International and Interdisciplinary Congress of the
New European Surgical Academy on

EXCELLENCE IN SURGERY

PERUGIA, Italy
April 19-20-21, 2018

“He is a good surgeon who possesses courage and presence of mind, a hand free from perspiration, tremorless grip of sharp and good instruments, and who carries his operation to success and to the advantage of the patient, who has entrusted his life to the surgeon. The surgeon should respect the absolute surrender and treat his patient as his own son“
(Susruta Samhita, 780 BC)

Congress President and NESA Secretary General
Gian Carlo Di Renzo, Perugia – Italy

NESA President
Michael Stark, Berlin – Germany

NESA Director
Tahar Benhidjeb, Abu Dhabi – UAE

Congress Coordinator
Sandro Gerli, Perugia – Italy


April 19, Thursday

9:30 am – 4:00 pm

PRECONGRESS LIVE SURGERY

CREO – Centro di Ricerca Emato-Oncologico,  Azienda Ospedaliera di Perugia Participants can follow the performance from the Aula “R. L. Montalcini” of CREO, Azienda Ospedaliera di Perugia

Confirmed surgeons:
Gabriela Baiocchi, Geoffrey Cundiff, Danilo Dodero, Alessandro Favilli, Sandro Gerli, Antonella Giannantoni, Mario Malzoni, Alberto Mattei, Ivan Mazzon, Ettore Mearini, Giuseppe Micucci, Camran Nezhat, Farr Nezhat, Gennaro Raimondo,

OPENING CEREMONY
From 6:00 pm – 7.30 pm

Sala dei Notari – Perugia
Chairpersons: G.C. Di Renzo, M. Stark, T Benhidjeb, S. Gerli

Opening lecture:
“Highlights in the history of female surgery”
Donatella Lippi – Firenze, Gian Carlo Di Renzo – Perugia

Medicine, war and human rights
Gino Strada – Emergency

Welcome cocktail – (Offered by the PREIS School, Florence)


April 20, Friday

8:30 am – 10:30 am

Room A – Session 1  “Advances in hysteroscopy”
*A little look save a lot of talking (Ivor Lewis 1895-1982)
*Laparoscopy has a definitive role in cases where the trauma of incision is greater than that of excision (Anonymous)
*Humans can survive easily without an appendix, but surgeons can do so only with difficulty (Rudolph Virchow 1821-1902)


Chairpersons: Paul Fogarty, UK – Gennaro Raimondo, Italy – Liselotte Mettler, Germany

  • T-shaped uterus: resectoscopic treatment – Ivano Raimondo, Italy
  • Adenomyomectomy – Abo Taleb Saremi, Iran
  • Adenomyomectomy – A. T. Saremi, Iran
  • “Essentials” in gynaecological endoscopy – Federica Perelli, Alberto Mattei, Italy
  • The comprehensive approach for hysterectomies via laparoscopy – Liselotte Mettler, Germany
  • Hystero-laparoscopy modern diagnostic and curative approach in infertile patient – Nicolae Suciu, Romania

Room B – Session 2  “Breast surgery”
Today it is a marvel, tomorrow it can be in the trash bin (Alexandr Solzhenitsyn 1918-2008)

Chairpersons: Sven Becker, Germany – Paolo Gerli, Italy – George Zografos, Greece

  • miRNAs in breast cancer – Eleni Zografos, Greece
  • How oncology determines surgery: from Halstead to Veronesi – Sven Becker, Germany
  • Muscle sparing–skin reducing mastectomy – Paolo Gerli, Italy
  • Coexistence of pregnancy and breast cancer diagnosis – Flora Zagouri, Greece
  • Liver impairment during lactation  – Kalogridaki E., Greece (communication, 10’)
  • Satisfactorily responds to antituberculous treatment: surgery has no role in the management of tuberculous mastitis in Egyptian women – Saied G M , Moustafa K G, Egypt (communication, 10’)

10:30 am Coffee Break

11:00 am – 1:00 pm

Room A – Session 3  “Cesarean delivery”
The decision is more important than the incision (Robert Lawson Tait 1845-1899)

