NPWT Expert Meeting Plastic Surgery Obstetrics & Gynaecology Orthopaedic Reconstruction. Preliminary programme

Transcription

1 NPWT Expert Meeting Plastic Surgery Obstetrics & Gynaecology Orthopaedic Reconstruction Chairpersons: Rene van der Hulst John Coulter Jon Goosen

2 Page 2 of 13 NPWT Expert meeting, April, 2018 NPWT Expert Meeting Plenary Session Plastic Surgery stream Obstetrics & Gynaecology stream Orthopaedic Recon Stream 13 th - 14 th April 2018 Brussels, Belgium Invited Chairmen: Rene Van Der Hulst (Netherlands) John Coulter (Ireland) Jon Goosen (Netherlands) Confirmed Faculty Hanne Birke Sørensen John Murphy Amit Agrawal Oren Lapid Jip Beugels Steve Jeffery T. Kavitha Madhuri Nana Hyldig Christine Asciutto Ramon Roerdink Sudheer Karlakki Paul Jutte/ Claudia Löwik

3 Page 3 of 13 NPWT Expert meeting, April, 2018 Friday, 13 April Morning Individual arrivals 11:30 Registration and welcome lunch Start of day 1 Session 1: Plenary Session Introduction to the meeting and opening video Chairs Key note lecture: Robotic Surgery Incisional NPWT: Mode of Action and justification for use Closed surgical incision - upgrade the underlying tissue Meta-analysis 1 Justification for 2 4 and benefit of PICO snpwt on Surgical Site Complications Panel discussion Rene van der Hulst Hanne Birke- Sørensen Vicki Strugala DISCUSSION OVER COFFEE/TEA BREAK (30) Break into parallel streams

4 Page 4 of 13 NPWT Expert meeting, April, 2018 Friday, 13 April Session 2 A: Plastic Surgery Stream Epidemiology of SSI in breast surgery 5 and post discharge surveillance techniques 6 Judith Tanner Impact of SSI on oncological survival 7 9 Michael Kerrin When and why to use NPWT in plastic surgery 10 Hanne Birke- Sørensen New: Breast reconstruction cohort study. Impact of PICO on John Murphy wound breakdown and implant retention Panel Discussion All END DAY Pre dinner drinks Conference Dinner

5 Page 5 of 13 NPWT Expert meeting, April, 2018 Friday, 13 April Session 2 B: ObGyn Stream (C-section) The challenges of obesity in pregnancy Cynthia Maxwell Patient assessment of PICO in C-section Darly Mathew RWE : PICO C-section audit of SSI 11 and comparison to Dave Myers published data The Cork data from the C-section audit 11 Mairead O'Riordan RCT study: the Happy Belly Study 13 Nana Hyldig Panel discussion END DAY Pre dinner drinks (Atrium) Conference Dinner (Royal room)

6 Page 6 of 13 NPWT Expert meeting, April, 2018 Friday, 13 April Session 2 C: Orthopaedic Recon Stream Early Markers / Early complications Key Note Lecture: Enhanced Recovery After Surgery Getting It Right First Time The LEAK Study. Persistent wound leakage after THA / TKA. A nationwide survey 14 and planned RCT Pilot study of PICO in BMI>30 in THA. Impact on length of stay and prolonged wound leakage Project A different wound approach: Are we on the right track to reduce prolonged wound leakage? Wound leakage at Day 3 as a way to stratify high risk Panel Discussion All END DAY 1 Tom Wainwright (UK) or Mike Reed (UK)) TBC Paul Jutte (NL) or Claudia Löwik Groningen Jon Goosen (NL) SMK Ramon Roerdink (NL) JBZ Pre dinner drinks Conference Dinner

