HIGHLIGHTS IN HERNIA SURGERY DHA-CME approved 0139/10 – 18 Credit Hrs

The 1st International GCC Hernia Surgery Congress A Mid-Term Congress of Asia-Pacific Hernia Society (APHS) 28th - 30th of April 2010

INTERCONTINENTAL FESTIVAL CITY Dubai, United Arab Emirates

Welcome Messages

Dear colleagues and friends…

It gives me great pleasure to invite you to Dubai for the 1st International GCC Hernia Surgery Congress, a Mid-Term Congress of Asia-Pacific Hernia Society (APHS) that will be held from 28th – 30th of April 2010 in Dubai, United Arab Emirates.

The scientific committee has put on the program hot topics of interest in hernia surgery. We hope that all presentations and discussions will contribute to improvement and standardization in the field of hernia surgery. International experts are expected to share their experience with surgeons from GCC countries during this 3 days congress. Latest results of research and clinical trials shall be resumed and discussed in open forum. Live surgeries will be transmitted to the auditorium on the first congress day.

The organizing committee would also like to encourage all of you to submit your papers to be included in free paper presentation. The deadline for submission is the 15th of March 2010.

Needless to mention that Dubai is a city you must have visited. As one of the most booming and fastest growing cities in the world Dubai offers multiple superlatives. Take the opportunity to stay for more than 3 days and visit numerous attractions in and around Dubai.

Dubai is a located in between Europe and Asia. It is therefore well connected to all major cities in Europe and Asia-Pacific region by direct flights. Dubai offers a huge range of 5star hotels with excellent facilities able to make your stay in UAE a memorable and comfortable one.

Looking forward to meeting you in Dubai

Rolf Hartung

Congress President President of GCC Hernia Society www.apherniagcc.com

Dear Colleagues and Members of APHS

It is a great honor and privilege to take this opportunity to invite and welcome all of you to the first spring meeting of our society.

The 1st International GCC Hernia Surgery Congress that will be held in Dubai from April 28th to 30th 2010 will be an occasion for all the surgeons interested in abdominal wall and hernia surgery to get together and exchange knowledge among them and with worldwide experts.

APHS boosts more than 800 members from 16 Asia-Pacific countries and to bring together all the members to share experience, idea and friendship is one of the missions of our society; this is mainly to keep surgeon’ members from our region abreast with new surgical techniques and development like biomaterials up to the latest bio-absorbable meshes. These have completely changed our practice with new and different options for the abdominal wall surgery and at the end with a great benefit for the patients. We should remember that hernia repair is one of the most common procedures in our daily practice and hernia management and treatment is where a surgeon ought to be comfortable.

There is no one mesh or one simple technique for hernia repair but the cure of hernia depends on several factors including patient, surgical technique and experience, and biomaterials available.

I am thankful to all the members of the Organizing Committee of this 1 st International GCC Hernia Surgery and in particular to the President and my good friend Rolf Hartung for the great effort in making this conference a landmark event. I am sure that all delegates will appreciate the effort that has been put on for organizing this conference both scientifically and socially.

I welcome all of you in Dubai and I wish this congress a great success.

With Best Regards

Davide Lomanto

President of Asia-Pacific Hernia Society

APHS - EXECUTIVE COMMITTEE

Pradeep Chowbey Founder President (India)

Davide Lomanto President (Singapore)

Barlian Sutedja President Elect (Indonesia)

Anil Sharma Secretary - General (India)

Wei Keat Cheah Treasurer (Singapore)

Rey Melchor Santos Joint Secretary (Philippines)

Micheal K.W. Li Executive Member (Hong Kong)

Ching Shiu Huang Executive Member (Taiwan)

Jianxiong Tang Executive Member (China)

Youn Baik Choi Executive Member (Korea)

GCC HERNIA SOCIETY - EXECUTIVE COMMITTEE

Rolf Hartung Congress President

Salah Abdulqadir Al Arnawoot Vice-President

Basim Al Khafaji Secretary General

Suresh Baliga Treasurer

Dildar Hussain Scientific Coordinator

Abdullah Al Dohayan Governor of Saudi Arabia

Vishwanath Golash Governor of Oman

Enas Al Alawi Governor of Bahrain

CONGRESS ORGANIZING COMMITTEE

Volker Schumpelick Chairman of Congress

Ahmad Al Jaziri Vice Chairman of the Congress

Rolf Hartung Congress President

Salah Abdulqadir Al Arnawoot Vice-President

Basim Al Khafaji Secretary General

Suresh Baliga Treasurer

Dildar Hussain Scientific Coordinator

Faruq Badiuddin Committee Member

Subash Gautam Committee Member

FACULTY MEMBERS

Abdullah Al Dohayan Davide Lomanto Pradeep Chowbey Subash Gautam (Saudi Arabia) (Singapore) (India) (UAE)

