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in 3-4 November 2008 3-4 November 2008 ORGANIZER Department of Surgery The Chinese University of Hong Kong CUHK Jockey Club Minimally Invasive Surgical Skills Centre HERNIA SURGERY 3 rd MASTER-CLASS CME / CNE Accreditation CME / CNE Accreditation Registration Form 3-4 November 2008 3rd MASTER-CLASS in HERNIA SURGERY Title: First Name: Last Name: Position: Institution: Mailing Address: Country: Tel: Fax: Email: Ms. Prof. Dr. Mr. Registration Amount to be paid Payment Method (This part must be completed for acceptance of registration) A bankdraft / cheque for USD / HKD made payable to "The Chinese University of Hong Kong" is enclosed. (Personal cheques are acceptable for HK residents) Please debit my credit card: Type: Visa / Master Name: Card No.: Expiry date: Amount: HKD Signature: Live Demonstration & Lectures HKD 1,200 3-4 November 2008 (USD 150) Live Demonstration & Lectures & HKD 10,000 Hands-on Workshop (USD 1,200) 3-4 November 2008 Year of experience in MIS: < 2 2 - 5 > 5 Please rank your preference for the procedures to be performed (“1” prefer most; “3” prefer least) __ Laparoscopic hernioplasty training __ Laparoscopic ventral hernioplasty __ Laparoscopic prophylaxis for parastomal hernia 3-4 November 2008 3rd MASTER-CLASS in HERNIA SURGERY Venue and Secretariat CUHK Jockey Club Minimally Invasive Surgical Skills Centre, 3/F Li Ka Shing Specialist Clinic (North Wing), Prince of Wales Hospital, Shatin, Hong Kong Tel: (852) 2632 2644 Fax: (852) 2632 4708 Email: [email protected] Website: www.hkmisc.org.hk The Workshop This is a two-day intensive course focusing on latest technology and development in hernia surgery. Advanced minimal invasive techniques including laparoscopic totally extraperitoneal hernioplasty (TEP), laparoscopic transabdominal preperitoneal hernioplasty (TAPP), laparoscopic repair of ventral hernias and controversies in hernia surgery will be demonstrated. The delegates will become familiar with various approaches to hernia surgery and the latest advances in its development after the workshop. There will be a simulated porcine hernia model for a limited number of delegates to attempt laparoscopic inguinal, ventral hernia repair and / or prophylactic mesh for parastomal hernia. Registration By fax, e-mail or mail Please complete the registration form and return it with appropriate fee to the secretariat. Hands-on Laparoscopic Hernioplasty Workshop It has a limited quota of 12 (maximum) and the availability will be offered on a new-comer and on a first-come-first-served principle. Sponsored By DynaMesh Medical Greater China Ltd. Olympus Hong Kong Co Ltd. Cancellation & Refund Policy All cancellations must be made in writing to the secretariat. The following refund policy will be observed: Postmarked, faxed or email on or before 17 October 2008 - 50% of the amount paid Postmarked, faxed or email after 17 October 2008 - No Refund

Registration Form Venue and Secretariat2008/11/03  · __ Laparoscopic hernioplasty training __ Laparoscopic ventral hernioplasty __ Laparoscopic prophylaxis for parastomal hernia

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Page 1: Registration Form Venue and Secretariat2008/11/03  · __ Laparoscopic hernioplasty training __ Laparoscopic ventral hernioplasty __ Laparoscopic prophylaxis for parastomal hernia

in

3-4 November 20083-4 November 2008

ORGANIZER

Department of SurgeryThe Chinese University of Hong Kong

CUHK Jockey Club Minimally Invasive Surgical Skills Centre

HERNIA SURGERY

3rdMASTER-CLASS

CME / CNE AccreditationCME / CNE Accreditation

Registration Form

3-4 November 2008

3rd MASTER-CLASS in HERNIA SURGERY

Title:

First Name: Last Name:

Position:

Institution:

Mailing Address:

Country:

Tel: Fax:

Email:

Ms.Prof. Dr. Mr.

Registration Amount to be paid

Payment Method(This part must be completed for acceptance of registration)

A bankdraft / cheque for USD / HKD made payable to "The Chinese University of Hong Kong" is enclosed.(Personal cheques are acceptable for HK residents)

Please debit my credit card: Type: Visa / MasterName:

Card No.:

Expiry date: Amount: HKD

Signature:

Live Demonstration & Lectures HKD 1,200 3-4 November 2008 (USD 150)

Live Demonstration & Lectures & HKD 10,000Hands-on Workshop (USD 1,200)3-4 November 2008

Year of experience in MIS: < 2 2 - 5 > 5

Please rank your preference for the procedures to be performed(“1” prefer most; “3” prefer least) __ Laparoscopic hernioplasty training __ Laparoscopic ventral hernioplasty __ Laparoscopic prophylaxis for parastomal hernia

