Day 1 :
Keynote Forum
Ahmed Moustafa Kamel Zaid Nawar
Benha University Hospital, Egypt
Keynote: Outcome of pedicled thoracodorsal artery perforator flap in the surgical treatment of stage II and III hidradenitis suppurativa of axilla
Time : 10:00
Biography:
Ahmed Moustafa Kamel Zaid Nawar is a Professor in General Surgery and Surgical Oncology at Faculty of Medicine, Benha University. He is also a Consultant of General Surgery and Surgical Oncology at Benha University Hospital, Egypt.
Abstract:
Hidradenitis Suppurativa (HS) is a chronic, inflammatory disease affecting the apocrine glands of the axillary, groin and mammary regions with significant physical and psychosocial sequela. Surgical excision of the affected tissue is the criterion standard treatment. Advanced cases of axillary HS are associated with high rates of recurrence and require extensive surgical resection with challenging reconstruction associated with risk of postoperative complications. The most effective method for reconstruction of the axilla after excision of HS is yet to be identified. The aim of the study was to evaluate the results of the use of pedicled Thoraco Dorsal Artery Perforator (TDAP) flap as a method of reconstruction for axillary effect result from wide surgical excision as a line of treatment for stage II and III HS of the axilla.
- Robotic surgery | Neurosurgery | Pancreatic Surgery | General Surgery |
Location: Berlin, Germany
Session Introduction
Neil Lowrie
University of Otago, New Zealand
Title: Enhanced recovery after surgery pathways in emergency general surgery: Summary of a systematic review
Biography:
Neil Lowrie is currently the Senior Resident in General Surgery at Southland Hospital and the University of Otago, New Zealand. Following completion of Primary Surgical Fellowships, he has obtained a Master of Surgery degree from the Royal College of Surgeons and Edinburgh University. Having gained experience in trauma surgery at Waikato Hospital in New Zealand, his experience and areas of interest are in trauma and acute care surgery. His Master’s dissertation examines the utility and possible benefits of enhanced recovery protocols following emergency surgery.
Abstract:
A comprehensive literature search was performed to identify existing published literature in addition to trials and research currently being undertaken. Databases searched included MEDLINE/PubMed; EMBASE and the Cochrane CENTRAL; ANZ Controlled Trials Registry; the Clinical Trials Database; the National Research Register; Current Controlled Trials and the NHS Centre for Reviews and Dissemination database. The four studies selected for inclusion in comparative outcome measurement all detailed assessment of the background details of their patient populations, with no significant differences in demographics being reported. No significant differences were reported in physiological assessment techniques performed on the patient groups. These techniques included: American Society of Anesthesiologists (ASA) grade, presence of major co-morbidity, Injury Severity Score (ISS) and Penetrating Abdominal Trauma Index (PATI) score.
Ahmed Abdelrahim Shoulah
Banha University, Egypt
Title: Reconstruction of soft tissue defects of the heel with free flap
Biography:
Ahmed Abdelrahim Shoulah is a Lecturer in Plastic and Reconstructive Surgery at Benha University, Faculty of Medicine.
Abstract:
The study included 25 patients with soft tissue defect of the heel treated in the Department of General Surgery, Banha University Hospital from June 2015 to September 2017. 11 patients were treated by RFFF and 14 by ALT. Postoperatively, patients received antibiotics and the antiplatelet Clopidogrel with avoidance of weight bearing and walking for 8 to 10 weeks. At the end of follow-up, sensation and foot function were assessed in addition to patient satisfaction.
Devid Ruru
Brawijaya University, Indonesia
Title: Gastroschisis: Experience in RSSA during the period of 2015-2016: Descriptive study
Biography:
Devid Ruru is a Resident of General Surgery Department at Brawijaya University, Indonesia.
Abstract:
Gastroschisis is among the most common structural birth defects and its cause remains unknown. The phenomenon of increased prevalence has been reported and continues to be a stimulus for epidemiologic evaluation of risk factors, both maternal and environmental. This study seeks to proï¬le infants with gastroschisis admitted to RSSA during the period of January 1st 2015 until December 31st 2016. The design of the study is a descriptive research design with samples of all gastroschisis patients treated at RSSA during the period January 1, 2015 until December 31, 2016 who met the inclusion criteria those patients who undergo therapy to completion. The medical records of samples collected and then do the recording of the variables studied. Results showed patients with gastroschisis occurred in 57% of men, 71% primigravida, 64% of term baby, 79% of low birth weight, average treatment duration of 8 days, the average length of stay of 9 days, the average maternal age 22.3 years, 93% were staged closure, 86% had a combination of antibiotics ampicillin, sulbactam and gentamicin, 93% died of sepsis. The conclusion of this study is gastroschisis patients are predominantly male, young maternal age, primigravida, term baby, have a low birth weight, staged closure performed to almost all patients. The most common antibiotic given was ampicillin sulbactam combined with gentamicin. The mortality rate is 100% with sepsis as the main causes of mortality, mostly cared for less than three days before died and most have a length of survival less than five days. Recommended for women at high risk of doing the ANC to a place with more comprehensive facilities, in addition, it is necessary to do blood cultures in all patients with gastroschisis complicated by sepsis.
