Dear Colleagues,

On behalf of the organising committee it is our great pleasure to invite you to join us at the 9th World Symposium on Lymphedema Surgery (9th WSLS) to be held in Barcelona on October 6th-7th, 2020.

Inspired by the success of the previous International Meetings on Lymphedema Surgery, we are fortunate to have the opportunity to host once again the World Symposium on Lymphedema Surgery.

This 9th Symposium will consist of two days of lectures, video surgery transmissions and breakout sessions. Current techniques will be presented with a clear focus on searching evidence and providing reliable results.

Controversy and cross-fire debates will be the major features of this meeting in order to get audience interactivity, to define practical consensus and to promote critic assessment on the hot topics.

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It is truly a special event to have so many world leaders in lymphedema surgery, lymphedema research, lymphatic education and lymphatic system imaging, including David Chang, Ming Huei Cheng, Hakan Brorson, Joon Pio Hong, Isao Koshima, Takumi Yamamoto, Dhruv Singhal and many others, all in one place, sharing their experiences in this field that we are all so passionate about. Having so many national and international brilliant minds and years of experience all together, provides the potential for a truly enjoyable and rich educational experience.

Barcelona is a dynamic and vital Mediterranean city and we are sure that you will enjoy your stay with us.

Yours sincerely,

D. Chang, M.H. Cheng, I. Koshima & J. Masià
WSLS Co-Chairmen


TUESDAY 6th OCTOBER 2020


11.30 – 12.30h:

Registration 9th WSLS

12.30 – 13.00h:

Welcome words by our Chairs
D. Chang / M.H. Cheng / I. Koshima / J. Masià

13.00 – 13.30h:

OPENING KEYNOTE LECTURE:
Mapping scientific evidence in lymphatic surgery – J. Masià / A. Auladell

13.30 – 15.30h:

EDUCATIONAL SESSION: The fundamentals
Moderators: J. Masià / K. Van Landuyt

  • Updating the lymphatic anatomy: the essence for an effective surgical approach – M. Amore

Imaging of the lymphatic diseases:

  • Current indications of lymphoscintigraphy – J. Dayan
  • SPECT: what is different? – D. Dionyssiou
  • ICG lymphography: is it mandatory? – T. Yamamoto
  • Lymph MRI – P. Neligan
  • High definition ultrasonography: is it reliable? – J.P. Hong
  • Elasto-sonography and moisturemetry – S. Suominen

New technology on lymphedema surgery: 

  • High resolution microscopy: where is the limit? – D. Chang
  • 3D visualization microscopy – I. Koshima
  • Super-microsurgical instruments – T. Yamamoto
  • Robotics in super-microsurgery: making a more reliable and reproducible surgery – M. Innocenti
  • Scaffolds, Biological Matrix and Cell Based Therapies – S. Rockson

15.00 – 17.00h:

SIDE SYMPOSIUM BY MITAKA
Sewing with the Masters – D. Nguyen / W.F. Chen / Y. Seki / J.P. Hong / P. Neligan / D. Singhal

(Aules polivalents – 2nd floor)

MORE DETAILS HERE

15.30 – 16.00h:

Coffee break

16.00 – 17.45h:

COLLABORATIVE SESSION:
A multidisciplinary approach for developing clinically-relevant lymphedema practice guidelines

Moderators: D. Chang / G. Pons

  • Normal and abnormal patterns of lymphatic drainage – M. Amore
  • Lymphedema, lipoedema and obesity in clinical practice: differences and interconnections – A. Rovnaya
  • The pathophysiology of adipose tissue in lymphedema and the complete reduction with suction assisted lipectomy – H. Brorson
  • Lymphological liposculpture for secondary lymphedema after breast cancer and gynaecological tumours: longterm results after 15 years – M.E. Cornely
  • My current protocol for preoperative management of the surgical patients: why, how and when? – All faculty

17.45 – 18.00h:

PATIENT ADVOCACY LECTURE:
Vision and missions of lymphatic education and research framework – W. Repicci

18.00 – 20.00h:

WELCOME RECEPTION
Wine tasting by the Ikigai Project for Lymphedema Research (IPLR)

Sala Domènech i Montaner. Old Enclosure Hospital de Sant Pau.


WEDNESDAY 7th OCTOBER 2020


8.00 – 8.15h:

OPENING KEYNOTE LECTURE:
The new frontiers on lymphedema surgery – I. Koshima

8.15 – 10.30h:

EDUCATIONAL SESSION:
Improving the current surgical techniques

Moderators: P. Neligan / S. Suominen

  • Intraoperative real-time indocyanine green video-lymphography navigation for LVA – Y. Seki
  • Current indications of the deep LVA in advanced stages of peripheral lymphedema – C. Campisi
  • Deep epigastric inferior lymphatic transfer: a new potential donor site – K. Van Landuyt
  • The importance of groin efferent lymphatic venous anastomosis (ELVA) for treatment of early stage lower limbs lymphedema – J.P. Hong
  • The dynamic lymphaticovenular anastomosis method for breast cancer treatment related lymphedema without compression therapy – Y. Seki
  • Microsurgical cutaneous lymph cyst removal in genital lymphedema. A combined therapy concept – G. Felmerer
  • How to make LVA reliable and more effective – T. Yamamoto / Y. Seki / I. Koshima

Vascularized lymph node flap: How and when?

