Organized by - Aga Khan University Conference 2018...residents will get many new and leading ideas placing them in a much better ... Amjad Siraj Memon General ... Hafeez Qureshi Urologist

0

1

Organized by: Department of Surgery Collaborating Departments: Department of Oncology School of Nursing and Midwifery (SONAM) Department of Pathology Department of Radiology

Information: Department of Surgery, Aga Khan University Karachi, Pakistan Direct Tel: +92 21 3486 4374 / 4759 Email: [email protected] or [email protected]

Conference APP

mailto:[email protected]

mailto:[email protected]

2

Syed Ather Enam Chair, Department of Surgery

Aga Khan University Karachi, Pakistan

I welcome all the national and international participants to the 3rd Annual Surgical Conference of the Aga Khan University Hospital. We have been able to expand upon last year’s meeting both in terms of the scale, and the scope. This year’s theme and scientific program are focused on ‘Surgical Oncology – Evidence & Practice’. Surgical Oncology is now the core theme of research for the Department of Surgery at the Aga Khan University. A focused meeting such as this one is the perfect opportunity for experts from around the world to gather, exchange ideas, and explore the possibilities of advancing research and policy improvements in a developing country like Pakistan. To allow the participants a substantial hands-on learning experience, workshops & sectional symposiums on 25 different topics have been organized. This year we have endorsement from the European Society of Surgical Oncology (ESSO) and the American Society of Clinical Oncology (ASCO). The scientific program that has been developed this year is very exciting and informative. I am thankful to all the guests who have gathered here upon our invitation. I must also thank our collaborating partners, 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 AKU Annual Surgical Conference.

S. Ather Enam, S.I. MD, PhD (USA), FRCS (Ire), FRCS (Can, SN), FACS (USA) (Diplomate American Board of Neurological Surgeons) Professor of Neurosurgery Chair, Department of Surgery Aga Khan University, Karachi

3

Masood Umer Chair, Organizing Committee

3rd 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 November 2016 that I took over this responsibility and since then the organizing committee has been working hard to give a new shape to our conference. This will be a two day conference with Surgical Oncology – Evidence & Practice being the plenary theme. Our aim was to spread awareness about latest oncological techniques in the surgical field. Both days of the scientific programme will involve multidisciplinary sessions involving medical personnel, clinical oncologists, radiation oncologists, basic scientists, oncology nurses and oncological surgeons. This year The European Society of Surgical Oncology (ESSO) & American Society of Clinical Oncology (ASCO) are the main collaborating proud partners of our conference. The scientific program is more exciting and informative. We are having two plenary sessions and one combined AKU, ESSO & ASCO session. This year we have 25 pre-conference workshops & symposiums. These will all be held in the Centre for Innovation in Medical Education (CIME) & School of Nursing (SONAM) at our university. These will focus on the post graduate residents and giving them a chance for close faculty interaction. The conference APP will be available to bring the whole conference activity on your smart phone. As part of the public aware ness session, we will be organizing a Facebook Live Awareness Session; our surgical faculty of different sub-specialties will be addressing difficult oncology issues, on-line, from questions being asked by general public at large. A unique compilation of cancer related experiences of different patients and faculty members will also be published under the name of ‘The Struggle within Stories of Battles against Cancer’. AKU medical and nursing students are also being given due role in interacting with respective international faculty members.

4

Our hope is to provide our surgeons of all specialties a flavor of oncology 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, symposiums & 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 flag-bearers in innovative surgical practice and education. I must thank our Department Chair, my Co-chair, all members of Organizing Committee, Scientific Committee, Workshop Committee, Exhibition Committee, Publications Committee, Public Awareness Committee, Inauguration Committee and all program directors who continuously provided instant help and guidance throughout this preparatory period. We also appreciate the tremendous efforts of our collaborating Departments of Nursing, Oncology, Pathology and Radiology for providing us scientific support and related oncology experts to add value to our conference. 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. Lastly, we must thank our implant and pharmaceutical 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

5

Organizing Committee

Masood Umer Chair, Organizing Committee Associate Professor, Orthopaedics

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

Mumtaz J. Khan Chair, Scientific Committee Professor, Otolaryngology

Rizwan Khan Co-Chair, Scientific Committee Associate Professor, General Surgery

Sadaf Khan Chair, Workshop Committee Associate Professor, General Surgery

Haroon ur Rashid Co-Chair, Workshop Committee Associate Professor, Orthopaedics

Muneer Amanullah Chair, Inauguration Committee Associate Professor, Cardiothoracic Surgery

Tabish Chawla Chair, Exhibition Committee Assistant Professor, General Surgery

6

Abida K. Sattar Chair, Public Awareness Committee Assistant Professor, Breast Surgery

Jamsheer Talati Chair, Publication Committee Professor, Urology

Hammad Ather Member, Organizing Committee Professor, Urology

Anwar Suhail Member, Organizing Committee Assistant Professor, Otolaryngology

Gulzar S. Lakhani Member, Organizing Committee Senior Administrator, Surgery

Murad Bana Conference Secretary Associate, Surgery

Shariff Charania Conference Secretary Associate, Surgery

7

Conference Program Directors

Breast Surgery Abida K. Sattar, Assistant Professor

Cardiothoracic Surgery Syed Shahabuddin, Assistant Professor

Dentistry Farhan Raza Khan, Associate Professor

General Surgery Inam Pal, Associate Professor

Medical Oncology Adnan Jabbar, Associate Professor

Munira Moosajee, Assistant Professor

Neurosurgery Ehsan Bari, Assistant Professor

Ophthalmology Shaukat Chhipa, Assistant Professor

Orthopaedics Masood Umer, Associate Professor

Otolaryngology Moghira Siddiqui, Assistant Professor

Pathology Nasir Uddin, Assistant Professor

Pediatric Oncology Sadaf Altaf, Assistant Professor Naureen Mushtaq, Assistant Professor

