may 8-11, 2019 florence italyitaly

15th AAGLInternational Congresson Minimally Invasive Gynecologyin affiliation with

XIV Congresso NazionaleSpecial Edition

Società Italiana di Endoscopia Ginecologica

PresidentsPresidentsMassimo Candiani, M.D.Massimo Candiani, M.D.Marie Fidela R. Paraiso, M.D.Marie Fidela R. Paraiso, M.D.

PresidentsMassimo Candiani, M.D.Marie Fidela R. Paraiso, M.D.

Scientific Program ChairsMarcello Ceccaroni, M.D., Ph.D.Mario Malzoni, M.D.

www.aaglsegi2019.comwww.aaglsegi2019.comwww.aaglsegi2019.com

Executive DirectorExecutive DirectorLinda MichelsLinda MichelsExecutive DirectorLinda Michels

May 8-11, 2019May 8-11, 2019Florence Florence | Italy Italy

May 7, 2019 Pisa - Siena May 7, 2019 Pisa - Siena | Italy Italy

May 8-11, 2019 Florence | Italy

May 7, 2019 Pisa - Siena | Italy

Under the auspices of:

SOCIEDAD IBEROAMERICANADE ENDOSCOPIA GINECOLOGICA

E IMAGENOLOGIA

Dear Friends, We are proud to invite you to a�end the 15th AAGL Interna�onal Congress on Minimally Invasive Gynecologic Surgery in affilia�on with SEGi to be held in Florence, Italy from May 8 to May 11, 2019.SEGi, the Italian Society of Gynecologic Endoscopy, will hold a special edi�on of its 2019 Annual Mee�ng in partnership with the AAGL. The “Surgical Renaissance in Minimally Invasive Gynecology Worldwide Congress”— or “WOW”—will be an unprecedented event in its field.Florence is considered one of the most charming ci�es on the planet, rich with history and amazing interna�onal cultural events all year round. We expect to have a tremendous number of physicians from all over the world interested in a�ending our event. Our vision is to present a congress that promises to provide the best from our past, as well as the exci�ng technology of our future. Unique opportuni�es will include the use of the same fi�eenth century surgical suites that Leonardo da Vinci used to dissect the human body.We are working hard to offer an excep�onal program that covers the latest informa�on on the many aspects of Minimally Invasive Gynecologic Surgery (MIGS) and we are excited to announce that we shall have the most outstanding speakers and renowned surgeons from around the world who will share and discuss their latest achievements in research and techniques. This will be a three-day event packed with a very busy schedule that will include live surgery, a laparoscopic keynote dissec�on on cadaver from the Leonardo da Vinci anatomical theatre, keynote lectures, satellite symposia, and wide space for free communica�ons. Ample �me will be given to discussions to allow in-depth interac�ons with the audience.We are also happy to offer the opportunity to a�end Pre-Congress courses which will be held in Siena and Pisa on May 7 and in Florence on May 8 and will focus on skills and modern techniques in MIGS, Surgical Anatomy and Diagnos�c Ultrasound.With major emphasis on the most relevant and cu�ng-edge science and innova�on in the field of MIGS, the scien�fic agenda will specifically cover the following main topics:

Marcello Ceccaroni Mario Malzoni Massimo Candiani Marie Fidela R. ParaisoScientific Program Chairs Presidents of the Congress

15th AAGL INTERNATIONAL CONGRESS ONMINIMALLY INVASIVE GYNECOLOGYin affiliation with the XIV CONGRESSONAZIONALE SEGi: SPECIAL EDITION

• Surgical Anatomy• Endometriosis• Hysteroscopy• Laser Surgery in Gynecology

Don’t miss this great opportunity, join us in Florence!

• Minimally Invasive Surgery for Gynecologic Cancer• Pelvic Floor Surgery• Robo�cs and Minimally Invasive Surgery• Vaginal Access in Minimally Invasive Surgery

www.aaglsegi2019.com

Scientific Program Chairs

Marcello CeccaroniMario Malzoni

Scientific Program Presidents

Massimo CandianiMarie Fidela R. Paraiso

InternationalMeeting Liaison Committee

Leila AdamyanJaime AlbornozJubilee BrownMassimo CandianiMarcello CeccaroniJon EinarssonFranklin D. LofferMario MalzoniAlberto MatteiMarie Fidela R. ParaisoFelice PetragliaShailesh PuntambekarEnrico VizzaErrico Zupi

National Scientific Committee

Valentino BergaminiStefano CalzolariCarlo De AngelisAntonio MaioranaRenato Seracchioli

Congress Executive Director

Linda Michels

Committees

2

Mauricio AbrãoLeila AdamyanArnold AdvinculaCarolina AforsJaime AlbornozMasaaki AndouRoberto AngioliIstvan ArgayStavros AthanasiouPere N. BarriValentino BergaminiGiuseppe BifulcoLinda BradleyJubilee BrownFrancesco BruniAlessandro BudaMauro BusaccaGiuseppe CampagnaStefano CalzolariFederica CampoloMassimo CandianiMichel CanisGiuseppe CaritiFrancisco CarmonaPaolo CasadioJvan CasarinFrancesco CataniaUrsula CatenaMarcello CeccaroniGabriele CentiniVito CelaMauro CervigniFernando C. Paredes ChávezAntonio ChianteraVito ChianteraEttore CicinelliEttore CittadiniRoberto ClariziaHenri Clavé

Sao Paulo, BrazilMoscow, RussiaNew York, NY, USALondon, UKSantiago, ChileOkayama, JapanRome, ItalyStrasbourg, FranceAthens, GreeceBarcelona, SpainVerona, ItalyNaples, ItalyCleveland, OH, USACharlotte, NY, USANegrar, VR, ItalyMilan, ItalyMilan, ItalyRome, ItalyFlorence, ItalyTourin, ItalyMilan, ItalyClermont Fd., FranceFlorence, ItalyBarcelona, SpainBologna, ItalyOxford, UKMontevarchi, AR, ItalyRome, ItalyNegrar, VR, ItalySiena, ItalyPisa, ItalyRome, ItalyGuadalajara, MexicoNaples, ItalyPalermo, ItalyBari, ItalyPalermo, ItalyNegrar, VR, ItalyNice, France

Nicola ColacurciBarbara CostantiniCarlo De AngelisGiuseppe De FrancescoManuel A. L. De la TorreAlessandra Di GiovanniAttilio Di Spiezio SardoJon I. EinarssonAlfredo ErcoliCaterina ExacoustosFrancesco FanfaniLuigi FedeleGustavo FernandesLuis Flavio FernandesSimone FerreroMario FranchiniVictor M. García GallegosValerio GallottaFabio GhezziSalvatore Gueli AllettiStefano GreggiGrigoris GrimbizisGiampietro GubbiniStefano GuerrieroMete GüngörNassir HabibKathy HuangRosanne Marie KhoJoerg KecksteinPhilippe KoninckxYacup KumtepeDomenico IuzzolinoGabriele LanzoLucia LazzeriTed Teh Min LeeNucelio LemosDonatella LippiFranklin D. LofferJavier F. Magrina

Naples, ItalyRome, ItalyRome, ItalyNaples, ItalyGuadalajara, MexicoAvellino, ItalyNaples, ItalyBoston, MA, USAMessina, ItalyRome, ItalyRome, ItalyMilan, ItalySao Paulo, BrazilSao Paulo, BrazilGenoa, ItalyFlorence, ItalyGuadalajara, MexicoRome, ItalyVarese, ItalyRome, ItalyNaples, ItalyThessaloniki, GreeceBologna, ItalyCagliari, ItalyIstanbul, TurkeyMantes Lajolie, FranceNew York, NY, USAPhoenix, AZ, USAVillach, AustriaLeuven, BelgiumErzurum, TurkeyAvellino, ItalyBiella, ItalySiena, ItalyPittsburgh, PA, USAToronto, ON, CanadaFlorence, ItalyPhoenix, AZ, USAPhoenix, AZ, USA

Tentative list of Faculty

3

Antonio MaioranaFrancisco J.H. MalervaMario MalzoniGiambattista MassiAlberto MatteiDaniele MautoneIvan MazzonLiliana MereuMichele MeschiaGaby MoawadAndrea MogliaLudovico MuziiLuigi NappiPier Luca NarducciWendel NaumannMustafa OuaidKemal ÖzerkanMarie Fidela R. ParaisoFelice PetragliaMassimiliano PellicanoMarc PossoverShailesh PuntambekarAndrea PuppoBenoit RabischongMarianna RasileHenry ReichValentino RemorgidaAdriana Kleemann RodríguezArmando RomeoJuan C. Cantón RomeroCristiano RossittoGiovanni RoviglioneStefano SalvatoreLuca SavelliGiovanni ScambiaSergio SchettiniRenato SeracchioliMaurizio SeratiAntonio Setubal

