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College of Surgeons, AMM Council 2014 – 2015 President

Dr Peter Wong Toh Lee



Senior Vice President

Assoc Prof Dr Hanafiah Harunarashid



Hon Secretary

Prof Dr April Roslani



Hon Treasurer

Dato’ Dr Rohan Malek



Council Members

Prof Dr Chin Kin Fah



Prof Dr David Choon Siew Kit



Assoc Prof Datuk Dr Ismail Sagap



Prof Dr Liew Ngoh Chin



Assoc Prof Dr Lim Kean Ghee



Prof Dato’ Dr Lokman Saim



Prof Dr Nur Aishah Taib



Prof Dr Rohaizak Muhammad

Organising Committee Chairman Assoc Prof Datuk Dr Ismail Sagap

Scientific Committee

Assoc Prof Dr Lim Kean Ghee (Chairman)



Prof Dr April Roslani



Prof Dr Chin Kin Fah



Assoc Prof Dr Hanafiah Harunarashid



Prof Dr Liew Ngoh Chin



Prof Dr Nur Aishah Md Taib



Dato’ Dr Rohan Malek



Prof Dr Rohaizak Muhammad



Dr Prabu Ramasamy

Local Coordinator

Ex-Officio Dr Peter Wong Toh Lee

1

Programme Summary

Time

Date

0730 – 0800 0800 – 0830

29th May 2015 Friday

30th May 2015 Saturday

31st May 2015 Sunday

Meet-The-Experts

Meet-The-Experts

Meet-The-Experts

1

2

0830 – 0900

PLENARY 1

0900 – 0930

1000 – 1030

OPENING CEREMONY & 42nd A M ISMAIL ORATION

1030 – 1100

Tea / Poster Viewing / Exhibition

1100 – 1130

SYMPOSIA

0930 – 1000

1

4

2

1230 – 1300 Lunch Satellite Symposium (Pfizer) 1300 – 1330

5

Surgical Debate

ETHICON PRIZE PRESENTATIONS

1430 – 1500

PLENARY 2

PLENARY 4 PLENARY 5

1530 – 1600 3

4

1630 – 1700

Tea

1700 – 1730

SYMPOSIA

1730 – 1800 1800 – 1830 1830 – 1900 1930 – 2230

5

SYMPOSIUM 9

Free Paper Presentations / Official Poster Presentations

Tea & Poster Viewing 6

42nd Annual General Meeting FACULTY DINNER (by invitation only)

11

PLENARY 6

SYMPOSIA

Lunch Satellite Symposium (Fresenius Kabi)

1600 – 1630

10

SYMPOSIA 8

Breast Chapter Annual Meeting

GALA DINNER

2

8

SYMPOSIA

Tea

Friday Prayers

SYMPOSIA

7

Tea / Official Poster Round / Exhibition

1330 – 1400 1400 – 1430

1500 – 1530

6

PLENARY 3

7

1130 – 1200 1200 – 1230

3

12

13

HOW I DO IT SESSION Lunch

Pre-Conference Workshops WORKSHOP 1 INTRODUCTION TO GENETIC COUNSELLING IN HBOC Date : 25th and 26th May 2015 (Monday and Tuesday) Venue : Menara Selatan, Universiti Malaya Medical Centre Number of Participants : 30 WORKSHOP 2 UPDATES IN BREAST AND OVARIAN CANCER PREVENTION Date : 27th May 2015 (Wednesday) Time : 0800 to 1700 hrs Venue : Menara Selatan, Universiti Malaya Medical Centre Number of Participants : 200 WORKSHOP 3 DELAYED BREAST IMPLANT RECONSTRUCTION AND LIPOMODELLING Date : 28th May 2015 (Thursday) Time : 0800 to 1600 hrs Venue : ACC Operation Theatre, Level 2 Auditorium, Penang Hospital Participants : By Invitation Only WORKSHOP 4 ALL ABOUT VEINS - FROM DVT PREVENTION TO VARICOSE VEIN TREATMENT Date : 28th May 2015 (Thursday) Time : 1100 – 1600 hrs Venue : The G Hotel, Penang Participants : Surgeons, Surgical Trainees and Registrars Senior Surgical Nurses (Limited to 30 places) HANDS ON WORKSHOP WITH GUIDANCE FROM SURGEONS AND INDUSTRY PROCTORS: 1. Compressive stockings – DVT prevention, varicose vein stockings, travel stockings 2. Intermittent pneumatic device – Indication, application and pitfalls 3. Thrombectomy catheters – How Iliac / Femoral vein thrombus can be removed percutaneously 4. Endovenous procedures – Use of radiofrequency ablation device for varicose veins 5. Ultrasound – How to diagnose DVT and venous incompetence 6. Management of venous ulcers – Dressings and use of multi-layer compressions