Chairpersons: G.C. Di Renzo, Italy – M. Stark, Germany

  • Evidence based cesarean section – Michael Stark, Germany
  • Cesarean section in China – Yanyan Ma, China
  • Birth in war areas and the impact of cesarean delivery – Raffaela Baiocchi, Emergency
  • Cabo Verde: Time to switch from cesarean delivery to vacuum delivery Tom Schneider, Netherlands (communication, 10’)
  • Complications of cesarean section: 50 years’ review – Nicholas Pairaudeau, Toronto (communication, 10’)
  • Study of carbohydrate enriched electrolyte liquid intake during normal labor in Chinese women –  Xu Y J, Cina (communication, 10’)

1:00 pm – 2:00 pm Lunch Break and Posters View

2:00 pm – 4:00 pm

Room A – Session 4 Endometriosis
By applying this broader set of criteria, we were able to uncover substantial, if not irrefutable, evidence that hysteria, the discredited mistery disorder of women, was most likely endometriosis in the majority of cases (Nezhat brothers, 2012)

Chairpersons: Leila Adamyan, Russia – Mario Malzoni, Italy

  • Introductory lecture: Endometriosis today and tomorrow – Leila  Adamyan, Russia
  • Ultrasound diagnosis of deep infiltrating endometriosisIgal Wolman, Israel
  • Difficulties in laparoscopic treatment of deep infiltrating endometriosis – Farr Nezhat, USA
  • 3D laparoscopy for surgical management of endometriosis – Mario Malzoni, Italy
  • Special Lecture: Need for paradigm shift in endometriosis management methods – Abo Taleb Saremi, Iran

4:00 pm Tea Break

4:30 pm – 6:10 pm

Room A – Session 5  Cesarean delivery: complications and morbidity
It is possible that placenta may adhere so firmly as to make it unsafe to separate it with our fingers (Thomas Denman & Michael Ryan, 1836)
Chairpersons: Mark Kurtser, Russia – Gerry H. A. Visser, Netherlands

  • The epidemics of cesarean delivery and the FIGO initiative to reduce its impact worldwide – Gerry H. A. Visser, Netherlands
  • Uterine morbidity after caesarean section – Ospan Mynbaev, Avinoam Tzabari, Russia, Michael Stark, Germany
  • Anomalies of placentation and PPH – Antonio Malvasi, Italy
  • The long term results and chronic pain after cesarean section – Dragan Belci, Croatia
  • Myomectomy during caesarean delivery – Andrea Tinelli, Italy

6:10 pm   Adjourn


April 21, Saturday

8:30 am – 1:00 pm NESA Executive Board Meeting – Room C

8:30 am – 10:30 am 

Room A – Session 6  New Projects and Progress in Surgery
*A young doctor starts career with 20 drugs per disease and the old physician ends career with one drug per 20 diseases (William Osler 1849-1919)
*When doctors and scientists became ill, they ask “Who is the best doctor for this problem?” and not “Which multicentre controlled trial would be best for me?” (Emil Jay Freireich 1996)
*A good surgeon is a doctor who can operate and knows when not to operate (Theodor Kocher 1841-1917)

Chairpersons:  F. Puma, Italy – P. A. Wetter, USA – Svend Schulze, Denmark

  • ERAS (Enhancement recovery after surgery – Jacopo Vannucci, Italy
  • Update in surgical treatment of cervical cancer – Pierluigi Benedetti Panici, Italy
  • Panel on surgical training and education – Alexei Ivanov, Russia
  • Current and future directions in the management of ovarian cancer –  Jalid Sehouli, Germany
  • Uterine fundectomy: new surgical technique and indications  – Abo Taleb Saremi, Iran
  • Fertility sparing surgery in treatment of early stages of cervical cancer – the new standard of care – Alexandar Stefanovic, Serbia
  • “NESA Viezion Project”: Oncology treatment in the 21st century – Michael Stark, Germany

Room B  Session 7 The advances in vaginal surgery
No single technique is suited to all cases (Constantino Mendieta, 2006)
* The surgeon who learns the basic precepts of asepsis, hemostasis, adequate exposure, and gentleness to tissue has mastered his/her most difficult lessons (Robert M Zolliger 1903-1992)
Chairpersons: Danilo Dodero, Italy – Tommaso Simoncini, Italy