Neil Lowrie
University of Otago, New Zealand
Title: Enhanced recovery after surgery pathways in emergency general surgery: Summary of a systematic review
Biography:
Neil Lowrie is currently the Senior Resident in General Surgery at Southland Hospital and the University of Otago, New Zealand. Following completion of Primary Surgical Fellowships, he has obtained a Master of Surgery degree from the Royal College of Surgeons and Edinburgh University. Having gained experience in trauma surgery at Waikato Hospital in New Zealand, his experience and areas of interest are in trauma and acute care surgery. His Master’s dissertation examines the utility and possible benefits of enhanced recovery protocols following emergency surgery.
Abstract:
A comprehensive literature search was performed to identify existing published literature in addition to trials and research currently being undertaken. Databases searched included MEDLINE/PubMed; EMBASE and the Cochrane CENTRAL; ANZ Controlled Trials Registry; the Clinical Trials Database; the National Research Register; Current Controlled Trials and the NHS Centre for Reviews and Dissemination database. The four studies selected for inclusion in comparative outcome measurement all detailed assessment of the background details of their patient populations, with no significant differences in demographics being reported. No significant differences were reported in physiological assessment techniques performed on the patient groups. These techniques included: American Society of Anesthesiologists (ASA) grade, presence of major co-morbidity, Injury Severity Score (ISS) and Penetrating Abdominal Trauma Index (PATI) score.
Yohko Maki
National Center for Geriatrics and Gerontology, Japan
Title: Care practices for improving social QOL for persons living with dementia
Biography:
Yohko Maki is a researcher at the National Center for Geriatrics and Gerontology (NCGG) and she also currently serves as Chief of Education and Innovation Center at NCGG. Her research is focused on dementia care, dementia rehabilitation, and social participation of persons with dementia to improve social quality of life of persons with dementia and their family members.
Abstract:
Dementia is a life-changing disease, especially for aspects such as relationships with others. As dementia affects independence, maintaining social relationships should be one of the critical issues in dementia care. Thus, for people living with dementia, such support is necessary in order to enhance the quality of their social life within the context of their interpersonal relationships with others, especially family members. Persons with dementia and their family members are inevitably faced with various challenges in their daily life. As the most causative disease of dementia is progressive in nature, living with dementia is a continuous process of coping with such challenges. If they fail to cope with these difficulties in daily living well, their caregiving burdens will increase. Thus, it is necessary to provide them with support to help them manage such challenges, but the most important thing is to ensure that persons with dementia themselves maintain the will to make their lives more meaningful and enjoyable under such circumstances while receiving support and assistance from others. Discussions related to dementia care tend to focus on how to provide care for persons with dementia, but they are not mere care-recipients, and they should be able to decide how to live autonomously. Even in the advanced stages, persons with dementia are capable enough to maintain the will to live well with dementia. If persons with dementia and their family members succeed in feeling and expressing thankfulness for their current relationships, they may find meaning in living with dementia.
Waleed M Ghareeb
Fujian Medical University Union Hospital, China
Title: Preliminary study of how to guarantee complete TME on performing Ta TME: Cadaveric and post-surgical specimens study
Biography:
Waleed M Ghareeb is an Assistant Lecturer of Gastrointestinal Surgery at Suez Canal University, Egypt and PhD Intern of Colorectal Surgery at the Union Hospital of Fujian Medical University, China. His research interest is in colorectal surgery. He is working on clinical and basic researches in colorectal surgery which are also of high clinical importance.
Abstract:
Terminal line is an annular pearly white structure at the level of the levator ani muscle hiatus extending from 2 O’ clock to 10 O’ clock posteriorly while couldn’t be found anteriorly. Start line is the intraluminal corresponding line to the mesorectal tail and due to the angulation of the rectum entering the pelvic hiatus the start line is of significantly different distance at 12 O’ clock, 3 or 9 O’ clock and 6 O’ clock directions. The distances to the dentate line in cadavers were 22.85±4.31, 18.35±3.84 and 15.63±3.30 mm, respectively while the in the post-surgical specimens were 28.61±5.43, 21.90±3.58 and 15.63±3.58 mm, respectively with no statistical significance between male and female.