3

DAILY PROGRAMME

29th May 2015 (Friday) 0730 – 0830

MEET-THE-EXPERTS 1 Single Port Laparoscopic Cholecystectomy Chin Kin Fah

0730 – 0830

MEET-THE-EXPERTS 2 Improving Cosmesis In Breast Conservation Surgery Visnu Lohsiriwat / Suebwong Chuthapisith

0830 – 0900

PLENARY 1 Optimizing Every Patient’s Outcomes – How To Deliver High Quality, Accessible Surgery To A Whole Population Phillip Carson

0900 – 1030 OPENING CEREMONY & 42ND A M ISMAIL ORATION Orator : Michael Hollands Citation by : Lum Siew Kheong 1030 – 1100

Tea / Poster Viewing / Exhibition

1100 – 1230

SYMPOSIUM 1 | Surgical Physiology Of Trauma 1.1 Trauma Coagulopathy And Its Management Philip Iau 1.2 Damage Control Resusitation Teo Aik Howe 1.3 Understanding The Pathophysiology Of SIRS And Optimizing Outcomes Lum Siew Kheong 1.4 Intensive Care In Polytrauma Lee See Pheng

1100 – 1230

SYMPOSIUM 2 | Breast 2.1 Hereditary Breast And Ovarian Cancer – The Manchester Experience Gareth Evans 2.2 Dense Breast And Breast Cancer Risk And Management Suebwong Chuthapisith 2.3 Experience In Implant Breast Reconstruction Sarinah Basro 2.4 New Indications For Sentinel Node Biopsy Saladina Jaszle

4

th

29

DAILY PROGRAMME May 2015 (Friday) [cont’d]

1230 – 1330

Lunch Satellite Symposium [Pfizer]

1330 – 1430

Friday Prayers

1430 – 1500

PLENARY 2 Research And Registries In Cardiovascular Surgery John Chan Kok Meng

1500 – 1630

SYMPOSIUM 3 | Managing Surgical Trauma 3.1 Refining Management In Head Trauma Dharmendra Ganesan 3.2 Managing Chest Trauma Tan Boon Lee 3.3 Laparoscopy In Intra-Abdominal Injury Mohd Yusof bin Abd Wahab 3.4 Spinal Trauma – The Young, The Old And The Immortal Zamyn Zuki bin Mohd Zuki

1500 – 1630

SYMPOSIUM 4 | Surgical Research 4.1 Preparing To Face The Ethical Committee Goh Pik Pin 4.2 What You Need To Know About Animals In Research Ooi Peck Toung 4.3 My Experience Initiating Research In District Hospitals Kalaiarasu Peariasamy 4.4 My Experience In Research In Upper Gastrointestinal Surgery Mahadevan Deva Tata

1630 – 1700

Tea

1700 – 1800

SYMPOSIUM 5 | Urology – Urolithiasis 5.1 Approach To Management Of Ureteric Colic Murali Mohan 5.2 Medical Therapy For Urolithiasis – Does It Work? Leong Wing Seng 5.3 Endoscopic Management Of Stones Rohan Malek

5

th

29

DAILY PROGRAMME May 2015 (Friday) [cont’d]

1700 – 1800

SYMPOSIUM 6 | Vascular Access Outcomes 6.1 Salvaging Thrombosed Fistula Tan Kia Lean 6.2 Individually And Tailored Vascular Access Planning Asraff Md Razi 6.3 Recognising And Managing Access Failure And Common Complications Benjamin Leong Dak Keung

1800 – 1900

42ND ANNUAL GENERAL MEETING

1930 – 2230

FACULTY DINNER (by invitation only)

30th May 2015 (Saturday) 0730 – 0830

MEET-THE-EXPERTS 3 | Vascular Management Of Acute Limb Ischaemia Panelists: Hanafiah Harunarashid, Ashraf Md Razi, Ho Teik Kok

0730 – 0830

MEET-THE-EXPERTS 4 | Trauma A Century Of Trauma Resuscitation Advances Ronald V Maier

0730 – 0830

MEET-THE-EXPERTS 5 | Plastic Getting Skin Grafts To Take Lim Lay Hooi

0830 – 0900

PLENARY 3 Modern Management Of Chronic Venous Disease Benjamin Chua Soo Yeng

0900 – 1000

SURGICAL DEBATE All Surgeons Should Be Remunerated Hourly On An Equal Basis For : Kevin Moissinac Against : Clarence Lei

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DAILY PROGRAMME th

30 May 2015 (Saturday)

[cont’d]