  • Groin – C. Becker
  • Supraclavicular – D. Chang
  • Submental – M.H. Cheng
  • Omental – J. Dayan
  • Enhancing lymphatic regeneration with aligned nanofibrillar collagen scaffolds – D.H. Nguyen
  • Lymph-Interpositional Flap Transfer (LIFT): a new lymphatic reconstruction without lymph node nor supermicrosurgery – T. Yamamoto
  • Management of post cancer lower limb lymphedema: a multimodal approach – G. Manokaran
  • Current approach in genital lymphedema – C. Iglesias

10.30 – 11.00h:

Coffee break


SIDE SYMPOSIUM BY LUXONUS
Photoacoustic 3D visualization system for high-resolution imaging of human vessels – Y. Asao
(Aules polivalents – 2nd floor)

MORE DETAILS HERE

11.00 – 12.00h:

CONTROVERSY SESSION:
Postoperative management

Moderators: J. Masià / I. Koshima

  • Volume measurements and follow-up in lymphedema surgery: searching a reliable protocol to compare the results – H. Brorson
  • What is my protocol – D. Chang / J. Dayan / C.H. Tzou / P. Neligan / D.H. Nguyen / Y. Seki / A. Ramsden / G. Pons / J.P. Hong / M.E. Cornely / M.H. Cheng

12.00 – 13.00h:

CONTROVERSY SESSION:
Prevention as the most effective lymphedema treatment

Moderators: J. Dayan / G. Pons

  • The Oxford lymphedema screening programme – A. Ramsden
  • Enhancing lymph regeneration: combining lymph node transfer with VGFC – S. Suominen
  • Role of microsurgery in the prevention and early treatment of lymphedema – F. Boccardo
  • Immediate lymphatic reconstruction – D. Singhal
  • Risk reduction lymphedema surgery: from TBAR to TLAR – J. Masià

13.00 – 14.00h:

Lunch break

14.00 – 15.30h:

VIDEO-SURGERY SESSION:
Tricks and tips for an efficient surgery – Y. Seki / T. Yamamoto / J.P. Hong / C.H. Tzou / W.F. Chen / D. Kosutic / C. Campisi / H. Brorson

Moderators: H. Brorson / C. Becker

15.00 – 17.00h:

SIDE SYMPOSIUM BY MITAKA
Sewing with the Masters – I. Koshima / G. Pons / S. Suominen / D. Chang / T. Yamamoto / K. Van Landuyt

(Aules polivalents – 2nd floor)

MORE DETAILS HERE

15.30-17.00h:

SESSION IN INNOVATIVE IDEAS AND CREATIVE CONTRIBUTIONS
Best free-papers

Moderators: J.P. Hong / P. Neligan

  • The role of extracellular matrix in endothelial cell organization and functions – M.V. Paukshto
  • The triple surgical treatment method for chronic lymphedema using aligned nanofibrillar collagen scaffolds – Y. Choi
  • Prophylactic lymphaticovenous anastomoses for resection of soft tissue tumors of the thigh – M. Dadras
  • Evaluation of outcome measurement tools in patients with Lymphedema – S. Ng
  • Treatment of breast cancer-related lymphedema with adipose-derived regenerative cells and fat grafting. An ongoing randomized, placebo-controlled and double-blinded clinical trial – M.G. Jørgensen
  • How to predict the sites of target vessels visualized with photoacoustic lymphangiography – H. Kajita
  • The Lymphatic Flow-Through (LyFT) flap: proof of concept of an original approach – P. di Summa
  • D. Chang / I. Koshima / J. Masià. The use of shave therapy in the surgical treatment of a patient with lymphedema of the lower extremities (clinical case – P. Myshentsev
  • Correlation between patency and clinical improvement after lymphaticovenous anastomosis (LVA) in breast cancer-related lymphedema: 12-month follow-up – J. Wolfs
  • Analysis for cases with upper arm edema over 8 years after LVA – T. Mese
MORE DETAILS HERE

17.00 – 17.30h:

Coffee break

17.30-18.30h:

CHALLENGE THE EXPERTS:
Moderators: D. Chang / D. Singhal

  • Which operation for which patient? Single or combined techniques? Answering the final question in 10’… – P. Neligan / J.P. Hong
  • Open discussion session with practical case assessment – T. Yamamoto / J. Dayan / W.F. Chen / Y. Seki / G. Manokaran / J Tzou / S. Suominen vs. audience

18.30 – 19.00h:

9th WSLS conclusions and adjourn