rosewood hotel, abu dhabi, uae - next level tricks · access surgery, notes and advanced stapler...

Rosewood Hotel, Abu Dhabi, UAE21st - 22nd May, 2015

Interdisciplinary Implementation of Innovations

2nd International Emirates Conference on

Minimally Invasive Surgery & NOTES

Endorsed by the New European Surgical Academy (NESA, www.nesacademy.org)

Dear Colleagues,

On behalf of the scienti�c committee, it’s our immense pleasure to invite you to the “2nd International Emirates Conference on Minimally Invasive Surgery and NOTES” that is planned to be held at Rosewood Hotel on 21st – 22nd May, 2015.

The conference is designed to meet the needs of the clinical, academic surgeon, resident, nurse, or technical support sta� within all specialties who wish to increase the knowledge of laparoscopic, endoscopic and minimally invasive surgical and diagnostic techniques. Your participation will provide you the opportunity to have a compre-hensive look at new techniques and technologies related to the most recent advances in minimally invasive surgery and NOTES. Many sessions will provide valuable information through dialogue, discussions and visuals designed speci�cally for you.

This two-day conference will greatly expand your understanding of the development and use of new minimally invasive technologies and techniques. Sessions will concentrate on a variety of procedures, techniques, and issues important to laparoscopic, endoscopic and minimally invasive surgeons.

The event will feature a faculty of leading experts in this �eld. The Meeting consists of updates of multiple topics, plenary sessions; expert review and discussion of surgical videos and hands on clinical practice workshops performed by master surgeons

Topics covered will include Update Laparoscopic Approaches in Surgery, Gynaecology and Urology, State of the Art Single Access Surgery in Surgery, Gynaecology and Urology, Transoral, Transgastric, Transvaginal and Transanal techniques, New technologies for NOTES and scarless surgery and hands on Workshops on Single Access Surgery, NOTES and Advanced Stapler & Energy Devices.

During in-depth program, the faculty, experts in Gynecology, General Surgery, Urology, and other specialties, will share their experience, explain new and varied technology and techniques, and will lead discussions about issues and topics important to all specialties.

The video session will bring panels of Master Surgeons together to show you the �ner points of their techniques and to discuss how to handle di�erent surgical cases with attention given to lessons learned and appropriate action/reaction. The academic excellence of a distinguished faculty and state of the art technology will be combined to bring an exceptional educational opportunity to help our surgeons to provide better patient care

The event will also provide an Exhibition that will feature the latest in products and services designed by leading manufacturers.

We invite you to participate in this scienti�c meeting and have a unique opportunity to network with your peers and keep abreast of the latest developments in Minimally Invasive Surgery and NOTES.

We look forward to welcome you in Abu Dhabi

Please do not miss this outstanding opportunity!

Prof. Dr. Tahar Benhidjeb Conference ChairmanConsultant, Chairman, Department of Surgery, Burjeel Hospital, Abu Dhabi, UAE

