Day 2 :
Serafin Clinic , Poland
Keynote: The Dewedge laser-based labiaplasty technique. Extended posterior wedge resection with de-epithelialisation
Time : 09:00
Dr. Dawid Serafin as a gynecologist is one of the first pioneers in Poland specialized in Plastic and Reconstructive Gynecology. He is a well regarded instructor in the treatment of aesthetic problems with hyaluronic acid filler and laser treatment all over the World. He is a well known specialist at the Laser Methods of operation in vulvo-vaginal disorders and aesthetic corrections. Dr Dawid Serafin is an author of articles and lecturer on current topics and techniques in Aesthetic Gynecology. He is an inventor of a new Laser-based Labiaplasty technique - Dewedge Technique . He also is a senior member of European Society of Aesthetic Gynecology (ESAG) and member of scientific Committee of International Association of Aesthetic Gynecology and Sexual Wellbeing(IAAGSW) Spanish Society of Aesthetic Gynecology and International Society of Gynecology, Aesthetics and Research (ISGAR)
Extended posterior wedge resection labiaplasty with de-epithelialisation: A new, laser-based, hybrid labiaplasty procedure for the correction of labial hypertrophy.
The presentation will provide a comprehensive overview of a novel, innovative labiaplasty technique. The aims of labiaplasty involve the repair of labial hypertrophy or asymmetry, its augmentation, rejuvenation, reconstruction or repair. Choosing the optimum surgical approach for the patient's anatomy is the key decision to affect the outcome of labiaplasty.
The discussed modification of the procedure was developed based on the empirical experience of the author, who has performed a large number of known and well-established procedures in aesthetic gynaecology. The key aspect of the extended posterior wedge resection is to leave the hook-shaped part of mucosa on the labia, which makes it possible to push the scar inferiorly to the most inferior portion of the minora. The new method additionally involves leaving the submucosal tissue at the incision line intact with simultaneous excision of other underlying tissues, which facilitates suturing and significantly increases the surface area of the sutured structures. Owing to additional de-epithelialisation of the minora, subsequent suturing does not cause tissue deformity. Such labial reconstruction offers natural look. Furthermore, the use of laser incision reduces bleeding and decreases the need to coagulate the blood vessels, which may lead to tissue deformity. Extended posterior wedge resection labiaplasty with de-epithelialisation can be used in almost all types of labial hypertrophy (both symmetrical and asymmetrical), which along with laser incision meets current needs of patients seeking such aesthetic gynaecology treatment. Due to laser incision and the related virtually unlimited correction possibility, the discussed procedure offers good aesthetic outcomes.
Keynote: Deep pelvıc endometrıosıs mımıckıng advanced stage cervıcal carcınoma wıth all ımagıng technıques
Time : 10 :00
Prof. Baykal has his expertise on Gynecologic Oncology and working on both sides of gynecologic cancers as research and clinical treatment. He is a distinguished specialist on this discipline for nearly 20 years He is currently working in Florence Nightingale Hospitals group in Istanbul, Turkey and specially interested in cervical carcinoma, preinvasive diseases of cervix and minimally invasive surgical treatment procedures including robotic surgery of gynecologic malignancies.
Endometriosis is a progressive benign disease characterized by a biphasic extrauterine growth of endometrial-like epithelium and stroma. Cervix uteri is thought as an infrequent localization for endometriosis. cervical endometriosis can mimick cervical carcinoma.
CASE: A 51 year old women G2P1A1had a history of pelvic pain and vaginal spotting for two months. On speculum examination, her vulva and vagina appeared normal, but cervix seemed erosive and haemorrhagic. When bimanual vaginal examination was performed, there was a mass lesion about 3*4 cm on the right parametrial area and the mass lesion originated from cervix. Colposcopic examination was normal. Pelvic MR of patient was reported as a cervical mass about 38*37*27 mm and invaded right parametrium by this mass. We wanted to get a biopsy from this parametrial lesion by interventional radiology. The result of biopsy was endometriosis. This difference between clinical and pathologic diagnosis made us to order a PET-CT for the patient. PET-CT reported a 4 cm mass originating from the cervix through right parametrium and gluteal area with moderate FDG retake. A hysterectomy was planned for patient. In the operation there had been about 4*4 cm mass in right parametrial area, this area was excised with radical hysterectomy and also bilateral salpingoopherectomy was carried out. Patient was thought to be advanced stage and lymphadenectomy was quitted. The pathologic result of this lesion was endometriosis
Benha university Hospital , Egypt
Name: ABOUBAKR MOHAMED ELNASHAR
Date of birth: 10/ 06/1953
Marital status: Married
M.B.CH.B. (Very good with honor, 1978, Zagazig University)
Post graduate qualifications
1. Master in Ob/Gyn (Very good, 1982), Zagazig University
2. Diploma in cervical pathology (1986, Barcelona, Spain)
3. Medical Doctora in Ob/Gyn (1989, Zagazig University)
Post graduate appointments
Registrar, assistant lecturer, Lecturer, Assistant professor Ob/Gyn in Benha Faculty of Medicine from January 1996.