Palermo, ItalyGuadalajara, MexicoAvellino, ItalyFlorence, ItalyFlorence, ItalyNegrar, VR, ItalyRome, ItalyTrento, ItalyMilan, ItalyWashington DC, USAPisa, ItalyRome, ItalyFoggia, ItalyPerugia, ItalyCharlotte, NC, USACasablanca, MorocBursa, TurkeyCleveland, OH, UsaFlorence, ItalyNaples, ItalyZurich, SwitzerlandPune, IndiaMondovì (CN), ItalyClermont Fd, FranceAvellino, ItalyNew York, NY, USAGenoa, ItalyGuadalajara, MexicoSao Paulo, BrazilGuadalajara, MexicoRome, ItalyNegrar, VR, ItalyMilan, ItalyBologna, ItalyRome, ItalyPotenza, ItalyBologna, ItalyMilan, ItalyLisbon, Portugal

Ayşe SeyhanFabrizio SignoreTommaso SimonciniMarco SoligoEugenio SolimaJonathon SolnikAssia StepanianAnna StepniewskaMilind Arvind TelangOnur TopçuMarco TorellaGiuseppe TrojanoMireille TruongStefano UccellaGürkan UncuBülent UrmanAnastasia UssiaPaolo VercelliniMichele VignaliJuan D. Echeverri VillegasEnrico VizzaArnaud WattiezJohnny YiVanna ZanagnoloMarco A. López ZepedaErrico Zupi

Istanbul, TurkeyGrosseto, ItalyPisa, ItalyMilan, ItalyMilan, ItalyToronto, ON. CanadaAtlanta, GA, USANegrar, VR, ItalyPune, IndiaAnkara, TurkeyNaples, ItalyMatera, ItalyTBABiella, ItalyBursa, TurkeyIstanbul, TurkeyRome, ItalyMilan, ItalyMilan, ItalyPereira, ColombiaRome, ItalyDubai, UAEPhoenix, Az, USAPalermo, ItalyGuadalajara, MexicoSiena, Italy

Tentative list of Faculty

4

DAY AT A GLANCE

Diagnostic Ultrasound and Hysteroscopy in GynecologyStaging-Imaging Roadtrip for Pelvic and Abdominal

Lesions Mapping

Theoretical and Practical Course on Vaginal Surgeryand Pelvic Floor Reconstruction

LIPS: Surgical Skills & Suturing Techniques

Laparoscopic Hysterectomy from A to Z

Endometriosis: The Everlasting Challenge

Hotel Garden Siena, Tuesday 7 May PG COURSES

08.30 am04.30 pm

Upgrade in Robotic Gynecological Surgery

University of Pisa, Tuesday 7 May PG COURSES

08.30 am05.00 pm

C1

C3

C2

C4

C5

D1

08.30 am05.00 pm

08.30 am - 05.30 pm

TUESDAY 7 MAY

Scientific Agenda

SIENA DAY • Venue: Hotel Garden Siena

PG COURSE - C1. Diagnostic Ultrasound in Gynecology and Endometriosis Diagnosis and Presurgical Staging- Imaging Roadtrip for Pelvic and Abdominal Lesions Mapping.Faculty: U. Catena, A. Di Giovanni, A. Di Spiezio Sardo, C. Exacoustos,M. Franchini, A. Garcia, G. Grimbizis, S. Guerriero, L. LazzeriImaging is a crucial part of gynaecological practice. Gynaecologists performing endoscopic surgery should be able to perform gynecological ultrasound to diagnose benign and malignant diseases. The course aims to provide the necessary knowledge and practical skills to become a gynaecological ultrasound practitioner. The programme consists of brief lectures and hands-on-training sessions using transvaginal simulators, PC stations and ultrasound machines.

6

08.30 am - 08.50 am Registration and Opening of the Session08.50 am - 09.10 am Tips & Tricks for Volume Acquisition of 3D in Gynecology - C. Exacoustos09.10 am - 09.20 am The Essentials of Diagnostic Hysteroscopy - U. Catena09.20 am - 09.40 am Uterine Malformations and Classifications - G. Grimbizis

10.10 am - 10.20 am Ultrasound for Myometrial Pathologies: A Pictorial Reviews - A. Di Giovanni10.20 am - 10.30 am The Hysteroscopic Approach to Adenomyosis - G. Grimbizis

10.50 am - 11.10 am Sonohysterography and Intrauterine Lesions: When Water is NeededL. Lazzeri

11.10 am - 11.20 am Hysteroscopical Approach to Istcmocele - M. Franchini11.20 am - 11.40 am Hysteroscopy Prior to IVF - C. De Angelis11.40 am - 12.10 pm Present and Future Ultrasonographic Techniques for Analyzing

Ovarian Masses - S. Guerriero

12.10 pm - 12.30 pm Ultrasonographic Pain Mapping in Endometriosis - C.Exacoustos

12.30 pm - 01.00 pm Tip and Tricks in Office Hysteroscopy - C. Di Spiezio Sardo

02.00 pm - 05.30 pm HANDS-ON - Hysteroscopy and Ultrasound Practical Session

10.30 am - 10.50 am Break

01.00 pm - 02.00 pm Light Lunch

09.40 am - 10.10 am The Role of Hysteroscopy in the Diagnosis of Congenital MalformationsC. De Angelis

08.30 am - 06.30 pm

TUESDAY 7 MAY

Scientific Agenda

SIENA DAY • Venue: Hotel Garden Siena

Faculty: K. Afors, I. Argay, F. Campolo, G. Centini, N. Habib, G. Lanzo,B. Rabishong, K. Lustosa, D. Ramos, M. Viera, R. Luna

Chairs: A. Romeo, G. CentiniPG COURSE - C2. LIPS: Surgical Skills and Suturing Techniques

Training Supervisor Gladiator Rule Knot Tying: Armando Romeo

10.50 am - 11.00 am HANDS-ON - Stitch in Camembert + Z Line + Greek Line

- Monomanual Knot-Tying with Right Hand Dominant in Lateral Position

- Monomanual Technique with Left Hand Dominant with Right Hand in Suprapubic Trocar;

- Monomanual Technique with Right Hand Dominant in Suprapubic Trocar;

- Bimanual Tecnique (Left and Right Dominant Hands) Knot Tying: The final Step for Safe and Fast Knot Tying in Intracorporeal Technique

02.00 pm - 06.00 pm Full Immersion Hands on Gladiator Rule Technique:Romeo’s Gladiator Rule - Gladiator Team Faculty

06.00 pm - 06.30 pm Suturing Challenge: The 20 Knots Sequences with Mono (Right Hand orLeft Hand Dominant) and Bimanual Technique Both Dominant Hands

06.30 pm End of the Session

10.30 am - 10.50 am Break

01.00 pm - 02.00 pm Light lunch

11.00 am - 12.00 pm HANDS-ON - Stitching Sequences: The Crazy Camembert12.00 pm - 01.00 pm Intracorporeal Mono Manual and Bimanual Knot-Tying Technique:

What’s the Best Surgeon Knots? Safe, Unsafe and Dangerous KnotsA. Romeo- Suturing Angles, from Mono to Bimanual Technique: Is It the Future in Educational Training and Live Procedure in Laparoscopy? - D. Ramos

- The Romeo’s Gladiator Rule: Easy Knot Tying-Techinique in 5 Steps K. Lustosa, M. Viera

08.30 am - 09.00 am Suturing Principle09.00 am - 09.30 am The Perfect Stitch09.30 am - 10.30 am HANDS-ON - Loading the Needle

7

TUESDAY 7 MAYSIENA DAY • Venue: Hotel Garden Siena

8

Welcome, Introduction and Course Overview - M. Candiani08.30 am - 08.45 amFunctional Anatomy of the Pelvic Floor from a Laparoscopic and aVaginal Approach - A. Ercoli

08.45 am - 09.10 am

Classification of Pelvic Floor Disorders - M. Parma09.10 am - 09.35 amWhich are the Grey Areas for Choosing the Right Surgical Approach?S. Salvatore

09.35 am - 10.00 am

08.30 am - 04.30 pm PG COURSE - C3. Theoretical and Practical Course on Vaginal Surgery and Pelvic Floor ReconstructionChairs: M.Candiani, R.M. Kho, S. SalvatoreFaculty: S. Athanasiou, V. Bergamini, G. Campagna, A. Ercoli,M. Meschia, M. Serati, M. Soligo, M. Torella, S. UccellaThis course covers the basics of laparoscopic and vaginal procedures for the treatment of pelvic floor dysfunctions. It aims to exchange knowledge, skills and experience between surgeons that prefer one or the other approach. Both laparoscopy and vaginal surgery are characterized by minimally invasiveness and, ideally, a pelvic surgeon should have a portfolio of surgical procedures that would include both of them. The course tries to illustrate the tips and tricks of the most common procedures of vaginal and laparoscopic procedure with a final practical part with pelvic trainers.

