2nd Annual Surgical Meeting Surgical Innovations for the Developing ...

2nd Annual Surgical Meeting Surgical Innovations for the Developing World October 21-22, 2016 Aga Khan University Karachi, Pakistan

0

S. Ather Enam Chair, Department of Surgery Aga Khan University Karachi, Pakistan I welcome all the participants to the Second Annual Surgical Meeting of the Aga Khan University Hospital. We have been able to expand upon last years meeting both in terms of the scale, and the scope. This year‟s theme and scientific program are focused on Surgical Innovation for the Developing Countries, an area of endless possibilities. A focused meeting such as this one is the perfect opportunity for experts from around the world to gather, and explore this area further. The workshops will allow participants substantial hands-on experience related to 17 different topics. The scientific program, much like last year, is both exciting and informative. I am thankful to all the guests who have gathered here upon our invitation. I must also thank our collaborators, and contributors, who have helped make this event possible. And finally, I must congratulate the Organizing Committee for this herculean effort. Aga Khan University in general and the Department of Surgery in particular has maintained its reputation as regional academic leaders, through the organization of this wholesome scientific meeting. S. Ather Enam MD, PhD (USA), FRCS (Ire), FRCS (Can, SN), FACS (USA) Diplomate American Board of Neurological Surgeons Professor, Neurosurgery Chair, Department of Surgery Aga Khan University, Karachi

1

Masood Umer Chair, Organizing Committee 2nd Annual Surgical Conference As chair of the index conference, it is with great pleasure that I welcome all the faculty and residents, especially those coming from overseas and north of Pakistan. It was in March this year that I took over this responsibility and since then we have been working very hard to give a new shape to our conference. This is a two day conference focusing on surgical innovations for the developing world. Our aim was to spread awareness about latest innovations in the surgical field. In fact our focus was their application in our developing world in a cost effective manner. Recent advances like virtual surgery, e-health, e-clinics, robotics and surgical simulation would be dealt in detail throughout the two days. We have moved away from the traditional free paper sessions; our plenary lectures have been named as orations after eminent medieval Muslim surgeons. This time we are having two such orations besides having one panel discussion on e-health and a debate on robotics. Our first day is dedicated to a total of 17 workshops. These will all be held in the newly constructed state of the art Centre for Innovation in Medical Education (CIME) at our university. These will mostly be held be hands-on skills training workshops focusing on the post graduate residents and giving them a chance for close faculty interaction. In addition, this year we have involved all our eleven sections of surgical specialties to present their own scientific programs. Eminent national and international faculty has been invited as guest speakers. Parallel to the scientific program we will have an indexed journal manuscript publication (JPMA) of the approved free papers mostly as short reports. We got an overwhelming response of getting about 274 free research papers from all over the country. Forty were carefully selected after a transparent and rigorous peer review process for final publication. The conference APP from Whova has been purchased to bring the whole conference activity on your smart phone.

2

Our hope is to provide our surgeons of all specialties a flavor of latest innovations which can then help them improve their clinical practice. This meeting will indeed lay the platform for more local and cost-effective innovations targeting our non-affording population. I am sure our brilliant residents will get many new and leading ideas placing them in a much better position to enter independent practice. All our workshops & scientific sessions are accredited by AACME. Department of Surgery at AKU plans to hold such mega academic events on an annual basis. Our more than 100 surgical faculty members in the department will continuously strive together to become national flagbearers in innovative surgical practice and education. One cannot conclude anything on this conference without mentioning the tremendous help and input by our secretary, Shariff Charania. He was the real backbone of this conference. At the same time, we must thank our industry sponsors for supporting us in this endeavor. Masood Umer MBBS (AKU), FCPS-Orth Associate Professor Section Head, Orthopaedic Surgery Department of Surgery Aga Khan University, Karachi

3

Shahzad Shamim Co-Chair, Organizing Committee 2nd Annual Surgical Conference There‟s a way to do it better - find it! These are the words of Thomas Edison, perhaps the greatest innovator in human history. After „Surgical Complications‟ last year, the theme of this year‟s Annual Surgical Meeting is „Surgical Innovations for the Developing Countries‟, inspired by innovators like Thomas Edison and Steve Jobs. The goal of the meeting is to gather current and future surgical leaders with international experts, create an environment of discourse, and provide the necessary stimulus to inspire surgical innovations despite resource restraints. This year‟s meeting has a lot more to offer than last year. The build up to the event was helped by the announcement of JPMA Supplement, which the participants will receive along with other conference material. We have also organized 17 sub-specialty workshops, some of which are the first of their kind in Pakistan. We have maintained our traditional opening ceremony, which allows an informal networking opportunity for the participants. This year we have encouraged our own medical students to develop an entertainment program for our esteemed guests. We have also introduced breakfast just ahead of the main scientific program, to allow not just an early start, but also another excuse for informal interaction between participants and faculty. The Scientific Program is the icing on the cake. There will be 11 concurrent sub-specialty sessions in the morning, featuring Pakistan‟s best and brightest surgical minds interacting with international experts, surgical trainees and students. The afternoon is dedicated to the plenary session with a carefully thought out program, incorporating theme based talks, panel discussion, keynote lectures, and finally a debate with an audience vote, as our grand finale. Steve Jobs termed „Innovation‟, as the distinguishing factor between a follower, and a leader. The 2nd Annual Surgical Meeting is indeed an attempt to create surgical leaders within us. M Shahzad Shamim MBBS, MCPS, MRCS, FCPS, FEBNS, FACS, FRCS(Eng), FRCSGlas(Neuro Surg) Director, Internship Program Director, Surgical Neuro-Oncology Fellowship Program Head of Academic Events and Communication Division Assistant Professor, Neurosurgery Department of Surgery Aga Khan University, Karachi