Ahmad Al Jaziri Dildar Hussain Rajesh Khullar Suresh Baliga (UAE) (UAE) (India) (UAE) Tim Tollens Ali Reza Eghtedari Enas Al Alawi Reinhard Bittner (UAE) (Bahrain) (Germany) (Belgium)

Anil Sharma Faruq Badiuddin Rolf Hartung Uwe Klinge (India) (UAE) (UAE) (Germany) Vishwanath Golash Barlian Sutedja Harshad Doctor Salah Al Arnawoot (Indonesia) (India) (UAE) (Oman) Volker Schumpelick Basim Al Khafaji Karl Miller Samuel Kwok (UAE) (Austria) (Hong Kong) (Germany) Youn Baik Choi Bernd Klosterhalfen Mario Testini Shahid Sarfraz (Germany) (Italy) (UAE) (Korea) Zameer Pasha Ching Shiu Huang Parveen Bhatia Songzhang Ma (Taiwan) (India) (China) (India)

Scientific Program WEDNESDAY 28.04.2010 08:00 – 08:30 Registration 08:30 -14:30 Live Transmission from Dubai Hospital Theatre Transmission from 2 operating rooms of Dubai Hospital and from Berlin Minimally Invasive Surgery Institute to Al Baraha Auditorium of Intercontinental Festival City Operating surgeons: Davide Lomanto, Karl Miller, Martin Susewind, Pradeep Chowbey, Reinhard Bittner, Samuel Kwok, Tim Tollens 10:00 - 10:30 Coffee Break 12:30 - 13:00 Luncheon 15:00 Departure to Desert Safari

THURSDAY 29.04.2010 08:00 – 09:00 Registration Al Baraha Room 2&3 09:00 – 10:00 Opening Ceremony - 1. Chairman of the Conference 2. President of GCC Chapter of APHS 3. President of Asia-Pacific Hernia Society (APHS) 4. President of Emirates Medical Association (EMA) 5. President of Emirates Society of Laparo-Endoscopic Surgeons (ESLES)

10:00 – 10:30 Keynote Lecture: Chairman Prof. Dr. Dr. V. Schumpelick

Meshes in hernia repair 10:30 – 11:15 Session 1: Umbilical Hernia, Epigastric Hernia

Chairmen: Davide Lomanto & Harshad Doctor

Tim Tollens: Umbilical Hernia - Open or laparoscopic approach? Does the size matter? Youn Baik Choi: Laparoscopic repair of umbilical hernia with PHS Abdullah Al Dohayan: Laparoscopic management of umbilical and paraumbilical hernia Karl Miller: Umbilical hernia in obese - influence of BMI and gender 11:15 - 11:30 Coffee Break 11:30 - 13:00 Session 2: Inguinal Hernia

Chairmen: Barlian Sutedja & Karl Miller

Kamel Boundouki: Evolution of inguinal hernia repair Dildar Hussain: Current status of classification and guidelines Subash Gautam: Inguinal hernia – laparoscopic or open repair? Rajesh Khullar: Endohernia repair of groin hernias Tim Tollens: Inguinal hernia repair with UHS Pradeep Chowbey: How to prevent and how to repair recurrent inguinal hernia Reinhard Bittner: TAPP - How to avoid mistakes? Anil Sharma: Experience with light weight meshes in TEP 13:00 - 14:00 Lunch & Prayer, APHS Executive Meeting in Al Amwaj 1 14:00 - 14:30 Single Port Surgery Chairmen: Rolf Hartung and Subash Gautam Samuel Kwok: TEP repair of inguinal hernia – from three ports to single port Davide Lomanto: Single port surgery for hernia repair – the technique for the future? 14:30 - 15:00 Session 3: Diaphragmatic Hernia

