Hysterectomy for Benign Diseases and its Alternatives

Dear colleague,

Let’s discuss “Hysterectomy “.
Hysterectomy is by far the most performed gynaecological surgery, yet many questions remain unanswered..
Is every hysterectomy really necessary?  Is it the most efficient way to obtain  the desired result?  What is the important factor on the patient and her  surroundings: husband, children, work situation?  Is endoscopy a benefit for the patient?  Are there limits to the endoscopic approach?  What is the place of alternative – medical – surgical treatments?
Just a few examples of questions the faculty wants to discuss with you.
The program foresees ample time  for  discussion and a special session is provided for where you can present your own point of view and discuss it with the faculty.

See you in Antwerp in January 2009!

For the organising committee
Prof. Bruno J van Herendael

Thursday January 29th 2009

ETHICS AND ECONOMY

Chairmen: J.  Van Wiemeersch – ( V Gomel – F. Loffer)

• 18.45: Registration & Welcome
• 19.00: The impact of hysterectomy on the healthcare budget
  R. Van den Oever
• 19.30: The history and evaluation of the incentive to proceed Endoscopically
  P. Galloo
• 20.00: The claim cadaster of the  VVOG
  B.J. van Herendael
• 20.30: Voluntary registration of endoscopic procedure in Flanders: a BIG endoscopy realization.
  S. Weyers, J. Bosteels
• 21.00: Complications in endoscopy
  V. Gomel
• 21.30: The curriculum development in gynaecologic endoscopy
  A. Ternamian

Friday January 30th 2009

HYSTERECTOMY FOR BENING DISEASE

• 07.30: Registration & Coffee

Session I: General Considerations

• 08.30: Practical Considerations on Energy used at the time of Hysterectomy the ETCA point of view
  B.J. van Herendael
• 08.50: The use of Robotics for benign hysterectomy: is the investment worth the effort?
  M. Degueldre
• 09.10: Current indications and perception of the patient in view of the quality of life when faced with possible Hysterectomy
  H. Brölmann
• 09.30: Covidien sponsored lecture: Special energy applyer: Ligasure.
  M. Francx

Sessions II: Alternative Surgical Techniques

• 09.40: Is there still a place for endometrial ablation? Indications and results.
  J.  Hamou
• 10.00: Is hysteroscopic myomectomy an alternative for hysterectomy?  When can it be used and what are the results?
  L. Mencaglia
• 10.20: Is there a role for Office Hysteroscopy as an alternative to Hysterectomy: Indications and Treatment methods.
  S. Bettocchi
• 10.40: Coffee Break

Session III: Alternatives Medical and Surgical to Hysterectomy

• 11.10: Indications and outcomes with Intrauterine Systems (Mirena).
  P. Scholten
• 11.30: Non-hysteroscopic endometrial ablation a comparison between the different methods what are the benefits? What are the costs?
  M. Bongers
• 11.50: Questions & Answers
  Coordinator J. Bosteels

Session IV: Lunch and Live Surgery
Chair: F.W. Jansen, L. Mettler, R. Van Hee

• 12.20: Lunch at the booths & Live surgery session
  Live transmission from different centers in Europe
  Transmission from the operating theatres to the auditorium and to the exhibition
  Surgeons: s. Bettocchi, M. Degueldre, B. De Vree, J. Donnez, J-B Dubuisson, M. Francx, F. Ghezzi, J. Hamou, J. Keckstein, L. Mencaglia, B. Tas , B. van Herendael, A. Wattiez.
• 15.20: Coffee

Session V: Practical solutions at the time of hysterectomy

• 15.40: Uterine manipulators: a key element in laparoscopic hysterectomy.
  P.r. Koninckx
• 16.00: Measures at the time of hysterectomy to prevent future descent
  B.J. van Herendael
• 16.20: Anaesthesia for hysterectomy.  Does the access route matter?
  P. Diemunsch
• 16.40: Practical steps, pitfalls and tips to prevent complications at hysterectomy
  A. Wattiez
• 17.00: Questions and Answers
  Coordinator B. Devree

Session VI: Keynote Lecture
Coördinators: B. De Vree, J. Bosteels

• 17.00: Ovarian preservation versus removal at the time of hysterectomy.
  Do the pro's outweigh the cons
  E. Solima
• 18.00: Take home message.
  Ph. Koninckx

Saturday January 31st 2009

HYSTERECTOMY FOR BENING DISEASE

• 07.30: Registration & Coffee

Session VII: The Future, the Present and the Past

• 08.30: Solutions for the difficult hysterectomy
  P. Mangeshikar
• 08.50: The Hugo van Herendael Lecture:
  Hysterectomy: From Soranus to the 21st Century
  (V. Gomel) F.  Loffer
  Introduction: r. Van Hee
• 09.30: Coffee

Session VIII: Life surgery and Lunch
Chair: F.W. Jansen, L. Mettler, J-B Dubuisson

• 10.00: Life surgery
  Surgeons:  s. Bettocchi, B. De Vree, J. Donnez, M. Francx, J. Hamou, L. Mencaglia, D. Querleu, B. Tas , B. van Herendael.
• 13.00: Lunch at the exhibition
• 14.00: Covidien sponsored lecture: SprayShield a new adhesion barrier, first clinical results
  B.J. van Herendael
• 14.10: Covidien sponsored lecture: Efficacy assessment of Prevadh™ for adhesion prevention in gynaecological surgery
  J-L Benifla