4

Amir Shariff Chair, Scientific Committee 2nd Annual Surgical Conference On behalf of the Scientific Committee I would like to welcome you to the 2nd Annual Surgery Conference at the Aga Khan University. Following last year‟s conference on the “Impact of Surgical Complications”, this year‟s theme attempts to remain true to our endeavor to bring to the fore matters relevant to our environment and context. “Surgical Innovations for the Developing World” will be the focus of this year‟s conference. Practicing in constrained environments, I am sure most of us have created out-of-the-box solutions to provide adequate care to our patients, something that we popularly refer to as “jugadh”. Almost all of these would fall into the category of “frugal innovation” a concept that is garnering much attention globally. One of possibly the greatest discoveries of this nature involves the invention of the stethoscope. The French physician Rene Laennec was called to examine a young woman, but too embarrassed to put his ear to her chest, he used a sheaf of paper rolled into a cylinder to auscultate the heart*. Stemming from frugal innovation comes “reverse innovation” where ideas developed in resource constrained environments are used as cost effect alternatives in high income environments. We will be commencing with workshops on October 21st followed by the inaugural ceremony. October 22nd will be split into two halves, with specialty based sessions in the morning, followed by multidisciplinary plenary sessions in the afternoon. A diverse group of international and national experts have been brought together to share their thoughts and experiences and to generate debate and perhaps some controversy! We hope that this will be not just an informative and interactive meeting but one that will also stimulate and inspire. We look forward to hosting you at the 2nd Annual Surgery Conference at the Aga Khan University. Amir H. Shariff MBBS, Diplomate American Board of Surgery Assistant Professor, General Surgery Department of Surgery Aga Khan University, Karachi *Fayssoil, A. René Laennec (1781-1826) and the invention of the stethoscope. Am J Cardiol. 2009 Sep 1;104(5):743-4.

5

Organizing Committee

Masood Umer Chair, Organizing Committee Associate Professor, Orthopaedics

Shahzad Shamim Co-Chair, Organizing Committee Assistant Professor, Neurosurgery

Amir Shariff Chair, Scientific Committee Assistant Professor, General Surgery

Tashfeen Ahmed Co-Chair, Scientific Committee Assistant Professor, Orthopaedics

Aneela Darbar Chair, Workshop Committee Assistant Professor, Neurosurgery

Moghira Iqbal Co-Chair, Workshop Committee Assistant Professor, Otolaryngology

6

Hammad Ather Chair, Special Supplement, JPMA Professor, Urology

Arif Mateen Chair, Photography Display Committee Associate Professor, Paediatric Surgery

Muneer Amanullah Chair, Entertainment Committee Associate Professor, Cardiothoracic Surgery

