Scientific Program

Day 1

KEYNOTE SPEAKERS
  • THE INFLUENCE OF PHYSICAL ACTIVITY ON THE QUALITY OF LIFE OF PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

    University Medical Center, Belgrade
    Serbia
    Biography

    Ljudmila Stojanovich received her Ph.D. in Medicine, with the thesis “Neuropsychiatric manifestations in patients with Systemic Lupus Erythematosus” in 1999. She is the scientific director in the Bezhanijska Kosa, University Medical Center of Belgrade University, where she is currently a Full Research Professor. Dr. Stojanovich’s research focuses on Systemic Lupus Erythematosus, Antiphospholipid Syndrome, and Vaccination in patients with Autoimmune Rheumatic diseases. She is an author of three monographs and of about 250 articles on various aspects of Autoimmune Rheumatic disorders, published in international and domestic journals and in conference proceedings.  She is in Editorial Boards (Editorial Boards LUPUS (LONDON). /Reviewer in the “CURRENT CONTENSTS” or “Science citation index”, like LUPUS REWIEWER DATABAS, Cellular and Molecular Neurobiology, The Journal of  Vaccine

    Abstract

    Introduction: Because of the fact that Systemic Lupus Erythematosus (SLE) causes joint and muscle pain, fatigue, depression, obesity and osteoporosis, the very thought of exercising can be a challenge for patients. Patients & Methods: This prospective study included 60 patients diagnosed with SLE in stable condition. A randomly selected group of 30 women had aerobic training on a bicycle ergometer for a period of 15 minutes, three times per week for six weeks, while the second group of 30 women did exercise for 30 minutes, three times per week during the same period. FSS (Fatigue Severity Scale), Short Form 36 (SF36) questionnaire on the quality of life and Beck depression inventory (BDI) were analyzed at baseline and after 6 weeks. Results: Fatigue was present in all patients (FSS score 53.8 ± 5.7; min 39, max 63) before starting the exercise. Fatigue was present in 11 patients (18.3%) after the physical activity while 49 (81.7% ) patients did not experience it (FSS score 29.1 ± 7.8; min 18, max 45). Before starting the exercise the largest number of patients, 40 (66.67%) of them, was in a moderate depressed state while after physical activities the greatest number of patients, 37 (61.66%), had a mild mood disturbance. There are high statistical differences in values of all areas of quality of life questionnaire SF36 before and after the implementation of physical activity. A statistically significant difference was observed in terms of reducing the parameters of pain, general health and mental health in a group that had a physical activity on a bicycle ergometer evaluated by the SF36 questionnaire (p <0.05). Conclusion: Our study has shown that a continuous physical activity in SLE patients significantly improves their quality of life by reducing fatigue and depressive reactions without negative impacts on the activity of their disease.

  • IMPROVING QUALITY OF CARE IN BREAST CANCER TREATMENT: EUROPEAN CRITERIA FOR CERTIFYING BREAST SURGEONS AND BREAST UNITS

    University of Athens Medical School
    Greece
    Biography

    Doctor Ioannis G. Papanikolaou is born in Athens. In 2009 he graduates in Medicine with Excellent votation - Medical Degree (MD). During his University studies he is distinguished with 6 University Scholarships from the ‘‘ADSU Foundation’’. Afterwards, he returns in Athens, being selected from the Faculty for a 2 years Postgraduate Programme, which confers the title of Master of Science in ‘‘Robotic Surgery, Minimally Invasive Surgery and Telesurgery’’, in the University of Athens, Medical School in Greece. . In 2011 he is distinguished again with Excellent votation and obtains the title of “Master of Science” in the Athens Medical School in “Robotic Surgery, Minimally Invasive Surgery and Telesurgery”. He has been also distinguished with the First Prize in the “Laparoscopic Simulation Cup”. He is a Da Vinci Si certified surgeon for Robotic Gynaecology (Intuitive cerification). He has been awarded by Allied Academies in United Kingdom – London, for his research activity. He has participated in more than 250 international and national congresses as Organizing Committee Member, Invited Speaker, Keynote Speaker or Speaker. He has organized the Gynaecology and Breast Cancer Congress in Milan, in 2019. He is author of many publications in international and national journals with more than 100 citations in international peer reviewed journals. He is also selected as reviewer for many prestigious international journals such as The British Medical Journal, Stem Cells International, Surgical Laparoscopy Endoscopy & Percutaneous Techniques, Journal of Medical Robotics & Computer Assisted Surgery, The European Journal of Obstetrics, Gynecology and Reproductive Biology. Currently, he works as an Obstetrics & Gyaecology specialist in the Humanitas Fertility Center in Humanitas University and Research Hospital in Milan. His academic and clinical enrollment regards mainly Reproductive Endocrinology, Infertility and Gynaecological Endoscopy. For the Subspecialty – Fellowship in Reproductive Medicine, Dr. Ioannis G. Papanikolaou has been classified in 1st position with the top votation after academic evaluation of all candidates from different countries of the world.