1. Professor of Ob/Gyn, Benha Faculty of Medicine, Egypt, from March 2001 till now
2. Chief of early detection of cancer unit, Benha University Hospital, Egypt.
3. Consultant of IVF &ICSI in Delta Fertility Center & Benha Fertility Center, Egypt.
1. Ultrasonography 2. Laparoscopy 3. Colposcopy 4. Cytology 5. Hysteroscopy 6. Assisted reproductive technology (IVF & ICSI)
1. Colposcopy course (1983), British Society for Colposcopy & Cervical, Pathology, Cairo.
2. Diagnosis & treatment of dysplasia (1986), Dexeus Institute, Barcelona, Spain.
3. Ultrasonography (1990), Al azhar University
4. Hysteroscopy (1987), Prof. Hamou, Ain Shams University
5. Hysteroscopic & Laparoscopic surgery (1993), King Fahd Military complex.
6. Basic life support (2006)
7. Practical skills in obstetrics (2007).
8. Evidence based medicine (2007)
9. Managers development programme (2008)
1. Many publications in national & international journals (see please)
2. Many presentations in national & international scientific meetings (see please)
3. Many lectures available on the internet (www.obgyn.net) (slideshare)
4. Editor of Middle East Fertility Sterility journal (2005 till now)
5. Editor of Egyptian Fertility Sterility journal Benha Medical Journal
Recently, there has been an increasing interest in the role of CE in RM and RIF. One of the etiologies may be CE. Limited publications exist regarding evaluation and treatment for CE in RM and RIF. The impact of CE on reproductive capacity is controversial. CE is a persistent inflammation of the endometrium that is characterized by the presence of plasma cells. Prevalence of CE is highly variable in the scientific literature depending on various techniques used for diagnosis. (in RIF: 30.3% to 66%; in RM: 42.9% to 56%.). Various reports suggest an infectious etiology of CE. CE is usually asymptomatic. Different methods for diagnosis: culture, hysteroscopy, and histology specimens. Histologic diagnosis (H & E staining) is the gold standard for the diagnosis of CE. Immunohistochemistry is more accurate diagnostic method. Regimen for treatment: Ofloxacin: 400 mg daily or Doxycycline: 100 mg twice daily for 2 weeks. If persistent CE: Ciprofloxacin: 500mg and Metronidazole: 500 mg twice daily for 2 weeks. After treatment with antibiotics, LBR among women with RPL and CE is similar to women without CE
Keynote: Three-Dimensional Power Doppler Angiography Characteristic in Validating the Preoperative Accuracy of Myometrial and Cervical Involvement in Women with Endometrial Cancer: A Preliminary Study
Time : 9:30 am
Dr. Nelinda Catherine Pangilinan is the section head of Ob-GYN Ultrasound, Rizal Medical Center, Philippines. She is the Vice-President of the Philippine Society of Ultrasound in Obstetrics and Gynecology.
Background: The Lead Vessel and Infitrating Vessels are findings in endometrial cancer that are well visualized by three-dimensional power Doppler angiography. Vessel diameter and length may be utilized as markers for deep myometrial and or cervical involvement. The purpose of this study is to determine the accuracy of Lead vessel and Infiltrating vessel dimensions in assessing the depth of myometrial invasion in endometrial cancer and its cervical involvement. Participants and Methods: All women histopathologically diagnosed with endometrial cancer, undergoing surgical staging, with informed consent were included. Sonography using GE Voluson S8 system for describing the uterus and endometrial thicknesswere followed by a 3D power Doppler Angiography to analyze the depth of myometrial invasion and presence or absence of cervical involvement. Vessel diameter and length in the transverse and sagittal plane were measured by calipers. Predictive values and operating characteristics (sensitivity, specificity, positive and negative predictive values) were computed.
Results: A total of eleven cases (superficial n=5; deep=6)were identified. The cut-off for Lead vessel and Infiltrating vessel in the sagittal view was (diameter >0.28; length >0.47) and for the transverse view was (diameter >0.36, length >0.5). Among the four measurements, the sagittal diameter (98.3%), sagittal length (100%) and the transverse length (100%) measurements of the Lead and Infiltrating vessel gives the highest predictive accuracy. Conclusion and Significance: Three-dimensional power Doppler angiography measurement of the Lead and Infiltrating vessels are associated with improved accuracy and reliability in predicting deep myometrial invasion.