Shahid Sami Chair, Exhibition Committee Consultant, Cardiothoracic Surgery

Shariff Charania Conference Secretary

Murad Bana Conference Secretary

7

Sub-Theme Coordinators Breast Surgery

Abida Sattar, Assistant Professor Nazia Riaz, Assistant Professor

Cardiothoracic Surgery

Saulat Fatimi, Associate Professor

Dentistry

Attiya Shaikh, Assistant Professor

General Surgery

Rizwan Khan, Associate Professor

Neurosurgery

Rashid Jooma, Professor Ehsan Bari, Assistant Professor

Ophthalmology

Sharmeen Akram, Assistant Professor

Orthopaedics

Mujahid Jamil, Assistant Professor Haroon ur Rashid, Associate Professor

Otolaryngology

Mubasher Ikram, Associate Professor

Pediatric Surgery

Saqib Qazi, Assistant Professor

Plastic Surgery

Fazl ur Rehman, Assistant Professor

Urology

Nuzhat Faruqui, Assistant Professor Muhammad Nazim, Assistant Professor

8

International Faculty

Torben Schroeder Vascular Surgeon, Denmark

Anwar Ahmed Neurosurgeon, UAE

Asim Mehmood Neurosurgeon, USA

Donald J. Ferguson Dental Surgeon, UAE

Fayyaz Hashmi Cardiothoracic Surgeon, USA

Guzanfar Choudry Urologist, UAE

Imran Andrabi Hospital CEO, USA

Marita Eisenmann-Klein Plastic Surgeon, Germany

9

Mohsin-e-Azam Orthopaedic Surgeon, UAE

Munir Ahmed Khakwani Urologist, UK

Mushtaq Ahmed Orthopaedic Surgeon, UK

Nadeem Parvaiz Radiation Oncologist, UAE

Nadia Khan Neurosurgeon, Switzerland

Shafi Ahmed Laparoscopic & Colorectal Surgeon, UK

Sohail Chughtai Orthopaedic Surgeon, UK

10

National Faculty Abdul Bari Khan Abdul Hameed Abdur Rehman Alvi Abid Jamal Abid Niazi Abul Fazal Khan Ali Raza Brohi Ali Raza Khan Ali Raza Syed Amir Bilal Anis Bhatti Anjum Jalal Anjum Vohra Arshad Hasan Ashar Jamelle Atta Bhatti Awab Alvi Ayaz Ali Khan Bilal Faiz Khan Farid Khan Ghulam Mehboob Ijaz Hussain Imtiaz Ali Javed Niazi Junaid Ashraf Kamran Hussain Kashif Ikram Khalid Ashrafi Khalid Chishty Khalid Mahida Khalid Mahmood Khurram Ataullah Lal Rehman Lubna Samad Majeed Chaudhry Mamoon Rashid Mansoor A Khan Manzar Hussain Mazhar Nizam Mehmood Haider Mohammad Ajmal Muazzam Tarar Muhammad Sohail Mumtaz Ali Mumtaz Maher Muneera Shakir Nadeem Butt Nadeem Khurshaidi

Cardiothoracic Surgeon Plastic Surgeon General Surgeon General Surgeon Orthopaedic Surgeon General Surgeon Paediatric Surgeon Cardiothoracic Surgeon Dental Surgeon Cardiothoracic Surgeon Orthopaedic Surgeon Cardiothoracic Surgeon Neurosurgeon Dental Surgeon Dental Surgeon Neurosurgeon Dental Surgeon Dental Surgeon Ophthalmologist Plastic Surgeon Orthopaedic Surgeon Paediatric Urologist Ophthalmologist Ophthalmologist Neurosurgeon Neurosurgeon Dental Surgeon Otolaryngologist Neurosurgeon Otolaryngologist Neurosurgeon Dental Surgeon Neurosurgeon Paediatric Surgeon General Surgeon Plastic Surgeon Orthopaedic Surgeon Neurosurgeon Plastic Surgeon Dental Surgeon Otolaryngologist Plastic Surgeon Plastic Surgeon Neurosurgeon General Surgeon Ophthalmologist Ophthalmologist General Surgeon

11

Nadeem Qamar Naqeeb Achakzai Naveed Aslam Noeen Arshad Obaidullah Raz Bazai Raza Rizvi Riaz Raja S. Mohammad Awais Saeed Iqbal Saeed Minhas Saeed Qureshi Sajid Sultan Salman Khalid Salman Shah Salman Sharif Shabbir Lehri Shahab Ghani Shahid Noor Shahzad Ali Shams Brohi Sharif Hashmani Shehab Beg Shoaib Ahmed Sohail Hafeez Tariq Aziz Tariq Khan Tariq Rafi Tariq Salahuddin Umar Farooq Zafar Zaidi Zakiuddin Ahmed Ziaul Islam Zubair Ahmed Khan

Cardiothoracic Surgeon Neurosurgeon Otolaryngologist Dental Surgeon Plastic Surgeon Neurosurgeon Neurosurgeon Neurosurgeon Orthopaedic Surgeon Ophthalmologist Orthopaedic Surgeon General Surgeon Urologist Urologist Cardiothoracic Surgeon Neurosurgeon Neurosurgeon Plastic Surgeon Orthopaedic Surgeon Urologist Neurosurgeon Ophthalmologist Plastic Surgeon Otolaryngologist Orthopaedic Surgeon Ophthalmologist Neurosurgeon Otolaryngologist Neurosurgeon Otolaryngologist Urologist E-Health Plastic Surgeon Dental Surgeon

Webinar Amin Kassam Christian Bach Malcolm A. Lewis Roberto Herrera

Neurosurgeon, USA Urologist, Germany Paediatric Nephrologist, UK Neurosurgeon, USA

12

Abu al-Qasim al-Zahrawi, known also by his Latin name Albucasis, was born near Cordoba in 936 CE. Considered to be the father of surgery, his outstanding contribution to medicine is his encyclopaedic work Al-Tasrif li-man 'ajaza 'an al-ta'lif, a long and detailed work in thirty treatises. The book contains the earliest pictures of surgical instruments in history. of all the contents of Al-Zahrawi's Al-Tasrif, book 30 on surgery became the most famous and had by far the widest and the greatest influence. In it, he developed all aspects of surgery and its various branches, from ophthalmology and diseases of the ear, nose, and throat, surgery of the head and neck, to general surgery, obstetrics and gynaecology. Military medicine, urology, and orthopaedic surgery were also included. Expressing his credo in this book he states: "Whatever I know, I owe solely to my assiduous reading of books of the ancients, to my desire to understand them and to appropriate this science; then I have added the observation and experience of my whole life."