Cistoscopy: Why We Should be Familiar with it - M. Torella10.00 am - 10.25 amStep by Step Vaginal Hysterectomy with Included Procedures to PreventFuture Prolapse - R.M. Kho

10.25 am - 10.50 am

Step by Step Laparoscopic Hystrectomy with Included Procedures toPrevent Future Prolapse - S. Uccella

10.50 am - 11.15 am

Step by Step Vaginal Repair of Vault Prolapse - S. Athanasiou11.15 am - 11.40 amStep by Step Laparoscopic Repair of Vault Prolapse - G. Campagna11.40 am - 12.05 pmStep by Step Vaginal Repair of Anterior Vaginal Prolapse with NativeTissue and Mesh Surgery - M. Meschia

12.05 pm - 12.30 pm

Questions & Answers12.30 pm - 01.15 pmLight lunch01.15 pm - 02.00 pm

Scientific Agenda

Step by Step Laparoscopic Repair of Anterior Vaginal ProlapseV. Bergamini

02.00 pm - 02.25 pm

Step by Step Vaginal Repair of Posterior Vaginal Prolapse withNative Tissue - M. Soligo

02.25 pm - 02.50 pm

ARE YOU SURE

YOU CANNOT

DO IT BETTER ?


9

Scientific Agenda

Step by Step Laparoscopic Repair of Posterior Vaginal Prolapse - A. Ercoli02.50 pm - 03.15 pm

Selecting the Right Sling for the Right Patient for Stress UrinaryIncontinence - M. Serati

03.15 pm - 03.40 pm

Questions & Answers03.40 pm - 04.30 pm


08.30 am - 05.00 pm PG COURSE - C4. Laparoscopic Hysterectomy from A to Z

Laparoscopic hysterectomy is nowadays the gold standard to remove the uterus and despite being considered an easy procedure, it encompasses a lot of variances and requires specific competences to be performed safely. The objectives of the course are to provide the participant basic knowledge to perform a safe procedure and at the same time an overview of the different techniques and tools

Chairs: M. Busacca, M. Canis, J. Einarsson, A. Mattei, G. Scambia,E. Solima, M. Vignali

08.30 am - 09.00 am Opening

09.20 am - 09.40 am Preoperative Work-up: Indications and Limits - L. Lazzeri09.40 am - 10.00 am TLH: Standard Technique - F. Catania

10.00 am - 11.00 am Round Table: To Manipulate or not to Manipulate. This is the ProblemM. Canis, J. Keckstein, E. Solima

09.00 am - 09.20 am Anatomy for Hysterectomy: All You Need to Know - G. Centini

10

Scientific Agenda

02.00 pm - 02.20 pm The Big Uterus: When the Size Matters - M. Vignali

03.00 pm - 03.20 pm Total vs Subtotal: The Unsolved Debate - E. Zupi

03.20 pm - 04.00 pm Power Morcellation: Where do We Stand?M. Canis, J. Einarsson, F. Signore

02.20 pm - 03.00 pm Ovaries: Take It or Leave It - J. Einarsson, P. Koninckx, E. Solima

04.40 pm - 05.00 pm Questions & Answers

04.00 pm - 04.40 pm Round Table: This is My Weapon and WhyM. Busacca, A. Mattei, B. Rabischong

11.20 am - 11.40 am Primary Devascularization - I. Argay

12.20 pm - 12.40 pm Vaginal Closure: Does it Make a Difference? - A. Mattei

11.40 am - 12.20 pm Stepwise Debate on Laparoscopic HysterectomyJ. Einarsson, P. Koninckx, A. Wattiez

11.00 am - 11.20 am Break

12.40 pm - 02.00 pm Light lunch


08.30 am - 05.00 pm PG COURSE - C5. Endometriosis: The Everlasting Challenge. From Accurate Diagnosis to Appropriate Medical and Surgical Treatment

This course provides an overview of the most recent and contemporary approaches for deep endometriosis, from diagnosis to treatment and the relation between endometriosis and cancer.Course ObjectivesAt the conclusion of this activity, the participant will be able to:think about deep endometriosis as a specific disease; recognize the best pre-operative strategy to diagnose deep endometriosis; define the best way to treat endometriosis in infertile patients; become aware of new minimally invasive approaches to treating adenomyosis; become familiar of the relationship between endometriosis and cancerunderstand the current state of the surgical treatment of urinary tract and bowel endometriosis.

11

Chairs: M. Abrão, P. Koninckx, M. Malzoni, A. Wattiez

08.30 am - 08.45 am Welcome, Introduc�on and Course Overview

10.50 am - 11.15 am Deep Endometriosis and Infer�lity: When Surgery is Indicated?A. Setubal

10.25 am - 10.50 am Endometriosis and Infer�lity: Which is the Road Map - L. Muzii

10.00 am - 10.25 am Surgical Strategies Today and Tomorrow: Laparoscopic vs Robo�cSurgery: What is the Evidence? - F. Bruni

09.10 am - 09.35 am Pre-opera�ve Diagnosis: an Essen�al Tool to Define the SurgicalStrategy. US Evalua�on of Pelvic and Abdominal Disease ExtensionA. Di Giovanni

08.45 am - 09.10 am Anatomic Landmarks for the Surgical Treatment of Deep EndometriosisL.F. Fernandes

Chairs: M. Abrão, M. Malzoni

09.35 am - 10.00 am Pre-opera�ve Diagnosis: An Essen�al Tool to Define the SurgicalStrategy. IDEA Project and other Imaging Techniques: Which and WhenS. Guerriero

Scientific Agenda


12

11.15 am - 11.40 am Endometriomas: Minimizing the Ovarian Damage - M. Candiani

11.40 am - 12.05 pm Deep Endometriosis and Pain: When Surgery is Indicated? - J. Keckstein

12.05 pm - 12.30 pm Nerve Sparing: Is this Feasible? - V. Remorgida

12.30 pm - 01.15 pm Ques�ons & Answers

04.05 pm - 05.00 pm Ques�ons & Answers

01.15 pm - 02.00 pm Light Lunch

02.00 pm - 02.25 pm Adenomyosis: Current Treatment and Laparoscopic Alterna�vesR.M. Kho

02.25 pm - 02.50 pm Urinary Tract Endometriosis: Therapeu�c Strategies - R. Seracchioli

03.15 pm - 03.40 pm Unraveling Deep Endometriosis: New Paradigms for an Old DiseaseM. Abrão

03.40 pm - 04.05 pm Extrapelvic Endometriosis, a Rare En�ty or an Under DiagnosedCondi�on? - F. Carmona

02.50 pm - 03.15 pm Surgical Strategies for Bowel Endometriosis - M. Malzoni

Chairs: P. Koninckx, A. Wa�ez

Scientific Agenda

08.30 am - 05.00 pm PG COURSE - D1. Upgrade in Robotic Gynecological Surgery

08.00 am - 08.30 am Introduction and Course Overview

08.30 am - 09.00 am Myomectomy: What You Should Know about Myomectomy to do aGood Surgery - A. Advincula

09.00 am - 10.00 am LIVE SURGERY: Hysterectomy, Tips and Tricks - V. Cela

10.00 am - 10.15 am Questions & Answers

10.15 am - 10.45 am Robotic Sentinel Limph Node Sampling with IGG - L. Mereu

10.45 am - 11.15 Why Choose SS in Robotic Surgery: Indications and Techniques - E. Vizza

11.15 am - 12.15 pm LIVE SURGERY: Sacralcolpopexy: Robotic Surgical Strategies inPelvic Defects - T. Simoncini


12.30 pm - 01.00 pm Radical Hysterectomy: Surgical Technique and Anatomical LandmarksV. Zanagnolo

Chairs: A. Advincula, V. Cela, E. Vizza

TUESDAY 7 MAYPISA DAY • Venue: Robotics Multidisciplinary Center for Surgery University of Pisa

Robotic surgery is still the most innovative and effective alternative to surgery performed with classical technique. The Course is aimed at surgeons who have already gained experience in using this technology. Consequently, the training project has the objectives of:

Deepen the basic technological knowledge, including the problems related to the organization of the operating room, the medical and paramedical staffImprove the manual skills to use the robotAnalyze possible complications and discuss the related treatments.At the end of the course, the participant surgeon will have increased the technical capacity in the use of robotic machine for the surgical treatment of:MyomectomyReconstruction of pelvic floor defectsSimple and radical hysterectomy

13

Scientific Agenda

01.00 pm - 01.30 pm How to Avoid Complications During Robotic Surgery - J.F. Magrina

02.30 pm - 05.00 pmHands on Session with Robot and with SimulatorV. Cela, A. Moglia

Station 1 - Dry LabStation 2 - Robotic SimulatorStation 3 - Virtual Reality: Hysterectomy

TRAINING SESSION

01.30 pm - 01.45 pm Questions & Answers01.45 pm - 02.30 pm Lunch

TUESDAY 7 MAYPISA DAY • Venue: Robotics Multidisciplinary Center for Surgery University of Pisa

14

Scientific Agenda

DAY AT A GLANCE

Opening Ceremony

General Assembly

PRE CONGRESS DAYFlorence - Palazzo dei Congressi, Wednesday 8 May

Brea

kout

Roo

ms ISSA Theoretical Basic and Advanced, Intensive Course

on Laparoscopic Surgical Anatomy for Abdomino Pelvic Surgery09.00 am01.00 pm

ISSA Practical Basic and Advanced, Intensive Handson Cadaveric Course on Laparoscopic Surgical Anatomy

for Abdomino-Pelvic Surgery with 3D Technology

01.30 pm05.30 pm

Basic and Advanced Courseon Robotic Surgical Anatomy for Abdomino-Pelvic Surgery

01.30 pm05.30 pm

05.45 pm06.45 pm

07.00 pm08.30 pm

Sala 3

Sala 5

Sala 6

B1

B2

B4

Olimpic Games

Romeo’s Gladiator Rule Technique Performing Safe Knots onCadaverlab with Mono and Bimanual Techniques: What’s the

Easier, Safer and Faster?