    Abstract

    As the topic of the author’s lecture suggests, he will focus on certification criteria of breast units and breast surgeons across Europe, which are crucial issues for the appropriate therapeutic management of breast cancer. The last GLOBOCAN estimates for breast cancer, classify this carcinoma as the most common in the female. Treatment options have changed and modern breast surgery tends to have a more conservative and cosmesis- preserving face. Breast cancer treatment involves many medical specialties and requires deep knowledge, training, expertise, and dedication. The European Board for Surgical Qualification gives guidelines on eligibility criteria for involvement in breast surgery defining metrics for operations that a breast surgeon should have performed and defines with precise metrics the numbers of procedures in which a qualified breast surgeon should be involved. Different international societies are involved in education and certification of competency in breast surgery. Many authors highlight that treatment of breast cancer in high-volume centers is of crucial importance because it improves five-year survival up to 33%. Furthermore, the number of breast cancer surgeries that a breast surgeon performs per year seems to be an independent prognostic factor for the patient’s survival, recurrence, and general outcome. For all these reasons, the treatment of breast cancer in certified breast units by specialised breast surgeons is mandatory. New techniques of oncoplastic breast-conserving surgery challenge the current armamentarium of therapeutic options, proving excellent cosmetic results with the comparable oncological outcome to the standard breast-conserving surgery. Furthermore, oncoplastic techniques improve patient’s satisfaction and quality of life after breast cancer diagnosis. Genetic counseling, psychological support and multimodal treatment from a breast-dedicated team which involves many specialties are mandatory for qualitative standards of care. There is an urgent need for certified education in breast surgery not only for breast centers but also for breast surgeons. Dedication is a key principle in breast surgery because it improves outcomes. Considering high incidence and mortality rates in the global population, current care for breast cancer needs to be based on quality. Breast surgery is a field with which, Obstetricians and Gynecologists should deal with and begin to be involved in Europe, after an accurate and strict training process which provided final certification. The future of breast surgery is in less invasive and more cosmoses-preserving approaches surgery in the treatment of breast disease, including breast carcinoma. Patient-centered care is a key component and quality indicator in the treatment of breast carcinoma.

Breast Cancer Surgery
Chair
Speaker
  • Day 1
    ELECTRONIC WATER CAN REDUCE OXIDATIVE STRESS IN CANCER AND DIABETES PATIENTS FOR 3 WEEKS DRINKING
    Time: 11:20-11:40 AM
    Speaker
    Dr. Masahiro Onuma
    Trisguide ltd
    Japan
    Biography

    Masahiro Onuma has expertise in oxidative disease prevention to use non-medical product based on GSK’s experience of Allopurinol which is the strongest anti-oxidant efficacy in this world. He creates a new indication of Allopurinol for stomatitis induced by cancer treatment which was approved by the Japanese Cancer treatment committee to propose a new mechanism of Allopurinol for anti-oxidant. And now, there are so many new research papers of Allopurinol in the world.

    Abstract

    Oxidative stress means a state there is imbalance between the oxidizing action and the reducing action due to reactive oxygen species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of Type 2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretion-inducing ? cells of Langerhans islets in the pancreas, the amount of superoxide dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in the production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water, which was developed to generate electron in water, was consumed for three weeks, after meals, between meals and before sleeping 6 times a day, and according to the test subjects’ possible time periods. The amount of drinking water was 750-1000 mL, and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly.

  • How does a personalized rehabilitative model influence the functional response of different ankle foot orthoses in a cohort of patients affected by neurological gait pattern?
    Speaker
    Maurizio Falso
    Fondazione Madonna del Corlo
    Italy
    Biography

    Maurizio Falso received his Degree of Medicine in 1999 and his specialization in Physical Medicine and Rehabilitation from the University of Medicine of Verona, Italy in 2004 followed by a post-specialization research on the management of spasticity and movement disorders at the Department of Neurological Sciences and Vision of the University of Verona, Italy by using botulinum toxin and baclofen pumps and analyzing motor patterns with video-surface EMG. He is a Professor at the Physiotherapist School of the Medicine University of Brescia, Italy and a past-member of the Italian Consensus Table on the use of Xeomin in adult spasticity. In his career he also promoted the use of innovative dynamic carbon-kevlar custom made AFO (DAFONS), innovative postural devices in patients affected by neurological complex postural needs, the device treatment of idiopathic scoliosis by using an innovative dynamic spine brace called “BRIXIA” and the device treatment of gait disorders by using an innovative dynamic carbon Kevlar foot insole called “PRODYNAMIC”.