Ibn Sina, also known as Avicenna (c. 980 – June 1037) was a Persian polymath who is regarded as one of the most significant thinkers and writers of the Islamic Golden Age. Known as the father of Medicine, his most famous works are The Book of Healing – a philosophical and scientific encyclopedia, and The Canon of Medicine – a medical encyclopediawhich became a standard medical text at many medieval universities and remained in use as late as 1650. Besides philosophy and medicine, Avicenna's corpus includes writings on astronomy, alchemy, geography and geology, psychology, Islamic theology, logic, mathematics, physics and poetry.

13

Pre-Conference Workshops Friday, October 21, 2016 Venue: Centre for Innovation in Medical Education (CIME) Aga Khan University

14

Workshop 1 Title Venue Time CME Credits Coordinator

Orthopaedic Oncology Course Multi-Purpose Hall 09:00 - 05:00 7 Hours Masood Umer – Orthopaedic Surgeon


The Anatomy and Practice of MRI Tractography in Neurosurgery Ground Floor Debriefing Room 09:00 - 05:00 7 Hours Shahzad Shamim – Neurosurgeon Rashid Jooma – Neurosurgeon


Current Trends in Periodontal Surgery 1st Floor Simulation Room 09:00 - 05:00 7 Hours Attiya Shaikh – Dental Surgeon


Spinal Instrumentation: A Hands-on Workshop PBL Room 5 & 6 09:00 - 05:00 7 Hours Gohar Javed – Neurosurgeon Aneela Darbar – Neurosurgeon


Basic Knee Arthroscopy PBL Room 1 & 2 09:00 - 01:00 4 Hours Naveed Baloch, Orthopaedic Surgeon

15


Creating a flap for LASIK PBL Room 7 & 8 09:00 - 01:00 4 Hours Sharmeen Akram, Ophthalmologist


Clinical Photography 1st Floor Debriefing Room 09:00 - 01:00 4 Hours Mohsin-e-Azam, Orthopaedic Surgeon Abid Niazi, Orthopaedic Surgeon


Endourology on Virtual Reality Simulator 2nd Floor Simulation Area & 2nd Floor Debriefing Room 09:00 - 01:00 4 Hours Hammad Ather, Urologist


Periodontally Accelerated Osteogenic Orthodontics Ground Floor Conference Room 09:00 - 01:00 4 Hours Attiya Shaikh, Dental Surgeon


Mitral Valve Repair Using Bovine Heart Anatomy Dissection Hall, Medical College 09:00 - 01:00 4 Hours Saulat Fatimi, Cardiothoracic Surgeon

16


Locally Advanced Breast Cancer: Imaging and intervention PBL Room 4 09:00 - 01:00 4 Hours Abida Sattar, Breast Surgeon Nazia Riaz, Breast Surgeon


Basics of Laparoscopic Surgery 2nd Floor Simulation Area & 2nd Floor Debriefing Room 02:00 - 05:00 3 Hours Amir Shariff, General Surgeon Rizwan Khan, General Surgeon


Urodynamics in Children PBL Room 4 02:00 - 05:00 3 Hours Saqib Qazi, Paediatric Surgeon


Cardiac Surgery Advance Life Support Ground Floor Conference Room 02:00 - 05:00 3 Hours Hasanat Sharif, Cardiothoracic Surgeon


Flexible Ureteroscopy PBL Room 3 02:00 - 05:00 3 Hours Hammad Ather, Urologist

17


Innovations in Virtual Healthcare and Telemedicine 1st Floor Debriefing Room 02:00 - 05:00 3 Hours Zakiuddin Ahmed, E-Health Pakistan


Reading OCT + Panel Discussion PBL Room 7 02:00 - 05:00 3 Hours P. S. Mahar, Ophthalmologist Sharmeen Akram, Ophthalmologist

18

Inaugural Ceremony Friday, October 21, 2016 Venue: Auditorium, Aga Khan University

Programme

05:45

Gathering Aga Khan University Auditorium

06:00

Tilawat-e-Quran

06:10

Welcome Address by Chairman, Organizing Committee Masood Umer

06:15

Address by Chairman, Department of Surgery Syed Ather Enam

06:20

Address by Dean, Medical College Farhat Abbas

06:25

Address by Guest of Honour President, AKU Firoz Rasul

06:30

Guest Speaker Pervez Hoodbhoy, Physicist

07:00

Guest Speaker Ather Osama, Founder, Pakistan Innovation Foundation

07:30

Play performed by Students of the AKU Medical College

08:30

Conference Dinner Male Hostel Lawn

19

Scientific Program Saturday, October 22, 2016 Venue: Sub-Themes: Centre for Innovation in Medical Education (CIME) & School of Nursing (SON) Plenary Session: Auditorium Aga Khan University

Sub-Themes Breast Surgery Cardiothoracic Dentistry ENT - Head and Neck Surgery General Surgery Neurosurgery Ophthalmology Orthopaedics Paediatric Surgery Plastic Surgery Urology