09.30 am05.00 pm Sa

la 4Sa

la 1 Cadaveric Course on NeuropelveologicalProcedures and Techniques

08.00 am06.00 pm

09.00 am06.00 pm Sa

la 2

ToscanaSimposio

B5

B3

02.30 pm05.30 pm Sa

la 7

PRE CONGRESS COURSES DAY

WEDNESDAY 8 MAY

FLORENCE • Venue: Palazzo dei Congressi

16

Scientific Agenda

B3. Cadaveric Course on Neuropelveological Procedures andTechniques: A Systematic Approach to the Diagnosis and Managementof Complex Pelvic Pain and Pelvic Neuropathies

08.00 am - 06.00 pm

Chairs: V. Chiantera, N. Lemos

This Live Dissection and Theoretical course will provide a thorough understanding of pelvic neuroanatomy, neurophysiology and the neural pathways involved chronic pelvic and perineal pain and their implications for an effective, anatomic and etiologically-based, diagnosis and treatment. With a didactic strategy of practical and theoretical information running in parallel, with simultaneous projections of the theory and corresponding live cadaveric dissections, this course will integrate and organize knowledge that is currently scattered in medical literature, providing a practical use for pelvic neuroanatomy in clinical and surgical practice.

08.00 am - 08.15 am Welcome, Introduction and Course Overview - V. Chiantera, N. Lemos

10.00 am - 10.30 am Break

08.15 am - 09.00 am Neuropelveology: A New Groundbreaking Area in MedicineM. Possover

09.00 am - 10.00 am Principles of Nerve-Sparing Surgery - Didactic and Parallel Live Dissection

At the conclusion of this activity, the participant will be able to:

Discuss pelvic neuroanatomy on a practical-surgical level, by meansof integrated theoretical concepts in parallel to cadaveric dissectionsIncorporate a practical, anatomy-based systematization of theapproach to chronic pelvic pain into their daily practiceApply the concepts and guidelines for the treatment ofnerve-entrapment syndromes

•

•

•

•

Part I: Somatic Nerves of the Pelvic and Abdominal WallDidactic: N. LemosLive Dissection: V. Chiantera, B. Rabischong

BREAKOUT ROOMSALA 1

WEDNESDAY 8 MAY


02.00 pm - 02.20 pm Strategies for Systematic Approach to Refractory Pelvic Pain PatientsM. Possover

02.20 pm - 02.40 pm Intrapelvic Nerve Entrapments: Definition and Diagnosis - G. Fernandes

02.40 pm - 03.00 pm Treatment of Endometriosis of the Pelvic Sidewall and Sacral PlexusV. Chiantera

03.00 pm - 03.20 pm Perioperative Care in Neuropelveology: Management of PostDecompression Pain - N. Lemos

04.30 pm - 04.50 pm The LION Possover Procedure for the Rehabilitation of SpinalCord-Injured People - M. Possover

04.50 pm - 05.10 pm Perioperative Care in Neuropelveology: Rehabilitation of SCI Patientsbefore and after the LION- Possover Procedure - G. Fernandes

05.10 pm - 05.30 pm A Step-by-Step Guide to Learning Neuropelveology - M. Possover


06.00 pm Adjourn


12.30 pm - 02.00 pm Lunch

04.00 pm - 04.30 pm Break

10.30 am - 12.00 pm Principles of Nerve-Sparing Surgery. Didactic and Parallel Live Dissection• Part II: Nerves Involved in Visceral and Pelvic Floor Control

Didactic: N. Lemos Live Dissection: V. Chiantera, B. Rabischong

17


Scientific Agenda

WEDNESDAY 8 MAY

18


Scientific Agenda

The "SEGI Olimpic Games" is a session dedicated to the Residents in OB&GYN who have chosen a training path oriented towards minimally invasive surgery.Each team will be composed of 3 residents from the same school of specialization.The games will take place in a single day, Wednesday, May 8, at the congress venue, and will include these tests:• Identification of anatomical structures• Exercises at the pelvic trainer under the guidance of tutors• Knowledge of surgical techniques and armamentarium

No team will be eliminated and prizes are awarded for all teams; the award ceremony will take place on the occasion of the closing ceremony of the congress.

There is no registration fee to participate in the SEGi Games for all residents who are registered in the congress.

09.00 am - 06.00 pm SEGi OLIMPIC GAMESBREAKOUT ROOM

SALA 2

BREAKOUT ROOMSALA 2

WEDNESDAY 8 MAY

19


Scientific Agenda

09.00 am - 01.00 pm B1. How to Escape from the Pelvic Labyrinth: ISSA Theoretical Basicand Advanced, Intensive Course on Laparoscopic Surgical Anatomyfor Abdomino-Pelvic SurgeryChairs: M. Ceccaroni, S. Puntambekar

Faculty: M. Ceccaroni, R. Clarizia, T.T.M. Lee, J.F. Magrina,S. Puntambekar, G. Roviglione, P.N. Barri, S. Uccella

Laparoscopic surgery for benign and deeply infiltrative diseases represents complex challenges for pelvic surgeons. Instructors from the International School of Surgical Anatomy (ISSA) of Verona, Italy will provide participants a comprehensive overview of the pelvic anatomy and guidance on how to navigate the retroperitoneal space and structure. These approaches will help surgeons to formulate a well strategized treatment plan leading to optimal surgical outcomes.

At the conclusion of this course, the participant will be able to:1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection for basic, intermediate and advanced procedures;2) Discuss laparoscopic surgical techniques to enter and expose avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vessels and their relations to the ureter and retroperitoneal structures;3) Review the principles of a nerve-sparing;4) Provide step-by- step dissection of the uterine artery and the pelvic ureter related to gynecologic retroperitoneal procedures (i.e. big uteri, intraligamentary myomas, deep endometriosis and gynecologic cancers).

09.30 am - 09.55 am Laparoscopic Surgical Anatomy of a Safe Hysterectomy Step-by-stepP.N. Barri

09.00 am - 09.05 am Welcome, Introduction and Course Overview

09.05 am - 09.30 am Laparoscopic Surgical Anatomy of the Pelvis and Retroperitoneum:What We Need to Know for a Safe Surgery - S. Uccella

BREAKOUT ROOMSALA 3

WEDNESDAY 8 MAYFLORENCE • Venue: Palazzo dei Congressi

20

Scientific Agenda

10.45 am - 10.55 am Questions & Answers


01.00 pm Adjourn

10.55 am - 11.10 am Break

09.55 am - 10.20 am Laparoscopic Surgical Anatomy of Parametrial Ligaments for a Safe andTaylored Radical Hysterectomy - S. Puntambekar

10.20 am - 10.45 am Laparoscopic Surgical Anatomy of Retroperitoneum for a Safe Pelvicand Para-Aortic Lymphadenectomy - G. Roviglione

11.10 am - 11.35 am Laparoscopic Surgical Anatomy of Anterior Compartment (Bladder,Ureters, Ligaments): Tips and Tricks for a Safe Pelvic SurgeryR. Clarizia

11.35 am - 12.00 pm Laparoscopic Surgical Anatomy of Posterior Compartment (Uterine andRectal Ligaments, Douglas Pouch): Tips and Tricks for a Safe Pelvic SurgeryT.T.M. Lee

12.00 pm - 12.25 pm Laparoscopic Surgical Anatomy of Visceral and Somatic PelvicInnervation for a Safe and Nerve-Sparing Radical Pelvic SurgeryM. Ceccaroni

12.25 pm - 12.50 pm “Retroperitoneum is Your Best Friend”: How Can Anatomy Help theSurgeon in Preventing Complications - J.F. Magrina

WEDNESDAY 8 MAY

21

Chair: A. Romeo

09.30 am - 02.00 pm B5. Romeo’s Gladiator Rule Technique Performing Safe Knots onCadaverlab with Mono and Bimanual Techniques: What’s the Easier,Safer and Faster ?

Suturing is a turning point towards Advanced Laparoscopic Surgery. Combination of the correct stitch and knot-tying can be responsible for the success of a complex surgery. Appropriate rules make difficult things easy. The Romeo’s Gladiator Rule put suturing at the hands of all laparoscopists. The knowledge acquired by Romeo’s Gladiator School explain which knots are safe and unsafe or dangerous and how to perform them.This course provides a broad comprehension about the art of laparoscopic suturing, mixing theory and practice.

