Advances in Fistula Surgery

Date: Tuesday 24 September 2019
Times: 09:30 - 16:30
Venue: Austria Center Vienna
Cost: €300 ESCP Member / €400 Non-Member

Course directors: David Zimmerman (The Netherlands), Christoph Isbert (Germany)

Faculty: Baljit Singh (UK), Eloy Espin Basany (Spain), Gianluca Pellino (Y-ESCP) (Italy), Phil Tozer (UK), Stanley Goldberg (USA), Tina van Loon (Y-ESCP) (The Netherlands)

Please note: If you wish to have a coffee before the course starts, there is a café on the ground level.

Aimed at trainees and young surgeons interested in patient and therapy selection, and the proper application of surgical therapy. Trainees must have basic knowledge of anal anatomy and pathogenesis of cryptoglandular fistulas.

Course content

This course will show the attendees the classic treatment modalities for cryptoglandular fistulas and offer an opportunity to gain hands-on experience on the wonderful 'Isbert model', but also a look into the new treatment modalities that are currently being offered. Experts in the field will present their data on different modalities (laser, VAAFT, OTSC, permacol) but also, a critical appraisal of current evidence will be offered as well as a look into the way new techniques can be implemented in current practice.

Learning objectives

Attendees should gain the following:

Trainees will be more aware of established, as well as newer treatment modalities and the opportunity to practice these techniques hands-on.
Trainees will learn when and how new techniques can be implemented and what the current status of these modalities are.

Programme

Please note: If you wish to have a coffee before the course starts, there is a café on the ground level.

Time	Session
09:30 - 09:35	Welcome and Introduction - David Zimmerman
09:35 - 11:00	Part 1 - The Basics… Old and new insights in pathogenesis and classification of perianal fistulas - Phil Tozer New insights and technical tips regarding LIFT procedure - Stanley Goldberg The evidence regarding LIFT - Tina van Loon (Y-ESCP) New insights and technical tips regarding transanal advancement flap procedure – David Zimmerman The evidence regarding advancement flap: Tina van Loon (Y-ESCP) Hands-on practical application of Seton placement, transanal advancement flap, LIFT and fistulotomy - Christoph Isbert
11:00 - 11:15	Coffee and Tea Break
11:15 - 13:00	Part 2 - Hot and Happening… Insights and technical tips regarding video assisted anal fistula treatment (VAAFT) - Phil Tozer The evidence regarding VAAFT - Gianluca Pellino (Y-ESCP) Insights and technical tips regarding laser assisted fistula treatment (LAFT) - Sanjay Chaudhri The evidence regarding LAFT - Gianluca Pellino (Y-ESCP) Insights and technical tips regarding over the scope clip (OTSC) application - Eloy Espin Basany The evidence regarding over the scope clip (OTSC) application - Gianluca Pellino (Y-ESCP) Insights and technical tips regarding collagen paste injection (Permacol) - Baljit Singh The evidence regarding collagen paste injection (Permacol) - Gianluca Pellino (Y-ESCP) Are we allowed to do anything we can? Fistulotomy with primary sphincter reconstruction: comparison and recommendations - Christoph Isbert
13:00 - 13:45	Lunch
13:45 - 16:30	Hands-on practical application on different hot and happening techniques - Christoph Isbert Part 3 - Selection of Treatment Modality Interactive evolving case presentation regarding selection of imaging and therapeutic techniques - Baljit Singh, Christoph Isbert, David Zimmerman and all speakers and participants
16:30	Course ends