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Eacts Academy Specialist Courses Chest Wall Diseases

28 - 30 November 2012 - Windsor, United Kingdom

Dear Colleagues,

The Chest Wall Diseases Course of the EACTS Academy was held successfully on November the 28-30th, 2012 at the EACTS House in Windsor, United Kingdom.

Fifteen invited faculty from 10 countries, all experts in the field of chest wall diseases, presented their work and shared their experience with the 17 participants from 8 countries. Nine sessions were held in 3 days, including 5 sessions for congenital chest wall deformities, 1 session for thoracic outlet syndrome, 1 session for chest wall resection – reconstruction and trauma, 1 session for sternal dehiscence, and 1 session for various challencing case (video) presentations.

The first day of the course that was spared for the treatment of pectus excavatum (PE), started with the introduction speech of Professor Mustafa Yuksel, who was also the coordinator of the course. The first session was chaired by Professor Jean-Marie Whilm and Dr. Yuksel. As the first speaker of the session, Dr. Whilm presented the historical aspects on the surgery of PE, followed by Professor Hans Pilegaard presenting the thoracic surgeon’s aspect on minimally invasive repair of PE (MIRPE). Following him, Asc. Professor Michael Goretsky gave his speech on the pediatric surgeon’s aspect on MIRPE. Afterwards, Doctor Vladimir Kuzmichev spoke about the math-modelling of MIRPE, as the last speaker of the session.

Following the coffee break, the second session which was chaired by Professor Jose Ribas Milanez de Campos and Professor Pilegaard, started with the speech of Dr. Kuzmichev on the alternative techniques of MIRPE (without stabilizers). Dr. Goretsky gave the next two speeches, first one on the surgical treatment in asymmetrical PE, then on the pain control in MIRPE (epidural or intravenous?). The last speaker of the session was Dr. Milanez de Campos, and he gave a lecture on when and how to remove the bars in MIRPE.

After the lunch, the last session of the day, chaired by Dr. Goretsky and Dr. Pilegaard, started. Dr. Pilegaard gave a speech on the unexpected situations in MIRPE, followed by Dr. Wihlm, presenting his surgical technique for the patients with flaring ribs. As the third speaker of the session Dr. Goretsky shared his experience on Vacuum Bell assisted MIRPE. He was followed by Dr. Milanez de Campos who shared his experience with a cardiac perforation during MIRPE. The last speaker of the day was Dr. Kuzmichev who spoke about the comorbidities during MIRPE.

In the evening, a dinner for the invited faculty and the participants was held at The Green Olive Restaurant. Everyone enjoyed the Greek Cypriot Mezes in a cosy atmosphere.

The second day of the course started with the session on treatment of pectus carinatum (PC) which was chaired by Dr. Goretsky and Ass. Professor Korkut Bostanci. The first speaker of the session was Dr. Yuksel presenting his own technique on the minimally invasive repair of PC (MIRPC). Following him Dr. Wihlm shared his experience on the surgical treatment in pectus arcuatum (PA) using Stratos. The next speaker was Dr. Bostanci giving a speech on the surgical treatment in PA (using resorbable co-polymer). Dr. Pilegaard then gave a lecture on various techniques in the correction of PC. The last speaker of the session was Dr. Goretsky, sharing his experience on the brace therapy in PC.

Following the coffee break, the second session which was chaired by Dr. Pilegaard and Dr. Wihlm started with the speech of Dr. Goretsky on the scoliosis and pectus deformities (which one to treat first?). Dr. Pilegaard then gave a lecture on the combined surgical interventions with MIRPE. The next speaker was Dr. Wihlm and he shared his experience with the Poland syndrome management, followed by Dr. Yüksel sharing his experience with the Jeune syndrome management. The last speaker of the session was Dr. Milanez de Campos, and he gave a speech on the sternal cleft and Cantrell pentalogy management. Following him Dr. Yuksel also shared his experience on a sternal cleft case.

The lunch break was followed by the last session of the second day on the treatment of thoracic outlet syndrome (TOS), chaired by Dr. Milanez de Campos. The first speaker was Doctor Gregor Kocher giving a speech on the supraclavicular approach in TOS. He was followed by Professor Mario Claudio Ghefter, giving two lectures in a row, the first one on the Brazilian experience in TOS and the second one on his personal experience in the minimally invasive surgery in TOS. Following him Dr. Yuksel presented two videos on the bar removal in MIRPE as the last speaker of the day.

In the evening, a dinner for the invited faculty and the participants was held at La Taverna Restaurant. Everyone enjoyed the Italian food and wine.

The last day of the workshop started with a session on the chest wall resection and reconstruction, chaired by Professor Claude Deschamp and Dr. Wihlm. Dr. Deschamp presented his experience on which prosthesis to use and when for the chest wall reconstruction. Following him Dr. Wihlm gave his speech on the chest wall reconstruction using Stratos. As the last speaker of the session Professor Federico Rea presented his experience on the sternal reconstruction with cadaveric sternum.

Following the coffee break the second session of the day, on sternal dehiscence, started with the presentation of Doctor Maria Pia Tocco. She shared her experience on vacuum assisted closure (VAC) in sternal dehisecence with the participants. Following her Dr. Yuksel gave a speech on surgical treatment using Stratos. Professor Ralph Schmid then shared his experience on surgical treatment using MatrixRib, both for cancer and trauma patients. The last speaker of the session was Doctor Matthias Müller and he shared his own experience on surgical treatment using Talon.

After the lunch break the last session of the course, chaired by Doctor Kalliopi Athanassiadi and Dr. Deschamp, started. Dr. Deschamps gave a speech on MIRPE in adults. He was followed by Dr. Schmid, Dr. Tocco, Dr. Wihlm, Dr. Athanassiadi, Dr, Rea and Dr Yuksel presenting various challenging cases. These cases with chest wall diseases were discussed by all the invited faculty and the participants.

Following the last presentations, the three-day course which had been held in high academic level and included complex academic debates, had succeeded to an end. Dr. Yuksel, the coordinator, gave a closing speech, summarizing the course and thanking the invited faculty, the participants. He also thanked EACTS, and especially Louise McLeod and Kathy McGree for their flawless organisation.
 











CWIG - EACTS ACADEMY SPECIALIST COURSES
CHEST WALL DISEASES
28 - 30 November 2012 - Windsor, United Kingdom