Pediatric Surgery Saqib Qazi, Assistant Professor

Plastic Surgery Fazl ur Rehman, Assistant Professor

Radiation Oncology Nadeem Abbasi, Associate Professor Bilal Qureshi, Senior Instructor

Radiology Imrana Masroor, Associate Professor

School of Nursing and Midwifery (SONAM)

Amina Aijaz, Assistant Professor Zohra Jetha, Senior Instructor

Urology Hammad Ather, Professor

8

International Faculty

Atif Jalees Khan Radiation Oncologist, USA

Ai-Xuan Le Holterman Pediatric Surgeon, USA

Anwar Ahmed Neurosurgeon, UAE

Christian A. Bach Urologist, Germany

Davide Maria Donati Orthopaedic Surgeon, Italy

Debora Garozzo Neurosurgeon, UAE

Eric Bouffet Neuro-Oncologist, Canada

Faiz Bhora Cardiothoracic Surgeon, USA

9

Frank Frizelle General Surgeon, New Zealand

Hatem Halabi Surgical Oncologist, USA

Henry Marsh Neurosurgeon, UK

Mark Holterman Pediatric Surgeon, USA

Mikhail G. Shapiro Reaesrch, USA

M. Tariq Imtiaz Neurophysiologist, Saudi Arabia

Nabil Al-Zaher Otolaryngology, Saudi Arabia

Nadeem Pervez Radiation Oncologist, Canada

10

Nadia Khan Neurosurgeon, Switzerland

Osama Hamed Surgical Oncologist, Jordon

Rakhshanda Rahman Breast Surgeon, USA

Riccardo A. Audisio General Surgeon, UK

Sadir Alrawi General Surgeon, UAE

Sion Barnard Cardiothoracic Surgeon, UK

Vincenzo Valentini Radiation Oncologist, Italy

Yasser A. Khan Ophthalmologist, Canada

11

Rui Manilha Neurosurgeon, Portugal

Yavuz Anacak Radiation Oncologist, Turkey

Yong Koo Park Pathologist, Korea

12

National Faculty

Aamir Bilal Cardiothoracic Surgeon Abid Jamal General Surgeon Abid Qazi Pediatric Surgeon Abne Hasan Oncologist Abul Fazal General Surgeon Adeel Khan Otolaryngologist Adnan Yar Khan Otolaryngologist Ahmer Hamid Pediatric Oncologist Akhter Memon Oncologist Ali Raza Cardiothoracic Surgeon

Amina Khan Breast Surgeon Amjad Siraj Memon General Surgeon Arshad Cheema General Surgeon Arshad Hasan Operative Dentist Asghar Hussain Asghar Oncologist Ashar Jamille Periodontist Asif Bashir Neurosurgeon Azhar Rashid Oncologist Faisal Hanif General Surgeon Farhan Ahmed Majeed Cardiothoracic Surgeon Hafeez Qureshi Urologist Haider Ali Plastic Surgeon

Irfan Qamruddin Orthodontist Javaid Niazi Ophthalmologist Jawaid Mallick Oncologist Kamran Saeed Oncologist Kamran Saeed Neurosurgeon

Karim Bhutto Oncologist Kashif Soomro Urologist M. Shamim Qureshi General Surgeon Mazhar Nizam Plastic Surgeon Muhammad Ali Memon Oncologist Muhammad Amer Yaqub Ophthalmologist

13

Mumtaz Khan Neurosurgeon Mohammad Moin Ophthalmologist Mumtaz Mahar General Surgeon Murtaza Kazmi Prosthodontist Naqeebullah Achakzai Neurosurgeon Noorul Wahab Oral Surgeon Rahil Khan Pediatric Oncologist Raza Sayyed General Surgeon Rehana Elahi Associate Director, Nursing Resham Shah Orthopaedic Surgeon

Rufina Soomro Breast Surgeon

Sajid Sultan Pediatric Surgeon Saeed Qureshi General Surgeon Samiullah Niazi General Surgeon Shahab Ghani Plastic Surgeon Shamvil Ashraf Oncologist Sheeraz Hussain Orthodontist Sohail Amin Orthopaedic Surgeon Sohail Hafeez Orthopaedic Surgeon Sulaiman Hassan Cardiothoracic Surgeon Syed Amir Maqbool Oncologist

Wahab Kadri Oral Surgeon Yawar Abidi Operative Dentist Zeba Aziz Breast Surgeon Zeeshan Khan Orthopaedic Surgeon Ziaul Islam Plastic Surgeon

14

Pre-Conference Workshops & Symposiums

Friday, February 2, 2018

Venue: Centre for Innovation in Medical Education (CIME)

& School of Nursing (SON)

Aga Khan University

15

CME Activity # 1 Symposium: Pediatric Orthopaedic Tumors

08:00am - 05:00pm | Venue: CIME, Multi-Purpose Hall Program Chair: Masood Umer

Time Topic Presenter

08:00am – 08:25am Registration

08:25am – 08:30am Welcome Masood Umer

08:30am – 08:50am Chemotherapy advancements in Pediatric Bone Sarcoma

Sadaf Altaf

08:50am – 09:10am Radiotherapy considerations in Pediatric population Atif Khan

09:10am – 09:30am Histopathological advances in diagnosis of Pediatric Bone Sarcoma

Yong Koo Park

09:30am – 09: 50am FDG PET CT in pediatric bone tumor… where is it appropriate?

