MAGS SURGICAL UPDATE

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1 Department of Obstetrics & Gynaecology Minimal Access Gynaecology Surgery Unit presents the MAGS SURGICAL UPDATE 4 & 5 AUGUST 2017 RSVP - Willie Myburgh wmyb@sun.ac.za Inquiries: - Dr Viju Thomas vthomas@sun.ac.za

2 Chairs: Dr Viju Thomas (Program Director MAGS) Prof Igno Siebert (Program Co-director) Unit Fellows Dr Annelize Barnard (Fellow in Minimal Access Gynaecological Surgery) Dr Gerhard Hanekom (Fellow Reproductive Medicine) Dr Mmaselemo Tsuari (Fellow Reproductive Medicine) Invited Speakers Prof Thinus Kruger Dr Johan van der Wat Dr Abri de Bruin Prof Robert Soeters Dr Pieter Kruger / Dr Steven Jeffrey Dr Sulaiman Heylen Dr Femi Olarogan Dr Douglas Dumbrill Dr Paul Le Roux -Outgoing president of SASREG Dr Johannes Van Waart - Outgoing president of SASOG Dr Danie Botha - Newly elected president of SASREG Guest Speakers: Elnette Botha - Miss Deaf Africa 2012 Katherine du Plooy Endometriosis Warrior Advocate Grace Goedhart - Medicolegal expert Dr Eileen Thomas - Psychiatrist working with chronic pelvic pain patients Dr Judith Whittaker - Pathologist in private practice Dr Aaron Ndhluni - Colorectal surgeon in private practice Dr Razaan Davis - Radiologist with an interest in endometriosis Dr Tim Forgan - Colorectal Surgeon

3 MAGS UNIT SURGICAL UPDATE 4 AUGUST 2017 INTERMEDIATE LEVEL LAPAROSCOPIC SUTURING DAY & SUTURING Red Cross Surgical Skills Training Centre The champion wins a sponsored ticket to Malzoni endometriosis congress in Naples in September Spaces are limited to 16 people. Please book your spot. R per delegate 5 AUGUST 2017 ENDOMETRIOSIS SYMPOSIUM Vincent Palloti Hospital Do you manage endometriosis in your practice? Come and join us in discussing the advances in current management. Engage with experts from all over the country. The program is filled with dynamic and tantalizing tit-bits of knowledge and experience. Space is limited to 60 delegates. Currently only 41 spaces left. Full day R 750 per delegate RSVP - Willie Myburgh wmyb@sun.ac.za INQUIRIES - Dr Viju Thomas vthomas@sun.ac.za

4 MAGS UNIT SURGICAL DAY 04 AUGUST :00-8:15 WELCOME AND REGISTRATION REVISION: RECALLING THE BASICS 08:15-10:15 Intra-corporeal laparoscopic suturing technique Learn the principles of intermediate level laparoscopic suturing. The lesser extra-corporeal suture :) Is there any role for this suture? How this suture can change your daily practice. 10:15-10:45 TEA 10:45-11:15 Taming the needle. (It s like golf, all in the wrist!) Needle control, positioning and applied tissue-needle dynamics. We demonstrate how to make those difficult, angled, vertical and horizontal sutures. 11:15-13:00 Working with tissue and applying the above lessons on real tissue. The small and large bowel, working with bowel, the principles: Dr Tim Forgan, a trained laparoscopic colo-rectal surgeon will take you through this session. Principles and caveats of dealing with a bowel injury. Candidates will work on bovine bowel tissue and be guided by the faculty on the repair. 13:00-13:45 LUNCH 13:45-15:00 For the advanced pelvic surgeon: Tackling difficult suturing. Pearls from visiting endoscopic surgeons (Of course preparing you for the suturing competition) 15:00-16:00 Urological injuries Bladder injuries are cites as the most common major injuries at Laparoscopic hysterectomy Suturing the bladder will be taught and simulated with bovine bladder (or equivalent)

5 (16h00-17h00) Win a return flight to attend the Malzoni Endometriosis Congress in Naples, Italy September 2016 Prof I Siebert Dr V Thomas Dr A de Bruin Prof A Numanoglu

