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3rd Croatian Congress on Minimally Invasive Gynecological Surgery pdf

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AAGL 4 International Congress on Minimally Invasive Gynecology th DUBROVNIK,CROATIA,JUNE 23-26, 2010 AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS CROATIAN MEDICAL ASSOCIATION - CROATIAN SOCIETY FOR GYNAECOLOGICAL ENDOSCOPY 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd www.hdge-hr.com www.dubrovnikendoscopy2010.com 2 Commitees AAGL 4 International Congress on Minimally Invasive Gynecology, Dubrovnik, June 23-26, 2010 th 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd INVITED FACULTY Mauricio Abrao - Brazil Leila Adamyan - Russia Dino Alagic - Norway Luka Andjelic - Serbia Stefano Bettocchi - Italy Mauro Busacca - Italy Andy Brill - USA Hans Brolmann - Netherlands Stephen Corson - USA Devad Da Joseph Eim - Czech Republic Grace Janik - USA Martin Farrugia - UK Timur Gurgan - Turkey William Helm - USA Olav Istre - Norway Keith Isaacson - USA Jorg Keckstein - Austria Charles Koh - USA Borut Kobal - Slovenia Philippe Konninx - Belgium Alan Lam - Australia Anton Langebrekke - Norway Zhiqing Liang - China Peter Maher - Australia Huda Salah Mahmoud - UAE Prashant Mangeshikar - India Liselotte Metler - Germany Javier Magrina - USA Timothy McKinney - USA Mario Malzoni - Italy Miroslav Mitic - Bosina & Herzegovina Salah Moghraby - KSA Farr Nezat - USA George Pistofidis - Greece Shailesh Puntambekar - India Aleksandar Popov - Russia Marc Possover - Switzerland Jaron Rabinovici - Israel Harry Reich - USA Alfonso Rosetti - Italy Fatih Sendag - Turkey Antonio Setubal - Portugal Adela Stafanija - Macedonia Ornella Sizzi - Italy Herzegovina Kevin Stepp - USA Tamer Seckin - USA Lori Warren - USA Arnaud Watiez - France Gurkan Uncu - Turkey Mitsura Shiota - Japan Ceana Nezhat Vladimir Antiæ - Serbia niæ - Bosnia & Herzegovina Jasna Gutiæ - Bosnia & Herzegovina Adolf Lukanoviè - Slovenia Martina Ribiè - Slovenia Senad Sariæ - Bosnia & Herzegovina Sreèko Šimiæ - Bosnia & Snezana Vidakoviæ - Serbia Istok Takaè - Slovenia Tomaz Tomazeviè - Slovenia Emilio Fernandez - Chile CROATIAN MEDICAL ASSOCIATION, CROATIAN SOCIETY FOR ENDOSCOPYGYNAECOLOGICAL AAGL BOARD OF TRUSTEES C.Y. Liu Linda Bradley Keith Isaakson Errico Zupi Frank Loffer Linda Michels Mauricio Abrao - Brazil Ted Anderson - USA Vivienne Connor - USA Rosanne Kho - USA Peter Maher - Australia Harry Reich - USA Eugenio Solima - Italy Ed Stanford - USA - USA; President - USA; Vice President - USA; Secretary Treasurer - USA; Immediate Past President - Italy; International Vice President - USA; Executive Vice President & Medical Director - USA; Executive Director Resad Pašiæ lin President: Vice President: Vice President: Vice President: Treasury: Secretary: Executive secretary: Members of the board: Miroslav Kopjar Vladimir Šparac Renato Bauman Herman Haller Mario Kerner Krunoslav Kuna Zoran Pitner Mihajlo Strelec Mladen Zadro Dubravko Barišiæ Siniša Šijanoviæ Tomislav Èaniæ Igor Marièiæ Stjepan Skenderoviæ Ante Æorušiæ Branko Dukiæ Zoran Kasaè Slavko Oreškoviæ Stanislav Rupèiæ American association of gynecologic laparoscopists, Croatian medical Association, Croatian society for gynecologcal endoscopy ORGANIZING COMMITTEE LOCAL ORGANIZING COMMITTEE Miroslav Kopjar Errico Zupi M.D., Ph.D. Congress Chair M.D., Ph.D. - USA M.D. - Italy - Resad Pašiæ Andro Vlahušiæ - eljko Baèiæ Vicko Krajanèiæ Mladen Mioviæ Zoran