Advanced Course in PROCTOLOGICAL SURGERY Ircad Strasbourg 2024

September 30, 2024

7:45 am REGISTRATION AND WELCOMING OF THE PARTICIPANTS

8:15 am LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS
• A very complex case of anal fistula: Video-Assisted Anal Fistula Treatment (VAAFT) technique
• POPS for descending perineum
• Endoscopic rectal prolapse resection with TEO equipment
• POPS for descending perineum
• Endoscopic Pilonidal Sinus Treatment (EPSiT)
• Hemorrhoids and laser – LHP procedure
• Laparoscopic minimal resection for Crohn’s disease
• Complex anal fistula in Crohn’s disease
• Robotic strategies for pelvic floor disorders

10:30 am Coffee Break
1:30 pm LUNCH AT THE INSTITUTE- Recurrence of complex anal fistula

2:15 pm PRE-LAB SESSION - Procedures' description

2:30 pm 2:15 pm TRAINING ON PELVIC TRAINER, MODELS AND LIVE TISSUE (MINI-PIGS)

• Ventral rectopexy
• Transanal Endoscopic Operation (TEO procedure)
• VAAFT (Video Assisted Anal Fistula Treatment)
• Endoscopic Pilonidal Sinus Treatment (EPSiT)
• Stapled prolassectomy
• Rectal prolapse suspension
• EPSiT (Endoscopic Pilonidal Sinus Treatment)

6:00 pm END OF SESSION

8:00 pm DINNER IN HONOR OF THE PARTICIPANTS

October 01, 2024

7:45 am EVALUATION OF THE PREVIOUS DAY
8:00 am Session 1 SPECIAL LECTURE: THE RECTAL PROLAPSE THEORY
• THEORETICAL SESSION 1: HEMORRHOIDS, ARE THEY • JUST THE TIP OF THE ICEBERG?
• The rectal prolapse theory
• From selective stapled haemorrhoidopexy to high-volume stapled resection
• STARR and TRANSTAR: when and why
• Handling calibrated prolapse suspension
• Milligan-Morgan: when and why
• LHP: laser procedure. What’s the rational
• Complication after surgical treatments: can we chat about them?
• The “iceberg theory”: is it still a dogma?
• OPEN ROUND TABLE – Three complex cases – Debate with the Audience (30’)

10:30 am Coffee Break

10:50 SESSION 2: Complex annal fistula and recurrences

• The seton for complex anal fistula: can we do without it today?
• Combined minimally-invasive treatments to win the long-standing fight
• Mesenchymal Stem Cells (CX601) for perianal Crohn’s disease: a new hope?
• Perianal Crohn’s disease: the St. Mark’s experience with minimally invasive techniques
• FiLaC: when and why
• VAAFT: Video Assisted Anal Fistula Treatment
• Crohn’s disease: VAAFT and early start of the biologic therapy. Could it be the future?
• LIFT, TROPIS and MSC. Techno-free approaches
• OPEN ROUND TABLE: Meeting with patients suffering from complex anal fistula – Online invited patients from all over the world (30’)
• OPEN DEBATE with the Audience (20’)    

1:00 pm LUNCH AT THE INSTITUTE- Common case of Pilonidal Sinus

2:30 pm SESSION 3: Endoscopic and robotic procedures in proctology and pelvic floor surgery

• Surgery for Crohn’s disease: what we should do, what we must avoid
• The leaky sphincters: the role of the puborectalis muscle
• Pelvic Organs Prolapse Suspension (POPS): indications and technical notes
• Atypical indications for TEM to avoid major surgery
• Robotic management of pelvic floor disorders
• Low anastomosis dehiscence: endoscopic approach
• Laparoscopic Mini right colectomy for Crohn’s disease
• Robotics beyond Da Vinci: where we are, where we go
• OPEN DEBATE with the Audience (20’) – Comparing opinions about robotic and laparoscopy surgery
• Face-to-face between Faculty and Audience: “Pleased to personally meet you” (15’)

4:30 pm END OF SESSION DELIVERY OF CERTIFICATES OF ATTENDANCE