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

 

8 CPD/CME points for attendance will be provided by 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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Moderators: Narimantas Samalavicius, Klaipėda, Lithuania & Phil Tozer, London, UK

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• A comprehensive understanding of fistula anatomy and limitations of current classification system - Varut Lohsiriwat, Siriraj Hospital, Mahidol University, Bangkok, Thailand

• MRI & EAUS assessment and reporting of anal fistulas - Giulio Santoro, Treviso Regional Hospital, Treviso, Italy

• How can you best assess the degree of sphincter involvement? - Andrew Williams, London Bridge Hospital, London, UK

• Question & Discussion

 

09:15 – 10:45 How I Do It Session I

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Moderators: Joseph Nunoo-Mensah, London, UK & ·Pasquale Giordano, London, UK

 

• Fistulotomy (Simple + internal fistulotomy) - Narimantas Samalavicius, Klaipeda University Hospital, Klaipėda, Lithuania

• Fistulectomy with primary repair of sphincters - Kushal Mital, Medicare Hospital, Thane, India

• Advancement flap for anal fistula -  Phil Tozer, St Mark's Hospital, London, UK

• LIFT/Bio LIFT procedure ‘How To succeed’ - Andrew Williams, London Bridge Hospital, London, UK

• Video-assisted anal fistula treatment (VAAFT) - Janindra Warusavitarne, St Mark's Hospital, London, UK

• Laser fistula surgery - Sanjaya Wijeyekoon. Royal Bournemouth Hospital, Bournemouth,UK

• Radiofrequency ablation of fistula-in-ano (FISTURA) - Piero Nastro, Darent Valley NHS Hospital, Dartford, UK

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• Fistula management my way - Let’s debate & discuss’ - Phil Tozer, St Mark's Hospital, London, UK

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• Question & Discussion 

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10:45 - 11:15 Coffee break

 

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

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Moderators: Marc Gladman, London, UK & Kushal Mital, Medicare Hospital, Thane, India

 

• Understanding the anatomy of haemorrhoids, differential diagnosis - Varut Lohsiriwat, Siriraj Hospital, Mahidol University, Bangkok, Thailand

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• Manual haemmoridoepexy - Isabel Marques, Hospital de Braga, Braga, Portugal

• Excision haemorrhoidectomy with methylene blue - Narimantas Samalavicius, Klaipeda University Hospital, Klaipėda, Lithuania

• THD HALS with Anolift - Pasquale Giordano, Royal London Hospital, Barts Health NHS Trust, London, UK

• Stapled haemorrhoidopexy - Marc Gladman, King's College Hospital, London, UK

• Laser haemorriedoplasty - Sanjaya Wijeyekoon. Royal Bournemouth Hospital, Bournemouth,UK

• Rafaelo procedure - Piero Nastro, Darent Valley NHS Hospital, Dartford, UK

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• My approach to haemorroids – my way ‘let’s debate & discuss’ - Richard Cohen, Cleveland Clinic London, London, UK

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• Question & Discussion

 

12:45 - 13:45 Lunch

 

13:45 - 14:45 Miscellaneous Session

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Moderators: Narimantas Samalavicius, Klaipėda, Lithuania & Joseph Nunoo-Mensah, London, UK

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• The painful painful butt - Proctalgia beyond - Charles Knowles, Cleveland Clinic London, London, UK

• Sexually transmitted diseases for the proctologist - Pasithorn Amy Suwanabol, University of Michigan, Ann Arbor Veterans Affairs Healthcare System, Michigan, USA

• Pruritis ani - Marc Gladman, King's College Hospital, London, UK

• Proctitis & Pouchitis for the proctologist - Polychronis Pavlidis, King's College Hospital, London, UK

• Question & Discussion

 

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

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Moderators: Sanjaya Wijeyekoon. Bournemouth,UK & Charles Knowles, London, UK

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• Epidemiology and natural history of anal squamous cell carcinoma and high-grade squamous intraepithelial lesion (HSIL) - Danielle Brogden,  Homerton Healthcare NHS Foundation Trust, London, UK

• Screening for anal cancer/dysplasia and incorporating the new international guidelines into a surgical practice - Kristy Rumer, Mayo Clinic, Rochester, USA

• HRA: The way to diagnose & treat precancerous lesions ‘the technicalities’ - Andrea Tamburini, San Raffaele Scientific Institute, Milan, UK

• High grade AIN (AIN 3) - Don’t panic! What to do - Emmanuel Cavazzoni, University of Perugia, Perugia, Italy

• HPV vaccination. A cure of anal cancer? - Emmanuel Cavazzoni, University of Perugia, Perugia, Italy

• Question & Discussion

 

16:00 -16:30 Coffee Break

 

16:30 - 17:55 Pilonidal session

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Moderators: Rakesh Bhardwaj & Piero Nastro, Dartford, UK

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• Understanding aetiology of pilonidal disease - Greg Thomas, St Mark's Hospital, London, UK

• Less is more in pilonidal surgery - Bascom I, GIPs procedure etc - Moshi Gips, Assuta Medical Center, Tel-Aviv, Israel

• Modern minimal invasive techniques - EPSIT & SiLaC - Kushal Mital, Medicare Hospital, Thane, India

• Cross midline flaps & how I do it? Edmund Fitzgerald O’Connor, Department of Plastic Surgery, Guy’s & St Thomas’ Hospital, King’s College Hospital, London, UK

• Off-midline closure procedures for managing difficult recurrent pilonidal disease (Cleft Lift) - Asha Senapati, St Mark's Hospital, London, UK

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• My approach to pilonidal disease - my way ‘let’s debate & discussion’ - Asha Senapati, St Mark's Hospital,London, UK

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• Question & Discussion

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