Chairmen: Ahmad Al Jaziri & Samuel Kwok Pradeep Chowbey: Laparoscopic repair of large hiatal hernia, to mesh or not to mesh? Ali Eghtedari: Laparoscopic repair of traumatic diaphragmatic rupture Vishwanath Golash: Laparoscopic repair of acute ruptured diaphragmatic hernia 15:00 - 15:15 Coffee Break 15:15 - 16:45 Session 4: Mesh or not? Tension versus foreign body Chairmen: Volker Schumpelick & Pradeep Chowbey Salah Al Arnawoot: Mesh evolution since Usher Uwe Klinge: Is there an ideal mesh? Parveen Bhatia: Mess with mesh Mohamed Hassan: New laparoscopic flip flap technique versus conventional inguinal hernia repair in children – is it worth it? Thair Abbas Al Dujaili: Non-mesh open repair of huge or recurrent incisional hernia Subash Gautam: Does mesh cause chronic pain? Mesh explantation after multiple recurrences Advances in tissue engineering for hernia repair 16:45 - 17:00 Lucky Winner Thursday 29.04.2010 Al Baraha Room 1 - Free Paper Presentations 10:30 – 11:15 FP-1: Emergency and Complications Chairmen: Basim Al Khafaji and Vishwanath Golash Vishwanath Golash: Emergency laparoscopic repair of acute obstructed ventral hernia with prosthesis Ritu Khare: Laparoscopic ventral hernia repair – difficulties and complications in the first 50 cases – lesson learnt

Alex Leung: Emergency laparoscopic repair of strangulated hernia – single center result

Merezban Katrak: Prophylactic ilioinguinal neurectomy in open inguinal hernia repair 11:15 – 11:30 Coffee Break 11:30 - 13:00 FP-2: Umbilical, Inguinal and Femoral Hernia Chairmen: Abdullah Al Dohayan & Suresh Baliga Abdullah Hussain Awad: Umbilical hernia repair - primary closure, open mesh or laparoscopic repair? Mohamed Marzouk: Laparoscopic anatomy of inguinal hernia Igor Cerni: Laparoscopic or open tension-free inguinal hernia repair – choice of method Rajeev Sinha: Personal modification of open anterior preperitoneal repair of inguinal hernias Mahamoud Ali Hamo: Laparoscopic inguinal hernia repair Vishwanath Golash: Endoloop ligation of hernia sac reduces the incidence of seroma formation and recurrences in TEP repair Sviatoslav Mykytiuk: New tendencies in progress of plug technique for femoral hernia repair Ritu Khare: Groin hernia in females - repair of femoral hernia with handmade “Ultrapro plug”

Kaushik Shah: Free meshplasty under local anaesthesia 13:00 - 14:00 Lunch and Prayer

14:00 – 15:00 FP-3: Incisional Hernia Chairmen: Salah Abdulqadir & Enas Al Alawi Narendra Ganguly: Open ventral hernioplasty – the gold standard Youn Baik Choi: Laparoscopic repair of ventral and incisional hernia Abdullah Al Dohayan: Laparoscopic percutaneous repair of incisional hernia BS Pathania: Comparative clinical trial of laparoscopic ventral hernia repair with and without closure of sac Karl Miller: Open versus laparoscopic incisional hernia repair - a prospective study Rajeev Sinha: TAPP for small ventral hernias Enas Al Alawi: Intraperitoneal repair of incisional hernia post appendectomy

15:00 – 15:15 Coffee Break 15:15 – 16:45 FP-4: Education and Training Chairmen: Faruq Badiuddin & Songzhang Ma Arwa Al Harazi: Laparoscopic hernia repair for residents in general surgery? Venugopal Venkatesh: Lap-hernia training in Indian subcontinent Abdullah Aldohayan: The role of robots in hernia repair Narendra Ganguly: Open inguinal hernioplasty – the gold standard procedure Karingattil Georg Mathew: Learning curve for TAPP repair Davide Lomanto: Training of hernia repair in training center Karl Miller: Training of hernia repair as a visiting expert 16:45 - 17:00 Lucky Winner 17:00 - 18:30 GCC Executive Committee Meeting in Al Amwaj 1 20:00 - 23:00 Gala Dinner in Intercontinental Dubai Festival City

FRIDAY 30.04.2010 08:00 - 09:00 Registration Al Baraha Room 2&3 09:00 - 10:30 Session 1: Infected Hernia Chairmen: Uwe Klinge & Rajesh Khullar Rolf Hartung: Infected mesh Venugopal Venkatesh: Mesh rejection and must infected mesh always be explanted? Uwe Klinge: Biological mesh for every hernia? Mario Testini: Which mesh to use in clean-contaminated surgery Tim Tollens: Laparoscopic parastomal hernia repair with modified Sugarbaker