    Abstract

    Five patients affected by different neurological gait pattern and volunteered to participate to this study were recruited. The comparative spatio-temporal and functional effect on gait pattern of 3 types of AFOs was investigated under 4 study conditions: without AFO or free-walk (FW); wearing a Codivilla spring; wearing a carbon unjointed AFO (“Toe-Off”); wearing an innovative carbon-kevlar dynamic joint DAFO (DAFONS=Dynamic Ankle Foot Orthoses with Neuroswing). In line with our rehabilitative model, patients underwent to a weekly treatment session, 80 minutes duration per session, for 4 weeks. Evaluation was made before (time T3= time of recruitment) and after our individualized rehabilitative treatment course (time T4=1 month from T3) by using: G-Walk sensor (by BTS) spatio-temporal measures in different gait performances; clinical/functional outcome measures (Modified Ashworth Scale or MAS for the affected upper and lower limb; Medical Research Council or MRC; orthostatic stability evaluation by using the Berg Balance Scale or BBS). A statistical insignificant change of MRC and MAS scales at time T4, with a significance trend outcome observed at the same time by using the Wilcoxon Signed Rank Test; a statistical significant difference between test duration (sec) by using Toe-Off vs DAFONS and by using Codivilla spring vs Toe-Off; a statistical significant increase of the stride length on the left side (% cycle length) by using DAFONS compared to Toe-Off for patient P1, P3 and P5 with a parameter decrease by using DAFONS compared to Codivilla spring and Toe-Off use for patient P2; a statistical significant correlation between BBS trend and test duration (sec) by using Codivilla spring at time T3 and T4; a statistical significant correlation between the BBS trend and the double gait support duration on the right side (% cycle) with number of left step cycles by using DAFONS at time T3 and T4; in a comparative post-treatment visual gait analysis a modification of each patient’s static and dynamic postural assessment by using 3 different types of orthoses.

  • Day 1
    HIGH RATE OF BREAST CANCER IN CATANIA: OUR EXPERIENCE
    Time: 12:00-12:20 PM
    Speaker
    Marta Monari
    Humanitas Clinical and Research Center – IRCCS
    Italy
    Biography

    Marta Monari is a Biologist specialized in microbiology and virology with a II level master in virology and a Diploma en Genética Médica. She is the contract professor in two different Italian University: Humanitas Milano and Insubra Varese. She had worked as director of the clinical laboratory. Now she is the clinical and technical coordinator of laboratories of Humanitas Hospital group since 3 /05/2018, it is a group of 10 laboratories up 8 ML of exams, divided in all laboratory specialties.

    Abstract

    Breast cancer is the most common tumor in female; only in 2017 about 52.300 women fell it in Italy. This is a multifactorial pathology; it is a sporadic disease in the majority of the cases and it does not any kind of hereditary genes transmission, but sometimes, around 10%it could be hereditary, in particular for BRCA1-2, p53, PTEN, STK11, CDH1, PALB2, CHEK2, BARD1, BRIP1, NBN etc. Only in Sicily, 3.027 new cases every year are registered for this tumor with an incidence of 117 cases on 100.000 women and the two cities with the highest rate of this illness are Catania and Caltanissetta. After diagnosis, performed by histological analysis, the patients meet the Oncologic Genetic Counselling (OGC), where the oncologists end geneticist analyzed the clinical history of the patients and, on the bases of literature guidelines, decide if do or not the next generation sequencing (NGS) test, a second level test, before therapy. In 5 months the OGC of Hospital Centro Catanese di Oncology (CCO), decided to performed 48 NGS test in men and women. The aim of this study is to verify the accuracy of our enrolment, whether the percentage of the mutated gene in our samples is in line with the data present in literature. Between 48 patients suspected for a hereditary breast cancer, 2 are men and 46 women with a median age of 44, 08 (26-75 years). We have registered 75% of positive cases between men (37 years old and 65 years old both BRCA2+) and 27% between women (30,5 median age for BRCA1+, 48,01 median age for BRCA2+, 39 years old for family gene note mutation, and 34 years old for CHEK2). The total positivity for the test is 29, 16% and is very high compared to the Italian and world incidence. These results supported and confirmed the optimal skimming operated by physician and could help our EUSOMA (European Society of Breast Cancer Specialist) unit to understand the genetic bases of high rate of breast cancer in Sicily to ameliorate direct screening and treatment. The application of quality indicators is essential to improve organization, performance and outcome in breast care. Efficacy and compliance have to be constantly monitored to evaluate the quality of patient care and to allow appropriate corrective actions leading to improvements in patient care.

  • Should Vitamin D3 and DEXA BMD be prescribed as a correlative cause for Lytic Spondylolisthesis
    Speaker
    Ray Suhasish
    Institute Universitari Quiron Dexeus
    Europe
    Biography

    Ray Suhasish had done his graduation in Medicine and Surgery in 1991. Postgraduate in Orthopedic Surgery in 2001 with thesis in external fixation to heal open fractures of tibia, Postoperative Diploma in Rheumatology from Delhi in 2006 and M.Ch in Orthopaedics in 2010.