Faculty: F. Campolo, U. Catena, L.F. Fernandes, G. Lanzo, R. Luna,K. Lustosa, L. Puyacan, D. Ramos, A. Romeo, M. Vieira

BREAKOUT ROOMSALA 4

09.30 am - 09.45 am Welcome, Introduction and Course OverviewChair: A. Romeo

09.45 am - 10.45 am What’s the Best Surgeon Knot? Safe, Unsafe and Dangerous Knots inLaparoscopy: How to Teach? The New Knots Classificationin Laparoscopy - A. Romeo

10.45 am - 11.15 am Romeo’s Gladiator Rule: The Universal Knot Tying Technique Monoor Bimanual? What’s the Best and the Faster? - L.F. Fernandes

11.15 am - 11.45 am The Theory of the Perfect Stitch - M. Viera

11.45 am - 12.15 pm Loading of the Needle - R. Luna


12.45 pm - 02.00 pm Lunch

At the conclusion of this activity, the participant will be able to:1) identify safe, unsafe and dangerous knots;2) perform bimanual knot tying following the Romeo’s Gladiator Rule.3) Loading the needle and stitching with both hands and supra pubic route.

Scientific Agenda


WEDNESDAY 8 MAY

22

Scientific Agenda


Romeo’s Gladiator Knot Tying Technique with Right Dominant KnotTying Hand from Lateralports

02.00 pm - 03.00 pm Knot-Tying Warm Up on Cadaver: The Suturing Angles

03.00 pm - 05.00 pm All Possible Suturing Applications on Cadaver Anatomical TissuesParticipants Requested

02.00 pm - 05.00 pm Mono and Bimanual Suturing Technique Application on Cadaver.All Faculty Gladiator Team

Knot Tying Technique with Right Hand Dominant in Supra Pubic Portand the Assistant in Left Hand Port

Knot Tying with Left Dominant Hand and Right Assistant Handin Supra Pubic Trocar

Knot Tying with Both Dominant Hands: Bimanual Technique

WEDNESDAY 8 MAY

23

Scientific Agenda


01.30 pm - 05.30 pm B2. How to Escape from the Pelvic Labyrinth: ISSA Practical Basic andAdvanced, Intensive Hands-On Cadaveric Course on LaparoscopicSurgical Anatomy for Abdomino-Pelvic Surgery with 3D Technology

Following the principles taught in the International School of Surgical Anatomy (ISSA), this hands-on cadaveric course will provide a step-by-step surgical approach to the pelvic viscera, retroperitoneal avascular spaces and pelvic ureters. Emphasis will be put upon identi-fying anatomical landmarks, including surgical principles and techniques to enter the retroperitoneal avascular spaces.Instruction on techniques for gentle tissue handling to avoid bleeding,proper traction, counter-traction, sharp and blunt dissections while preventing vascular, urinary, bowel and nervous complications. Special care will be given to nerve-sparing techniques during laparoscopicdissection, with demonstration of main pathways of visceral and somatic pelvic innervation. This course includes cadaveric specimen with intact uteri and cervix using laparoscopic instrumentation.

At the conclusion of this course, the participant will be able to:1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection;2) Apply laparoscopic surgical techniques to enter and expose the avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vasculature and their relations to the ureter and intraperitoneal structures;3) Illustrate the step-by-step dissection of the pelvic ureter and pelvic-nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery.

Chairs: M. Ceccaroni, S. Puntambekar

Faculty and Course Supervisors: M. Ceccaroni, M.F.R. Paraiso,S.P. PuntambekarFaculty: J. Albornoz, F. Bruni, R. Clarizia, K. Huang, T.T.M. Lee,D. Mautone, A. Puppo, G. Roviglione, P.N. Barri, J.D. Villegas-Echeverri

BREAKOUT ROOMSALA 5

WEDNESDAY 8 MAY

24

Scientific Agenda


01.30 pm - 01.35 pm Welcome, Introduction and Course Overview - M. Ceccaroni

03.35 pm - 03.50 pm Break

05.15 pm - 05.30 pm Questions & Answers - Adjourn

01.35 pm - 03.35 pm LAB I: Hands-on Laparoscopic Dissection of Uterus, Adnexa, ParametrialLigaments and Lateral Pelvic Sidewall: Tips and Tricks to Perform SafeLaparoscopic Hysterectomy and Adnexal Surgery

03.50 pm - 05.15 pm LAB II: Hands-on Laparoscopic Dissection of Posterior Compartmentand Pelvic Nerves

WEDNESDAY 8 MAY

25

01.30 pm - 05.30 pm B4. Basic and Advanced Course on Robotic Surgical Anatomy forAbdomino-Pelvic Surgery

Chairs: A.Advincula, J.F. Magrina

Guest Faculty: V. Chiantera, J. Yi, M. Truong, V. Zanagnolo

As our understanding of robot-assisted surgery has grown, so have the applications, technological innovations and potential complications. To optimize surgeon performance and patient outcomes, this 4 hour hands-on workshop is designed to provide attendees with an intensive in-depth analysis of the various surgical components of today’s currently used robotic surgical platforms. Subsequently the appropriate gynecolo-gic applications will be reviewed along with their respective surgical nuances. An emphasis will be made on anatomical relationships as well as dissection and suturing techniques relative to specific procedures performed within a cadaveric model.

Learning Objectives:At the conclusion of this activity, the participant will be able to:1) Perform safe peritoneal access and strategic trocar placement during robotic surgery;2) demonstrate safe and efficient docking approaches3) acquire increased knowledge of retroperitoneal pelvic and aortic anatomy4) acquire various tips and tricks for managing and minimizing the risks of complications in robot-assisted laparoscopy5) formulate strategies for navigating difficult pelvic anatomy.


Scientific Agenda

BREAKOUT ROOMSALA 6

26

WEDNESDAY 8 MAYFLORENCE • Venue: Palazzo dei Congressi

Scientific Agenda

01.30 pm - 01.35 pm Welcome, Introduction and Course Overview - A. Advincula

02.00 pm - 02.25 pm Robot-assisted Laparoscopic Myomectomy (with 4th Arm) - A. Advincula

02.50 pm - 03.15 pm Robot-Assisted Laparoscopic Pelvic Reconstruction - J. Yi

03.55 pm - 04.20 pm Retroperitoneal Aortic Anatomy and Lymphadenectomy - V. Zanagnolo

04.20 pm - 04.45 pm Robotic Upper Abdominal Anatomy and Surgery - V. Zanagnolo

04.45 pm - 05.10 pm The Senhance Robotic System: Applications and Technique - TBA

03.30 pm - 03.55 pm Robotic Diaphragm Resection: Endometriosis and MetastatesJ. Magrina

03.15 pm - 03.30 pm Questions and Answers

05.10 pm - 05.30 pm Questions and Answers

05.30 pm Adjourn

02.25 pm - 02.50 pm Robot-Assisted Laparoscopic Hysterectomy (for the Large Uterus)M. Truong

01.35 pm - 02.00 pm Retroperitoneal Pelvic Anatomy - V. Chiantera

WEDNESDAY 8 MAY

27


Scientific Agenda

Simposio SEGi Toscana02.00 pm - 05.30 pm

BREAKOUT ROOMSALA 7

05.45 pm - 06.45 pm SEGi General Assembly

OPENING CEREMONY07.00 pm - 08.30 pm

DAY AT A GLANCE

Symposium on: Ultra Radical Minimally Invasive Surgeryfor Gynecologic Oncology

Live Hysteroscopic Surgery

GYNECOLOGIC ONCOLOGYFlorence - Palazzo dei Congressi, Thursday 9 May

Surgical Renaissance of Skills & Techniques in Gynecologic Oncology

Break

Welcome Address

Keynote Lecture: The Discovery of the Woman and the Developmentof Gynecological Surgery: Art & Medicine

Keynote Lecture: The Emerging Role of Minimally-Invasive Approachesin Gynecologic Oncology

Keynote Lecture: Neuropelveology: A New GroundbreakingArea in Medicine

Cadaveric Keynote Live Dissection

Live Surgery

08.30 am09.00 am

09.00 am09.30 am

09.30 am10.00 am

10.00 am11.00 am

11.00 am02.30 pm

02.30 pm03.00 pm

03.00 pm03.30 pm

03.30 pm06.00 pm

06.00 pm07.30 pm

03.30 pm06.00 pm

03.00 pm05.00 pm

Mai

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Symposium on: Ultra Minimally Invasive Surgery: Is it Really Minimal?

