hooman Soltanian, MDInterim Chairman, Department of Plastic SurgeryDirector, Plastic and Reconstruction Residency ProgramUH Case Medical CenterAssociate Professor, Plastic SurgeryCase Western Reserve University School of MedicineCleveland, Ohio

2016 AWR SUMMIT FACULTY

Conrad Ballecer, MDCo-Director, Center for Minimally Invasive and Robotic SurgeryClinical Assistant Professor Attending Faculty, General Surgical Residency ProgramMaricopa Integrated Health SystemPhoenix, Arizona

L. Michael Brunt, MDChief, Section of Minimally Invasive SurgeryDirector, MIS FellowshipDirector, Washington University Institute for Minimally Invasive SurgeryProfessor of SurgeryWashington University School of MedicineSt. Louis, Missouri

Charles E. Butler, MDProfessor and Chairman, Department of Plastic Surgery University of Texas MD Anderson Cancer CenterHouston, Texas

Alfredo M. Carbonell II, DOChief, Division of Minimal Access and Bariatric SurgeryProgram Director, Minimally Invasive Surgery FellowshipCo-Director Hernia Center, Greenville Health SystemAssociate Professor of SurgeryUniversity of South Carolina School of MedicineGreenville, South Carolina

David Chen, MDAssociate Director of Surgical Education Clinical Director, Lichtenstein Amid Hernia Clinic at UCLAAssociate Professor of Clinical Surgery Section of Minimally Invasive Surgery UCLA Division of General SurgerySanta Monica, California

Jorge Daes, MD, FACSGeneral Surgeon, Universidad Javeriana, Bogota-ColombiaSubspecialist, Advanced Laparoscopic Surgery, Universidad CES, Medellin-ColombiaChief, Minimally Invasive Surgery, Clinica Bautista and Clinica Porto Azul Barranquilla-Colombia

William Hope, MDDirector of Surgical EducationSurgical Residency Program New Hanover Regional Medical CenterAssistant Professor of SurgeryUniversity of North Carolina at Chapel HillWilmington, North Carolina

Brian P. Jacob, MDLaparoscopic Surgical Center of New York Associate Clinical Professor of Surgery Icahn School of Medicine at Mount Sinai, NYCNew York, New York

Brent D. Matthews, MDChair and Professor of SurgeryUniversity of North CarolinaSenior Medical DirectorCarolinas HealthCare System, Surgery Care DivisionCharlotte, North Carolina

Maurice Nahabedian, MD, FACSVice-Chairman and ProfessorDepartment of Plastic SurgeryGeorgetown University HospitalWashington, DC

Eric M. Pauli, MDDirector for Endoscopic SurgeryDivision of Minimally Invasive and Bariatric SurgeryAssistant Professor of SurgeryPenn State Milton S. Hershey Medical CenterHershey, Pennsylvania

Bruce Ramshaw, MDChair and ProfessorDepartment of SurgeryUT Knoxville Graduate School of MedicineKnoxville, Tennessee

Paul Szotek, MDAssistant Clinical Professor of SurgeryAcute Care & Trauma SurgeryIU Health, Indianapolis, Indiana

GUEST FACULTY

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WHO SHOULD ATTEND

This comprehensive hernia summit is suited for general, plastic and trauma surgeons and residents involved in both routine and complex abdominal reconstructions.

POLICY DISCLOSURE

The policy of Case Western Reserve University School of Medicine CME Program requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the education activity) disclose to the activity participants all relevant financial relationships with commercial interests. Disclosure will be made to activity participants prior to the commencement of the activity. Case Western Reserve University School of Medicine CME Program also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of “off-label” or investigational use of pharmaceutical products or medical devices.

ACCREDITATION STATEMENT

Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Case Western Reserve University School of Medicine designates this live activity for a maximum of 18.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits earned for this activity are eligible for Maintenance of Certification (MOC) Part 2 credit.

The commitment to exceptional patient care begins with revolutionary discovery. University Hospitals Case Medical Center is the primary affiliate of Case Western Reserve University School of Medicine, a national leader in medical research and education and consistently ranked among the top research medical schools in the country by U.S. News & World Report. Through their faculty appointments at Case Western Reserve University School of Medicine, physicians at UH Case Medical Center are advancing medical care through innovative research and discovery that bring the latest treatment options to patients.

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REGISTRATION INFORMATION

Abdominal Wall Reconstruction Summit CID 2545

R E G I S T R AT I O N R AT E S

MD/DO $625 by Dec. 15, 2015 $725 after Dec. 15, 2015

Resident/Student $300 by Dec. 15, 2015 $350 after Dec. 15, 2015

Corporate $1,325

For complete registration and course details, please go to:

http://www.awrsummit.com

Contact [email protected] for additional information

M E E T I N G L O C AT I O N :

Vail Marriott Mountain Resort

Call: 877-622-3140

Online: https://resweb.passkey.com/go/2016awr

G R O U P R O O M R AT E * :

$389 per night (Standard and Lodge Rooms)

$419 per night (Studio King Suite)

Daily resort fee is waived with group rate.

* Paid registration required. Room block at the above group rate is limited and will expire by January 27, 2016. Early reservations are encouraged.

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© 2015 University Hospitals CME 00033

POSTER ROUNDS Returning for 2016

AWR SUMMIT IS NOW ACCEPTING ABSTRACTS FOR POSTER ROUNDS.

Submit Abstracts at www.awrsummit.com.

Submission Deadline: January 8, 2016

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