    Abstract

    Spondylolisthesis means slippage of overlying verterae with respect to the lower; one reason is break in the pars interarticularis between two adjacents vertebral segments. Wiltse-Newman classified it Type 1, 2, 3, 4- among them 2 being sub classified 2A, B, C; 2A representing pars fatigue Fracture, 2B is repeated healing of pars fracture leading to elongating, and 2C is acute fracture as in accidents. The aim of the study was to find any relation between Type 2 spondylolisthesis and corresponding Bone marrow density of Lumbar done through DEXA scan and / or Vitamin D3 done by enzyme immunoassay method. 180 subjects between 20-60 years, with Type 2A or 2B lype of listhesis were screened with BMD dexa score and VitD3. All those less than 20 and more than 60, neuropathy pain, with associated comorbidities, surgeries around the back interfering with DEXA, body weight more than 65 in male and 60 in female were excluded from the study. Vitamin D3 was estimated by enzyme immunoassay and DEXA BMD of Lumbar spine by GE Lunar DEXA machine. The results of both were included in this retrospective non cohort non randomised judgemental study. Non parametric statistical tests like T tests, Z tests and Spearman's correlation tests gives p>0.05 considered non-significant to the above. Prescription to estimate Vitamin D3 and BMD DEXA for Lytic spondylolisthesis Type 2 is not a rational therapeutic regimen. It is suggested to suggest other investigations like genetic assay, dysplastic assessment and others.

  • THE PANNUS ADAPTER
    Time: 12:40-13:00 PM
    Speaker
    Paige L Long Sharps
    Montefiore Medical Center
    USA
    Abstract

    The present invention relates to surgical equipment and in particular, to a device that is intended to support and contain a pannus during a surgical procedure to provide unobstructed access to the surgical site and provide, post-surgery, a clean site that is exposed to air to promote proper healing. A pannus is a medical term for a hanging flap of tissue. When involving the abdomen, it is called a panniculus and consists of skin, fat and sometimes contents of the internal abdomen as part of a hernia. A pannus can be the result of obesity which unfortunately is becoming more and more widespread in society. The pannus is particularly troublesome and must be properly dealt with during the delivery of a child from an obese woman. It is generally understood that the term “obese” actually refers to anyone who is more than 30% over their ideal body weight. In 1962, 13% of the American population was classified as obese. By 1994, this number had increased to 23%. Yet, just six years later in 2000, this number had skyrocketed to over 30%.Today, an estimated two-thirds of Americans are considered overweight while one is three is obese. Obesity can put a woman and her baby at risk for serious health complications as well as complications during delivery of such a woman who is obese during pregnancy has an increased risk of experiencing problems during delivery and labor is more likely to be slow and prolonged, thus increasing the likelihood of cesarean section. The presence of a pannus during a cesarean section complicates the overall process and additional procedures must be followed to prepare the woman for surgery. As is known, in a conventional cesarean section procedure, after the skin is thoroughly cleansed with an aseptic solution and sterile drapes spread over the surgical field, the abdomen is entered my making an incision through all the layers of the abdominal wall: the skin, the fat and then several muscle layers and muscle sheaths (fascia). This incision can be made either vertically below the umbilicus like a zipper, or horizontally right above the pubic bone, a “bikini cut”. Recent studies, as well as personal experience, have found that maternity units are not particularly well equipped for obese pregnant women. Presently, fairly crude techniques are used to deal with obese pregnant women that have a pannus that is obstructing the abdomen area where the cesarean section is to be performed. For example, in order to push the pannus back and hold the pannus away from the underlying tissue where the cesarean incision is to be made, an elongated band, such as adhesive tape, duct tape, surgical tape or the like, is attached to the lower abdomen above the incision on either side and is pulled up and back with sufficient force to lift the pannus away from the underlying tissue, and the other end of the band is fixedly attached to another structure. The structures to which ends of the band are attached can be legs of the bed or other fixtures in the operating room. Once the pannus is lifted, the surgical procedure continues. After delivery of the baby, the incision is closed. Unfortunately, the pannus is left to hang back over the incision. The hanging of the pannus over the incision provides a warm, moist area where the bacteria thrive, and proper healing is more difficult. Hence The Pannus Adapter is innovative in that it will provide proper sterile technical support that is worn by the patient and not attached to an IV pole in some archaic fashion. Not only is it designed to be worn prior to a surgical procedure, such as a cesarean section, but also after it during the recovery period for proper wound healing. It also appreciates that while a cesarean section is described herein as being a surgical procedure that is complicated by the presence of a pannus, any surgical procedure where an incision is made in the abdomen or proximate area that is covered by a pannus is equally complicated the presence of a pannus. In effect, it can be used for abdominal hysterectomies or any surgical laparotomies. The Pannus Adapter as stated above solves the problem of a surgical field unobstructed by the pannus with a device that is sterile. The presence day of using duct tape and tying the ends of the tape to the surgical bed or IV pole is archaic and non-sterile. In addition, the decrease in wound infections wound dehiscence and better back and abdominal support post-surgery would be solved by the Pannus Adapter.