1000 – 1030

Tea / Official Poster Round / Exhibition

1030 – 1200

SYMPOSIUM 7 | Managing Surgical Trauma 7.1 Managing Soft Tissue Trauma Lim Lay Hooi 7.2 Managing Disasters And Mass Events Mahathar bin Abd Wahab 7.3 Managing Trauma In A District Hospital Phillip Carson 7.4 Inter-Hospital Transfer Of Trauma Patients Andrew Gunn

1030 – 1200

SYMPOSIUM 8 | Endocrine Surgery 8.1 The Role Of Ultrasound In Thyroid Diseases Shahrun Niza Abdullah Suhaimi 8.2 Hypercalcaemia: Treatment And Management Update Imisairi Abd Hadi 8.3 Robotic Thyroidectomy In Malaysia: Is It The Future? Hakim Nor Azham 8.4 Adrenal Incidentaloma: Do We Need To Remove? Normayah Kitan

1200 – 1300

ETHICON PRIZE PRESENTATIONS

1300 – 1430

Lunch Satellite Symposium [Fresenius Kabi] Role Of IV Paracetamol In Post Operative Management Speaker (TBC)

1430 – 1500

PLENARY 4 Practice And Training Of Oncoplastic Breast Surgery In Asia Visnu Lohsiriwat

1500 – 1530

PLENARY 5 The Impact Of ERAS On Colorectal Practice Mike Levelle-Jones

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DAILY PROGRAMME th

30 May 2015 (Saturday)

[cont’d]

1530 – 1700

SYMPOSIUM 9 | RCS Edinburgh 9.1 The Current Status Of Training/Assessment In The UK Mike Lavelle Jones 9.2 The MRCS Exams Overseas Judith Evans 9.3 Non-Technical Skills For Surgeons (NOTSS) Simon Patterson Brown 9.4 Training The Trainers David Pitts

1530 – 1700

FREE PAPER PRESENTATIONS / OFFICIAL POSTER PRESENTATIONS

1700 – 1730

Tea & Poster Viewing

1730 – 1830

Breast Chapter Annual Meeting

1930 – 2230

GALA DINNER

8

DAILY PROGRAMME st

31 May 2015 (Sunday) 0730 – 0830

MEET-THE-EXPERTS 6 | Urology – Renal Trauma Diagnosis Imaging And Staging Khor Tze Wei Management Issues; Non-Surgical And Surgical Hamid Ghazali Follow Up And Management Of Late Complications Teoh Boon Wee

0730 – 0830

MEET-THE-EXPERTS 7 | Bariatric Revisional Bariatric Surgery: Why, When And What To Do Nik Kosai

0730 – 0830

MEET-THE-EXPERTS 8 | Colorectal Solving Matters The Colorectal Way Ismail Sagap / April Roslani

0830 – 0930

SYMPOSIUM 10 | Colorectal 10.1 How Can We Lower The Number Of Deaths From Colorectal Cancer In Malaysia? Lim Kean Ghee 10.2 Clinical Practice Guidelines For Colorectal Cancer Nil Amri 10.3 Revisiting Colorectal Surgery Training In Malaysia Fitjerald Henry

0830 – 0930

SYMPOSIUM 11 | Vascular 11.1 Optimizing Patency Of Vascular Access – New Strategy Liew Ngoh Chin 11.2 Optimizing Outcomes In Vascular Trauma Naresh Govindarajanthran 11.3 Optimizing Outcomes In RAAA Through Early Diagnosis Kevin Moissinac

0930 – 1000

PLENARY 6 | Hepatobiliary Laparoscopic Live Resection Of Hepatocellular Carcinoma Hong-Jim Kim

1000 – 1030

Tea

9

DAILY PROGRAMME st

31 May 2015 (Sunday)

[cont’d]

1030 – 1200

SYMPOSIUM 12 | Surgical Education 12.1 Entry To Surgical Training In Malaysia Ismail Sagap 12.2 Formative Assessment Of A Masters Candidate April Roslani 12.3 Summative Assessment Of A Masters Candidate. The College Role In Supporting Trainees Hanafiah Harunarashid 12.4 Continued Post Grad Development In Post NSR Era P Kandasami

1030 – 1200

SYMPOSIUM 13 | Upper GI & Hepatobiliary 13.1 The Management Of A Giant Para-Oesophageal Hiatus Hernia Simon Patterson Brown 13.2 Minimally Invasive Oesophagectomy Chin Kin Fah 13.3 The Effectiveness Of Aggressive Surgery For Advanced HCC Hong-Jin Kim 13.4 Laparoscopic Repair For Perforated Peptic Ulcer Ramesh Gurunathan