Dr. Shamsheer V.PConference PresidentManaging Director, VPS Healthcare

Welcome Message

Organizing Committee

Prof. Dr. Tahar Benhidjeb Consultant Chairman, Department of Surgery, Burjeel Hospital, Abu Dhabi, UAEMr. Khaled A�fy General Manager Mena Conference, Abu Dhabi, UAEDr. Ali Obaid Al-Ali CEO VPS Healthcare, Abu Dhabi, UAEDr. M. Ezzat Agamy Hospitals Corporate Director VPS Healthcare, Abu Dhabi, UAEMr. Vinay Batra CEO Diagnostics Services VPS Healthcare, Abu Dhabi - UAEMr. Clancey Po CEO Burjeel Hospital, Burjeel Hospital, Abu Dhabi, UAEDr. Yassin Ibrahim El-Shehat Consultant Chief Medical O�cer, Burjeel Hospital, Abu Dhabi, UAEDr. Nabil Debouni Medical Director Burjeel Hospital, Abu Dhabi, UAEProf. Dr. Elham Abdel Zaher Consultant Dermatologist Head Burjeel CME Committee, Burjeel Hospital, Abu Dhabi, UAEDr. Jaklin Aboud Head of Pharmacy Burjeel Hospital, Abu Dhabi, UAEDr. Mohamad Saleem Arshad Specialist Surgeon Department of Surgery, Burjeel Hospital, Abu Dhabi, UAEDr. Matthew Tytherleigh Consultant Department of Surgery, Burjeel Hospital, Abu Dhabi, UAEMr. Pandiyan Kaye Materials Head of Department VPS Healthcare, Abu Dhabi, UAEMr. Shijoth CV Project Engineer VPS Healthcare, Abu Dhabi, UAE Mr. Sumit Kishore Marketing Manager Burjeel Hospital, Abu Dhabi, UAE

International Scienti�c Committee

Prof. Dr. Tahar Benhidjeb Consultant, Chairman Department of Surgery, Burjeel Hospital, Abu Dhabi, UAEDr. Ali Obaid Al-Ali CEO VPS Healthcare, Abu Dhabi, UAEDr. Yassin Ibrahim El-Shehat Consultant Chief Medical O�cer, Burjeel Hospital, Abu Dhabi, UAEDr. Nabil Debouni Medical Director Burjeel Hospital, Abu Dhabi, UAEDr. Afrozul Haq PhD Principal Scientist R & D Division, VPS Healthcare, Abu Dhabi, UAEProf. Dr. Michael Stark President The New European Surgical Academy (NESA), Berlin, GermanyProf. Paul Alan Wetter Professor Professor Emeritus University of Miami School of Medicine, Chairman Society of Laparoendoscopic Surgeons, Miami, Florida, USAProf. Dr. Gian Carlo Di Renzo Chairman Department of Obstetrics and Gynecology, University of Perugia, Perugia, ItalyDr. Aruna Kumari Consultant, Head Department of Obstetrics and Gynecology, Burjeel Hospital, Abu Dhabi, UAEDr. Yasser Al Ramli Consultant Department of Urology, Burjeel Hospital, Abu Dhabi, UAEProf. Dr. Hassan Siegfried Abou-Rebyeh Consultant, Head Department of Gastroenterology, Burjeel Hospital, Abu Dhabi, UAE Prof. Dr. Amin El-Gohary Consultant Department of Pediatric Surgery, Burjeel Hospital, Abu Dhabi, UAE Prof. Dr. Iyad Hassan Consultant Department of Surgery, Burjeel Hospital, Abu Dhabi, UAEAssoc. Prof. Dr. Rolf Hartung Consultant Private Surgeon, CBS, Mediclinic, City Hospital, DHCC, Dubai, UAEDr. Antonello Forgione Scienti�c Director AIMS Academy, Department of General and Emergency Surgery, Niguarda Cà Granda Hospital, Milan, ItalyProf. Dr. Ospan A Mynbaev The Principal Researcher Moscow Institute of Physics & Technology, Moscow State University of Medicine & Dentistry, Moscow, Russia

Conference ObjectivesUpon completion of this international conference, participants will be able to:• Review current state of the art advances in minimally invasive surgery.• Learn about interdisciplinary implementation of surgical innovations.• Identify endoscopic-surgical rendezvous procedures.• State the indications and limitations for NOTES and scarless surgery.• Consider clinical applications of NOTES and scarless surgery.• Improve skills in using Advanced Stapler & Energy Devices.