Tešanoviæ Marko Gardašaniæ President Petar Ivanišin Rikard Lenz Ilija Krmek Nina Lale Mladen Zadro Nikša Knezoviæ Tonèi Viskoviæ Marin Šimiæ Sanja Malinac-Malojèiæ rtina Braèun Igor Marièiæ Jadranka Šanjug Rajko Fureš Danijela Batas Ma Vesna Borgudan Mladen Krajcar Dear Colleagues, We would like to invite you to join us for the World Congress of Minimally Invasive Gynecologic Surgery in Dubrovnik. We will discuss all the aspects of this fast developing field. We hope to bring together endoscopists from developing countries and the most well known international faculty. The congress will be held at hotel in the beautiful medieval city of Dubrovnik. In addition to the Congress scientific program we will offer exciting social events and excursions to the surrounding area. Sincerely yours, Rixos Libertas Dubrovnik Table of Contents: Wellcome message 3 Table of Contents:Table of Contents: Scientific Program Miroslav Kopjar M.D., Ph.D. Congress Chairman Wednesday June 23 Congress registration all day PG Courses: 8:00 am 12:00 Noon Multipurpose Room A Techniques of Diagnostic and Operative Hysteroscopy Faculty: Linda Bradley, Keith Isaackson, Rešad Paši , Zoran Pitner K. Isaackson R. Paši K. Isaackson Coffee break and Trade Exhibition L. Bradley R. Paši Lunch and Trade Exhibition Multipurpose Room A Laparoscopic Suturing Skills Faculty: Grace Janik, David Levine, Faith Sendag, Mihajlo Strelec Coffee break and Trade Exhibition rd æ æ æ Treatment of intrauterine pathology requires appropriate evaluation in order to obtain proper diagnoses and treatment. This course will allow the gynecologist to master the essentials of a safe environment to treat our patients effectively. Office, operative hysteroscopy and endometrial ablation techniques will be presented. 8:00 8:40 am Equipment overview…………………… … …… …… 8:40 9:20 am Distention media and fluid management … … ……………. 9:20 10:00 am Office hysteroscopy………………………………… ……. 10:00 10:20 am 10:20 11:00 am Operative hysteroscopy……………………………… ……. 11:00 14:00 am Endometrial ablation Techniques ………………… … ……. 11:40 12:00 Noon Discussion 12:00 1:00 pm This program will include steps used for laparoscopic suturing. A review of the skills necessary for intracorporeal and extracorporeal suturing will be addressed and will equip all attendees with the skills to improve or master suturing and its application in the operating room. 1:00 1:30 pm Equipment overview and suturing lecture 1:30 2:00 pm Laparoscopic suturing film 2:00 3:00 pm Pelvic trainer exercises 3:00 3:20 pm 3:20 5 :00 pm Pelvic trainer exercises - - - - - - - - - - - - - 4 Scientific Program Multipurpose Room B Pearls of Laparoscopic Surgery- Adnexal Surgery, Laparoscopic Myomectomy, Hysterectomy, etc. Faculty: Andy Brill, Ceana Nezhat, Lori Warren, Vladimir Šparac A. Brill C. Nezhat C. Nezhat Coffee break and Trade Exhibition L.Warren A. Brill Multipurpose Room B Techniques in Advanced Laparoscopic Surgery- Urogynecology and Gynecologic Oncology Faculty: C.Y Liu, Timothy McKinney, Shailesh Puntambekar, Grace Janik C.Y. Liu C.Y. Liu McKinney Coffee break and Trade Exhibition G. Janik S. Puntambekar This program will focus on the pearls of laparoscopic skills that include: laparoscopic pelvic anatomy, insufflation techniques, treatment of adnexal masses and laparoscopic hysterectomy. 8:00 8:40 am Laparoscopic Pelvic Anatomy…………………… … … 8:40 9:20 am Entry techniques in laparoscopic surgery ……… …… … 9:20 10:00 am Laparoscopic Adnexal surgery and Myomectomy …… 10:00 10:20 am 10:20 11:00 am LSH………………………………………… ……….