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Saturday, July 08, 2006

Pelvic Reconstruction Workshop: Terneuzen 12/13 September 2006

12 and 13 September 2006: Live demonstration of Vaginal Paravaginal Repair by Dr Richard Reid in Terneuzen , The Netherlands :

With the sudden influx into pelvic organ reconstructive surgical techniques of different meshes and different techniques of repairing the damaged pelvis, one needs to stay objective.

The revolution of pelvic organ reconstruction is based on:

1. The best access to the damaged pelvis is via the vaginal route

2.Solid knowledge of pelvic functional anatomy , knowledge of the pathogenesis of the processes that lead to the damaging of the pelvic organ support systems and precise surgical techniques form the mainstay of any pelvic reconstructive surgery

3. The use of any implant material must be highly individualized, with the "do no harm" principle given a high priority. Special knowledge of tissue engineered products (TEP's) is esssential in deciding on specific materials.

4. The primary consern of the pelvic reconstruction surgeon is repairing the damaged pelvis in a site specific way, and not only treating the prolapsed organ.

Following the IUGA congress in Athens, dr Reid stopped on his way to the USA in Terneuzen on the 12th and 13th September 2006.
During the 13 th a full day session in theatre was conducted with CC TV live coverage. Attendees was able to communicate with him while he operate on 2 patients.

Anterior and posterior vaginal wall reconstructions ( with the techniques as discussed at the recent seminar in London) was done on both.

It was a pleasure to welcome gynaecologists from Great Brittain, Belgium, Germany, South Africa and the Neterlands to Terneuzen, Zeeuws Vlaanderen and the Netherlands.

The Programme was:
Venue: Hotel L'Escaut Terneuzen
12 september 2006:

14:00 to 17:00: The place of Vaginal Paravaginal Repair in Pelvic Reconstructive surgery: an interactive discussion and video demonstrations.

Introduction: Hospital Director

Perspectives on Vaginal PelvicOrganReconstructive Surgery :Andri Nieuwoudt
The patogenesis of Pelvic Organ Prolapse: Richard Reid
The effect of childbirth on the Pelvic Support Anatomy :Charles Reyneke

The science governing hernia repair and the use of biomaterials : Richard Reid
Repairing the anterior compartment: Richard Reid
Repairing the posterior compartment and perineum: Richard Reid

18:00: Dinner

13 september 2006: venue: Ziekenhuis Zeeuws Vlaanderen; Locatie De Honte

08:00 to 10:00 : Case reports of the patients that are due to be operated on: techniques of pre-operative assesments and pre-and postoperative care.

10:00 to 17:00 : Live theatre sessions with a lunch break.

17:00 Closing remarks.

The meeting was made possible due to the support and sponsorship of Stichting Zorgsaam and the directors of Ziekenhuis Zeeuws Vlaanderen.

Cook sponsored induviduals to attend and also the dinner.

Due to the enthusiasm of the deligates and especially dr Reid this meetings was a success. The central location of Terneuzen in Europe made the venue a good choice. Emphasis in the future is going to be vaginal surgery and the repair of the damaged pelvic organs in the young patient.

See you all back in Terneuzen on the 4 of July 2007.

A summary of the procedings will be posted in the foreseeable future.

Accomodation: Hotel L'Escaut

The Route to Terneuzen:

where is Terneuzen?

By Car:

Routes to Ziekenhuis Zeeuws Vlaanderen, Location De Honte:

Route description in English

">Route Im Deutch

Arriving by AIR:

The nearest airport is Brussel International Airport at Saventum, Brussels (85km).

Schiphol airport, Amsterdam, is 200 km away (two and a half hour by road or public transport) I would advise against the use of this airport: too busy and too long traveling time to Terneuzen.

It is thus advised that if you arrive by air to use Brussel Int Airport , or Brussel South Int Airport at Charleroi ( Ryanair)

From Charleroi to Brussel Midi (South or Zuid) station look here

At Brussel international Airport you can get a taxi to Terneuzen: cost will be about 100 euro or 75 pounds, one way.

A better and quicker alternative is to go by train to Gent Sint Pieters station ( 1 hour, direct), and take a taxi from there to Terneuzen.

Look here for the train schedules in Belgium: Belgium train schedules

( type in "Bruxelles-Int-Airport"and "Gent-Sint-Pieters")

  • Brussel airport train station
  • Arrival by Eurostar:

    You arrive at Brussel Midi (South,or Zuid) station. Take a national train to Gent Sint Pieters station: there is two trains that go, one is a Intercity (IC) that take about 27 minutes, the other is the milkrun, that take longer!

    Remember that your Eurostar ticket is good for traveling to any station in Belgium also!

    Look here for the train schedules in Belgium: Belgium train schedules

    ( type in " Bruxelles-Midi" and "Gent-Sint-Pieters")


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