Kiran Hilal

09:50am – 10:10am Soft tissue malignancies in childhood Shamvil Ashraf

10:10am – 10:30am Tea Break

10:30am – 10:50am Rationale of offering RT as definitive treatment for Ewing’s sarcoma

Yavuz Anacak

10:50am – 11:10am Surgery in younger children, biological reconstruction options

Sohail Amin

11:10am – 11:30am Experience with expandable prosthesis David Donati

11:30am – 11:50am Management of joint loss / Large bone defects in kids

Sohail Hafeez

11:50am – 12:10pm Fibromatosis in Children Zeeshan Khan

12:10pm – 12:30am Management of Pediatric Pelvic Ewing’s Sarcoma Resham Shah

12:30pm – 12:50 pm Our experience with pediatric hemi-pelvectomy Masood Umer

12:50pm – 02:00pm Lunch & Prayer Break

02:00pm – 04:00pm Pediatric Orthopaedic Tumor Board Shamvil Ashraf, David Donati, Kiran Hilal, Sohail Hafeez, Yong Koo Park, Yavuz Anacak

04:00pm – 04:15pm Tea Break

04:15pm – 05:00pm Business Meeting of Pakistan Orthopaedic Oncology Forum - All

16

CME Activity # 2 Symposium: Laryngeal Cancer: New Frontiers of Management

08:30am - 01:00pm | Venue: CIME, Debriefing Room, Ground Floor Program Chair: Moghira Siddiqui



09:00am – 09:20am Risk Factors for Laryngeal Carcinoma Adnan Yar Khan

09:20am – 09:40am Evolution of Laryngeal Surgery Adeel Khan

09:40am – 10:00am Organ Preservation for Laryngeal Cancer Issues and Outcome

Shabbir Akhtar

10:00am – 10:20am Lasers and trans-oral surgery in Laryngeal Cancer Mumtaz Khan

10:20am – 10:30am Questions and Answers


10:45am – 11:15am Salvage Laryngectomy Nabil Al-Zaher

11:15am – 11:35am Rehabilitation after laryngectomy Moghira Siddiqui

11:35am – 11:45am Questions and Answers

11:45am – 12:55pm Cases and Panel Discussion Moderator: Mubasher Ikram Panelists: Yasmin Rashid, Nabil Alzaher, Mumtaz Khan, Nadeem Abbasi

12:55pm – 01:00pm Vote of Thanks Moghira Siddiqui

01:00pm Lunch & Prayer

17

CME Activity # 3 Symposium: Multidisciplinary Management of Early Breast Cancer 08:30am - 01:00pm | Venue: SON, Class Room# 5, Ground Floor

Program Chair: Abida K. Sattar



08:30am – 08:40am Welcome & Introduction Shaista Khan

Early Breast Cancer Imaging, Diagnosis and Surgical Treatment Moderator: Shaista Khan

08:40am - 09:00am - Screening guidelines (asymptomatic) - Diagnostic evaluation (lump)-MMG/US - Tissue diagnosis (US guided and stereo)

Imrana Masroor

09:00am - 09:30am - Breast conservation in early breast cancer - Needle localized excision - Oncoplastic techniques

Rakhshanda Rahman

09:30am - 09:50am - Specimen Orientation in the OR - Recommended margins in DCIS and invasive Ca

Rufina Soomro

09:50am - 10:05am - Histopathology and receptors (Path) - Margin evaluation

Romana Idress

10:05am – 10:15am Questions


Management of Axilla in Early Breast Cancer Moderator: Abida K. Sattar

10:30am - 11:00am - Management of axilla in early breast cancer - SLNB including Z-11 - Patients who present after an excision biopsy without adequate margins and no axillary evaluation

Amina Khan

11:00am - 11:10am Sentinel lymph node mapping Nosheen Fatima

11:10am – 11:20am Questions

Adjuvant Treatment in Early Breast Cancer Moderator: Adnan Jabbar

11:20am – 11:40am Adjuvant treatment in Triple Negative early breast cancer

Zeba Aziz

11:40am – 12:00pm Adjuvant strategies in hormone positive, Her 2 negative breast cancer

Azmina Vali Mohd.

12:00pm – 12:20pm Adjuvant strategies in Her- 2 positive breast cancer Munira Moosajee

12:20pm – 12:40pm - Radiation in early breast cancer - Indications - Options

Atif Khan

12:40pm – 12:55pm Questions

12:55pm – 01:00pm Vote of Thanks Abida K. Sattar

01:00pm – 02:00pm Lunch & Prayer

18

CME Activity # 4 Workshop: Oncoplastic Surgery

02:00pm - 04:30pm | Venue: CIME, PBL Room# 6 Program Chair: Shaista Khan


01:30pm – 02:00pm Registration

02:00pm – 02:05pm Welcome & Introduction Shaista Khan

02:05pm – 02:25pm Patient Selection, Timing and Options Shaista Khan

02:25pm – 02:45pm Tech – I (Lazy ‘S’ & inverted ‘T’) Lubna Vohra

02:45pm – 03:05pm Tech – II (Crescent, Donut, & Batwing) Rakhshanda Rahman


Hands-on Session Faculty: Abida K. Sattar, Rakhshanda Rahman, Shaista Khan, Lubna Vohra

