The masterclass will be in collaboration with the International Society of University Colon and Rectal Surgeons (ISUCRS), Southeast Thames Chapter of The Association Of Coloproctology Of Great Britain & Ireland (ACPGBI) and King’s College London and will be held at Bush House, King's College London, WC2R 2LS.

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OBJECTIVES

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·       A live, interactive masterclass designed to enhance learning.

·       An expert-led masterclass covering practical issues.

·       Discuss current proctological treatments and management strategies.

·       Discuss new modalities in the management of simple and complex proctological situations.

·       Pre-recorded operative demonstrations

·       Interactive learning and ample discussion time

·       Open to juniors & consultants

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ACCREDITATION

 

CPD/CME points for attendance will be requested from the Association of surgeons of Great Britain & Ireland.

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TARGET AUDIENCE

 

·       Surgeons (Consultants & Trainees)

·       Specialist health care workers

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DRAFT PROGRAMME

 

08.00 - 08:30 Registration

 

08:25 - 08:30 Welcome 

 

Fistula Session

 

08:30 – 09:15 Basics of Fistulae Session

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• A comprehensive understanding of fistula anatomy and limitations of current classification system

• MRI & EAUS assessment and reporting of anal fistulas

• How can you best assess the degree of sphincter involvement? 

• Question & Discussion

 

09:15  – 10:45 How I Do It Session I

 

• Fistulotomy (Simple + internal fistulotomy) 

• Fistulectomy with primary repair of sphincters 

• Advancement flap for anal fistula 

• LIFT/Bio LIFT procedure ‘How To succeed’ 

• Video-assisted anal fistula treatment (VAAFT) 

• Laser fistula surgery 

• Radiofrequency ablation of fistula-in-ano (FISTURA) 

• Fistula management my way - Let’s debate & discuss’ 

• Question & Discussion 

 

10:45 - 11:15 Coffee break

 

11:15 - 12:45 Haemorrhoid Session – Basics & How I do it

 

• Understanding the anatomy of haemorrhoids, differential diagnosis 

• Manual haemmoridoepexy 

• Excision haemorrhoidectomy with methylene blue 

• THD HALS with Anolift 

• Stapled haemorrhoidopexy 

• Laser haemorriedoplasty 

• Rafello procedure 

• My approach to haemorroids – my way ‘let’s debate & discuss’

• Question & Discussion

 

12:45 - 13:45 Lunch

 

13:45 - 14:45 Miscellaneous Session

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• The painful painful butt - Proctalgia beyond 

• Sexually transmitted diseases for the proctologist 

• Pruritis ani

• Proctitis & Pouchitis for the proctologist

• Question & Discussion

 

14:45 - 16:15 Anal Cancer & AIN Disease

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• Epidemiology, natural history, and pathological features of SCC precancerous lesions (SIL)

• Screening for anal cancer/dysplasia and incorporating the new international guidelines into a surgical practice

• HRA: The way to diagnose & treat precancerous lesions ‘the technicalities’ 

• High grade AIN (AIN 3) - Don’t panic! What to do 

• HPV vaccination. A cure of anal cancer?

• Question & Discussion

 

16:15 -16:45 Coffee Break

 

16:45 -  18:15 Pilonidal session

 

• Understanding aetiology of pilonidal disease 

• Less is more in pilonidal surgery - Bascom I, GIPs procedure etc 

• Modern minimal invasive techniques - EPSIT & SiLaC 

• Cross midline flaps & how I do it? 

• Off-midline closure procedures for managing difficult recurrent pilonidal disease 

• My approach to pilonidal disease - my way ‘let’s debate & discussion’ 

• Question & Discussion

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