  • Legal and ethical aspects in gynecological surgery – Simona Zaami, Enrico Marinelli, Italy
  • Solid state laser for vaginal incontinence – Danilo Dodero, Italy
  • Non hormonal treatment of vaginal atrophy and preoperative and postoperative management  – Tommaso Simoncini, Italy
  • Vaginoplasty: a modified laparoscopic surgery for vaginal agenesia – Homa Bahrami, Abo Taleb Saremi, Tarlan Hamideh Khou, Iran (communication)
  • Modified McDonald cerclage: technique and outcome – Atiyeh Mirfendereski, Abo Taleb Saremi, Arash Pooladi, Iran (communication)ù

10:30 am Coffee Break

11:00 am – 1:00 pm

Room A   Session 8 “Treatment of infertility”

It is more important to know the patient who has the disease than to know the disease that has the patient (William Osler 1849-1919)

Chairpersons: Sandro Gerli, Italy – Vlad Tica, Romania

  • Fertility enhancing surgeries-role of minimally invasive surgery – Rooma Sinha, India
  • PNEIFERT: an innovative clinical model for a personalized and participatory care in reproductive medicine and ART – Stefania Iaccarino, Italy
  • Laparoscoy in infertility work up: when and why – Sandro Gerli, Italy
  • Lymphocyte immune therapy in recurrent IVF failure – Ahad Zare, Abo Taleb Saremi, Narges Roumandeh, Iran (communication)

SRoom B  Session 9 Natural orifice surgery and robotics
*Surgical approach nowadays proposed appears due to demand of society to offer patient methods less and less invasive “surgery without traces”(Tania Gonzalez Leon, 2011)
*When did the march of history start breaking into the sprint? (Toon Verhoeven, 1995)

Chairperson:  Antonello Forgione, Italy – Camran Nezhat, USA – Giovanni Scambia, Italy

  • Recent advances in NOS/NOTES – Antonello Forgione, Italy
  • Natural orifice surgery: philosophical and bioethical issues towards new conceptions in medicine – Luca Cucurachi, Italy
  • Role of robots and robot arms in minimally invasive surgery – Camran Nezhat, USA
  • Evalution of robotic surgery: multiport, single port, flexible, innovative robots – Antonello Forgione, Italy
  • Role of robots in urogynecology – Andrea Boni, Italy
  • Robotic surgery: the human factor – Mona Orady, USA

1:00 pm – 2:00 pm  Lunch Break and Posters View

2:00 pm – 4:00 pm

Room A  Session 10  “Urogynecology”
Be a perfectionist in everything that you do, but particularly in urogynecology (George D Webster, 2013)
*Every surgeon should himself supervise the postoperative treatments (John Blair Deaver 1855-1931)

Chairpersons: Geoff Cundiff, Canada  – Elisabetta Costantini, Italy

  • Surgical treatment of stress incontinence by methods of robotic surgery – I. Kostov, Bulgaria
  • New approach to treat urinary stress incontinence – J. Atad, Israel
  • What is the moral of the “mesh story”? – G. Cundiff, Canada
  • Non-invasive treatment of stress incontinence and other minor problems – Gabriela Baiocchi, Italy
  • Prolapse reconstructive surgery in sexually active womenPier Luca Narducci, Italy
  • Complications encountered following midurethral slings at tertiary care center in India – Sanjay Sinha, India (communication 10’)

Session 15 – Room B
“Natural orifice surgery”
Surgical approach nowadays proposed appears due to demand of society to offer patient methods less and less invasive “surgery without traces” (Tania Gonzalez Leon, 2011)

Chairpersons: A Forgione, Italy – T. Schneider, NL

  • The anatomical limits of the pouch of Douglas – T. Schneider, NL
  • Recent advances in NOS/NOTES – A. Forgione, Italy
  • New endoscopic and surgical bariatric methods – R. Zarron, Germany
  • Natural orifice surgery: philosophical and bioethical issues towards new conceptions in medicine – L. Cucurachi, Italy

4:00 pm – 4:10 pm

Conclusions

The Presidents: Gian Carlo Di Renzo, Italy – Michael Stark, Germany – Tahar Benhidjeb, Abu Dhabi –  Sandro Gerli, Italy