03:15pm – 03:30pm Skin Markings and Placement

03:30pm – 03:55pm Donut Mastopexy and Batwing Technique

03:55pm – 04:25pm Inverted T Technique

04:25pm – 04:30pm Vote of Thanks Shaista Khan

CME Activity # 5 Workshop: Minimally Invasive Biopsies

02:00pm - 04:30pm | Venue: CIME, PBL Room# 7 Program Chair: Imrana Masroor



02:00pm – 02:05pm Welcome & Introduction Imrana Masroor

02:05pm – 02:20pm US guided biopsy Gulnaz Shafqat

02:20pm – 02:35pm Stereotactic biopsy Shaista Afzal

Hands-on Session

02:35pm – 03:25pm US guided biopsy Gulnaz Shafqat

03:25pm – 04:15pm Stereotactic biopsy Shaista Afzal

04:15pm – 04:30pm Vote of Thanks Imrana Masroor

19

CME Activity # 6 Symposium: Thoracic Oncology

08:30am - 01:00pm | Venue: SON, Class Room# 10, First Floor Program Chair: Syed Shahabuddin



08:25am – 08:30am Welcome & Introduction Syed Shahabuddin

08:30am – 0900am Surgical Treatment of Lung Cancer T1, T2 in view of

current staging

Sion Barnard

09:00am – 09:20am NSCLC in the Era of Targeted and Immunotherapy” Adnan Jabbar

09:20am – 9:40am Diagnosis of Lung Cancer and Assessment of

operability

Masooma Aqeel

09:40am – 10:00am Lung Cancer: Where do we stand? Farhan Majeed

10:00am – 10:20am Surgery for chest wall tumor Amir Bilal


10:50am – 11:10am Minimally invasive approach to lung resection for

Lung Cancer

Ali Raza

11:10am – 11:30pm Actionable and Non- Actionable mutation in NSCLC Najib Naimatullah

11:30am – 11:50am Role of Surgery in Advanced Lung Cancer Saulat Fatimi

11:50am – 12:10pm Role of pulmonary Metastectomy Sulaiman Hassan

12:10pm – 12:40pm Closing Remarks Sion Barnard

12:40pm – 12:45pm Vote of Thanks Hasanat Shariff


CME Activity # 7 Workshop: Sleeve Lobectomy

02:00pm - 04:30pm | Venue: CIME, Simulation Room, First Floor Program Chair: Syed Shahabuddin



02:00pm – 02:15pm Welcome & Introduction Waris Ahmad

02:15pm – 02:40pm Sleeve Lobectomy (Bronchoplsasty) Sion Barnard

02:40pm – 02:50pm Anesthetic Implications of Sleeve Resection

Hameed Ullah

02:50pm – 03:20pm Demonstration Sleeve Resection Facilitators: Sion Barnard, Faiz Bhora, Sulaiman Hassan, Farhan Majeed, Shahid Sami, Waris Ahmad, Syed Shahabuddin, Hasanat Sharif

03:20pm – 04:20pm Hands-on Practice Participants

04:20pm – 04:30pm Vote of Thanks Syed Shahabuddin

04:30pm Tea Refreshment

20

CME Activity # 8 Symposium: Uro-Oncology

09:00am - 01:00pm | Venue: CIME, Conference Room, Ground Floor Program Chair: Hammad Ather



09:00am – 09:15am Introduction and background Hammad Ather

09:15am – 09:30am Current advances in the diagnosis of NMI UC

bladder

Syed Nazim

09:30am – 09:50am Pathological evaluation of Bladder, Kidney and

prostate cancer

Zeeshan Uddin

09:50am – 10:30am Interactive case discussion in NMI UC Moderator: Wajahat Aziz Panelists: Christian Bach, Hammad Ather, Zeeshan Uddin, Raziuddin Biyabani

10:30am – 10:50am Current Trends in Radiation Therapy for

Prostate Cancer

Vincenzo Valentini

10:50am – 11:10am Radical cystectomy How to avoid complications Christian Bach

11:10am – 11:30am Tea

11:30am – 12:10pm Interactive case discussion in MI UC Moderator: Syed Nazim Panelists: Christian Bach, Zarka Samoon, Vincenzo Valentini

12:10pm – 12:30pm Management of oligo-metastatic and locally

advanced RCC

Hammad Ather

12:30pm – 01:00pm Interactive case discussion in prostate & renal

cancer

Moderator: Hafeez Qureshi / Syed Nazim Panelists: Aziz Abdullah, Christian Bach, Zarqa Samoon, Vincenzo Valentini

01:00pm – 01:10pm Vote of Thanks Hammad Ather

01:10pm Lunch & Prayer

21

CME Activity # 9 Workshop: Simulator Training of TURBT

02:00pm - 04:30pm | Venue: CIME, Debriefing Room, 2nd Floor Program Chair: Hammad Ather

Moderator: Zehra Kazmi

Facilitators: Raziuddin Biyabani, Kashif Soomro, Syed Nazim, Hafeez Qureshi

1. How simulators enhance learners Kashif Soomro 10 min 2. Simulators role in Urology residency Raziuddin Biyabani 10 min 3. How to do TURBT in difficult cases Hammad Ather 10 min 4. Hands on training with facilitators

CME Activity # 10 Workshop: Studer Neobladder

02:00pm - 04:30pm | Venue: CIME, PBL Room# 1 Program Chair: Hammad Ather

Moderator: Roshan e Shahid Facilitators: Hammad Ather, Nuzhat Faruqui, Hafeez Qureshi, Wajahat Aziz

1. How to construct a neo bladder Hammad Ather 15 min 2. When not do neo bladder and why? Nuzhat Faruqui 15 min 3. Why Ileum is the gut of choice Hafeez Qureshi 10 min 4. Hands on training with facilitators

22

CME Activity # 11 Symposium: Head & Neck Cancer Reconstruction

02:00pm - 05:00pm | Venue: CIME, Debriefing Room, Ground Floor Program Chair: M Fazlur Rahman