20

Breast Surgery 08:00 - 01:00 Venue: Class Room 2-A Ground Floor, SON Time

Topic

Speaker

08:00 - 09:00

Breakfast

09:00 - 09:10

Introduction: What is LABC

Sana Zeeshan

0910 - 09:35

Surgical Management of Breast in LABC

Shaista Khan

09:35 - 10:00

Surgical Management of Axilla in LABC

Nazia Riaz

10:00 - 10:25

LABC: Role of Radiology in Diagnosis and Management

Imrana Masroor

10:25 - 10:50

LABC: Imaging for Evaluation of response to Neoadjuvant Chemotherapy

Shaista Afzal

10:50 - 11:00

Question & Answer

11:00 - 11:15

Tea Break

11:15 - 11:40

Neoadjuvant / Adjuvant Strategies in Hormone positive Breast Cancer

Azmina Vali Mohammed

11:40 - 12:05

Neoadjuvant / Adjuvant Strategies in her 2 positive Breast Cancer

Adnan Jabbar

12:05 - 12:30

Radiation Oncology in LABC

Nadeem Parvaiz

12:30 - 01:00

Case discussions (2 cases)

Adeeba Zaki Samad Shah

01:00 – 02:00

Lunch at Male Hostel Lawn, Medical College

02:00

Proceed to main Auditorium for plenary session

21

Cardiothoracic Surgery 08:00 - 01:00 Venue: Class Room# 5 Ground Floor, SON Time

Topic

Speaker

08:00 - 09:00

Breakfast

09:00 - 09:20

Minimally Invasive Cardiac Surgery

Fayyaz H. Hashmi

09:20 - 09:40

Complex Coronary Artery Revascularization

Anjum Jalal

09:40 - 10;00

Hybrid Revascularization and Concept of Hybrid Operating Room

Hasanat Sharif

10:00 - 10:20

Innovations in Valvular Heart Surgery

Sulaiman Hasan

10:20 - 10:40

Innovative Techniques in Aortic Surgeries

Shahid Sami

10:40 - 11;00

Price of Innovation in a Developing Nation

Nadeem Qamar

11:00 - 11:15

Tea Break

11:15 - 11:35

Innovations and Challenges in Cardiothoracic Trauma

Amir Bilal

11:35 - 11:55

Video Assisted Thoracic Surgery (VATS) Innovative Techniques in Major Lung Resections

Ali Raza Khan

11:55 - 12:15

Neonatal Congenital Heart Surgery in 2016

Muneer Amanullah

12:15 - 12:35

Extra-Corporeal Membrane Oxygenation (ECMO)

Salman Shah

12:35 - 12:55

Innovations in Cardiothoracic Surgery in Pakistan How to make this dream into a reality

Abdul Bari Khan

12;55 - 01:00

Vote of Thanks

Saulat H. Fatimi

01:00 - 02:00


02:00


22

Dentistry 08:00 - 01:00 Venue: Debriefing Room First Floor, CIME Time

Topic

08:00 - 09:00

Breakfast

Speaker

Session 1 Chair: Munawar Rehman Moderator: Robia Ghafoor 09:00 - 09:15

Restoring Endodontically treated teeth inside the box solution

Fahad Umer

09:15 - 09:30

Microscopes & 3D CBCT in Endodontics

Awab Alvi

09:30 - 09:45

Porcelain Veneers: Made in Pakistan

Arshad Hasan

09:45 - 10:00

Crown Lengthening: Why, When & How?

Ali Raza Syed

10:00 - 10:15

Application of Growth Factors in Implant Dentistry

Zubair Ahmed Khan

10:15 - 10: 30

Full mouth rehabilitation using fixed Prosthodontics Najeeb Saad

10:30 - 10:45

Dentistry in the era of Globalization: Education, Research & Health Care Delivery

Ayaz Ali Khan

10:45 - 11:00

Salvaging periodontally compromised teeth and exploring treatment options

Ashar Jamelle

11:00 - 11:15

Tea Break Session 2 Chair: Mubassar Fida Moderator: Attiya Shaikh

11:15 - 12:15

Keynote Lecture: “Augmented Corticotomy and Orthodontics”

Donald J. Ferguson

12:15 - 12:30

Diamonds in the Sky

Noeen Arshad

12:30 - 12:45

The concept of osteosynthesis in CranioMaxillofacial Region

Mehmood Haider

12:45 - 01:00

Importance of Clinical Audit

Kashif Ikram

01:00 - 02:00


02:00


23

ENT – Head and Neck Surgery 08:00 - 01:00 Venue: Multipurpose Hall A, CIME Time

Topic

Speaker

08:00 - 09:00

Breakfast

09:00 - 09:30

Cochlear Implants

Naveed Aslam

09:30 - 10:00

Discharging Ear Management of Chronic Ears

Iftikhar Salahuddin

10:00 - 10:30

Revision mastoid surgery Challenges pitfalls & pearls

Shoaib Ahmed

10:30 - 11:00

Management of Otitis Media

Mohammad Ajmal

11:00 - 11:15

Tea Break

11:15 - 12:00

Acute Ear and its Management

11:45 - 01:00

Case presentations Moderator: Akbar Abbas

Umar Farooq

Panelists: Tariq Rafi, Khalid Ashrafi, Naveed Aslam, Shoaib Ahmed, Khalid Mahida, Mohammad Ajmal 01:00 - 02:00


02:00


24

General Surgery 08:00 - 01:00 Venue: Dr. J. Fraser Mustard Auditorium, SON Time

Topic

08:00 - 09:00

Breakfast

Speaker

Session 1 Recent Debates / Controversies in Laparoscopic Surgery for Developing Countries 09:00 - 09:30

Reducible inguinal Hernia – Lap vs. Open

Open – Majeed Chaudhry Lap – Abul Fazal Khan Moderator: Rizwan Khan

09:30 - 10:00

Incisional Hernia – Lap vs. Open What is the standard for Pakistan?

