Operative Techniques for the Prevention and Repair of Parastomal Hernia

Date: Tuesday 24 September 2019
Times: 09:00 - 17:30
Venue: Austria Center Vienna
Cost: €300 ESCP Member / €400 Non-Member. Morning lectures only €100 - see details below*

Course director: Muhammad Imran Aslam (UK)

Faculty: Adelheid Anzinger (Austria), Alexander Hotouras (UK), Ian Daniels (UK), Ines Rubio Perez (Y-ESCP) (Spain), Jan Lambrecht (Norway), Marijana Ninkovic (Y-ESCP) (Austria), Miguel Garcia Ureña (Spain), Philipp Kirchhoff (Switzerland), Sanjay Chaudhri (UK), Sue Blackwell (UK)

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

Aimed at delegates with early experience in managing patients with parastomal hernia. Attendees will be exposed to open and laparoscopic approaches for the prevention and repair of parastomal hernia. Therefore, intermediate level of skills in laparoscopic surgery will be desirable for this workshop.

Course content

This one-day workshop comprised theoretical instructions and practical exercises for the safe and effective application of open and laparoscopic approaches for the repair and prevention of parastomal hernia. World experts will discuss surgical anatomy of the abdominal wall, the need and timing for repair of parastomal hernia, abdominal wall reconstruction, techniques for prophylactic mesh reinforcement and repair of parastomal hernia.

* In the event that the full course should sell out, additional spaces for lectures only during the morning may be made available at the Course Director’s discretion. In that event, the price will be €100 per attendee (member or non-member).

Learning objectives

Attendees should gain the following:

Learn about the indications, patient selection and outcomes for repair of parastomal hernia
Learn about the technical challenges associated with different types of repairs
Learn about pitfalls in consent and choices of meshes ‒ Learn about basic principles of dissection for component separation
The ability to perform prevention and repair procedures on models

Programme

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

Time	Session
08:30 - 08:50	Registration
08:50 - 09:00	Welcome and Introduction - Muhammad Imran Aslam
09:00 - 09:10	Surgical anatomy of abdominal wall - Marijana Ninkovic (Y-ESCP)
09:10 - 09:35	Parastomal hernia: scale of the problem, need and timing for repair - Ian Daniels
09:35 - 10:00	Techniques for prophylactic mesh reinforcement of permanent stoma - Philipp Kirchhoff
10:00 - 10:25	Repair of parastomal hernia: techniques and outcome comparison - Jan Lambrecht
10:25 - 10:40	Does PSH repair improve quality of life? Patient Group Representative - Sue Blackwell
10:40 - 11:00	Non-operative management of parastomal hernia - Stoma specialist nurses
11:00 - 11:20	Coffee and tea break
11:20 - 11:30	Evidence for choice of meshes, safety and effectiveness for PSH prevention and repair - Ines Rubio (Y-ESCP)
11:30 - 11:55	Abdominal wall reconstruction: setting up service, patient selection, work up for surgery and optimisation - Sanjay Chaudhri
11:55 - 12:20	Selection of operative technique: advantages, pitfalls tips and tricks for component separation and TAR - Miguel Garcia Ureña
12:20 - 12:45	Social and psychological burden of meshes for patients and surgeons - Debate led by Alexander Hotouras
12:45 - 13:20	Case discussions - Muhammad Imran Aslam Delegates will be asked to submit cases and two selected case will be discussed
13:20 - 14:00	Lunch
14:00 - 15:30	Hands-on work: parastomal hernia repair and prevention techniques - All faculty
15:30 - 15:45	Coffee and tea break
15:45 - 16:30	Hands-on work: component separation for large incisional hernia - All faculty
16:30 - 17:30	Summary and feedback
17:30	Course ends

Practical Skill Stations

Stations 1-4: Parastomal Hernia repair techniques
	Laparoscopic modified Sugarbaker repair of PSH Laparoscopic Keyhole and Sandwich repair techniques for PSH Demonstration of Laparoscopic mesh securing devices for PSH repair Demonstration of meshes for PSH repair and Prophylaxis
Station 5-8: Parastomal Hernia prophylactic mesh reinforcement techniques
	Subrectus mesh placement for laparoscopic end colostomy Stapled mesh stoma reinforcement technique (SMART) Stoma appliances for PSH Radiological imaging for PSH
Stations 9-12: Abdominal Wall reconstruction
	Component separation techniques for abdominal wall reconstruction – video demonstration Ultrasound demonstration of Botox injection for abdominal wall reconstruction Introduction to different types of meshes available in Market
Stations 13-14: Industry sponsored stations for PSH and abdominal wall reconstruction

Participants at Operative Techniques for the Prevention and Repair of Parastomal Hernia Equipment for Operative Techniques for the Prevention and Repair of Parastomal Hernia