2nd Singapore Advance Peripheral Nerve Transfer Course 2018

This 1 1/2 day program will provide an overview of the recent advances in nerve injury, healing, repair, reconstruction and rehabilitation and understand current principles and practice of nerve reconstruction.

Format : Lectures, videos, case-based discussions and hands-on practical. Online resources will be made available for pre-reading. There will be twelve stations with bench operating microscope and fresh frozen cadaveric specimen. Two participants per station. Each station is equipped with basic surgical instruments and two sets of complimentary surgical loupes with headlights and 3 piece micro instruments.

Application for 12 CME points by Singapore Medical Council to be made.

Target Participants (limited to max of 24) : Senior residents/Consultants in hand /ortho /plastic surgery

Prerequisites: All participants will be required to have attended a microsurgery course prior. They must be familiar with loupe dissection and neurorrhaphy using microscopes. 

Course fees (SGD): Full Participant $1200 (inclusive of 3 micro instruments, operating loupes and headlight).                                  Lectures only $100 Lectures only (Residents/Trainees) $25

Special Rates:  

  *Please contact the Course Secretary for the Promo Codes.  

**Note: On 16 March 2018, the afternoon sessions of the Advanced course overlaps with the Basic course: The Advanced participants will be in the lab doing their practical, while the Basic participants will be at the lecture rooms. For participants who have signed up for both courses, please skip the Basic lectures to attend the Advanced practical.

 The lectures for the course will be made available to you on a USB stick.

Course Secretary:  Ms Agnes Chua email : chua.agnes.lf@ktph.com.sg ; Mr Toh Yew Chin email : toh.yew.chin@ktph.com.sg

 Programme

Programme: Day 1 - 15 March 2018

13.00pm – 13.30pm Principles of nerve transfer Mr Wee-Leon Lam

At the end of the lecture the participant will be able to:

1. Understand the principles of nerve transfer and its role in upper limb reanimation.

2. Describe the process of common nerve transfers in lower motor lesion of the upper limb

3. Develop a management strategy for common BPI and spinal cord injury patients.

13.30pm - 14.00 pm Outcomes in nerve transfer surgery Mr Sandeep Sebastian

At the end of the lecture the participant will be able to:

1. Describe the factors affecting outcomes and provide prognostication

2. List the current evidence for outcomes in nerve transfer surgery

3. Describe the evaluation methods in nerve transfer surgery and their limitations

14.00 – 1430 Principles of nerve transfer rehabilitation Mr Andrew Yam

At the end of the lecture the participant will be able to:

1. Understand the principles of nerve rehabilitation 

2. Understand the concept of the plasticity of the brain and its role in rehabilitation

3. Functional assessment of nerve functions and return to work strategies

14 30 – 1500 Extended applications of nerve reconstruction Mr Dominic Power

At the end of this lecture the participant will be able to understand and describe nerve reconstruction surgery in: -

1. Peripheral nerve injury upper limb

2. Peripheral nerve injury lower limb 

3. Spinal cord injury

4. Degenerative spinal disease

Tea 1500 - 1530

1530 – 1600 Advances in brachial plexus surgery (Faculty TBC)

At the end of this lecture the participant will be able to understand and describe

1. current reconstructive strategy for brachial plexus injury

2. recent advances in BPI reconstruction

3. the future of plexus surgery

1600- 1700 How I do it sessions (10 min lecture and 5 minute discussions)

1. Somsak transfer for shoulder abduction Mr Dominic Power

2. Oberlin I and II for elbow flexion Mr Sree

3. Supinator to PIN transfer Mr Dominic Power

4. AIN to deep branch ulnar for improved hand function Ms Jacqueline Tan

1700 DP- 1745 pm Case Discussions (facilitator Mr Muntasir MMC)

 Programme: Day 2 - 16 March 2018

0800 – 0815 Health & Safety – Dr. Mohan

1. Practical 1 0815 - 0915 Somsak transfer for shoulder abduction (WEE)

2. Practical 2 0915- 1015 Oberlin I and II for elbow flexion (SREE)

Tea 1015- 1030

      3. Practical 3 1030 – 1130 Median to radial nerve transfers (DP)

      4. Practical 4 1130 – 1230 AIN to deep branch ulnar for improved hand function  (JT)

Lunch 1230 – 1330 am

       5. Practical 5 1330 1430 – SPIN transfer (Supinator to PIN transfer)

       6.   Video demo 1430 1500 on SAN to SS ( ant and post)  Wee

       7.  Video demo 1500 – 1530 on ICN to Wee

Tea 1530 - 1545

       8. Video/cadaver demo 1545 – 1645 Median/Ulnar sensory nerve transfers OM

 1645 – 1700 pm Feedback and Survey RV