Lap – Abdur R Alvi Open – Nadeem Khurshaidi Moderator: Tabish Chawla

10:00 - 10:30

Appendectomy – Lap vs. Open Approach for Public vs. Private Hospitals

Open – Saeed Qureshi Lap – Mumtaz Mehar Moderator: Sadaf Khan

10:30 - 11:00

Asymptomatic Gallstones

Routine cholecystectomy is the recommended treatment option – Irfan Daudi Observation – Inam Pal Moderator: Abid Jamal

11:00 - 11:15

Tea Break Session 2 Innovations in General Surgery

11:15 - 11:35

Simulation Based Training in General Surgery

11:35 - 11:40

Question & Answer

11:40 - 12:00

Single Incision Minimal Access Surgery

12:00 - 12:05

Question & Answer

Torben Schroeder

Shafi Ahmed

25

12:05 - 12:25

Enhanced Recovery after Surgery – effectiveness for Pakistan?

12:25 - 12:30

Question & Answer

12:30 - 12:55

Panel Discussion

Surgery Faculty

12:55 - 01:00

Vote of Thanks

Rizwan Khan

01:00 - 02:00


02:00


Hasnain Zafar Rozina Khimani Saba Akber

26

Neurosurgery 08:00 - 01:00 Venue: Multipurpose Hall B, CIME

Time

Topic

08:00 - 08:50

Breakfast

08:50 - 09:00

Welcome

Speaker

Ehsan Bari

Session 1 Panelists: Lal Rehman, Mumtaz Ali, Shabbir Lehri, Ahmed Ali Shah Moderator: Manzar Hussain 09:00 - 09:20

Nuances in the Management of Hydrocephalus

Anwar Ahmed

09:20 - 09:40

Abiding by International best practices in Spinal Surgery in a resource-constrained setting

Salman Sharif

9:40 - 10:00

Neurosurgery in a conflict zone

Raz Bazai

Session 2 Panelists: Anjum Vohra, Ateeq, Khalid Chishty, Shams Brohi Moderator: Gohar Javed 10:00 - 10:20

Head trauma research opportunities for developing countries

Tariq Khan

10:20 - 10:40

Endoscopic skull base surgery

Khalid Mahmood

10:40 - 11:00

Current state & future directions for Neurosurgeons in training

Naqeebullah Achakzai

11:00 - 11:15

Tea Break

11:15 - 11:35

Webinar Moderator: Aneela Darbar Low-grade gliomas and their surgical management. Presenter: Roberto Herrera

27

Session 3 Panelists: Naqeeb Achakzai, Riaz Raja, Raza Rizvi, Junaid Ashraf Moderator: Atta Bhatti 11:40 - 12:00

Recent advances in Managing Traumatic Brain Injury

Asim Mehmood

12:00 - 12:20

Neurosurgery in Pakistan. Progress so far and way forwards. Are we at pace with the rest of the developing nations?

Tariq Salahuddin

12:20 - 12:40

Cerebral Revascularization for Stroke Prevention

Nadia Khan

12:40 - 01:00

Bringing Innovations in Neurosurgery with resource restraints

Kamran Hussain

01:00 - 01:05

Vote of Thanks

Rashid Jooma Shahzad Shamim

01:00 - 02:00


02:00


28

08:00 - 01:00 Ophthalmology Venue: Class Room 1A & 1B Ground Floor, SON Time

Topic

09:00 - 09:20

Breakfast

09:00 - 09:20

Immunomodulation In Glaucoma Surgery

Imtiaz Ali

09:20 - 09:40

Nano Technology in the management of Glaucoma

Nadeem Hafiz Butt

09:40 - 10:00

Verion Guided Femto Laser Assisted Cataract Surgery

Sharif Hashmani

10:00 - 10:20

Best option for congenital Glaucoma in Asian Eyes

Muneera Shakir

10:20 - 10:30

Risk factors for Progression of Glaucoma & Ocular Surface Disease Prevalence in Glaucoma Patients

10:30 - 11:00

Speaker

Panel Discussion : Refractive Surgery Panelists: Sharmeen Akram, Sharif Hashmani, Saeed Iqbal

11:00 - 11:15

Tea Break

11:15 - 11:35

Keratoprosthesis

Bilal Faiz

11:35 - 11:50

Role of OCT in Glaucoma and Clinical interpretation.