……. 11:00 11:40 am TLH ………………………… ……………………… ……. 11:40 12:00 Noon Discussion and adjourn Advanced laparoscopic techniques for treatment of large uterus, pelvic floor disorders, endometriosis and pelvic malignancies will be presented. 1:00 1:40 pm Pelvic sidewall dissection and Urethero lysis ……… ……… 1:40 2:20 pm Laparoscopic surgery for lower urinary tract system …… …. 2:20 3:00 pm Vaginal mesh procedures vs tissue repair ……………… …. 3:00 3:20 pm 3:20 4:00 pm Laparoscopic management of urinary tract endometriosis … … 4:00 4:40 pm Radical Hysterectomy and Pelvic lymph node dissection 4:40 5:00 pm Discussion and adjourn - - - - - - - - - - - - - - 5 Table of Contents:Table of Contents: Scientific Program DAY 1 - Thursday, June 24 Multipurpose Room A +B+C Moderators: Keith Isaackson USA, Emilio Fernandez Chile, Mitsuru Shiota Japan th OPENING CEREMONY MIGS IN GYNECOLOGY Resad Pasic Harry Reich Stephen Corson Hans Brolman Rosanne Kho Coffee break and Trade Exhibition SILS Bruno Van Herendal Lori Warren Andy Brill Charles Miller Moderator: Errico Zupi Lunch Symposium Pearls of Laparoscopic Hysterectomy Live Telesurgery Session Moderators: Andy Brill USA, Grace Janik USA , William M. Burke and Noah A. Goldman, Robotic hysterectomy from The Valley Hospital Paramus, NJ Arnie Advincula Steven McCarus -am -am 3 - 8 5 am 8 5 - 1 am 1- am - am -am -am -am - . -am - noon -pm -5 pm 7:00 7:45 Registration 7:45 8:30 Opening ceremony 8: 0 : 0 Latest Developments in MIGS …… …. .… : 0 9: 0 Laparoscopic Hysterectomy, How it all started ……. … 9: 0 9:40 Methods for Preparation and Presentation of the Scientific Paper …………………………… … … …. 9:40 10:00 Current and Future Status of Training in MIGS …….… … 10:00 10:20 Current State of Robotic Surgery……………………. ….… ……. 10:20 10:40 10:40 11:00 ingle ccess aparoscopic urgery …….… …. 11:00 11:20 Cost Effectiveness of Laparoscopic Hysterectomy ……… …… 11:20 12:00 Do we keep the cervix? TLH vs LSH Debate:……………… …. vs 12:00 1:00 1:00 :00 : Robotic surgery from Celebration Hospital, Orlando FL USA : Laparoscopic hysterectomy from Celebration Hospital, Orlando FL USA Surgery from Zabok hospital, Dubrovnik hospital SA L S Dubravko Barišiæ Croatia, Miroslav Kopjar Croatia Zagreb, Ulica grada Vukovara 49 Zagreb, Ul. grada Vukovara Tel: 01 / 61 57 455 ALKALOID d.o.o. 10000 ZAGREB, Tratinska 53/1 MED A L B ZASTUPANJE, VANJSKA I UNUTARNJA TRGOVINA, d.o.o. TURISTIÈ A KA ZAJEDNICA GRADA DUBROVNIK Zagreb, Radniè 37b, tel: 01 / 23 99 255ka osiguranje d.d. Zagrebu, Ozaljska 95 GN E C AR E ZAGREB, Cebini 28, Buzin, tel: 01 / 6610 700 HKO medical systems 10000 ZAGREB - CROATIA SREBRNJAK 57 Tel: +385 (0)1 2441 755 10000 Zagreb Koturaška 53/I tel: 00 385 1 6003 420 fax: 00 385 1 6171 025 , HOSPITALIJA-TRGOVINA d.o.o. Phone: + 385 1 33 22 555 Fax: + 385 1 33 70 551, + 385 1 23 95 709 , 10431 Sveta Nedelja,Croatia Vojvodiæi bb BIOMEL Medicinska elektronika i trgovina HR, 10110 Zagreb, Dobrilina 35 tel.:++385 (0)1 3664 560, 3664 561 fax:++385 (0)1 3697 861 e-mail: biomel@biomel-medicina-zg.hr , Zagreb, I Savica 36, P.P. 62 Tel: 01 / 24 81 203 Bayer Schering Pharma 10000 Zagreb, Radnicka cesta 80/8 Tel: 01 6599 900, fax: 01 2441 341 ZABOK, M. Gupca 13 8 Scientific Program DAY 2 - Friday, June 25 Multipurpose Room A+B th ENDOMETRIOSIS Moderators: Langebrekke Anton, Dubravko Bar Anastasia Ussia Antonio Setubal C.Y. Liu Ceana Nezhat Grace Janik Arnaud Wattiez Coffee break and Trade Exhibition