  • EPIDEMIOLOGICAL PATTERN OF BREAST CANCER IN THE UAE
    Speaker
    Sitara Bagnulo
    Union College
    USA
    Biography

    Sitara Bagnulo is a college freshman in Union College at Schenectady, New York, majoring in “Science, Medicine and Technology in Culture”.

    Abstract

    Introduction: Universally, breast cancer is the most common cancer in women with over half a million women in the world dying from it annually1. In the Arab World, the impression is that breast cancer occurs in women younger than those from Western countries. Statistical data to support this impression is difficult to source as most Arab countries do not have publicly-available national cancer registers and if they do, the data may not be reliable2. Due to the scarcity of published data on breast cancer in the UAE, we conducted a retrospective epidemiological study to look at the basic pattern of the disease in the UAE and to determine if there are any statistical associations to a few of the known risk factors. Method: Files of 1,000 female cases of invasive breast cancer, seen by one breast specialist, between June 2000 and June 2017, were reviewed and the following risk factors were tabulated for each patient: Age at diagnosis, age at menarche, age at first child (full term) and breast-feeding history (at least one child for at least 2 weeks). Descriptive statistical analyses were performed separately for each risk factor and inferential statistical analyses (Anova and t-tests) were generated using Wizard3, statistical software for Mac, looking for associations between the various risk factors. Results: Overall, 64.9% of the women in the study were aged younger than 50 years at diagnosis. The mean age at diagnosis was 46.8 with a SD of 10.7 years. The age at menarche ranged from 9 to 19 years with an overall mean of 13.0 and a SD of 1.5 years. Anova test showed no correlation between the means for age at diagnosis and age at menarche (p value of 0.227). There were 236 (23.6%) women without children. Of the rest, the age at 1st child ranged from 13 to 56 years with an overall mean of 26.8 and a SD of 5.8 years. Anova testing showed that there was a significant correlation between mean age at diagnosis and mean age at 1st child (p<0.001). For the 764 women who had children, 89.3% of them breast-fed however t-test showed no significant relation between age of diagnosis and breast-feeding (p value of 0.669). Discussion: Results on age at diagnosis of breast cancer for women in the UAE (mean of 47 years) is consistent with other studies from the MENA region of 48 years2. In the West, breast cancer is a disease of older women with only 20% of cases occurring under the age of 50. Our data showed that almost 65% of cases occurred under the age of 50. The concern here is not just why this is the case, but how can we successfully screen such young women for breast cancer. Interestingly, almost a quarter of the women in our sample did not have any children, itself a known risk factor. Breast-feeding is thought to be a protective factor and most women in the UAE do breastfeed (89.3%) but still get breast cancer young. The only significant correlation we found in our study was between age of diagnosis and age at first child. Women who had their first child aged 21 years or younger developed breast cancer at an older age - in fact, over the age of 50. Our data showed the age of diagnosis to decrease as the age at 1st child increased over the age of 21. Conclusion: Until we find a good screening tool for breast cancer in young women, raising breast cancer awareness in the UAE should be a primary goal for the government, which should be directed at women at least 10 years younger than the mean age of diagnosis. References: 1. “Breast Cancer: Prevention and Control.” World Health Organization, World Health Organization, www.who.int/cancer/detection/breastcancer/en/. 2. Najjar H and Easson A (2010) Age at diagnosis of breast cancer in Arab nations. International journal of surgery, 8(6), 448-452. 3. Millar Evan () “Wizard.” Wizard: Statistics & Data Analysis Software for Mac, 1.9.13 (227), 2013, www.wizardmac.com.

