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Programm

Dear Colleagues,

The therapy of degenerative diseases of the spine carries with it medical and socio-economic problems. After conservative measures are exhausted and where there are exacerbated pain conditions or neurological deficites, a surgical procedure may become necessary. Despite good therapy results, consecutive damage may ensue due to traumatisation. It is therefore of particular importance to optimise these procedures on a continuous basis. The goal we should strive for is the minimisation of surgically induced traumatisation and negative longterm consequences, taking into account the existing quality standard.

Minimally invasive techniques can reduce tissue damage and its consequences. Endoscopic operations demonstrate advantages which have raised these procedures to the standard in various medical areas. On the lumbar spine, as a result of the development of the interlaminar and lateral transforaminal access, the spinal canal with its adjoining structures can be reached full endoscopically. Technical problems have been solved by special rod-lens endoscopes with a large intra-endoscopic working channel and appropriate instruments. Working under a continuous stream of liquid offers options which have proved their worth in arthroscopic surgery through long experience. In the area of the cervical spine anterior or posterior access is possible.

Today, the combination of the new surgical access routes with the technical developments makes possible a full-endoscopic methodology coupled with excellent visibility which, taking into account the indication criteria, carries with it the advantages of a truly minimally invasive procedure and is sufficient, low in complications and economic. Principal indications are disc herniations, spinal canal stenosis and intradiscal procedures such as the introduction of implants.

Full-endoscopic operations are an addition and an alternative within the overall concept of spinal surgery. Nevertheless, because of clear indications and boundaries, open and maximally invasive procedures are necessary. These must be mastered by the spinal surgeon in order, while taking into account the respective pathology, to be able to offer the appropriate procedure as well as cope with problems and complications of full-endoscopic operations.

In order to be able to visualise the exact position in the space at any time during the operation, detailed knowledge of the anatomy is a prerequisite. In addition, for the three-dimensional understanding of the anatomical and pathological structures, the imaginary linking of different imaging procedures and their sectional planes is necessary. This applies in particular to endoscopic techniques in which the direct visual reference between surgical access and working on the spot is lacking.

During the training course we intend, in a reciprocal exchange with yourselves, to try to demonstrate the current and future options as well as problems, risks and complications of full-endoscopic operations in the area of the spine. In an environment of practical demonstration where you perform access routines on cadavers yourself, typical practical experience for your expected learning curve or future clinical application can be gathered. Under intensive tuition by instructors, each participant will perform the various access routines on a practical level and run through special working procedures. For this reason the number of participants is limited. Nevertheless, the training course cannot replace the acquisition of the necessary extensive knowledge.

Having regard to the considerable demand for national and international training courses we hope we have pinpointed your field of interest in the enclosed programme and would be happy to welcome you as a participant at our symposium and at the dinner.

Friday, March 31st

08:00 h Registration

09:00 h Welcome and Introduction
M. Komp, D. Goethel, S. Oezdemir, S. Ruetten

Lumbar / thoracic spine:

09:15 h The transforaminal full-endoscopic approach in disc herniations - Technique and indications of posterolateral to lateral access
M. Komp, P. Hahn, A. Lienert, S. Oezdemir, S. Ruetten

9:45 h Discussion

10:15 h Break

10:30 h Live Operation
Full-endoscopic operation with lateral transforaminal access in a disc herniation
M. Komp, S. Oezdemir - Moderation: P. Hahn, A. Lienert, S. Ruetten Discussion afterwards

11:15 h The interlaminar full-endoscopic approach in disc herniations - State of the art, possibilities and limitations
P. Hahn, M. Komp, A. Lienert, S. Oezdemir, S. Ruetten

11:45 h Discussion

12:15 h Lunch

13:15 h Live Operation
Full-endoscopic operation with interlaminar access in a disc herniation
S. Ruetten, S. Oezdemir - Moderation: M. Komp, P. Hahn, A. Lienert Discussion afterwards

14:00 h Full-endoscopic decompression in lateral and central stenosis - Application of the interlaminar and trans-foraminal approach
M. Komp, P. Hahn, A. Lienert, S. Oezdemir, S. Ruetten

14:30 h Discussion

14:45 h Break

Cervical spine:

15:00 h The full-endoscopic operation of the cervical spine with anterior and posterior access - Possibilities and limitations
S. Oezdemir, M. Komp, P. Hahn, A. Lienert, S. Ruetten

15:30 h Discussion

15:45 h Closing
M. Komp, D. Goethel, S. Oezdemir, S. Ruetten

19:00 h Common Dinner

Saturday, April 1st

09:00 h Welcome and Introduction
M. Komp, D. Goethel, S. Oezdemir, S. Ruetten

Cadaver Workshop - Part I:

09:15 h Repetition access techniques - Full-endoscopic transforaminal approach of the lumbar spine
P. Hahn, M. Komp, A. Lienert, S. Oezdemir, S. Ruetten

09:45 h Demonstration of transforaminal access
M. Komp, P. Hahn

10:15 h Practical exercises for participants
Module 1: Lumbar spine - Basic course:
Full-endoscopic transforaminal operation
Module 2: Cervical spine - Advanced course: Full-endoscopic operation with anterior approach
on demand: extraforaminal operation, foraminal stenosis surgery Moderation / Instructors:
S. Ruetten, M. Komp, A. Lienert, P. Hahn, S. Oezdemir, A. Hübner, V. Kuansongtham, A. Yörükoglu, A. Giannakopoulos, A. Tsobanelis, G. Malamataris, M. Cukovic, B. Khoshandam, M. Mikhael

12:45 h Lunch

Cadaver Workshop - Part II:

13:45 h Repetition access techniques - Full-endoscopic interlaminar approach of the lumbar spine
P. Hahn, M. Komp, A. Lienert, S. Oezdemir, S. Ruetten

14:00 h Demonstration of interlaminar access
M. Komp, P. Hahn

14:30 h Practical exercises for participants
Module 1: Lumbar spine - Basic course: Full-endoscopic interlaminar operation
Module 2: Cervical spine - Advanced course: Full-endoscopic operation with posterior approach
on demand: stenosis surgery
Moderation / Instructors:
S. Ruetten, M. Komp, A. Lienert, P. Hahn, S. Oezdemir, A. Hübner, V. Kuansongtham, A. Yörükoglu, A. Giannakopoulos, A. Tsobanelis, G. Malamataris, M. Cukovic, B. Khoshandam, M. Mikhael

16:00 h Closing
M. Komp, D. Goethel, S. Oezdemir, S. Ruetten

 

Referenten

Martin Komp
Patrick Hahn
Sebastian Ruetten
Semih Özdemir

Organisation und Anmeldung

RIWOspine GmbH
Ms. Julia Armingeon
Tel.: +49 7043 35-4137
julia.armingeon@richard-wolf.com

Gebühr