ENDOMETRIOSIS Moderators: Arnaud Wattiez, Renato Bauman B. Kobal, J. Franc Philippe Koninckx Resad Pasic Koninckx vs Lunch and Trade Exhibition ENDOMETRIOSIS AND MIGS Moderators: Philippe Koninckx Anastasia Ussia Tofoski G Dubravko Bariši Vladimir Šparac Lakshmi Ravikanti, VP Singh Keiji Kuroda Mari Kitade, Iwaho Kikuchi, Jun Kumakiri, Shozo Matsuoka, Masako Kuroda, Satoru Takeda Paulette Maroun Joerg Kekstein Stjepan Skenderovi Coffee break and Trade Exhibition MIGS Moderators: Dubravko Barišic, Fatih Sendag Paulette Maroun Ð, TC Pun, KW Cheung Charles Miller Tofoski G Georgieva J, Dimitrov Gl, Tanturovski M, Alulovski I, Trajkovski V. Dicussion and Adjourn išiæ, Rešad Pašiæ Alagiæ Edin, Martina Ribiè-Pucelj, Kekstein Moderator: Grace Janik Ribiè-Pucelj, , æ Tonèi Viskoviæ, M. Kopjar M. Kopjar, Marin Šimiæ æ , orðeviæ P, Klariæ M Vejnoviæ D, Sušanj T, Denona B, Gaèanin L, Haller H. Godinjak Z, Idrizbegoviæ E, Mešiæ L, Begiæ K. Krunoslav Kuna, Ante Vukoviæ Siniša Šijanoviæ, Z. Kasaè Vidosavljeviæ D - am - am -am -am - am . -am -am -am . - am . -am - 2 0 am -pm 1 - 1 pm 12 - 13 pm . 13 - 14 pm . 14 - 15 pm 5-2 pm - - , - - 4- 5 5- - - 35 0- 10 1- 2 2 - 3 3- 4 pregnancy . 4 -45 , 4:50 - 5:00 8:00 8:20 Disease Staging …………………………….…… ………… 8:20 8:40 Deep Endometriosis: Restoring Fertility by Surgery … … 8:40 9:00 Laparoscopic Management of Ureteral and Bladder Complications 9:00 9:20 Plasma Energy - a New Frontier in Surgery and Endometriosis 9:20 9:40 Ureter and Retroperitoneal Space Dissection …… …… 9:40 10:00 Laparoscopic Excision of Ureteral, Bladder, and Bowel Endometriosis . 10:00 10:20 10:20 10:40 Deep Infiltrating Endometriosis in Infertile Patients-Radical Surgery or IVF as First Line Treatment … 10:40 11:00 Bowel Endometriosis and How to Treat …………… … 11:00 11:20 Treatment Strategies for Endometriosis … ……………… ……… 11:20 1 : 0 Debate: Bowel Resection or Not …………… ………. 12:00 1:00 :00 :20 Endometriosis-comparison of laparoscopy versus laparotomy : 0 : 0 LPSC Treatment of Endometriotic Cysts …… ….…… … : 0 : 0 Endometriosis and Chronic Pelvic Pain … …….…. : 0 : 0 Endocsopic Evaluation of Ultrasound ……… ….…… 1: 0 :00 Endometriosis: To Do or Not to Do 2:00 2:10 pm Laparoscopic excision of endometriosis has a place in patients with failed IVF Cycles 2:10 2:20 pm Peritoneal Vascular Density Assessment Using Narrow Band Imaging and Vascular Analysis Software, and Cytokine Analysis in Women With and Without Endometriosis 2:20 2:30 pm Endometriosis and irritable bowel syndrome … … …. . 2:30 2:40 pm Treatment of Endometriosis …………………………… ……… 2: 0 2: 0 pm Laparoscopic surgery of adnexal masses and pathohistological evaluation 2: 0 3:00 pm Discussion 3:00 3:20 pm 3:20 3:30 pm A ten year experience in surgical treatment of benign adnexal masses in Rijeka, Croatia 3:30 - 3:40 pm Laparoscopic management ovarian cysts with 15 mm trocar 3:40 - 3:50 pm Vaginal hysterectomy, bilateral salpingo-oophorectomy in patients without prolapse, a local experience …………… …… : 4: pm Laparoscopic Myomectomy ……………… ……… …………… 4: 0 4: 0 pm Laparoscopic Treatment of Patients with Benign Adnexal Mass ……………… …. 