7 Page 7 of 13 NPWT Expert meeting, April, 2018 Saturday, 14 April 8:30 Start of day 2 Session 3 A: Plastic Surgery Stream Introduction with opening video (10) Chair The TeaM (Therapeutic Mammaplasty) study 16 John Murphy PICO in chest wall flap breast reconstruction Amit Agrawal PICO in breast reconstruction Ibby Younis PICO in flaps and grafts Oren Lapid COFFEE BREAK (30) Keynote lecture: Scarring in burns and innovation in treatment options or diagnostics RCT study PICO : complications after reduction mammoplasty 17 Steve Jeffery Jip Beugels RCT study PICO: scarring after reduction mammoplasty Volkan Tanayadin Panel discussion Chair Closing Remarks END DAY 2

8 Page 8 of 13 NPWT Expert meeting, April, 2018 Session 3 B OBGyn Surgery Stream Introduction Chair Key Note Lecture Richard Edmondson The challenges of obesity in gynaecological oncology surgery 18 Khadra Galaal UK SSI Audit- the impact of SSI on outcomes LOS / discharge, adjuvant therapy, risk factors, treatment options. Kavitha Madhuri COFFEE BREAK PICO in gynaecological oncology : case examples and Michael O'Leary clinical pathway PICO for groin incisions after bilateral lymphadectomy Christine Asciutto TBC TBC Panel Discussion All Chair Closing Remarks Chair END DAY 2

9 Page 9 of 13 NPWT Expert meeting, April, 2018 Session 3 C: Orthopaedic Recon Stream Infection (SSI/PJI) Introduction Chair Key Note Lecture DAIR - Current best practice The rate of infection in revision for asceptic cases Impact on joint survival 20 Jon Goosen Anouk Jacobs (NL) SMK TBC Retrospective case cohort study in revision THA and TKA 21 Thomas Hester (UK) TBC COFFEE BREAK RCT DATA RCT of PICO in primary & revision THA and TKA (30 day) James Cook (USA) TBC RCT of PICO in primary THA and TKA 22 Sudheer Karlakki (UK) Health Economic analysis of RCT 23 Leo Nherera (UK) Panel Discussion Chair Closing Remarks Chair END DAY 2 END

10 Page 10 of 13 NPWT Expert meeting, April, 2018 Learning Objectives Evidence based discussion on surgical site complications and impact of NPWT, such as PICO, to manage: high risk patients (increased SSC rate) 2 high risk surgery (high rate SSC) 2 high consequence surgery (high impact of SSC) 2 The course is focused on closed incision management of : Plastic surgery with a special interest in breast surgery Obstetrics & gynaecology surgery with special interest in Caesarean section and gynae-oncology Orthopaedic recon surgery with special interest in hip and knee arthroplasty The delegate should be able to see the benefit of using PICO prophylactically to reduce the risk of SSC and use the best available data to support implementation in clinical practice (EBM). Participant/ Delegate Profile Plastic Surgeons Breast Surgeons Oncoplastic Breast Surgeons Obstetricians Gynaecological Oncologists Orthopaedic Recon Surgeons Products PICO RENASYS