3-4 November 2008

3rd MASTER-CLASS in HERNIA SURGERY

Venue and SecretariatCUHK Jockey Club Minimally Invasive Surgical Skills Centre,3/F Li Ka Shing Specialist Clinic (North Wing),Prince of Wales Hospital, Shatin, Hong KongTel: (852) 2632 2644 Fax: (852) 2632 4708Email: [email protected]: www.hkmisc.org.hk

The WorkshopThis is a two-day intensive course focusing on latest technology and development in hernia surgery. Advanced minimal invasive techniques including laparoscopic totally extraperitoneal hernioplasty (TEP), laparoscopic transabdominal preperitoneal hernioplasty (TAPP), laparoscopic repair of ventral hernias and controversies in hernia surgery will be demonstrated. The delegates will become familiar with various approaches to hernia surgery and the latest advances in its development after the workshop. There will be a simulated porcine hernia model for a limited number of delegates to attempt laparoscopic inguinal, ventral hernia repair and / or prophylactic mesh for parastomal hernia.

RegistrationBy fax, e-mail or mailPlease complete the registration form and return it with appropriate fee to the secretariat.

Hands-on Laparoscopic Hernioplasty WorkshopIt has a limited quota of 12 (maximum) and the availability will be offered on a new-comer and on a first-come-first-served principle.

Sponsored By

DynaMesh Medical Greater China Ltd.

Olympus Hong Kong Co Ltd.

Cancellation & Refund PolicyAll cancellations must be made in writing to the secretariat.The following refund policy will be observed:Postmarked, faxed or email on or before 17 October 2008 - 50% of the amount paidPostmarked, faxed or email after 17 October 2008 - No Refund

Page 2: Registration Form Venue and Secretariat2008/11/03  · __ Laparoscopic hernioplasty training __ Laparoscopic ventral hernioplasty __ Laparoscopic prophylaxis for parastomal hernia

3-4 November 2008

3rd MASTER-CLASS in HERNIA SURGERY

Course Directors:

Professor Philip WY CHIU Associate Professor, Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong Kong

Professor Enders KW NGDirector, CUHK Jockey Club Minimally Invasive Surgical Skills CentreCUHK and Professor, Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong Kong

Overseas Faculty:

Professor G YAODirector, Hernia CenterFushan First People Hospital, China

Local Faculties:

Dr. Samuel PY KWOKConsultant Surgeon, Pedder Clinic, Hong Kong Professor Paul BS LAIChief of Service and Head of Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong Kong

Dr. Janet FY LEEHead of Division of Colorectal Surgery Department of Surgery, Prince of Wales HospitalThe Chinese University of Hong Kong

Dr. WT NGChief of Service, Department of Surgery, Yan Chai Hospital

Dr. YC TANGPrivate Consultant Surgeon

Dr. Simon KH WONGConsultant, Department of Surgery Prince of Wales HospitalThe Chinese University of Hong Kong

Dr. Kelvin KK YAUAssociate Consultant, Department of SurgeryPamela Youde Eastern Nethersole Hospital

3 November 2008

PROGRAMME SCHEDULE (Day 1)

Time Programme Speaker

0830 Welcome address E Ng

Session I Inguinal Hernia (Chairman: Enders KW Ng / Samuel PY Kwok / Paul BS Lai)

0840 Live Demonstration I S Kwok/ Laparoscopic TEP hernioplasty P Chiu

1000 Break

1030 Live Demonstration II – Laparoscopic YC Tang/ hernioplasty using a novel designed mesh WT Ng

1130 Laparoscopic Hernioplasty – A private S Kwok surgeon’s perspective

1150 New Mesh Materials for Laparoscopic P Lai Hernioplasty

1210 Laparoscopic Hernioplasty – From IPOM to G Yao modified TAPP 1230 Staple or Stapless Repair? YC Tang

1250 Tailor-made Configuration of Mesh for WT Ng Laparoscopic Hernioplasty

1310 Lunch

Session II Ventral Hernia(Chairman: YC Tang / Simon KH Wong)

1430 Incisional Hernia: Can laparoscopic repair E Ng reduce recurrence?

1450 Video Forum Paraumbilical Hernia / Lumbar Hernia / All Faculties Spigelian Hernia / Recurrent Hernia / Femoral Hernia

1600

4 November 2008

PROGRAMME SCHEDULE (Day 2)

Time Programme Speaker

Session III Parastomal Hernia(Chairman: Samuel PY Kwok / Philip WY Chiu / Kelvin KK Yau)

0830 Live Demonstration III – Laparoscopic AP K Yau/ resection and prophylactic mesh for J Lee parastomal hernia

1030 Break

1050 Live Demonstration IV – Laparoscopic S Wong/ repair of ventral hernia E Ng

1200 Management of Parastomal Hernia J Lee

1220 Prevention of Parastomal Hernia – K Yau Is prophylactic mesh the answer?

1240 Presentation of Certificate of Attendance 1330 Animal Workshop All Faculties Laparoscopic Hernioplasty Training Laparoscopic Ventral Hernioplasty Laparoscopic Prophylaxis for Parastomal Hernia

1700