Selected Abstracts: Video Session

Selected Abstracts: Oral Session

Video Workshop on Gynecologic Oncology

Sala 2

Sala 1

Sala 3

Sala 4

Sala 5

Satellite Symposium: Changing the Paradigms in Minimally InvasiveSurgery for Benign Disease

04.30 pm06.00 pm Sa

la 6

Symposium: IGCS Session05.30 pm07.00 pm Sa

la 7

08.30 am - 09.00 am Welcome Addresses & Opening Sessions Speech

09.00 am - 09.30 am Keynote Lecture: The Discovery of the Woman and the Developmentof Gynecological Surgery: Art & Medicine - D. Lippi

09.30 am - 10.00 am Keynote Lecture: The Emerging Role of Minimally-Invasive Approachesin Gynecologic Oncology - G. Scambia

02.30 pm - 03.00 pm Keynote Lecture: Neuropelveology: A New Groundbreaking Area inMedicine - M. Possover

03.00 pm - 03.30 pm Break

11.00 am - 02.30 pm Plenary SessionChairs: S. Greggi, J.F. Magrina, G. ScambiaLive Transmission from Rome - University Hospital Policlinico A. GemelliSurgeons: B. Costantini, F. Fanfani, S. Puntambekar, E. Vizza

03.30 pm - 06.00 pm Main SessionSurgical Renaissance of Skills and Techniques in Gynecologic Oncology

Cadaveric Keynote Dissection from Leonardo’s Anatomical TheatreM. CeccaroniLive from Santa Maria Nuova Hospital - Florence

10.00 am - 11.00 am “Learning Never Exhausts the Mind” Evolution of Surgical Anatomy500 Years after Leonardo Da Vinci

03.30 pm - 03.50 pm “When you’re a Stranger”: Risks and Safety in Management of SuspiciousAdnexal and Uterine Masses - R. Seracchioli

Chairs: M. Candiani, M. Malzoni, L. Michels, M.F. Paraiso

Chairs: P.N. Barri, K. Huang, M.F.R. ParaisoDiscussant: A. Mattei

03.50 pm - 04.10 pm Tracing the Path for Survival: Sentinel Lymph-Node Mapping inGynecologic Cancers - S. Uccella

04.10 pm - 04.30 pm Tracing the Highways for Survival: Challenges and Techniques in Pelvicand Para-Aortic Lymphadenectomy - A. Ercoli

Chairs: J. Brown, S. Gueli Alletti

THURSDAY 9 MAY

GYNECOLOGIC ONCOLOGY


29

Chair: B. Rabischong

MAIN HALL

06.00 pm - 07.30 pm Main SessionHysteroscopic Surgery: Live Transmission from Florence Santa MariaNuova HospitalChairs: C. De Angelis, G. Gubbini, A. StepanianSurgeons: S. Calzolari, A. Di Spiezio Sardo, G. Gubbini, I. Mazzon

30

04.50 pm - 05.10 pm Rise and Falls of Laparoscopic Radical Hysterectomy: Updates, Facts andControversies - W. Naumann

05.10 pm - 05.30 pm Passing the Borders: Bravery, Vision and Techniques for MIS inGynecologic Cancers - M. Andou

05.30 pm - 05.50 pm “Luck Helps the Bold”: How to Face Complications in MIS forGynecologic Cancers - J.F. Magrina

05.50 pm - 06.00 pm Discussion

04.30 pm - 04.50 pm The “Perfect Storm”: Surgical Anatomy and Different Classes of RadicalHysterectomy for Cervical Carcinoma - M. Malzoni

THURSDAY 9 MAY



This session provides a video-based experience in ultra-radical minimally invasive surgery for gynecologic oncology. Experienced minimally invasive gynecologic surgeons will present and discuss their videos demonstrating their techniques for resection of gynecologic malignancies which on first view appear impossible to perform by minimally invasive surgery. This will be a very interactive session with tips and tricks provided, which will help you to successfully approach complex cases. Even if you don’t “push the envelope”, this video experience and the provided tips and tricks will help you further refine your own techniques.

03.00 pm - 05.00 pm Satellite SymposiumUltra-Radical Minimally-Invasive Surgery for Gynecologic Oncology:Crossing the BoardersChairs: S. Greggi, J.F. MagrinaFaculty: M. Ceccaroni, I.J. Einarsson, M. Malzoni

BREAKOUT ROOMSALA 5

At the conclusion of this session, the participant will be able to:1) comprehend that complex and radical procedures can be completed in a minimally invasive fashion;2) learn tips and tricks to approach complex cases and how to prepare for them;3) apply techniques to safely accomplish difficult radical cases “pushing the envelope”.

THURSDAY 9 MAY



31

03.00 pm - 03.05 pm Welcome, Introductions and Course Overview - J. Magrina

03.05 pm - 03.25 pm Radical Hysterectomy with Ureterectomy and Nefrectomy for MassiveEndometriosis Infiltration at Pelvic Sidewall - M. Malzoni

03.25 pm - 03.45 pm Resection of Transmural Rectal Endometriotic Nodule and IntracorporalClosure. Management of Frozen Pelvis with Large Injury to the CecumI.J. Einarsson

03.45 pm - 04.05 pm Robotic Resection of Bulky Aortic Nodes and Vena CavaRobotic Diaphragm Resection for Ovarian Cancer J. Magrina

04.25 pm - 04.45 pm Totally Laparoscopic Nerve-Sparing Posterior Pelvic Exenteration withRetrograde Hysterectomy and Ureteral Resection and Reimplantationfor Synchronous Endometrial and Ovarian Cancer Associated to DeepInfiltrative Endometriosis - M. Ceccaroni

04.45 pm - 05.00 pm Questions & Answers05.00 pm Adjourn

04.05 pm - 04.25 pm TBD

THURSDAY 9 MAY



32

03.30 pm - 06.00 pm Satellite SymposiumSelected Abstract Presentations: Video SessionChairs: D. Mautone, M. Rasile

03.30 pm - 06.00 pm Satellite SymposiumSelected Abstract Presentations: Oral SessionChairs: D. Iuzzolino, M. Pellicano

BREAKOUT ROOMSALA 3

BREAKOUT ROOMSALA 4

03.55 pm - 04.10 pm Minilaparoscopy as Diagnostic and Therapeutic Tool for Infertile PatientsD. Romualdi

04.10 pm - 04.30 pm Minimally and Ultra Minimally-Invasive Surgery and Recurrent OvarianCarcinoma: Precision Oncologic Surgery - V. Gallotta

04.30 pm - 04.55 pm Minimally Invasive Surgery and Pelvic Exenteration... Two ExtremitiesMeeting Halfway - G. Vizzielli

04.55 pm - 05.10 pm Sentinel Lymph Node Technique in Gynecologic Oncology: ActualEvidence and Future Perspectives - A. Buda

05.10 pm - 05.30 pm Changing the Approach Maintaining the Technique: Can Ultra-MinimallyInvasive and Percutaneous Laparoscopy Be Introduced in the DailySurgery for Gynecologist? - C. Rossitto


03.30 pm - 06.00 pm Satellite SymposiumVideo Workshop on Gynecologic Oncology: Surgical Anatomy,Technological Evolution and Techniques

BREAKOUT ROOMSALA 1

03.30 pm - 03.55 pm How to Further Improve the Surgical Outcomes of LaparoscopicMyomectomy? - J. Casarin

03.30 pm - 06.00 pm Satellite SymposiumUltra-Minimally-Invasive Surgery: Is it Really Minimal?Chairs: F. Ghezzi, C. Rossitto

BREAKOUT ROOMSALA 2

Faculty: A. Buda, J. Casarin, V. Gallotta, D. Romualdi,C. Rossitto, G. Vizzielli

04.30 pm - 06.00 pm Satellite Symposium - Changing the Paradigms in Minimally InvasiveSurgery for Benign DiseaseChairs: J. Solnik, G. Moawad

That’s too much Screen Time! How Best to Manage the Use of Roboticsin Benign Surgery

K. Huang (Myomectomy) and G. Moawad (Endometriosis)

Moderator: M.F.R. Paraiso

What do you Mean You Want to Skip Practice Today? Does practice andSurgical Volume Translate to a Winning Game?

G. Moawad, K. Huang

Moderator: J. Solnik

You have been Coming Home too Late! Should We Make the ChangeTowards Same Day Discharge after Complex Benign Surgery?

M.F.R. Paraiso, J. Solnik

Moderator: K. Huang

THURSDAY 9 MAY



33

BREAKOUT ROOMSALA 6

05.30 pm - 07.00 pm Symposium - IGCS Session

Chairs: R. Angioli, R. KimmigFaculty: R. Angioli, F. Plotti, C. Terranova,R. Kimmig, S. Greggi

THURSDAY 9 MAY



34

BREAKOUT ROOMSALA 7 INTERNATIONAL

GYNECOLOGICCA NCER SOCIETY

05.30 pm - 05.35 pm Introduction IGCS: Present Activities and Future Directions - R. Angioli

05.35 pm - 05.50 pm Complications During Laparoscopic Surgery in Gynecologic OncologyF. Plotti

05.50 pm - 06.05 pm Results of Survey on LPS Evaluation of Ovarian CytoreductionS. Greggi

06.05 pm - 06.20 pm Early Recovery after Surgery Protocol in Gynecologic OncologyC. Terranova

06.20 pm - 06.35 pm The Role of Sentinel Lymph Node in Gynecologic Cancer - R. Angioli

06.35 pm - 06.50 pm Nerve Sparing in Gynecologic Laparoscopic Surgery - R. Kimmig