1200 – 1300

HOW I DO IT SESSION Crash Trauma Laparotomy Philip Iau Continuous Intra-Operative Nerve Monitoring (CIONM) In Thyroidectomy Rohaizak Muhammad Topic (TBC) Phillip Carson

1300 – 1400

Lunch

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Post-Conference Workshops

In collaboration with

POST-CONFERENCE WORKSHOP 1 NON-TECHNICAL SKILLS FOR SURGEONS (NOTSS) – HALF DAY WORKSHOP In conjunction with College of Surgeons, Academy of Medicine Malaysia, Annual Scientific Meeting 2015 Date : 31st May 2015 (Sunday) Time : 1400 to 1700 hrs Venue : The G Hotel, Penang

This is a half day workshop for surgical trainees from all specialties. The workshop will cover the role of Human factors in surgery and how understanding the non-technical skills which underpin surgical performance can lead to improved outcomes. Delegates will have the opportunity to observe simulated operations and discuss how non-technical skills can be rated. FACULTY: MR SIMON PATERSON-BROWN Consultant General and Upper GI Surgeon, Royal Infirmary of Edinburgh Chairman, Patient Safety Board RCSEd and Council member RCSEd

POST-CONFERENCE WORKSHOP 2 NON-TECHNICAL SKILLS FOR SURGEONS (NOTSS) – ONE DAY MASTERCLASS In conjunction with College of Surgeons, Academy of Medicine Malaysia, Annual Scientific Meeting 2015 Date : 1st June 2015 (Monday) Time : 0900 to 1700 hrs Venue : Bilik Serbaguna, Faculty of Medicine, University of Malaya,

Kuala Lumpur Participants : By Invitation (25 pax) This is a one day Masterclass for Consultant/Attending surgeons from all specialties with an interest in training. The course involves short lectures, video scenarios, interactive discussion and the use of an audience feedback system. It will cover the influence of human factors in surgery and the importance of non-technical skills in underpinning good surgical performance. Delegates will learn how these non-technical skills can be observed, rated and used to provide feedback. FACULTY: MR SIMON PATERSON-BROWN Consultant General and Upper GI Surgeon, Royal Infirmary of Edinburgh Chairman, Patient Safety Board RCSEd and Council member RCSEd

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Conference Information Conference Secretariat College of Surgeons, AMM G-1 Medical Academies of Malaysia 210 Jalan Tun Razak 50400 Kuala Lumpur Tel: (603) 4023 4700, 4025 4700, 4025 3700 Fax: (603) 4023 8100 Email: [email protected] Registration Fees On or Before 31st March 2015

From 1st April 2015 To 22nd May 2015

On-Site

Specialist (Member of CSAMM)

RM 700

RM 750

RM 850

Specialist (Non-Member of CSAMM)

RM 750

RM 800

RM 900

Medical Officer / Allied Health Professional

RM 500

RM 550

RM 650

Medical Student

RM 350

RM 400

RM 450

Category

Pre-Conference Workshops

From 16th April 2015 Onwards

By 15th April 2015

Introduction To Genetic Councelling In HBOC (25th and 26th May 2015) Professional

RM 500

RM 600

Trainee / Nurse

RM 350

RM 450

Updates In Breast And Ovarian Cancer Prevention (27th May 2015) Professional

RM 250

RM 350

Trainee / Nurse

RM 150

RM 250

Delayed Breast Implant Reconstruction And Lipomodelling (28th May 2015) All About Veins – From DVT Prevention To Varicose Vein Treatment (28th May 2015)

Post-Conference Workshops Non-Technical Skills For Surgeons (NOTSS) – Half Day Workshop (31st May 2015) Non-Technical Skills For Surgeons (NOTSS) – One Day Masterclass (1st June 2015)

Meet-The-Experts

–

RM 300

RM 250

On or Before 31st March 2015

From 1st April 2015 To 22nd May 2015

On-Site

RM 50

RM 60

RM 70

– By 15th April 2015

From 16th April 2015 Onwards

RM 30

RM 50

Meet-The-Expert Session (per session)

For online registration and payment, please log on to www.csamm.asm.org.my

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Conference Information Payment All payments are to be issued in favour of “COLLEGE OF SURGEONS OF MALAYSIA”. Payment should be sent with the completed Registration Form to the Conference Secretariat. Payments can be made via telegraphic transfer to: Account Name

: College of Surgeons of Malaysia

Bank : CIMB Bank Berhad Account No

: 80-0112598-2

Branch : 338, Jalan Tuanku Abdul Rahman, 50100 Kuala Lumpur Swift Code

: CIBBMYKL

(Please return the bank remittance advise note along with the Registration Form either by fax or mail. Document image by email is also acceptable.)

