Ultrasound Workshop | European Society of Coloproctology

Ultrasound Workshop at Vilnius University Hospital Santara Clinics| Wednesday 27 September 2023 | 08:00 - 12:30

Date:
Wednesday 27 September 2023

Times:
08:00 - 12:30

Cost:
€90 (excluding VAT), includes morning coffee break

Workshop directors:
Anders Mellgren (USA), Tomas Poŝkus (Lithuania), Giulio A. Santoro (Italy)

Faculty:
Liliana Bordeianou (USA), Anders Mellgren (USA), Lucia Oliveira (Brazil), Tomas Poŝkus (Lithuania), Giulio Santoro (Italy), GintareTauginiene (Lithuania), Nerijus Teresius (Lithuania), Pawel Wieczorek (Poland)

We will repeat our popular ultrasound workshop, which is aimed at all practitioners who are involved or interested in pelvic floor disorders, i.e. colorectal surgeons, general surgeons, specialist nurses, gastroenterologists, physiotherapists, etc. and will feature basic concepts and techniques in clinical practice, demonstrating the endosonographic appearance of normal anatomy and common pathologic conditions of the anorectal region and pelvic floor.

The workshop will also discuss typical case scenarios, with highlighting the use of ultrasound in the clinical management of these patients. This year we will feature live patient demonstrations.

This workshop is supported by an unrestricted educational grant provided by BK Medical.

Workshop content

Imaging is essential in the understanding of pelvic floor disorders. Ultrasound today increasingly used in clinical practice. Novel applications, including three-dimensional endoanal, endorectal, endovaginal, and dynamic transperineal ultrasound can help the clinician with a superior depiction of the pelvic anatomy and unique dynamic information.

The new 3D technology is on the front line in the diagnostic and therapeutic work-up of patients suffering from pelvic floor dysfunction (faecal and urinary incontinence, pelvic organ prolapse, obstructed defecation) and for colorectal patients with benign (anorectal sepsis) or malignant (anorectal tumours) pathologies.

The workshop is aimed at practitioners managing above mentioned patients and will feature basic concepts and techniques in clinical practice, demonstrating the endosonographic appearance of normal anatomy and common pathologic conditions of the anorectal region and pelvic floor. The workshop will also discuss typical case scenarios, with highlighting the use of ultrasound in the clinical management of these patients.

Learning objectives

To provide participants with basic knowledge of:

The normal US anatomy of the anorectal region and the pelvic floor
The ultrasonographic imaging techniques (3D endoanal, endorectal, endovaginal and dynamic transperineal US)
The main guidelines and indications for the evaluation of faecal and urinary incontinence, anterior and posterior vaginal wall prolapse, obstructed defecation, anorectal fistulas and rectal tumours

Programme

Time	Session
08:00	Introduction - Anders Mellgren (USA), Tomas Poŝkus (Lithuania), Giulio Santoro (Italy)
08:05	Normal ultrasound anatomy of the anal canal & rectum - Anders Mellgren (USA)
08:20	Ultrasound assessment of fecal incontinence - Liliana Bordeianou (USA)
08:45	Anal ultrasound of perianal fistula - Lucia Oliveira (Brazil)
09:00	The role of Ultrasound in Staging of Rectal Cancer - Giulio Santoro (Italy)
09:15	Discussion - Liliana Bordeianou (USA), Anders Mellgren (USA), Tomas Poŝkus (Lithuania)
09:30	Coffee Break
10:00	Pelvic Floor Ultrasound: technique and normal ultrasound - Pawel Wieczorek (Poland)
10:15	Ultrasound assessment of pelvic organ prolapse and obstructed defecation - Giulio Santoro (Italy)
10:30	Discussion - Lucia Oliveira (Brazil), Giulio Santoro (Italy), Pawel Wieczorek (Poland)
11:00	Ultrasound live demonstrations and Case Discussions - Giulio Santoro (Italy), Gintare Tauginiene (Lithuania), Nerijus Teresius (Lithuania)
12:20	Final discussion and closing remarks - Anders Mellgren (USA), Tomas Poŝkus (Lithuania), Giulio Santoro (Italy)

Pre-conference Course Preview
13th Anorectal and Pelvic Floor Ultrasound Workshop
Wednesday 27 September 2023

Anders Mellgren, MD, PhD, FACS, FASCRS
Professor of Surgery and Chair
Division of Colon & Rectal Surgery
University of Illinois Chicago

Tomas Poskus, MD, PhD, FEBS (Coloproctology)
Professor of Surgery and Head of the Abdominal and Oncosurgery Centre
Vilnius University Hospital Santara Clinics, Lithuania

Giulio A. Santoro, MD, PhD
Head of Pelvic Floor Unit,
Treviso Regional Hospital, Italy

The course will share best practice and advances in ultrasound imaging of anorectal and pelvic floor disorders – participants will gain valuable clinical ultrasound knowledge, including 3D endoanal, endorectal, endovaginal and dynamic transperineal ultrasonographic imaging techniques.
Imaging is gaining a key role in the understanding of pelvic floor disorders. Non-invasive techniques not only provide a superior depiction of the pelvic anatomy but also yield unique dynamic information. 3D technology is on the front line in the diagnostic and therapeutic workup, offering improved accuracy in the diagnosis of these complex diseases.

This year’s course will again include an interactive and practical session with review of clinical cases blended with live demonstrations, which has been welcomed by previous participants. In this way trainees can discuss specific details of the techniques and be shown how to manipulate and analyze 3D images.

This course is ideal for all physicians who are involved or interested in pelvic floor disorders: including surgeons, specialist nurses, and physiotherapists. The program will include a review of normal ultrasound anatomy and a full review of ultrasound pathology of the anal canal, rectum, and the pelvic floor. Participants will hear from a number of distinguished presenters, including Liliana Bordeianou, Anders Mellgren, Lucia Oliveira, Giulio Santoro, and Pawel Wieczorek.

The 13th Anorectal and Pelvic Floor Ultrasound Workshop will run from 08:00 - 12:30 on Wednesday 27 September 2023 at the Vilnius University Hospital in conjunction with ESCP 2023.