DAY AT A GLANCE

Video Workshop on Deep Endometriosis Surgery

Selected Abstracts: Video Session

Selected Abstracts: Oral Session

LAPAROSCOPYFlorence - Palazzo dei Congressi, Friday 10 May

Keynote Lecture: Embryogenesis, History and Evolution ofLaparoscopic Hysterectomy: 30 Years After

Keynote Lecture: The Journey of Uterine Transplant: The SurgicalAnatomy of Pelvic Vascularization

Live Surgery

Laparoscopy meets Vaginal Surgery

Break with the Exhibitors

Surgical Renaissance of Skills and Techniques in Endometriosis Surgery

09.00 am09.30 am

09.30 am10.00 am

10.00 am02.00 pm

02.00 pm03.00 pm

03.00 pm05.20 pm

05.20 pm07.00 pm

03.00 pm05.00 pm

Mai

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05.20 pm07.00 pm

Brea

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Roo

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Sala 1

Sala 2

Sala 3

Sala 4

Sala 5

Sala 6

Symposium on: Pelvic Anatomy

Symposium on: Hysteroscopic Surgery

Satellite Symposium

04.00 pm05.20 pm

Brea

kout

Roo

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Sala 3

Sala 2

Sala 1

Sala 4

Sala 5

Satellite Symposium

del Grupo Mexicano para el tratamiento de la Endometriosis

Symposium of the Turkish Society of Minimally Invasive Gynecology

Symposium: Safety Is the Key

09.00 am - 09.30 am Keynote Lecture: Embryogenesis, History and Evolution of LaparoscopicHysterectomy: 30 Years After - H. Reich

09.30 am - 10.00 am Keynote Lecture: The Journey of Uterine Transplant: The SurgicalAnatomy of Pelvic Vascularization - S. Puntambekar

02.00 pm - 03.00 pm Break

10.00 am - 02.00 pm Plenary SessionChair: V. BergaminiLive Transmission from Santa Maria Nuova Hospital, FlorenceSurgeons: J. Einarsson, A. Mattei, E. Solima

Live Transmission from San Raffaele Hospital, MilanChair: M.F.R. ParaisoSurgeons: M. Candiani, H. Clavè, L. Fedele, R.M. Kho

03.00 pm - 05.20 pm Main SessionSurgical Renaissance of Skills and Techniques in Endometriosis Surgery

FRIDAY 10 MAY

LAPAROSCOPY


03.00 pm - 03.20 pm Ultrasound Navigation through Pelvic Endometriotic AnatomicalDistortion: Tracing the Road Map for Proper and Safe Surgical StrategyA. Di Giovanni

Chairs: J. Albornoz, P.N. Barri

03.20 pm - 03.40 pm The “Perfect Harmony” between Surgery and Medical Treatment for DIEP. Vercellini

03.40 pm - 04.00 pm “Heat can Treat”: Radiofrequency Thermal Ablation for ConservativeTreatment of Uterine Adenomyosis - G. Roviglione

04.00 pm - 04.20 pm Tackling Hysterectomy in the Setting of Endometriosis - T.T.M. Lee

04.20 pm - 04.40 pm Unfreezing a Frozen Pelvis: Strategies for Approaching SevereEndometriosis of Anterior and Posterior Compartment - M. Malzoni

04.40 pm - 05.00 pm Nerve-Sparing Radical Surgery for Deep Endometriosis: Its Time hascome? - M. Ceccaroni


36

Chairs: M. Ceccaroni, M. Malzoni

MAIN HALL

37

FRIDAY 10 MAY

LAPAROSCOPY


05.20 pm - 07.00 pm

Evidence for Hysterectomy with Different Approaches and NewTechnologies - M. Cervigni

Learning Curves for Laparoscopic and Vaginal HysterectomyR.M. Kho

Trying to Identify the Limits of Vaginal Hysterectomy - M. Candiani

A New Vaginal Perspective - H. Clavè

Why Laparoscopy Instead of Vaginal Surgery for Uterine Prolapse?S. Athanasiou

Discussion and Round Table to Finalize a Consensus Document

Main SessionLaparoscopy meets Vaginal Surgery. First Round: HysterectomyChair: M. Candiani

05.20 pm - 05.35 pm

05.35 pm - 05.50 pm

05.50 pm - 06.05 pm

06.05 pm - 06.20 pm

06.20 pm - 06.35 pm

06.35 pm - 07.00 pm

MAIN HALL

38

03.00 pm - 05.00 pm Satellite Symposiumdel Grupo Mexicano para el tratamientode la Endometriosis

Clínica de Endometriosis en Hospital San Javier Guadalajara, Jalisco, México. ¿Cómo Nació Nuestra Clínica?. Programa de CooperaciónInternacional entre ISSA SCHOOL (Italia) y Clínica de EndometriosisHospital San Javier (México) - Programa Robin HoodM.A. López Zepeda

03.00 pm - 03.15 pm

Mi Experiencia Colaborando con un Programa de Endometriosisen Curazao - J.C. Cantón Romero

03.15 pm - 03.30 pm

Protocolo de Diagnóstico Pre-Operatorio de Endometriosis conUltrasonido. Adaptación de Protocolos Brasileño - Dr. Mauricio Abrãoe Italiano -Dr. Marcello Ceccaroni - Ospedale Sacro Cuore Negrara las Pacientes Mexicanas - V.M. García Gallegos

03.30 pm - 03.45 pm

Laparoscopía Ginecológica y de Endometriosis con Anestesia Regional(Bloqueo Epidural) + Sedación Endovenosa: Nuestra Experiencia a loLargo de 25 Años - A. Kleemann Rodríguez

03.45 pm - 04.00 pm

Protocolo de Tratamiento (Médico-Quirúrgico) de CompartimientoAnterior en Nuestra Clínica Aplicando la Filosofia de ISSA SCHOOL -Técnica Negrar - F.J. Hernández Malerva

04.00 pm - 04.15 pm

Protocolo de Tratamiento (Médico-Quirúrgico) de CompartimientoPosterior en Nuestra Clínica Aplicando la Filosofia de ISSA SCHOOL -Técnica Negrar - F.C. Paredes Chávez

04.15 pm - 04.30 pm

Correlacíon Diagnóstico-Quirúrgica Aplicando el Protocolo deDiagnóstico Pre-Operatorio con Ultrasonido y la Técnica Negrar(Filosofia de ISSA SCHOOL) en Nuestra Clínica: Resultados PreliminaresM. A. López de la Torre

04.30 pm - 04.45 pm

Sesión de preguntas - Todos los profesores04.45 pm - 05.00 pm

BREAKOUT ROOMSALA 3

FRIDAY 10 MAY

LAPAROSCOPY


FRIDAY 10 MAY

LAPAROSCOPY


39

04.00 pm - 05.20 pm Satellite SymposiumTurkish Society of Minimally Invasive Gynecology

Minimally Invasive Treatment of Fibroids - from A to ZChairs: G. Uncu, M. Güngör

Imaging the Uterus and Fibroids - 2D, 3D, US Mapping, MRIA. Seyhan

04.00 pm - 04.15 pm

Boundaries and Limitations of Laparoscopic Myomectomy whichPatients are not Suitable? - K. Özerkan

04.15 pm - 04.30 pm

Laparoscopic Myomectomy - A Reproducible and Easy Step by StepTechnique - O. Topçu

04.30 pm - 04.45 pm

Intraoperative Ultrasound to Facilitate Removal od Deep IntramuralMyomas - B. Urman

04.45 pm - 05.00 pm

Extraction of Myomas from the Abdomen - What is the Best Route?Y. Kumtepe

05.00 pm - 05.15 pm


BREAKOUT ROOMSALA 2

FRIDAY 10 MAY

LAPAROSCOPY


40

04.00 pm - 05.20 pm SymposiumSafety Is the Key

Welcome and IntroductionsAll Faculty

04.00 pm - 04.05 pm

Less Laparotomy is More - J.D. Villegas-Echeverri 04.05 pm - 04.20 pm

NOTSS (Not Technical Skills for Surgeons) - P. Fogarty04.20 pm - 04.35 pm

Safe Laparoscopic Entry - A. Mattei04.35 pm - 04.50 pm

Overcoming Barriers to MIGS - M. Wasson04.50 pm - 05.05 pm

Final Remarks - Questions & Answers - Adjourn05.05 pm - 05.20 pm

BREAKOUT ROOMSALA 1

Faculty: J.D. Villegas-Echeverri, P. Fogarty,A. Mattei, M. Wasson

05.20 pm - 07.00 pm Satellite Symposium Affiliated Society Symposium

05.20 pm - 07.00 pm Satellite Symposium Selected Abstract Presentations: Oral Session

05.20 pm - 07.00 pm Satellite Symposium Video Workshop in Deep Endometriosis Surgery

05.20 pm - 07.00 pm Satellite Symposium Selected Abstract Presentations: Video Session

BREAKOUT ROOMSALA 3

BREAKOUT ROOMSALA 4

BREAKOUT ROOMSALA 5

BREAKOUT ROOMSALA 6

05.20 pm - 07.00 pm Satellite SymposiumPelvic Anatomy from Baseline to Distortion and How to Come Back:Surgical Principles in Deep Infiltrating Endometriosis SurgeryChairs: R. Clarizia, K. Huang