P. S. Mahar

11:50 - 12:05

Orbital Apex Syndrome

Rashid Baig

12:05 - 12:25

Practicing Medical Ethics In Ophthalmology

Tariq Aziz

12:25 - 12:45

Orbital Disease

Javed Niazi

12:45 - 01:00

Myths and facts about Anti-VEGEF

Azam Ali

01:00

Vote of Thanks

Sharmeen Akram

01:00 - 02:00


02:00


29

Orthopaedics 08:00 - 01:00 Venue: Nursing Auditorium, SON Time

Topic

08:00 - 09:00

Breakfast

Speaker

Session 1 Chair: Ghulam Mehboob - Moderator: Mujahid Jamil Khattak 09:00 - 09:20

E-Health Innovations In Orthopedics

Suhail Chughtai

09:20 - 09:40

Orthopedic Innovations In Education

Tashfeen Ahmed

09:40 - 10:00

Orthopedic Innovations In The Pakistan Armed Forces

Sohail Hafeez

10:00 - 10:20

Local Orthopedic Innovations In A Public Sector Hospital

Anisuddin Bhatti

10:20 - 11:00

Tea Break

Time

Session 2 - Free papers Chair: Anisuddin Bhatti - Moderator: Haroon-ur-Rashid Topic Authors

11:00 - 11:05 11:05 - 11:10

The Prevalence and Nature of Trauma and Injuries In Karachi. National Trauma Registry of Pakistan: “The Need of The Hour.”

Muhammad Saeed Minhas, Muhammad Muzzammil, Jahanzeb Effendi, Anisuddin Bhatti, Syed Jahanzeb

11:10 - 11:15

Assessment of Safety Levels In Operation Muhammad Saeed Minhas, Rooms at Tertiary Care Public Hospitals of Muhammad Muzzammil, Karachi. “Safe Surgery Saves Life Jahanzeb Effendi, Anisuddin Bhatti

11:15 - 11:20

Intra-Operative Implantation Errors During Zohaib Gulzar Naqvi, Javed Austin Moore Hemi-Arthroplasty Ali Markhand, Syed Kamran Ahmed

11:15 - 11:20

Outcomes of Internal Hemipelvectomy for Pelvic Tumors – A Developing Country‟s Prospective

Masood Umer, Moiz Ali, Rizwan Haroon Rashid, Yasir Mohib, Haroon-Ur-Rashid

30

11:20 - 11:25

Two Incision Mini Open Carpal Tunnel Release - A Minimally Invasive Alternative to Endoscopic Release

Pervaiz Mehmood Hashmi, Rizwan Haroon Rashid, Moiz Ali, Yasir Mohib, Naveed Baloch

11:25 - 11:30

Qing-Qi Rickshaw: A Boon or Bane For Public Transportation? A Study of Road Traffic Injury Patterns Involving Qing-Qi Rickshaws In Karachi Pakistan

Muhammad Muzzammil, Muhammad Saeedminhas, Jahanzeb Effendi, Syed Jahanzeb, Muhammad Ovais, Ayesha Mughal, Abdul Qadir.

Session 3 Chair: Mansoor A Khan - Moderator: Haroon-ur-Rashid 11:30 - 11:50

Orthopedic Innovations - At AKU Over The Last 25 Years

Haroon Rashid

11:50 - 12:10

Development Of Local Tumor Implants Pakistan Experience

Syed Mohammad Awais

12:10 – 12:30

Minimally Invasive Orthopedics: Arthroscopic Innovations, Past Present And Future

Mushtaq Ahmed

Session 4 - Free papers Chair: Shahid Noor - Moderator: Mujahid Jamil Khattak Time

Topic

Speaker

12:30 - 12:35

Does Obesity Affects Early Infection After Total Knee Arthroplasty. A Comparison Of Obese and Non Obese Patients

Waseem Ahmed, Riaz Lakdawala, Yasir Mohib, Aurangzeb Qureshi, Rizwan Haroon Rasheed

12:35 - 12:40

Improvement In Quality Of Life Six Months After Primary Total Hip Arthroplasty In Pakistani Population.

Akbar Jaleel Zubairi, Syed Usman Bin Mahmood, Moiz Ali, Shahryar Noordin

12:40 - 12:45

Lower Red Cell Transfusion Rates With Use Of Tranexamic Acid In Single Stage Bilateral Total Knee Arthroplasty: A Retrospective Audit

Muhammad Aziz, Salman Bin Mahmood, Riaz Lakdawala, Tashfeen Ahmad

31

12:45 - 12:50

Rotational Mal-Alignment After Reamed Intramedullary Nailing For Tibial Shaft Fracture

Sher Baz Khan, Yasir Mohib, Rizwan Haroon Rashid, Haroon Ur Rashid

12:50 - 12:55

Diagnostic Value of Sinus Tract Culture Versus Intraoperative Bone Culture In Patients With Chronic Osteomyelitis.