1:30pm to 2:00pm Registration

02:00pm Welcome & Introduction M Fazlur Rahman

02:00pm - 02:20pm Head & Neck Cancer When not to operate Mubashir Ikram

02:20pm - 02:40pm Decision making in Reconstructive surgery Mazhar Nizam

02:40pm - 03:00pm Reconstruction in post radiation neck Mumtaz Jamshed

03:00pm - 03:20pm Management of Trismus Shahab Ghani


03:40pm – 04:00pm Challenges in reconstruction M Fazlur Rahman

04:00pm – 04:20pm Use of supraclavicular flap on head and neck reconstruction

Haider Ali

04:20pm – 04:40pm Extended use of Pectoralis Major Ziaul Islam

04:40pm – 05:00pm Lateral arm free flap Muhammad Ubaid

05:00pm Vote of Thanks M Fazlur Rahman

CME Activity # 12 Workshop: The Journey of Precision Radiation Treatment

02:00pm - 05:00pm | Venue: CIME, Conference Room, Ground Floor Program Chair: Nadeem Abbasi

Topic Presenter

Imaging Driven Radiotherapy: Facts and Hopes Vincenzo Valentini

Role of International Agencies in development of Radiation Oncology

Services in LMIC – IAEA /PROS Leaning Experience

Yavuz Anacak

Learning from US Experience of Radiation Oncology –

Quality of Service & Education

Atif Khan

Applying Clinical Studies in Clinical Practice –

Sharing University of Alberta Experience

Nadeem Pervez

Pakistani Radiation Oncology Practice Changes –

The Way Forward Via International Collaboration

Bilal Mazhar Qureshi

Clinical Case Presentations & Discussion Moderator: Nasir Ali – AKU, Karachi

Panelist: Abne Hasan, Syed Amir Maqbool, Karim Bhutto, Azhar Rashid, Asim Hafiz, Atif Khan & Nadeem Pervez

Grand Debate: How To Bring Improvement In Our RT Services In Pakistan Anchor Person: Ahmed Nadeem Abbasi

Panelist: Akhter Memon, Jawaid Mallick, Muhammad Ali Memon, Kamran Saeed, Asghar Hussain Asghar, Vincenzo Valentini & Yavuz Anacak

23

CME Activity # 13 Symposium: Ocular Tumors: Current Diagnosis & Management

08:30am - 01:00pm | Venue: SON, Class Room 1A & 1B, Ground Floor Program Chair: Shaukat Chhipa



08:55am – 09:00am Welcome & Introduction Shaukat Chhipa

09:00am - 09:15am Retinoblastoma: Pathology and Classification Tanveer Chaudhry

09:15am – 09:30am Retinoblastoma: Investigations and Management Irfan Jeeva

09:30am – 09:45am Genetic Counselling in the Retinoblastoma Sharmeen Akram

09:45am – 10:05am Orbital Lymhangioma Javaid Niazi

10:00am – 10:15am A histopathologic review of eyes enucleated for Intraocular tumors

Rashid Baig


10:45am – 11:15am Optic Nerve Sheath Fenestration Yasser Khan

11:15am – 11:30am Experience of Retinoblastoma Shamvil Ashraf

11:30am – 11:45am Orbital Lymphoma Yasser Khan

11:45am – 12:00pm Orbital Rhabdomyosarcoma Zehra Fadoo

12:00pm –12:20pm Questions and Answer session All

12:20pm – 01:00pm Vote of Thanks Sharmeen Akram


CME Activity # 14 Symposium: Orbital Radiology and Tumors

02:00pm - 05:00pm | Venue: SON, Class Room 1A & 1B, Ground Floor Program Chair: Shaukat Chhipa



02:00pm – 02:10pm Welcome & Introduction Shaukat Chhipa

02:10pm - 02:30pm Orbital Anatomy Yasser Khan

02:30pm – 02:50pm Orbital Radiology Kiran Hilal & Irfan Jeeva

02:50pm – 03:05pm Orbital Cancers at AKU Nadeem Abbasi

03:05pm – 03:25pm Orbital Cancer-Karachi experience Javaid Niazi


03:40pm – 04:00pm Orbital Cancer - Armed Forces experience Brig Amer Yaqub

04:00pm – 04:20pm Orbital Cancer – Lahore experience Mohammad Moin

04:20pm – 04:45pm Post Excision Reconstruction Yasser Khan

04:45pm – 04:55pm Questions and Answer session All

04:55pm – 05:00pm Vote of Thanks Shaukat Chhipa

24

CME Activity # 15 Theme: Training of health care professionals related to supportive

care needs of head and neck cancer patients 08:30am - 01:00pm | Venue: SON, Class Room 2-A, Ground Floor

Program Chair: Salima Shams

Time Topic Facilitator


08:30am – 09:00am Introduction to head and neck cancer Salima Shams

09:00am – 09:15am Surgical option for patient with head and neck cancer

Salima Shams

09:15am – 09:30am Head and neck exercises Mouth opening exercise

Salima Shams

09:30am – 10:00am General nursing care of head and neck cancer patients on chemotherapy treatment

Salima Shams

10:00am – 10:30am Care with radiation therapy Ambreen Deedarali


11:00am – 12:30pm PEG care, tracheostomy care and drain care (Theory and skills demonstration)

Monia Zeeshan & Nauman Natan

12:30pm – 12:45pm Vote of Thanks Salima Shams


CME Activity # 16 Theme: Training of health care professionals related to supportive

care needs of chemotherapy patients 02:00pm - 04:30pm | Venue: SON, Class Room 2-A, Ground Floor