  • ROBOTIC-ASSISTED SURGERY FOR ENDOMETRIAL CANCER: ONCOLOGIC OUTCOMES AND FUTURE DIRECTIONS
    Time: 15:05-15:25 PM
    Speaker
    Ioannis G. Papanikolaou
    University of Athens Medical School
    Greece
    Biography

    Doctor Ioannis G. Papanikolaou is born in Athens. In 2009 he graduates in Medicine with Excellent votation - Medical Degree (MD). During his University studies he is distinguished with 6 University Scholarships from the ‘‘ADSU Foundation’’. Afterwards, he returns in Athens, being selected from the Faculty for a 2 years Postgraduate Programme, which confers the title of Master of Science in ‘‘Robotic Surgery, Minimally Invasive Surgery and Telesurgery’’, in the University of Athens, Medical School in Greece. . In 2011 he is distinguished again with Excellent votation and obtains the title of “Master of Science” in the Athens Medical School in “Robotic Surgery, Minimally Invasive Surgery and Telesurgery”. He has been also distinguished with the First Prize in the “Laparoscopic Simulation Cup”. He is a Da Vinci Si certified surgeon for Robotic Gynaecology (Intuitive cerification). He has been awarded by Allied Academies in United Kingdom – London, for his research activity. He has participated in more than 250 international and national congresses as Organizing Committee Member, Invited Speaker, Keynote Speaker or Speaker. He has organized the Gynaecology and Breast Cancer Congress in Milan, in 2019. He is author of many publications in international and national journals with more than 100 citations in international peer reviewed journals. He is also selected as reviewer for many prestigious international journals such as The British Medical Journal, Stem Cells International, Surgical Laparoscopy Endoscopy & Percutaneous Techniques, Journal of Medical Robotics & Computer Assisted Surgery, The European Journal of Obstetrics, Gynecology and Reproductive Biology. Currently, he works as an Obstetrics & Gyaecology specialist in the Humanitas Fertility Center in Humanitas University and Research Hospital in Milan. His academic and clinical enrollment regards mainly Reproductive Endocrinology, Infertility and Gynaecological Endoscopy. For the Subspecialty – Fellowship in Reproductive Medicine, Dr. Ioannis G. Papanikolaou has been classified in 1st position with the top votation after academic evaluation of all candidates from different countries of the world.

    Abstract

    In recent years, the surgical practice has been changed since the introduction of minimally invasive surgery. Laparoscopic and robotic surgery have significant advantages compared with laparotomy. Robotic technology has helped surgeons overcome many technical difficulties of conventional laparoscopic surgery. Robotics are feasible in the treatment of endometrial cancer with a short learning curve. Operative time is longer compared to laparotomy, but similar or shorter than laparoscopy. Robot dogging time increases the global length of the procedure, but it decreases with experience. The overall morbidity rate seems lower than with other approaches. Hospital stay, postoperative pain and time to recovery are decreased when compared to laparotomy as well as to laparoscopy for some authors. Robotics may offer significant advantages in the treatment of morbidly obese patients who represent the vast majority of endometrial cancer patients. Robotic techniques have benefits over traditional open surgery for management of endometrial cancer, especially in the group of obese patients for whom laparoscopy presents significant limitations. The main limit for the diffusion of robotic surgery is accessibility because of its important cost.

Day 2

KEYNOTE SPEAKERS
  • PAVING THE WAY FOR CHANGING PERCEPTIONS IN BREAST SURGERY: ONCOLOGICAL AND AESTHETIC OUTCOMES OF ONCOPLASTIC SURGERY FOR BREAST CANCER

    University of Athens Medical School
    Greece
    Biography

    Doctor Ioannis G. Papanikolaou is born in Athens. In 2009 he graduates in Medicine with Excellent votation - Medical Degree (MD). During his University studies he is distinguished with 6 University Scholarships from the ‘‘ADSU Foundation’’. Afterwards, he returns in Athens, being selected from the Faculty for a 2 years Postgraduate Programme, which confers the title of Master of Science in ‘‘Robotic Surgery, Minimally Invasive Surgery and Telesurgery’’, in the University of Athens, Medical School in Greece. . In 2011 he is distinguished again with Excellent votation and obtains the title of “Master of Science” in the Athens Medical School in “Robotic Surgery, Minimally Invasive Surgery and Telesurgery”. He has been also distinguished with the First Prize in the “Laparoscopic Simulation Cup”. He is a Da Vinci Si certified surgeon for Robotic Gynaecology (Intuitive cerification). He has been awarded by Allied Academies in United Kingdom – London, for his research activity. He has participated in more than 250 international and national congresses as Organizing Committee Member, Invited Speaker, Keynote Speaker or Speaker. He has organized the Gynaecology and Breast Cancer Congress in Milan, in 2019. He is author of many publications in international and national journals with more than 100 citations in international peer reviewed journals. He is also selected as reviewer for many prestigious international journals such as The British Medical Journal, Stem Cells International, Surgical Laparoscopy Endoscopy & Percutaneous Techniques, Journal of Medical Robotics & Computer Assisted Surgery, The European Journal of Obstetrics, Gynecology and Reproductive Biology. Currently, he works as an Obstetrics & Gyaecology specialist in the Humanitas Fertility Center in Humanitas University and Research Hospital in Milan. His academic and clinical enrollment regards mainly Reproductive Endocrinology, Infertility and Gynaecological Endoscopy. For the Subspecialty – Fellowship in Reproductive Medicine, Dr. Ioannis G. Papanikolaou has been classified in 1st position with the top votation after academic evaluation of all candidates from different countries of the world.

