PISA INTERNATIONAL DIABETIC FOOT COURSE - 4 DAY COURSE PROGRAMME

SUN 2 OCT TIME

MON 3 OCT Risk assessment / Neuropathy / Charcot Welcome and Introduction Carlo Tomassini, Stefano Del Prato, Alberto Piaggesi

TIME

TUE 4 OCT Infection Diagnosis of infection L. Rizzo

TIME

WED 5 OCT Ischaemia

TIME

THU 6 OCT Surgery

09.0010.30

09.00- From sub-clinical to critical 10.30 limb ischaemia J. Apelqvist

08.30

09.00 10.30

The surgical management of the D.F. G. Matricali G. Mulder

09.00

The International Consensus' Guidelines on D.F. Karel Bakker The organizative model from level to level Kristien van Acker 09.00 Clinical presentations of infection in the DF Piaggesi 09.00 A. Clinical presentations J. Apelqvist

09.00

New technologies for te surgical management of the DF G. Mulder The surgical reconstruction of the D.F. A. Piaggesi Surgical options for the management of the Charcot's foot. G. Matricali Discussion

09.30

09.30

Neuropathy and the foot: From Plantar ulceration to 10.00-13.00 Charcot's foot Michael Edmonds Pathogenesis N. Petrova The role of the biomechanical stress S. Bus Coffee break (Continued morning session) Clinical presentation and evolution Michael Edmonds

09.30

Microbiological and laboratory issues C. Tascini

09.20 - Ultrasound and other non 09.40 invasive diagnostic techniques V. Napoli

10.00

10.00

09.50 10.10 10.10 10.30 10.30 11.0013.10

Imaging Zampa Discussion

V.

09.40 - Angiography and angio MRI TC 10.00 I. Bargellini 10.20 10.00 - Discussion 10.30 10.30 Coffee break 10.3011.00

10.30 11.00

Coffee break Therapy of infection J. Aragon-Sanchez V. Urbancic

Coffee break Live Cases from the operating room with interactive audiovisual connection with Hotel S. Ranieri Operators: A. Piaggesi - L. Rizzo; Discussants: J. Aragon Sanchez - G. Mulder

11.00- The management of lower 13.00 limb ischemia S. Morbach 11.0013.00

11.30

12.00

Imaging V. Zampa Therapy L.Rizzo

11.00

Antibiotic therapy F. Menichetti The management of comorbdities in the DF. V. Urbancic The surgical management of the infcted DF J. Aragon Sanchez The foot clinic Rizzo L.

11.00

Indications to the revascularization L. Rizzo Endovascular techniques R. Cioni

11.30

11.20

12.30

11.50

11.40

Surgical revascularization M. Ferrari Medical management of the ischemic patient S. Morbach Discussion

12.10

12.00

12.30

New technologies in the treatment of osteomyelitis in the DF M. Schintler Discussion Lunch Transfer to DF Clinic (5 min walk) Practical exercitations (participants will be divided in three groups rotating on three different settings lasting one hour each) A. Negative pressure and new technologies: VAC and other options, Skin and dermal substitutes, bioactive medications B. Basic surgical skills How to prepare a surgical setting, how to drain an abscess, emostasis, sutures. C. Microbiological sampling and processing How to collect samples and process them for microbiological evaluations.

12.30

12.50 13.00 14.00 Lunch Transfer to DF Clinic (5 min walk) Practical exercitations (participants will be divided in three groups rotating on three different settings lasting one hour each) A. Screening lab Risk assessment and patients data management: VPT ABPI TcPO2 13.00 14.00 14.30 17.30

13.00 14.00

Lunch Transfer to the Imaging Department (5 min walk)

13.30

Lunch and Arrivederci

Arrival

14.30 17.30

14.30 - Live case: endovascular 17.30 revascularization of the critically ischemic foot

Duplex scanning of the lower limb

B. Offloading TCC and other options in the acute phase, orthesis and shoes for the chronic phase C. Local therapy How to debride a ulcer and to treat pre-ulcerative conditions, the choice and application of dressings, antiseptic usage.

Departure / On your own in Pisa

17.3018.00 19.00 20.00

Discussion

Welcome Event Evening free

Evening Free

20.00

Social event - Course Dinner