Program Chair: Salima Shams

Topic Time Facilitator


02:00pm – 02:15pm Cancer and Treatment modalities in cancer Salima Shams

02:15pm – 02:30pm Types of chemotherapy Salima Shams

02:30pm – 03:15pm Nursing responsibilities before and during cytotoxic drug administration

Muniza Hussaini

03:15pm – 03:30pm Tea break

03:30pm – 04:20pm General patient and family education points for chemotherapy patients

Salima Shams

04:20pm – 04:30pm Vote of Thanks Salima Shams

25

CME Activity # 17 Multidisciplinary Dental Seminar

08:30am - 05:15pm | Venue: SON, Dr. J. Fraser Mustard Auditorium Program Chair: Farhan Raza Khan


08:30am - 08:55am Registration

08:55am – 09:00am Welcome & Introduction Farhan Raza Khan

09:00am - 09:30am An overview of Oral Submucus Fibrosis and its

surgical management

Wahab Kadri

09:30am - 10:00am Bleeding disorders among dental patients Dinaz Ghandhi

10:00am - 10:30am Management of challenging cases in Implant

Dentistry

Noorul Wahab

10:30am - 11:00am Tea Break

11:00am - 11:30am Tips and tricks for Orthodontic exam Sheeraz Hussain

11:30am - 12:00pm Orthodontic Treatment Planning: Essentials and

Basic Guidelines

Mubassar Fida

12:00pm - 12:30pm Utility of low level lasers in making orthodontics

efficient

Irfan Qamaruddin

12:30pm - 12:55pm Significance of dental hygiene as an evolving

discipline in Pakistan and the role of hygienist in the

dental team

Sabrina Heglund /

Saida Rasul

12:55pm - 02:00pm Lunch & Prayer Break

02:00pm - 02:30pm Regeneration in Periodontology Ashar Jamille

02:30pm - 03:00pm Difficult cases in Periodontology Ali Sadiq

03:00pm - 03:30pm Occlusal adjustment: Science and tips Murtaza Kazmi

03:30pm - 03:45pm Tea Break

03:45pm - 04:15pm Adjunctive procedures in Endodontics Arshad Hasan

04:15pm - 04:45pm Indirect Esthetic restorations Yawar Abidi

04:45pm - 05:10pm Operative Dentistry: training pathways, prospects

and future

Farhan Raza Khan

05:10pm – 05:15pm Vote of Thanks Farhan Raza Khan

26

CME Activity # 18 Symposium: Advances in GI Surgical Oncology

08:30am - 01:00pm | Venue: SON, Nursing Auditorium Program Chair: Inam Pal



09:15am – 09:30am Introduction & Welcome Inam Pal

09:30am – 09:45am Intra-peritoneal Hyperthermic Chemotherapy: Establishing a program and Clinical application

Sadir Alrawi

09:45am – 10:00am Early Experience with Cytoreduction and HIPEC in Pakistan

Arshad Cheema

10:00am – 10:15am Cyto-reductive surgery and role of HIPEC in peritoneal involvement with CRC

Hatem Halabi

10:15am – 10:45am Panel Discussion

10:45am – 11:10am Management of Gastro-Esophageal Tumors : Surgical updates

Osama Hameed


11:30am – 11:55am Organ preservation in Rectal Cancer Frank Frizelle

11:55am – 12:10am Current state of art Surgical treatment of Primary Liver Cancer and future perspectives

Jan Ringers

12:10am – 12:25pm Secondary tumors of the Liver; Evidence based approach to management

Faisal Hanif

12:25pm – 12:55pm A Global Curriculum in Surgical Oncology Riccardo Audisio

12:55pm – 01:00pm Vote of Thanks Inam Pal


CME Activity # 19 Workshop: Radiological Assessment of Rectal Cancer & Clinical Implications

02:00pm - 04:30pm | Venue: CIME, High Fidelity Room, 2nd Floor Program Chair: Sadaf Khan



02:00pm – 02:10pm Welcome & Introduction Sadaf Khan

02:10pm – 02:20pm What information does the surgeon need from the radiologist when developing a treatment plan for rectal cancer?

Sadaf Khan

02:20pm - 02:30pm What does the Radiologist see on the rectal MRI? Zafar Sajjad

02:30pm – 03:00pm Practice reading of rectal MRIs and developing treatment plans – Zafar Sajjad, Dawar Khan, Frank Frizelle, and Sadaf Khan

03:00pm – 03:10pm Comparison of CT and MRI imaging for rectal cancer Dawar Khan

03:10pm – 03:30pm Practice comparing rectal CT and MRI

03:30pm – 03:40pm Interpretation of post-Treatment MRI Zafar Sajjad

03:40pm – 04:10pm Practice comparing pre-treatment and post-treatment MRI/CT and developing treatment plan - Zafar Sajjad, Dawar Khan, Frank Frizelle, and Sadaf Khan

04:10pm – 04:20pm Basis and interpretation of PET-CT Dawar Khan

04:20pm – 04:30pm Vote of Thanks Sadaf Khan

27

CME Activity # 20 Symposium: Neuro Oncology Symposium and Multidisciplinary Tumor Board

02:00pm - 04:30pm | Venue: CIME, Debriefing Room, First Floor Program Chair: Ehsan Bari & Shahzad Shamim



08:55am – 09:00am Introduction Gohar Javed

09:00am – 09:20am The new WHO classification of brain tumors Zubair Ahmad

09:20am – 09:40am Paradigm shift in therapeutic approach in brain tumor management

Adnan Jabbar

09:40am – 10:10am Targeted therapy in low grade glioma in children ‘Keynote Lecture’