4: 0 4: 0 pm Laparoscopic Myomcectomy ……… …… … 4: 0 4: 0 pm Minimallyinvasive approach in treatment of cervical 4: 0 :0pm Treatment of ectopic pregnancy-progress towards laparoscopy pm 9 Table of Contents:Table of Contents: Scientific Program DAY 2 - Friday, June 25 Multipurpose Room C th HYSTEROSCOPY Moderators: Errico Zupi, Motti Goldenberg, Stjepan Skenderovi Stephano Bettochi Franklin Loffer Linda Bradley Adolf Gallinat Franklin Loffer Coffee break and Trade Exhibition HYSTEROSCOPY Moderators: Adolf Gallinat, Linda Bradley, Stephano Bettochi Motti Goldenberg Keith Isaackson Branka egura Tae-Hee Kim, Hae-Hyeog Lee, Soo-Ho Chung, Byoung-Ick Lee Stjepan Skenderovi Yaron Hamani Neta Benshalom, Evgeny Koganov, Ernst Voss, David Leibowitz Discussion Lunch INFERTILITY AND IVF Moderators: Salah Mograby, Charles Miller Krunoslav Kuna Grace Janik Fatih Sendag Emilio Fernandez Keith Isaackson Gurkan Uncu Coffee break and Trade Exhibition Fatih Sendag Renato Bauman MIGS Moderators: Gurkan Uncu, Ed Stanford, Larisa Mesic Mitsuru Shiota Salah Mograby Alagic Edin, Langebrekke Anton Yoon Kyung Oh, Jung Ho Shin Discussion and Adjourn æ Igor Marièiæ æ , Siniša Šijanoviæ, Z. Kasaè Tomislav Èaniæ Alagiæ Edin, Koutoukos Ioannis, Langebrekke Anton - - - - - - am - - - - - - - - - - - - - - - - - - - . 5 00 - 1 1 - 5:20 8:00 8:30 am Updates in Office Hysteroscopy … … ………………… 8:30 8:50 am AUB Role of Biopsies, Hysteroscopy and sonopgraphy …… 8:50 9:10 am Hysteroscopic Resection Techniques …………… ……………. 9:10 9:30 am Asherman Syndrome …………………………… ………………. 9:30 9:50 am Complications of Hysteroscopy … ………… ……….………. 9:50 10:00 am Discussion 10:00 10:20 am 10:20 10:40 am Hysteroscopic Surgery ……………………………………… 10:40 - 11:00 New Hysteroscopic technologies: Bipolar morcellators and Chip evacuation ………………………… ………………… 11:00 11:10 am Hysteroscopy in Postmenopausal Woman …… … ……. 11:10 11:20 am Office Hysteroscopy …………………………………… ……… 11:20 11:30 am Clinical Applications of Hysteroscopic Surgery in Postmenopausal Women 11:30 11:40 am Office Hysteroscopic Treatment of Septate Uterus and Submucous Myomas …………………. 11:40 11:50 am The Effect of Different Filling Pressures on the Incidence of Air Emboli During Operative Hysteroscopy … 11:50 12:00 Noon 12:00 1:00 pm 1:00 1:20 pm Role of Laparoscopy in Infertility ………………………………… 1:20 1:40 pm Role of IVF in Treating Infertility: IVF against Laparoscopy … 1:40 2:00 pm Endometriosis and Infertility ………………… ……………. 2:00 2:20 pm Role of Hysteroscopy in Infertility ………………… ………… 2:20 2:40 pm Laparoscopic treatment of uterine abnormalities ……… ……. 2:40 2:50 pm When Endoscopic Surgery Improves Results of IVF 2:50 3:00 pm Discussion 3:00 3:20 pm 3:20 3:30 pm Infertility and IVF …………………………… ……… …… … 3:30 3:40 pm Status of IVF in Turkey …………… …………………………… 3:40 3:50 pm Fertility (IVF) after LPSC Excision of Endometriomas … …. 3:50 4:00 pm Discussion 4:00 4:15 pm State of MIGS in Japan ………………… ……… ……………… 4:15 4:30 pm State of MIGS in Gulf Region and KSA …… ………………… 4:30 4:45 pm Single Port Gynaecological Surgery in Norway Oslo University Hospital 4:45 5:00 pm Complications during endoscopic surgery and their management … : 5: 0 pm Learning curve of total laparoscopic hysterectomy ……. 5: 0 pm Zagreb, Capraška 1, Tel: 01 / 24 12 655 Medika ZABOK, M. Gupca 13 . ENDOSCOPY 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd www.hdge-hr.com. www.dubrovnikendoscopy2010.com 2 Commitees AAGL 4 International Congress on Minimally Invasive Gynecology, Dubrovnik, June 23-26, 2010 th 3 Croatian Congress on Minimally Invasive Gynecological Surgery rd INVITED FACULTY Mauricio. AAGL 4 International Congress on Minimally Invasive Gynecology th DUBROVNIK,CROATIA,JUNE 23-26, 2010 AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS CROATIAN MEDICAL ASSOCIATION - CROATIAN SOCIETY

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