Day 1 :
Pederzoli Hospital, Italy
Keynote: Tailored thyroid surgery
Time : 09:20-10:05
Andrea Casaril is a Chief of Endocrine Unit of Pederzoli Hospital, Peschiera del Garda, Verona. He is Expert in minimal invasive surgery (laparoscopic surgery, minimal invasive thyroid surgery, trans-oral thyroidectomy), thyroid surgery, gallbladder VL surgery, open and VL abdominal reconstruction surgery, Laparoscopic colorectal surgery and Liver Surgery. He has done more than 3000 surgical interventions as first operator.
Surgical indications for thyroid diseases are various, due to increased gland volume, hyperthyroidism, benign nodules or cancer. Patients have many differencies among them, ranging from child to older, with or without comorbidity, from thin to obese patients.
Thyroidectomy has been performed by the same traditional open technique for more than a century, for every kind of person and any disease. Guidelines for malignancy have been recently modified and technogical advances has developed new opportunities.
Energy based devices, innovative hemostatic patches, radiofrequency ablation, HD-3D technology, 4K resolution, near infra-red (NIR) fluorescence, minimal invasive techniques, robotic procedure or trans-oral approach are now available.
3D HD-Esoscope assisted Thyroidectomy is the newest way to perform the open procedure: the intervention is video-assisted using a HD 3D esoscope which allows a great magnification of laringeal nerves and parathyroid glands: combining it with NIR fluorescence all four parathyroid can be identified in almost all of cases.
Minimal Invasive VideoAssisted Thyroidectomy (MIVAT) is performed by a HD camera through a 15mm incision in the neck: safety, accuracy and oncological radicality have been widely demonstrated.
Robotic thyroidectomy is performed through a 5cm axillary incision; in expert hands allows safety, accuracy and oncological radicality.
TransOral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a completely scarless new technique, a NOTES procedure. It is carried out by three port insertion in the oral vestibule, creating a working space in the neck by CO2 insufflation and ending the suture-less intervention entirely by energy based devices. Few centres in the world are using this technique nowaday, but it seems to be very promising.
The lecture will emphasize that Endocrine Surgeon must have different choices for different patients, tailored to the thyroid indication, age, gender, weight, other diseases, therapies, voice-depending jobs, surgeon skills and experience, hospital volume and budget.
NMC Specialty Hospital, UAE
Time : 10:05-10:50
Fiji Antony has been with NMC Specialty Hospital Dubai as the Chief Clinical Dietician for more than 14 years. Earlier she has worked with Ministry of Health Muscat, Sultanate of Oman and also in India. She is practicing as a Clinical Dietitian for more than 19 years. European ESPEN Diploma in Clinical Nutrition and Metabolism from European Society for Clinical Nutrition and Metabolism (ESPEN) is her latest achievement in the year 2016. She has earned her Doctor of Medicine in the year 2005 in Food and Nutrition, Post-graduation in the year 1999 with First Rank in Food & Nutrition and is an ICAR Fellow. She is an active professional in the United Arab Emirates in public media giving radio shows and TV shows, giving guidance to the listeners and viewers. She also conducts workshops and seminars for people in various sectors of the life stream on nutrition and dietetics. She is a Member of ESPEN, AOADA, ASN and Life Member of IDA and IAPEN.
Weight gain happens over the time during different stages of life of human beings. Once it gains over the standard requirement as per age, sex and anthropometry of a human being, it is known as overweight. Once the subject realizes the same, tries to reduce the weight with different ways. Weight maintenance over a period of time is not easy. Regular exercise plays a major role for maintenance of once weight. The most important factor is adaptation of change in cuisine, cooking, life style changes which should not be difficult to adjust. Over the many years in this part of the world with different types of people, it is learned that the more the flexible and regional the diet as per their cuisine, the better is the outcome. The weight reduction at the rate of 1 kg per 7 to 10 days last longer than higher rate. The weight reduction rate may be slow but the weight maintenance is better and thus prevent weight regain.