05.20 pm - 07.00 pm Satellite SymposiumHysteroscopic SurgeryChairs: S. Calzolari, M.A. Telang

Ultrasound Imaging for Treatment Assessment and Targeted SaferSurgery - L. Savelli

05.20 pm - 05.35 pm

Reproductive Anatomy for Endometriosis: Surgery of the Ovaries andTubes is not that Easy! - S. Ferrero

05.35 pm - 05.50 pm

Diging under the Surface to find Landmarks: Treatment of DouglasPouch, Rectovaginal Septum and Vaginal Endometriosis - R. Clarizia

05.50 pm - 06.05 pm

“Whigs and Tories” in Bowel Surgery for Deep Endometriosis:Conservative vs Resective Approaches - P. Koninckx

06.05 pm - 06.20 pm

Normal Anatomy and Distorted Anatomy of the Anterior Compartment:Urinary Tract Endometriosis Means Parametrial Surgery - A. Puppo

06.20 pm - 06.35 pm


BREAKOUT ROOMSALA 1

BREAKOUT ROOMSALA 2

FRIDAY 10 MAY

LAPAROSCOPY


41

DAY AT A GLANCE

ENDOMETRIOSISFlorence - Palazzo dei Congressi, Saturday 11 May

Keynote Lecture: Long-Term Evolution and TreatmentStrategies for Endometriosis

Keynote Lecture: Challenges and Perspectives for theTreatment of Endometriosis

Live Surgery

Closing Remarks

09.00 am09.30 am

09.30 am10.00 am

10.00 am02.00 pm

02.00 pm02.30 pm

Mai

n Ha

ll

09.00 am - 09.30 am Keynote Lecture: Long-Term Evolution and Treatment Strategies forEndometriosis - F. Petraglia

09.30 am - 10.00 am Keynote Lecture: Challenges and Perspectives for the Treatment ofEndometriosis - M. Abrão

10.00 am - 02.00 pm Plenary SessionChairs: M. Abrão, H. Reich, L. SavelliLive Surgery from Endoscopica Malzoni, AvellinoPre-Operative Ultrasound Scan - A. Di GiovanniSurgeon: M. Malzoni

Live Surgery from IRCCS Sacro Cuore Don Calabria Hospital,Negrar (VR)Pre-Operative Ultrasound Scan - A. StepniewskaSurgeon: M. Ceccaroni

02.00 pm - 02.30 pm Closing remarks

43

Chair: M. Candiani, A. Maiorana

SATURDAY 11 MAY

ENDOMETRIOSIS

FLORENCE • Venue: Palazzo dei CongressiMAIN HALL

The Congress Venue: Fiera Congress Center

Arriving by plane

PiazzaAdua

Fiera Congress CenterPiazza Adua, 150123 Firenze

GENERAL INFORMATION

The International Florence Airport "Amerigo Vespucci” (IATA code – FLR) is only 4 km away from the Florence city centre and can be easily reached by taxi or with the Ataf/Sita ‘Vola in Bus’ shuttle service, connecting the airport to the main railway station of Santa Maria Novella in just 15-20 minutes. The International Airport of Pisa "Galileo Galilei” (IATA code- PSA) is located 80 km from the city centre of Florence and is connected to the Tuscan capital by train (every hour) and by Terravision bus (full flight coverage with 18 return journeys). Arriving by trainThe main railway station of Santa Maria Novella is located two minutes away on foot from the entrance of the Fair & Congress Center, and from the central reception of Firenze Fiera, on the ground floor of Palazzo degli Affari. The other two railway stations (Rifredi and Campo di Marte) are at a ten-minute distance from the central railway Station of Santa Maria Novella, or connected to it through local trains and city buses.Arriving by carFlorence is well connected with the main Italian cities, thanks to the Italian motorway network, thus making it easier to get to the city centre, where the fair & congress center is located.

44

GENERAL INFORMATION

EACCME® CreditsAn application will be made to the EACCME® (European Accreditation Council for Continuing Medical Education) for the CME accreditation of this event.American Medical Association (AMA)Through an agreement between the European Union of Medical Specialist and the American Medical Association,physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 Credits™. Information on the process to convert EACCME credit to AMA credit can be found at :www.ama-assn.org/go/internationalcme

Invitation letterThe Congress Secretariat will send you a letter of invitation upon request.The Organizing Committee would like to clearly state that the letter is only to help the participant to obtain the visa or to raise travel funds and has no further financial obligations from the Conference towards the participant.The Congress Secretariat will only send you the letter of invitation after receipt of your registration and payment.

InsuranceThe Organizers cannot accept liability for personal accidents, and/or loss of and/or damage to private property of participants, either during or directly arising from the AAGL- SEGi 2019 Congress. Participants should arrange their own health and travel insurance for their trip.

VISAA valid passport is required for non-EU citizens for entry into Italy. An identity card is sufficient for citizens of EU Member States.Please consult the Consulate nearest to you for special details.

RegistrationRegistration Fee includes access to all sessions, refreshments , certificate of attendance, congress KIT,CME credits.Cancellation must be made in writing to the Congress Secretariat by March 31, 2019. A full minus € 100 processing fee will be made upon written cancellation. No refund will be made after this date.Hotel AccommodationWe strongly advise all participants to reserve hotel accommodation as soon as possible in order to benefit from the special rates.Group ReservationFor group reservation please contact the Organizing Secretariat at [email protected]

LanguageThe official language of the Congress will be English. All abstract submissions and presentations should be in English. Educational CreditsFor Italian physicians only - Il Congresso sarà accreditato dal Provider n.836 Bluevents srl ai fini dell'Educazione Continua in Medicina

45

REGISTRATION FEES

46

REGISTRATION FEES(VAT 22% included)

International AAGL SEGiCongress Only - May 8-11

from April 1until May 5On/Before

A1. Physicians € 580,00 € 650,00 € 750,00

A4. Students € 250,00 € 300,00 € 350,00

B1 + B2 € 2.000,00 € 2.200,00 € 2.500,00

A2. Physicians SEGi, ESGE& AAGL Members

€ 480,00 € 550,00 € 650,00

B1. How to escape from thePelvic Labiyrinth: ISSATheoretical basic and advanced,Intensive Course on LaparoscopicSurgical Anatomy for AbdominoPelvic Surgery

€ 1.000,00 € 1.100,00 € 1.200,00

B2. How to escape from thePelvic Labiyrinth: ISSAPractical basic and advanced,Intensive Course on LaparoscopicSurgical Anatomy for AbdominoPelvic Surgery with 3D Technology

€ 1.500,00 € 1.600,00 € 1.700,00

B5. Romeo’s Gladiator Rule

Technique Performing Safe Knots on

Cadaverlab with Mono and Bimanual

Techniques: What’s the Easier,

Safer and Faster ?

€ 1.200,00 € 1.400,00 € 1.600,00

B4. Basic and Advanced Courseon Robotic Surgical Anatomy forAbdomino Pelvic Surgery

€ 400,00 € 500,00 € 600,00

B3. Cadaveric Course onNeuropelveologic Procedures andTechniques

€ 1.200,00 € 1.400,00 € 1.600,00

A3. Residents, trainees& nurses*

€ 350,00 € 400,00 € 500,00

March 31 from May 6 On site

Pre Congress CoursesFlorence May 8

from April 1until May 5On/Before March 31 from May 6 On site

Early Registration Late RegistrationStandardRegistration

* Proof of Resident, Nurse, Student status is mandatory. The registration form must be accompanied by documentation or a letter from the Department Head, confirming the status.

Please email to: [email protected]

REGISTRATION FEES

47

REGISTRATION FEES(VAT 22% included)

Pisa Day - May 7 from April 1until May 5On/Before

D1. Upgrade in RoboticGynecological Surgery

€ 400,00 € 450,00 € 500,00


Siena Day - May 7 from April 1until May 5On/Before

C1. Diagnostic Ultrasound andHysteroscopy in GynecologyStaging-Imaging Roadtrip forPelvic and Abdominal LesionsMapping

€ 380,00 € 420,00 € 480,00

C2. Surgical Skills and SuturingTechniques

€ 380,00 € 420,00 € 480,00

C4. Laparoscopic Hysterectomyfrom A to Z

€ 380,00 € 420,00 € 480,00

Residents € 200,00 € 240,00 € 300,00

Congress + 1 Pre CongressCourse **

FEES ARE VAT 22% INCLUDED

15% discount 10% discount 5% discount

C1 - C2 - C3 - C4 - C5 from April 1until May 5On/Before March 31 from May 6 On site

C3. Theoretical and PracticalCourse on Vaginal Surgery andPelvic Floor

€ 380,00 € 420,00 € 480,00

C5. Endometriosis:The everlasting challenge. Fromaccurate Diagnosis to appropriateMedical and Surgical Treatment

€ 380,00 € 420,00 € 480,00


Early Registration Late RegistrationStandardRegistration

PCO & CME PROVIDER ID 836

[email protected]

Contact

may 8-11, 2019 florence italyitaly

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