11 Page 11 of 13 NPWT Expert meeting, April, 2018 References 1. Strugala V, Martin R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy system for the prevention of surgical site complications. Surg Infect (Larchmt). 2017;18. doi: /sur Sugrue M, Ciprandi G, Djohan R, Dohmen PM, Sibai BM, Tanner J. World Union of Wound Healing Societies (WUWHS) Consensus Document. Closed surgical incision management: understanding the role of NPWT. Wounds Int World Union of Wound Healing Societies (WUWHS) consensus document. Surgical Wound Dehiscence: Improving prevention and outcomes. Wounds Int WHO. Global Guidelines for the Prevention of Surgical Site Infection. Geneva; Tanner J, Khan D, Ball J, Pickard J, Bankart J. Rate, risk factors and costs of SSI in primary breast surgery.pdf. J Infect Prev. 2011;12(5): Tanner J, Padley W, Kiernan M, Leaper D, Norrie P, Baggott R. A benchmark too far: findings from a national survey of surgical site infection surveillance. J Hosp Infect. 2013;83(2): doi: /j.jhin Kerin Povšič M, Ihan A, Beovič B. Post-Operative Infection Is an Independent Risk Factor for Worse Long-Term Survival after Colorectal Cancer Surgery. Surg Infect (Larchmt). 2016;17(6): doi: /sur Artinyan A, Orcutt ST, Anaya DA, Richardson P, Chen GJ, Berger DH. Infectious postoperative complications decrease long-term survival in patients undergoing curative surgery for colorectal cancer: a study of 12,075 patients. Ann Surg. 2015;261(3): doi: /sla Beecher SM, O Leary DP, McLaughlin R, Sweeney KJ, Kerin MJ. Influence of complications following immediate breast reconstruction on breast cancer recurrence rates. Br J Surg. 2016;103(4): doi: /bjs Krug E, Berg L, Lee C, et al. Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: steps towards an international consensus. Injury. 2011;42 Suppl 1:S1-12. doi: /s (11) Searle R, Myers D. An audit of Caesarean section surgical site infections with single-use negative pressure wound therapy (PICO ) in high-risk patients in England and Ireland. J Hosp Infect. 2017:2-4. doi:doi.org/ /j.jhin Wloch C, Wilson J, Lamagni T, Harrington P, Charlett A, Sheridan E. Risk factors for surgical site infection following caesarean section in England: results from a multicentre cohort study. BJOG. 2012;119(11): doi: /j x. 13. Hyldig N. Incisional negative pressure wound therapy - The clinical effect on post-caesarean wound complications in obese women. PhD Thesis Wagenaar F, Löwik CAM, Stevens M, et al. Managing persistent wound leakage after total knee and hip arthroplasty. Results of a nationwide survey among Dutch orthopaedic surgeons. J Bone Jt Infect. 2017;2: doi: /jbji Löwik CAM, Wagenaar FBM, Van der Weegen W, et al. LEAK study: design of a nationwide randomised controlled trial to find the best way to treat wound leakage after primary hip and knee arthroplasty. Bmj doi: /bmjopen Baker E, Kim B, Rattay T, et al. The TeaM (Therapeutic Mammaplasty) study: Protocol for a prospective multi-centre cohort study to evaluate the practice and outcomes of therapeutic mammaplasty. Int J Surg Protoc. 2016;1(February):3-10. doi: /j.isjp Galiano RD, Hudson D, Shin J, et al. Incisional Negative Pressure Wound Therapy for Prevention of Wound Healing Complications Following Reduction Mammaplasty. Plast Reconstr Surg Glob Open. 2018;6(e1560):1-8. doi: /gox Bouwman F, Smits A, Lopes A, et al. The impact of BMI on surgical complications and outcomes in endometrial cancer surgery--an institutional study and systematic review of the literature. Gynecol Oncol. 2015;139(2): doi: /j.ygyno Weenders SGM, Nijhof MW, Schimmel JJP, Goosen JHM. Debridement, antibiotics and implant retention in early periprosthetic joint infection after primary total hip arthroplasty : 88 percent survival after two years follow-up. Acta Orthop Belg. 2016;82(3): doi: /hipint Jacobs AME, Bénard M, Meis JF, van Hellemondt G, Goosen JHM. The unsuspected prosthetic joint infection. Bone Joint J. 2017;99-B(11): doi: / x.99b11.bjj r Hester T, Mahmood S, Moftah F. Is Single Use Portable Incisional Negative Pressure Wound Therapy System Suitable for Revision Arthroplasty? Adv Orthop Surg. 2015;2015:Artice ID , 4 pages. doi: /2015/

12 Page 12 of 13 NPWT Expert meeting, April, Karlakki SL, Hamad AK, Whittall C, Graham NM, Banerjee RD, Kuiper JH. Incisional negative pressure wound therapy dressings (inpwt)in routine primary hip and knee arthroplasties: A randomised controlled trial. Bone Jt Res. 2016;5(8): doi: / bjr R Nherera LM, Trueman P, Karlakki SL. Cost-effectiveness analysis of single-use negative pressure wound therapy dressings (snpwt) to reduce surgical site complications (SSC) in routine primary hip and knee replacements. Wound Repair Regen. 2017;(in press). doi: /wrr

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