Saifullah Soomro, Muhammad Ather Siddiqi, Intikhab Taufiq

12:55 - 01:00

Percutaneous Ilio-Sacral Screw Fixation For Unstable Pelvic Ring Injuries

Muhammad Suhail Amin, Muhammad Khurram Habib, Ammar Khalid

01:00 - 02:00


02:00


32

Paediatric Surgery 08:00 - 01:00 Venue: Debriefing Room Second Floor, CIME Time

Topic

Speaker

08:00 - 09:00

Breakfast

09:00 - 09:30

Continent Urinary Diversion in Children

Zafar Zaidi

09:30 - 10:00

Continence after Exstrophy Repair

Sajid Sultan

10:00 - 10:30

Valve Bladder

Ijaz Hussain

10:30 - 11:00

Panel Discussion & Q/A

All

11:00 - 11:15

Tea Break

11:15 - 12:00

Webinar: Neuropathic Bladder

Malcolm A. Lewis

12:00 - 01:00

Paediatric Laparoscopy: Innovations & Advancements

Ali Raza Brohi

Where do we stand? 01:00 - 02:00


02:00


33

Plastic Surgery 08:00 - 01:00 Venue: Ground Floor Conference Room, CIME Time

Topic

08:00 - 09:00

Breakfast

Speaker

Session 1: Chair: Tahir Shafi - Co-Chair: Mazhar Nizam – Moderator: Ubaid Khan 09:00 - 09:30

The role of fat grafting in regenerative medicine

Marita Eisenmann Klein

09:30 - 09:45

Acid Burns

M Ali Jawad

09:45 - 10:00

A modified suction assisted technique of transfer of diced cartilage graft to carrier material and outcome of direct injection of unwrapped diced cartilage (UDC) in Rhinoplasty

Muhammad Sohail

10:00 - 10:15

Grafts and Flaps in Hypospadias

Shehab Beg

10:15 - 10:30

Hybrid flaps in Limb Reconstruction

Ziaul Islam

10:30 - 10:45

Success, failures and problems in the management of post burn contractures

Fehmina Buriro

10:45 - 11:00

Breast Reconstruction

Samiullah Abdullah

11:00 - 11:15

Tea Break

Session 2: Chair: Abdul Hameed - Co-Chair: Shahab Ghani – Moderator: Sara Khan 11:15 - 11:45

Reconstruction after sarcoma resection

Mamoon Rashid

11:45 - 12:15

Setting up of a microsurgical service

Muazzam Tarar

12:15 - 12:30

Small improvisations in Plastic Surgery

Obaidullah

12:30 - 01:00

Rhinoplasty: Pearls and Pitfalls

Farid Khan

01:00 - 02:00


02:00


34

Urology 08:00 - 01:00 Venue: Debriefing Room Ground Floor, CIME Time

Topic

Speaker

08:00 - 09:00

Breakfast

09:00 - 09:30

Innovation in urology surgical training and education.

Munir Ahmed

09:30 - 10:00

Urological procedures under local anesthesia

M. Hammad Ather

10:00 - 10:30

How to cut the cost in performing laparoscopic urological procedures?

Guzanfar Choudhry

10:45 - 11:00

Tea Break

11:00 - 11:30

Urodynamics in evaluation of LUTS

Nuzhat Faruqui

11:30 - 12:00

Peri-operative antibiotics in urology

Raziuddin Biyabani

12:00 - 12:30

Simulation training in developing world. Is it cost effective?

Munir Ahmed

12:30 - 01:00

Webinar: Role of robotics in urology? Developing world perspective

Christian Bach

01:00 - 02:00


02:00


35

Plenary Sessions 02:00 - 06:00 Venue: Auditorium, AKU

Time

02:00 - 03:15 Plenary I Chair: Rizwan Azami - Co-Chair: Tariq Aziz Topic

Speaker

02:00 - 02:20

Fostering innovation – an administrator‟s perspective

Imran Andrabi

02:20 - 02:40

Pathways underpinning Surgical Innovation

Mushtaq Ahmed

02:40 - 03:00

Global Surgery: Bridging the health delivery gap

Lubna Samad

03:00 - 03:15

Discussion

All

03:15 - 03:45

Al-Zahrawi Oration Topic: Virtual Surgery Speaker: Shafi Ahmed 03:45 - 04:00

Tea Break

Time

04:00 - 04:45 Plenary II Chair: Farhat Abbas - Co-Chair: Saeed Qureshi Topic Speaker

04:00 - 04:15

Introduction to E-Health

04:15 - 05:00

Panel Discussion: Innovations in Healthcare Panelists: Shafi Ahmed, Suhail Chughtai, Farhat Abbas, Syed Ather Enam, Saeed Qureshi Moderator: Zakiuddin Ahmed

Zakiuddin Ahmed

36

05:00 - 05:30

Ibn-e-Sina Oration Topic: Establishing and running a simulation center for technically advanced procedures Speaker: Torben Schroeder 05:30 - 06:00 Plenary III Topic: Debate: Is robotics the future for Pakistan? For: Guzanfar Choudry Against: Inam Pal Audience Vote Moderator: Irfan Daudi

06:00 - 06:15

Vote of Thanks

06:15

Hi-Tea & Interaction with Faculty

Masood Umer

37

Department of Surgery Aga Khan University Karachi, Pakistan

38