    Abstract

    Breast cancer is the most frequent cancer among women. The emphasis on aesthetic outcomes and quality of life after breast cancer surgery has motivated breast surgeons to develop oncoplastic breast-conserving surgery. Oncoplastic techniques combine oncologic surgery with plastic surgery techniques. The main objective remains oncologic safety. This study investigates the oncological and aesthetic results of these techniques. Mean follow-up varied significantly in included studies, although, it did not exceed six years. The research found no randomized controlled trials. There was great variation in the frequency of margin involvement. Most studies are negatively influenced by methodological shortcomings and the absence of robust design. Established goals of OPS are to broaden indications of breast conservation towards larger tumors by improving aesthetic outcomes. There is a growing demand to standardize various aspects of OPS for implementation into clinical practice. Current evidence on OPS is based on poorly designed and underpowered studies. Research efforts should focus on Level I evidence assessing oncological and aesthetic outcomes of OPS and obtained survival rates.

Obstetrics and Gynecology
Co-Chair
Speaker
  • CASE OF PREGNANCY AFTER TREATMENT OF BREAST CANCER
    Time: 12:15-12:35 PM
    Speaker
    Stela Popi Kostic
    General Hospital Zrenjanin
    Serbia
    Abstract

    Introduction: Breast cancer is one of the important disease responsible for the death of women, both in Serbia and in the world. The incidence of breast cancer in Serbia is 20, 2%, from all leading cancer sites in females (data obtained from Cancer Registry of Serbia 2015). In 2008 Serbia had the highest mortality rate from breast cancer (ASR-W 2008: 22.7/100,000), among all European countries. Case report: Patient M.T. P3 G3, 37 years old with invasive ductal cancer of the right breast (treated from 2012 till 2016), the moderately differentiated histological type with present lymphovascular and perineural invasion of pTT1, HG2, pN2, receptor status ER 7, PR 8, HER2 0, Ki-67 30% tumor cells, admitted to the Gynecology Department because the NMR recording of small pelvis confirmed pregnancy in the uterus. This recording was done because doubts on metastatic change on segment LS on the spine. Last period was in 2012. The interval of birth between this and the last pregnancy was 15 years. On the gynecological ultrasound was diagnosed a live normal fetus, the crown-rump length (CRL) was 74mm, (13 weeks and 4 days). Nuchal translucency was 1, 6mm, and the values of Free-Beta HCG-2,53 MoM, PAPP-A 0,7 MoM. The pregnancy has come from the natural cycle. The amniocentesis is recommended and the result shows a normal XX karyotype of the fetus. The pregnancy was developed normally, the baby was born in 35-36 weeks (13.02.2018) of gestation with cesarean section because of previous two cesarean section of mother. The female neonatus has body mass 2390g/48 cm, AS 8/9. Postoperation decurzus was normally. The metastatic change was not confirmed during pregnancy and after the delivery. Discussion: In the literature, cases of natural pregnancy after the treatment of breast cancer are rarely described. Conclusion: The patient M.T. was the first patient with treated breast cancer who delivery in our Hospital. Reference: 1. Ilic M and Ilic I (2018) Cancer mortality in Serbia, 1991–2015: an age-period-cohort and joinpoint regression analysis. Cancer Communications 38(1): 10.

  • 10 MILLIMETERS AT A TIME, A WORLD WITHOUT NEEDLESS BREAST CANCER DEATHS
    Speaker
    Carman Kobza
    Lady B Well- THE BREAST HEALTH PEOPLE
    USA
    Biography

    Carman Kobza was the Creator of India’s first viable Breast Health Education & Digital Screening outreach program. He is from Texas, founded a women’s digital diagnostics company in Bangalore in 2015. With an efficient high capacity yet personalized “We Come to You” approach, he exerts full passion to improve women’s lives and to end an unconscionable world affliction – Needless Breast Cancer. Lady B Well – THE BREAST HEALTH PEOPLE launched to rapidly expand the reach and impact by offering a welcoming, certified & de-stigmatized women’s health experience. Seeking interested B2B partners now to serve deserving ladies around the world