Conference Venue G Hotel, Penang 168A Persiaran Gurney, 10250 Pulau Pinang, Malaysia Tel: (604) 238 0000 Fax: (604) 238 0088 Email: [email protected] Website www.ghotel.com.my Hotel Room Rates Room Category Standard Room

Single Room RM 375.00++

Double Room RM 400.00++

Superior Room

RM 405.00++

RM 430.00++

Executive Room

RM 510.00++

RM 510.00++

Cancellation and Refund Policy The conference secretariat must be notified in writing of all cancellation. Refund will be made after the conference as follows : Cancellation on or before 15th May 2015 : 50% Cancellation after 15th May 2015 : Nil Certificate of Participation A certificate of participation will be issued to all delegates. Liability The Organising Committee will not be liable for personal accidents, loss or damage to private properties of participants during the Conference. Participants should make their own arrangements with respect to personal insurance. DISCLAIMER

Whilst every attempt would be made to ensure that all aspects of the Convention as mentioned in this publication will take place as scheduled, the Organising Committee reserves the right to make last minute changes should the need arises.

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ETHICON PRIZE 2015

The Ethicon Prize is an award for the best original scientific or clinical paper submitted by young surgeons in Malaysia for presentation at the Annual Scientific Meeting of the College of Surgeons, Academy of Medicine of Malaysia. This award, started in 1989, will hopefully encourage a high standard of research and scientific presentations among young surgeons. The Prize Cash of RM2,000 donated by Ethicon. Regulations 1. The competition is open to all young surgeons and surgical trainees currently working in Malaysian hospitals who are below 35 years old as on 1st January 2015. 2. The work submitted may be from any surgical specialty, and it may take the form of clinical trials, surveys, retrospective studies, laboratory experiments or any other form of unpublished original work. 3. The bulk of the work which are submitted must be performed by the author himself/herself even though he may have done the work in conjunction with other doctors or agencies either locally or overseas. However, the work must be carried out in Malaysia. 4. The author himself / herself should present the paper at the Annual Scientific Meeting of the College in 31st March 2015 if the paper is selected for the finals. 5. The author must submit a signed declaration of his/her age, that his/her paper has not been published or presented elsewhere and the presenter has done most of the work. Procedure Completed papers are to be submitted online via the conference website at www.csamm.asm.org.my by 31st March 2015. Full guidelines for the submission are available on the website. Privileges Authors whose papers are shortlisted for presentation shall be accorded the following privileges: 1. Complimentary registration 2. Hotel accommodation for the duration of the conference (for those outside Penang) 3. Travel expenses (for those outside Penang)

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ABSTRACT SUBMISSION GUIDELINES The Scientific Committee welcomes the submission of free communications. This could be in the form of Oral or Poster Presentations. The deadline for submission of abstracts is 31st March 2015. Late submission will not be considered. Only abstracts from participants who have registered and paid their registration fees will be considered. Abstracts submission is to be done online at the conference website. For full submission instructions as well as guidelines, please log-on to www.csamm.asm.org.my

SCIENTIFIC E-POSTERS You are kindly invited to submit scientific contributions to be presented during the meeting. As an alternative to the traditional printed paper poster, the CSAMM is pleased to introduce e-posters to the Annual Scientific Meeting 2015. E-posters will replace the printed posters and we are sure that you will share our enthusiasm for this innovative approach to poster presentation. As you will have uploaded your poster in advance there is no need to print and carry a poster to the meeting. This will save you the time and costs associated with printing and reduce the carbon footprint of the meeting. There will be monitors at the conference where all posters can be viewed. Abstracts may only be submitted using the electronic abstract submission system and must meet the following criteria: • The abstract must not exceed 300 words • Abstracts must be written in English, explained abbreviations may be used • Graphs and Tables are not allowed All Abstracts must follow the required structure: • Introduction • Objectives • Materials and methods • Results • Discussion • Conclusions Successful entrants will be emailed instructions on how to upload their e-posters for presentation after 31st March 2015. Your e-poster should be produced using the PowerPoint Poster template which will be provided. The content of the presentation should be of a single slide. E-Posters of different dimensions may be skewed/stretched/truncated when displayed on the monitors at the Annual Scientific Congress unless they conform to the template. A maximum of ten E-posters adjudged to be of sufficient merit will be eligible for the top three prizes. First prize

: RM 1,000.00

Second prize : RM 750.00 Third prize : RM 500.00 In the event that none of the submissions achieves sufficient academic merit, no prizes will be awarded.

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