Subash Gautam: Mesh infection and chronic pain Pannel discussion: Guidelines for treatment of infected mesh? 10:30 - 11:00 Coffee Break 11:00 - 12:30 Session 2: Burst Abdomen, Incisional Hernia, Trauma Chairmen: Youn Baik Choi & Anil Sharma Volker Schumpelick: Incisional hernia repair – open gold standard or laparoscopic repair Annett Al Hamadi: Closure techniques and hernia repair after burst abdomen Enas Al Alawi: Anterior abdominal wall hernias with diverication of the recti muscles Rajeev Sinha: TEP for infraumbilical incisional hernia Arshad Malik: Mesh repair of incisional hernia. Is there a remarkable improvement in outcome? Anil Sharma: Incisional hernia - the case for laparoscopic repair? Parveen Bhatia: Laparoscopic repair of re-recurrent hernia after mesh repair Suresh Baliga: Port site hernias – technical failure, how to prevent and how to repair 12:30 - 14:00 Lunch & Prayer – GCC Hernia Society Meeting 14:00 - 15:30 Session 3: Mesh Selection and Fixation Chairmen: Parveen Bhatia & Tim Tollens Uwe Klinge: Classification of meshes - different mesh for different technique or patient? Harshad Doctor: Selection of prosthesis and fixation Tim Tollens: Fixation of meshes in laparoscopic incisional hernia repair Barlian Sutedja: Why the mesh size is different in open and laparoscopic hernia repair? Bernd Klosterhalfen: Shrinking of mesh Songzhang Ma: Abdominal wall desmoids tumor resection and reconstruction with mesh

Faruq Badiuddin: TEP – fixation of mesh? 15:30 - 15:45 Coffee Break

15:45 - 16:45 Session 4: Legal Aspects and Consequences Chairmen: Zameer Pasha & Reinhard Bittner Bernd Klosterhalfen: Responsibility of mesh complications Basim Al Khafaji: Injury to the spermatic cord Samir Shirodkar: Orchiectomy after inguinal hernia repair Shahid Sarfraz: Informed consent for hernia repair Zameer Pasha: Litigation after hernia repair Pradeep Chowbey: Complications of endo-hernia repair and responsibility of the surgeon 16:45 - 17:00 Lucky Winner 17:00 Closing

Platinum Sponsor:

Bronze Sponsor:

Further Sponsors:

REGISTRATION FEE (Dirham/AED)

GCC Participants Up to 1 April 2010 After 1 April 2010

 GCC Hernia Surgery Members 700 AED 1000 AED  DHA Members 700 AED 1000 AED

 Non Members 1000 AED 1500 AED

 Residents & Nurses 500 AED 500 AED

 Accompanying Person 300 AED 300 AED

REGISTRATION FEE [US$]

Foreign Participants Up to 1 April 2010 After 1 April 2010

 APHS Members 200US$ 300 US$

 Non Members 300 US$ 400US$

 Residents & Nurses 150 US$ 150 US$

 Accompanying Persons 100 US$ 100 US$

ACCOMMODATION FEE (Dirham/AED)

 Intercontinental DFC***** AED 1020 net  Crown Plaza***** AED 900 net

 Burj Al Arab******* Upon Request  Armani Hotel****** Upon Request

 Jumeira Beach***** AED 2185 net  Park Hyatt ***** AED 1340 net

 Raffles***** AED 1140 net  The Palace***** AED 1080 net

 Le Meridien***** AED 960 net  Sheraton Creek***** AED 900 net

 Hyatt Regency***** AED 600 net  Jadaf App.***** AED 550 net

 Al Faris Studio*** AED 400 net  Premier Inn *** AED 375 net

The 1st International GCC Hernia Surgery Congress Mid - Term Congress of Asia - Pacific Hernia Society (APHS) 28 – 30 April 2010, Dubai

Registration & Accommodation Form (please fill in CAPITAL BLOCK)

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Fantastic Dubai…………

Atlantis

‘Imposing, Impressive, Inspired’ Atlantis Hotel in Dubai is a truly spectacular development located on Palm Jumeirah. Covering over 113 acres and offering 1539 rooms, The Atlantis Hotel in Dubai features two hotel towers linked by an arch and is Dubai’s first truly integrated resort. A massive attraction is surely the 42 acres of water-themed amusement known as Aquaventure, the 11-acre Dolphin Bay, The Ambassador Lagoon with 100’s of marine species and the fascinating ‘Lost Chambers’. Accommodation is of the highest standard and restaurants are of course in abundance ensuring that this wonderland will surely delight and thrill world travelers for years to come.