    Abstract

    “A healthy woman is the heart of a happy family” so, why do we allow breast cancer to increase as the largest cancer killer in the developing world? Why is breast cancer identified as curable (in the West) and largely fatal in the rest? Why don’t our hospitals “do something” and why does awareness alone fall short and fail? We know breast cancer is 99% curable when caught early. Research shows when a lump is found under 10 millimeters in size (the size of a pea)…no ladies die. Author know that current detection techniques such as mammogram and ultrasonography are almost exclusively performed within clinics, yet most women are never examined. Clinical breast exams performed by a specialist and self-breast exams, while great practices, are not capable of 10 mm detection. A completely new approach to preventing breast cancer is a must. Author must reach high numbers of ladies…where “they are” and they must do so with more than awareness and “feel good” participation. They must do so with accessible/affordable/acceptable “welcoming and de-stigmatizing” digital screening programs. The latest FDA certified technologies must be deployed to find early breast cancer indications before 10 mm. They must. Breast cancer is occurring in younger and younger ages in the developing world and is not being discovered until later stages. The rate of breast cancer is increasing and the average age is decreasing from the mid 50’s to the mid 40’s while rates for twenty and thirty-somethings increase the fastest. For urban and rural, the prospects are dim. It doesn’t have to be this way. Author’s model is successful. The Lady B Well program is offered to anyone, anywhere to make it their own, to be fully trained, and to use our innovative mobile health platform to reach more deserving ladies in more places. Join us.

Mail us at

Program Enquiry
womenhealth@alliedscholars.com
Sponsorship | Partnering
womenhealth@alliedscholars.net
General Enquiries
info@alliedscholars.com
More details about sponsorship:sponsors@alliedacademies.com

Terms and Conditions

Responsibility

The organizers hold no responsibilities or liabilities of the personal articles of attendees at the venue against any kind of theft, loss, damage, due to any reason whatsoever. Delegates are entirely responsible for the safety of their own belongings.

 

Insurance

No insurance, of any kind, is included along with the registration in any of the events of the organization.

 

Transportation

Please note that transportation and parking is the responsibility of the registrant, Allied Academies will not be liable for any actions howsoever related to transportation and parking.

 

Press/Media

Press permission must be obtained from Allied Academies Conference Organizing Committee prior to the event. The press will not quote speakers or delegates unless they have obtained their approval in writing. The Allied Academies is an objective third-party nonprofit organization and this conference is not associated with any commercial meeting company.

 

Requesting an Invitation Letter

For security purposes, letter of invitation will be sent only to those individuals who had registered for the conference after payment of complete registration fee. Once registration is complete, please contact gynecologyconferences@gmail.com to request a personalized letter of invitation, if not received until one month before the scheduled date of the event.

All the bank charges applicable during refund will be deducted from the account of participant.

 

Cancellation Policy

All cancellations or modifications of registration must be made in writing to finance@alliedacademies.com

If due to any reason, Allied academies postpone an event on the scheduled date, the participant is eligible for a credit of 100% of the registration fee paid. This credit shall only be used for another event organized by Allied academies within the period of one year from the date of rescheduling.

Postponement of event 

If due to any reason, Allied academies postpone an event and the participant is unable or unwilling to attend the conference on rescheduled dates, he/she is eligible for a credit of 100% of the registration fee paid. This credit shall only be used for another event organized by Allied academies within the period of one year from the date of rescheduling.

Transfer of registration

All registrations, after payment of complete registration fee, are transferable to other persons from the same organization, if in case the person is unable to attend the event. Request for transfer of registration must be made by the registered person in writing to finance@alliedacademies.com. Details must include the full name of replaced new registrant, their title, contact phone number and email address. All other registration details will be assigned to the new person unless otherwise specified.

Registration can be transferred to one conference to another conference of Allied academies if the person is unable to attend one of the conferences.

However, Registration cannot be transferred if intimated within 14 days of the respective conference.

The transferred registrations will not be eligible for Refund.

This cancellation policy was last updated on April 04, 2015.

Visa Information

Keeping in view of increased security measures, we would like to request all the participants to apply for Visa as soon as possible.

Allied academies will not directly contact embassies and consulates on behalf of visa applicants. All delegates or invitees should apply for Business Visa only.

Important note for failed visa applications: Visa issues are not covered under the cancellation policy of Allied academies, including the inability to obtain a visa.

 Refund Policy:

If the registrant is unable to attend and is not in a position to transfer his/her participation to another person or event, then the following refund policies apply:

Keeping in view of advance payments towards Venue, Printing, Shipping, Hotels and other overhead charges, following Refund Policy Orders are available:

·   Before 60 days of the conference: Eligible for Full Refund after deduction of $100 towards service Fee.

·         Within 60-30 days of Conference: Eligible for 50% of payment Refund

·         Within 30 days of Conference: Not eligible for Refund

·         E-Poster Payments will not be refunded.

Accommodation Cancellation Policy:

Accommodation Service Providers (Hotels) have their own cancellation policies which are applicable when cancellations are made less than 30 days prior to arrival. If in case the registrant wishes to cancel or amend the accommodation, he/ she is expected to inform the organizing authorities on a prior basis. Allied academies will advise the registrant to ensure complete awareness of the cancellation policy of your accommodation provider, prior to cancellation or modification of their booking.

Highlights from last year's Convention

Authorization Policy

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