6 MAGS UNIT ENDOMETRIOSIS SYMPOSIUM 5 AUGUST :00-08:15 REGISTRATION 08:15-08:30 INTRODUCTION & WELCOME Prof Igno Siebert 08:30-09:00 LET S LISTEN TO OUR PATIENTS Chair: Dr Viju Thomas 08:30-08:45 My experience with endometriosis Elnette Botha 08:45-09:00 A patient s message Katherine du Plooy 09:00-10:30 LITIGATION IN ENDOSCOPY & ENDOMETRIOSIS Chair: Dr Viju Thomas 09:00-09:30 How to protect yourself from litigation Advocate Grace Goedhart 09:30-09:45 The cost of medico-legal protection and endoscopy Dr Johannes Van Waart 09:45-10:00 A medico-legal case report with audience participation Dr Annelize Barnard 10:00-11:30 MEDICAL TREATMENT OF ENDOMETRIOSIS Chair: Prof Igno Siebert 10:00-10:15 Frozen - Just let it go! Dr Eileen Thomas 10:15-10:30 Managing endometriosis in the teenager Dr Gerhard Hannekom 10:30-10:45 Dienogest 2mg. Analysis of follow-up studies Dr Paul le Roux 10:45-11:00 The role of medical management following surgery Dr Femi Olarogan 11:00-11:30 TEA

7 11:30-13:00 THE PRE-OPERATIVE WORKUP, GETTING IT RIGHT Panel: Dr Danie Botha & Prof Igno Siebert An approach to staging and surgical planning for endometriosis. Each unit will present their staging and surgical planning 11:30-11:50 Sigmoidoscopy and transvaginal ultrasound, my experience. Dr Abri De Bruin 11:50-12:10 Virtual colonography, our tool of choice. Dr Johan van der Wat 12:10-12:30 The ultrasound diagnosis of endometriosis Dr Douglas Dumbril 12:30-12:50 The Tygerberg Hospital experience Dr Viju Thomas & Dr Razaan Davis 12:50-13:00 Panel discussion and questions 13:00-13:45 LUNCH 13:45-15:00 ENDOMETRIOSIS & FERTILITY Chair: Dr Danie Botha 13:45-14:00 Introducing the new ESHRE & SASREG guidelines Dr Danie Botha 14:00-14:15 The role of oocyte freezing in endometriosis Dr Sulaiman Heylen 14:15-14:30 Excisional surgery and fertility in DIE Dr Abri de Bruin 14:30-14:45 Caveats in approaching the endometrioma for fertility Prof Igno Siebert 14:45-15:00 Discussion

8 15:00-16:00 VIDEO SESSION Chair: Prof Igno Siebert 15:00-15:10 Aggressive to the disease but sparing to function Dr Abri De Bruin 15:10-15:20 A surgical approach to the frozen pelvis, tips and tricks Dr Viju Thomas 15:20-15:30 Complications & management of DIE resection Dr Aaron Ndluni 15:30-15:40 Bowel surgery for deep infiltrative endometriosis Dr Aaron Ndhluni 15:40-15:50 Endometriosis and the urinary tract, our experience Dr Stephen Jeffrey / Dr Pieter Kruger 15:50-16:00 Discussion 16:00-16:30 ENDOMETRIOSIS AND CANCER Chair: Dr Abri de Bruin 16:00-16:10 A case report & lessons learnt Dr Mmaselemo Tsuari 16:10-16:20 Risk factors for cancer in endometriosis Prof Robbert Soeters 16:20-16:30 A pathologist s experience with endometriosis and cancer Dr Judith Whittiker 16:30-17:00 COLLABORATIVE AND RESEARCH IN ENDOMETRIOSIS (CARE) Chair: Prof Thinus Kruger 16:30-16:40 A new staging system for endometriosis Dr Johan van der Wat 16:40-16:50 The need for a new data collection system Prof Thinus Kruger 16:50-17:00 CARE (Collaboration And Research in Endometriosis) Dr Viju Thomas 17:00 Conclusion Prof Igno Siebert & Dr Viju Thomas

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