Dubai Fountain

The fountain was built by WET Design. It is said to be the largest and tallest in the world, costing around $281 million. This project is 25 percent larger than the iconic fountains at the Bellagio hotel in Las Vegas also built by WET Design. It includes an integral light and sound show and is expected to become one of Dubai's major tourist attractions, drawing over 10 million visitors per year. The fountains will shoot about 22,000 gallons of water in the air at any given moment and feature over 6,600 lights and 50 color projectors will illuminate the Dubai skyline at night. Every night from 6:00 PM until 11:00 PM, hundreds of illuminated jets of water dance to a handful of pre-selected songs, with some of the larger jets launching water up to 500 ft high. It's one of the most spectacular things you'll ever see.

Burj Khalifa

,Khalifa Tower"), formerly known as Burj Dubai, is the skyscraper in Dubai" برج خليفة :Burj Khalifa (Arabic and the tallest man-made structure ever built, at 828 m (2,717 ft). Construction began on 21 September 2004, with the exterior of the structure completed on 1 October 2009. The building officially opened on 4 January 2010 and is part of the 2 km2 (490-acre) flagship development called Downtown Burj Khalifa at the "First Interchange" along Sheikh Zayed Road, near Dubai's main business district.

Dubai Mall

The Dubai Mall is the region's premier shopping, lifestyle and entertainment destination. With more than 1,200 stores and a host of world-class attractions, The Dubai Mall is revolutionizing the modern shopping experience. With an impressive array of leisure pursuits, this is the ultimate, cutting-edge shopping experience. A range of adventure sports vies for attention alongside the romance of ice-skating. The Dubai Mall is a place where outdoor brunch can be followed by the delights of the big screen and where a 21st century gold souk is set off against a world class aquarium. When was the last time your sortie to the designer stores took place under the watchful eye of a giant sea turtle? Step inside The Dubai Mall and experience a place like no other.

Burj Al Arab

Tower of the Arabs", also known as "Arab Sail") is a luxury 7* hotel" ,برج العرب :The Burj Al Arab (Arabic located in Dubai. At 321 m (1,050 ft), it is the second tallest building in the world used exclusively as a hotel. The Burj Al Arab stands on an artificial island 280 m (920 ft) out from Jumeirah beach, and is connected to the mainland by a private curving bridge. It is an iconic structure, designed to symbolize Dubai's urban transformation. Construction of Burj Al Arab began in 1994. It was built to resemble the sail of a dhow, a type

of Arabian vessel. Two "wings" spread in a V to form a vast "mast", while the space between them is enclosed in a massive atrium. The architect Tom Wright said "The client wanted a building that would become an iconic or symbolic statement for Dubai; this is very similar to Sydney with its Opera House, or Paris with the Eiffel Tower. It needed to be a building that would become synonymous with the name of the country.

Desert Safari

A must for every visitor to UAE is a desert safari. 4WD and experience are needed to have a safe adventure and exciting rides through the sand dunes. A dinner under the stars with belly dance and typical music will be an unforgettable evening event. Camel rides, quad bike trips and sand dune boarding are also on the list of desert adventures. For those who are interested in Archeology and Geology there are many memorable places to visit.

Souk: Gold, Silk & Spices

Souks are the traditional marketplaces in Arabia. Gold and jewelry, silk and wool, spices and oud, the traditional local perfumes, are sold in numerous souks in Dubai. Apart from the old souks such as the gold souk in Deira and the silk souk in Bur Dubai modern souks are located in most of the shopping malls. Souk Al Bahar in Old Town, Souk Al Madinat in Madinat Jumeira and Souk Al Murjahn in Wafi are only some of the famous souks selling traditional handicrafts and souvenirs for tourists.

More Attractions

Many more attractions are worth a visit such as the famous palm island, the new metro in Dubai, the race courses for horses and camels, numerous international class golf clubs, the Walk in Marina City, the Dubai Museum with Rashidiya and Bastakiya, and Sheik Zayed Mosque in Abu Dhabi, a precious jewel of Islamic religion.

Marhaba - Welcome to Dubai and the United Arab Emirates

Important Links with more information on

Congress Website www.apherniagcc.com

APHS - Asia Pacific Hernia Society www.aphernia.com

Intercontinental Dubai Festival City www.intercontinental.com/dubai

Hotel booking Intercontinental DFC http://events.ichotelsgroup.com/DPRD-83LH7Q/DXBHB/website/