Eric Bouffet

10:10am – 10:30am Challenges in managing pediatric brain tumors Anwar Ahmed

10:30am – 10:50am Tea

10:50am – 11:00am Update on management of diffuse low grade glioma in adults

Asif Bashir

11:00am – 11:20am Brain tumour growth and white matter tracts, with emphasis on the role of white matter dissection

Rui Manilha

11:20am – 11:40am Role of radiosurgery in treatment of brain tumors Kamran Saeed

11:40am – 12:00pm Surgical treatment of brachial plexuses tumors Debora Garozzo

12:00pm – 12:20pm Surgical treatment of spinal intramedullary tumors Mumtaz Khan

12:20pm – 12:40pm Role of radiation therapy in spinal cord tumors Nadeem Pervaiz

12:40pm – 01:00pm Intraoperative monitoring in the management of spinal cord tumors

M. Tariq Imtiaz

01:00pm – 02:00pm Lunch

02:00pm – 04:30pm Multidisciplinary Tumor Board Moderator: Shahzad Shamim

04:30pm Vote of Thanks Ehsan Bari

CME Activity # 21 Symposium: Intraoperative Monitoring for Neural Protection

February 1, 2018 | 02:00pm - 05:00pm | Venue: CIME, Debriefing Room, 2nd Floor Program Chair: Rashid Jooma



02:00pm – 02:05pm Welcome & Introduction Rashid Jooma

02:05pm – 02:15pm Objective of the workshop Rashid Jooma

02:15pm – 03:00pm Introduction to intra operative monitoring hardware M. Tariq Imtiaz

03:00pm – 03:45pm Monitoring of spinal cord cauda equina cases M. Tariq Imtiaz

03:45pm – 04:00pm Tea Break M. Tariq Imtiaz

04:00pm – 04:45pm Monitoring of brain and cranial nerves M. Tariq Imtiaz

04:45pm – 05:00pm Vote of Thanks Rashid Jooma

28

CME Activity # 22 Workshop: Neurovascular Microsurgery

January 30-31, 2018 | 09:00am - 05:00pm | Venue: CIME, High Fidelity Room, 2nd Floor Program Chair: Ehsan Bari & Saad Akhtar

Time Topic


08:55am – 09:00am Welcome Note

09:00am – 10:00am Demonstration by Nadia Khan (Using Tubes)

09:00am – 01:00pm Hands-on by Candidates

01:00pm – 02:00pm. Lunch Break

02:00pm – 03:00pm Demonstration by Nadia Khan (Using Chicken Wings)

03:00am – 04:00pm Hands-on by Candidates

04:00am – 04:15pm Vote of Thanks

CME Activity # 23 Course: Brachial Plexus

February 01, 2018 | 09:00am - 01:00pm | Venue: CIME, Simulation Room, First Floor Program Chair: Aneela Darbar


09:00am – 09:05am Welcome & Introduction Aneela Darbar

09:05am – 09:30am Anatomy of the brachial plexus Debora Garozzo

09:30am – 09:50am Clinical evaluation of brachial plexus injuries and selection of surgical candidates

Debora Garozzo

09:50am – 10:20am Basic principles in surgical techniques for brachial plexus injuries

Debora Garozzo

10:20am – 10:40am Repair strategies according to the injury pattern and functional outcome

Debora Garozzo


11:00am – 11:20am An overview on obstetrical brachial plexus injuries Debora Garozzo

11:20am – 11:40am Thoracic outlet syndrome Debora Garozzo

11:40am – 12:00pm Vote of Thanks Aneela Darbar

29

CME Activity # 24 Symposium: Pediatric Oncology

February 01, 2018 | 09:00am - 02:00pm | Venue: CIME, Debriefing Room, 2nd Floor Program Chair: Saqib Qazi


08:00am - 09:00am Registration

09:00am - 09:05am Welcome & Introduction Saqib Qazi

09:05am - 09:15am

Intra-abdominal tumors in children-challenges for pediatric oncologist

Asim Belgaumi

09:15am - 09:30am Role of a pediatric oncology surgeon; Perspective from a public Sector hospital

Syed Ahmer Hamid

09:30am - 09:45am Lessons learnt from surgery of Wilms tumor- local experience

Abid Qazi

09:45am - 10:00am Outcome of Wilms Tumor- SIUT experience Sajid Sultan

10:00am - 10:15am Outcome of Wilms Tumor- local experience Rahil Khan

10:15am - 10:30am Role of laparoscopy in Pediatric onco-surgery; Management of pediatric ovarian masses in the 21st century: systemic review and meta-analysis

Saqib Qazi

10:30am - 10:50am Overcoming the limitations of current cancer therapy: New technologies to rescue.

Mark Holterman

10:50am - 11:05am DOs and DONTs for a Pediatric oncology Surgeon Abid Qazi


11:15am - 01:00pm Tumor Board Radiology/Histopathology/ Surgeon/Radiation/ Oncologist

01:00pm - 02:00pm Lunch & Prayer

30

CME Activity # 25 Course: Pediatric Neuro–Oncology Outreach

31st January 2018 | 09:00am - 07:00pm | Venue: JHS Seminar Room, First Floor Program Chair: Naureen Mushtaq

Time Topic & Presenter

09:25am - 09:30am Introduction of the Course - Naureen Mushtaq

09:30am - 09:50am Challenges of developing Pediatric Neuro-Oncology in constrained resources settings - Eric Bouffet

09:50am - 10:20am Early diagnosis - Syed Ahmer Hamid

10:20am - 10:40am Radiology of Pediatric Brain Tumours - Fatima Mubarak

10:40am - 10:50am Discussion : Round Table


11:00am - 11:30am Histopathology & molecular biology of Pediatric Brain Tumours - Ayesha H Memon