Session IX: Different Access routes the pro and cons

• 14.20: Abdominal access in comparison to laparoscopic access: Pros and Cons
  L. Mettler
• 14.40: Laparoscopic access and its possible complications compared to costs
  J-B  Dubuisson
• 15.00: Vaginal access to hysterectomy
  B. Goolab
• 15.10: Isobaric subtotal hysterectomy
  E. Zupi
• 15.30: Natural orifice access for supra-cervical hysterectomy
  T. seckin
• 15.50: Coffee

Session X: Great Debate

• 16.20: Subtotal hysterectomy is preferable to total hysterectomy for benign uterine disease
  Pro :  J. Donnez - Con: D. Querleu

Session XI :  Questions and Answers and closure

• 16.30: Questions & Answers & stump the professor
  Coordinators:  W. Tjalma- S. Veersema
• 17.30: Take Home message, closure
  V. Gomel, B.J. van Herendael

Prices

Participants invited by a sponsoring company inscription = inscription for 2 days congress with live surgery 30 & 31 January 2009

Full congress:     29 - 30 - 31 January 2009 *

• Members VVOG, NVOG, BIG endoscopy, NWE, Pax Society: 350€
• Non Members: 450€
• Residents: 300€
• Nurses: 200€

2 days congress with the live surgery session: 30 - 31 January 2009

• Members VVOG, NVOG, BIG endoscopy, NWE, Pax Society: 300€
• Non Members: 400€
• Residents: 200€
• Nurses: 100€

1 Day congress with the live surgery session: 30 or 31 January 2009

• Members VVOG, NVOG, BIG endoscopy, NWE, Pax Society: 200€
• Non Members: 300€
• Residents: 100€
• Nurses: 75€

Symposium Ethics and Economy: 29 January 2009

• Medical profession: physicians, pharmacists: 50€
• Hospital Directors: 50€
• Residents: 25€
• Nurses: 25€

1 Day congress with the live surgery session 30 or 31 January 2009 combined with Symposium Ethics and Economy

• Members VVOG, NVOG, BIG endoscopy, NWE, Pax Society: 250€
• Non Members: 350€
• Residents: 125€
• Nurses: 100€

General information

The organizing Secretariat

• ETCA – Gyntech BVBA
  Mrs. Chris Van de Mosselaer
  Italiëlei 62 – B- 2000 Antwerp
  Tel: + 32.3.213.37.50
  Fax: + 32.3.272.07.97
  e-mail: chrisvdm@beline.be

The congress venue

• Congrescentrum “ ’t Elzenveld “
  Lange Gasthuisstraat 45 – B – 2000 Antwerp
  Belgium

Accredition

• Accreditation for the congress is applied for, including points for “ Ethics and economy “ for the symposium on Thursday January 29th 2009.

Exhibits

• The sponsor will have their booth in the “ Kannunik van Gesselzaal “ where coffee and lunches are served.

Hotel accommodation

• The organization cannot take care of the hotel reservations of the participants.
  You can find a hotel of your choice on www.hotels-Belgium.com and click on
  “Antwerp”.

Payments

• All payments will be done by bank transfer ( free of charge for the beneficiary )
• ETCA – Gyntech BVBA
  Fortis bank “ Brasschaat centrum “, Bredabaan 371,  B- 2930 Brasschaat, Belgium
  Account Number: 001-3863723-95
  IBAN: 76001386372395
  BIC: GEBABEBB
  Please, clearly mention the name of the participant

Cancellation and refunds

• Registration fees minus 75€ administrative fee will be refunded if attendee sends written notice of cancellation by December 20th 2008.
• No refunds will be given after December 20th 2008.
  If the ETCA cancels the meeting for any reason, attendees will be notified and full refund will be given.

LOCATION

Congrescentrum ‘t Elzenveld
Lange Gasthuisstraat 45
Antwerp, Belgium

FOR ALL INFORMATION

Mrs Chris Van de Mosselaer
Tel: + 32.3.213.37.50
Fax: + 32.3.272.07.97
email: Chrisvdm@beline.be

FACULTY

S. Bettocchi ( Italy )
M. Bongers (The Netherlands)
J. Bosteels ( Belgium )
H. Brölmann (The Netherlands)
B. De Vree ( Belgium )
B. De Decker ( Belgium )
M. Degueldre ( Belgium )
P. Diemunsch ( France )
J. Donnez ( Belgium )
J-B Dubuisson ( Switzerland )
M. Francx ( Belgium )
P. Galloo ( Belgium )
F. Ghezzi ( Italy )
V. Gomel ( Canada )
J. Hamou ( France )
G. Keckstein ( Austria )
P. Koninckx ( Belgium )
F. Loffer ( USA )
P. Mangeshikar ( India )
L. Mencaglia ( Italy )
L. Mettler ( Germany )
W. Parker ( USA )
D. Querleu ( France )
P. Scholten (The Netherlands)
T. Seckin ( USA )
E. Solima ( Italy )
B. Tas ( Belgium )
A. Ternamian ( Canada )
W. Tjalma ( Belgium )
R. Van den Oever ( Belgium )
B.J. van Herendael ( Belgium )
J. Van Wiemeersch (Belgium)
S. Veersema (The Netherlands)
A. Wattiez ( France )
S. Weyers (  Belgium )
E. Zupi ( Italy )

UNDER THE AUSPICES OF

VVOG
Vlaamse Vereniging Obstetrie en Gynaecologie

BIGGE
Bijzondere Interesse Groep Gynaecoloische Endoscopie

NVOG
Nederlandse Vereniging Obstetrie en Gynaecologie

WGE
Werkgroep Gynaecologische Endoscopie

AAGL
American Association Gynecological Laparoscopists

PAX SOCIETY

PROGRAMMA