11:30am - 12:00pm Genetic syndromes associated with Pediatric Brain Tumours - Salman Kirmani

12:00pm - 12:30pm Multidisciplinary approach of Pediatric Brain Tumours - Naureen Mushtaq

12:30pm - 01:00pm Radiotherapy in the management of Pediatric Brain Tumours -Bilal Qureshi


02:00pm - 02:50pm Low grade gliomas (LGG) •Update on the management of LGG and adapting the LGG protocol LMIC - Naureen Mushtaq •Discussions

02:50pm - 03:30pm Medulloblastoma • Update on the management of medulloblastoma - Naureen Mushtaq • Update on surgery of medulloblastoma - Ehsan Bari • Discussion

03:30pm - 04:10pm Ependymoma •Update on the management of ependymoma - Syed Ahmer Hamid •Surgery of the fourth ventricule ependymoma: State of the Art - Gohar Javed

04:10pm - 05:00pm DIPG and HGG •Update on the management of DIPG and HGG - Eric Bouffet •Concluding discussion

05:00pm Tea Break

HOB 1st Floor Conference Room

06:00pm - 07:00pm Pediatric Brain Tumor Board

07:00pm Vote of Thanks - Naureen Mushtaq

31

Inaugural Ceremony

Friday, February 2, 2018

Venue: Auditorium, Aga Khan University

Programme

05:30pm Registration 05:45pm Gathering Aga Khan University Auditorium 06:00pm Tilawat-e-Quran 06:10pm Welcome Address by Chairman, Organizing Committee

Masood Umer 06:15pm Address by Chairman, Department of Surgery

Syed Ather Enam 06:20pm Address by Guest of Honour President, AKU

Firoz Rasul 06:25pm Guest Speaker 07:00pm Talks by Cancer Survivors 07:30pm Play by Students of the AKU Medical College 08:30pm Conference Dinner

Male Hostel Lawn

32

Plenary Sessions

Saturday, February 03, 2018 | 08:30am

Venue: Auditorium, Aga Khan University

33

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.

34

Plenary Sessions 08:30am - 06:00pm | Venue: Auditorium, AKU

08:00am – 08:30am Breakfast & Registration

08:30am Welcome Masood Umer

Al-Zahrawi Plenary Session: Research and Innovation in Surgical Oncology

08:30am – 10:00am


08:30am – 08:50am Role of Microbiome in Carcinogenesis and its Implications in Cancer Prevention

Frank Frizelle

08:50am – 09:10am Improving Patient Outcomes – Collaboration Between Surgeon & Oncologist in the era of Molecular Biology

Eric Bouffet

09:10am – 09:30am Innovative Treatment Options in Oncology Mark Holterman

09:30am – 09:50am Focused Ultrasound for Noninvasive Control of Gene and Cell Therapy (Video link)

Mikhail G. Shapiro

09:50am – 10:00am Question & Answer

Panel Discussion: Teaching and Training in Surgical Oncology 10:00am – 11:00am

Moderator: Rizwan Khan Panelists: Henry Marsh, Riccardo Audisio, Faisal Hanif, Naqeebullah Achakzai, Saeed Qureshi, Syed Ather Enam, Nabil Al-Zaher, Rehana Elahi, Rakhshanda Rahman


Ibn-e-Sina Plenary Session: Surgical Advances 11:30am – 01:30pm


11:30am – 11:50am Technology and Robotics in Surgery and its Impact on Outcomes

Christian Bach

11:50am – 12:10pm Surgery for M1 (Stage 4) Disease – Review of Evidence Sadir Alrawi

12:10pm – 12:30pm Future of Surgical Oncology - 3D Printing and Tissue Engineering

Faiz Bhora

12:30pm – 12:50pm Geriatric Oncology – Optimizing Outcomes Riccardo Audisio

12:50pm – 01:10pm Advances in Nursing Care in Surgical Oncology Rehana Elahi

01:10pm – 01:30pm Question & Answer

35

1:30pm – 02:30pm Lunch & Prayer Break

AKU, ESSO & ASCO Joint Plenary Session 02:30pm – 05:00pm


02:30pm – 02:50pm Surgical Oncology – How do ‘Recent Advances’ Improve Outcomes

Osama Hamed

02:50pm – 03:10pm Advances in Surgical Techniques - Use of Tissue Bank/ Allografts in Surgical Oncology

Davide Maria Donati

03:10pm – 03:30pm Pre-op and Intra-op Radiotherapy in Surgical Cancer Vincenzo Valentini

03:30pm – 03:50pm Radiotherapy – Advances in Organ Preservation and Limitations of Application

Atif J. Khan

03:50pm – 04:10pm Palliative Care and Rehabilitation in Cancer Patients Hatem Halabi

04:10pm – 04:30pm Oncological Imaging beyond PET Scan Riccardo Audisio

04:30pm – 04:50pm Limitations of Frozen Section in Decision Making Yong Koo Park

04:50pm – 05:00pm Question & Answer

Panel Discussion - Multidisciplinary Management of Cancers 05:00pm – 06:00pm

Moderator: Mumtaz J. Khan Panelists: Jan Ringers, Yavuz Anacak, Riccardo Audisio, Sion Barnard, Yong Koo Park, Yasser A. Khan, Eric Bouffet, Mark Holterman, Rui Manilha

06:00pm – 06:15pm Vote of Thanks & Closing Remarks Shahzad Shamim

06:15pm Hi-Tea

*****

36

Department of Surgery, Aga Khan University Karachi, Pakistan

Documents

Organized by - Aga Khan University Conference 2018...residents will get many new and leading ideas placing them in a much better ... Amjad Siraj Memon General ... Hafeez Qureshi Urologist