Highlighted Topics Include• Update laparoscopic approaches in surgery, gynecology, urology• State of the Art Single Access Surgery in surgery, gynecology, urology• Transoral, Transgastric, Transvaginal and Transanal techniques• New technologies for NOTES and scarless surgery • Workshops on Single Access Surgery, NOTES and Advanced Stapler & Energy Devices

Target Audience • Surgeons• Gynecologists• Urologist• Gastroenterologists• Internal Medicine Specialists• Family and primary care Physicians• Nurses• Biomedical Engineers• And all healthcare professionals interested to attend the state of the art advances in minimally invasive surgery

CME AccreditationAccreditation is under process

Invited SpeakersAbou-Rebyeh, Hassan Prof Dr, Consultant, Head, Department of Gastroenterology, Burjeel Hospital, Abu Dhabi, UAE

Badiuddin, FaruqSpecialist General Surgeon, General, Laparoscopic & Obesity Surgery, Mediclinic, Dubai Mall, Dubai, UAE; General Secretary, Emirates Obesity and Metabolic Surgery Interest Group, UAE

Benhidjeb, TaharProf Dr, Consultant, Chairman, Department of Surgery, Burjeel Hospital, Abu Dhabi, UAE

Buhr, Heinz Johannes Prof Dr, Secretary of the German Society for General and Visceral Surgery, Berlin, Germany

Burghardt, Jens Dr, Head, Department of Surgery, Immanuel Klinik Ruedersdorf, Ruedersdorf, Germany

Dupree, Anna Dr, Department of General, Visceral and Thoracic Surgery, University Medical Center, Hamburg-Eppendorf, Hamburg, Germany

El-Gohary, Amin Prof Dr, Consultant, Department of Pediatric Surgery, Burjeel Hospital, Abu Dhabi, UAE

Eliseeva, Marina Yu Prof Dr, Department of Obstetrics, Gynecology & Reproductive Medicine,University of Moscow, Moscow, Russia

Fardoun, Ali Dr, Consultant, Department of Surgery. International Emirates Hospital, Al Ain, UAE

Forgione, Antonello Dr, Scienti�c Director AIMS Academy, Depart-ment of General and Emergency, Surgery, Niguarda Cà Granda Hospital, Milan, Italy

Gerntke Isabel University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Hartung, Rolf. Assoc. Prof Dr, Consultant, Private Surgeon, CBS, Mediclinic, City Hospital, DHCC, Dubai, UAE

Hassan, Iyad. Prof Dr, Consultant, Department of Surgery, Burjeel Hospital, Abu Dhabi, UAE

Hassan, Mohamed Associate Professor of pediatric surgery, Senior Consultant Pediatric Surgeon, Alqasemi Hospital, Sharjah, UAE

Khammas, Ali. Dr, Consultant General & Bariatric Surgery, Rashid Hospital, Dubai, UAE; General Secretary - Emirates Society of Laparo-Endoscopic Surgery (ESLES)

Mann, Oliver. Associate Prof Dr, Deputy Director, Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Massaro, Fabrizia MD, Anesthesia and Intensive Care Unit, Department of Emergency and Organ Transplantation, University of Bari "Aldo Moro", Italy

Meinero, Piercarlo MD, Chief of Proctology and the Oostomy Center of ASL 4 Chiavarese, Italy

Mynbaev, Ospan MD, MSc MedPharm, PhD, ScD, The Principal Researcher, Moscow Institute of Physics & Technology, Moscow State University of Medicine & Dentistry, Moscow, Russia

Nimeri, Abdelrahman Head, Division of General, Thoracic, & Vascular Surgery, Director, Bariatric & Metabolic Institute (BMI), Sheikh Khalifa Medical City, Abu Dhabi, UAE

Schwenk, Wolfgang Prof Dr, Professor of Surgery, Head, Department for General- and Visceral Surgery, Center for Minimal invasive and Oncological Surgery, Asklepios Klinik Altona, Hamburg, Germany

Serra-Aracil, Xavier Professor of Surgery, Colorectal Unit, Coordinator General and Digestive Surgery, Department, EBSQ-Coloproctology, EBSQ-General Surgery, Parc Tauli University Hospital, Sabadell, (Barcelona), Spain

Simakov, Sergei PhD, MSc, Deputy Chief, Department of Applied Mathematics, Moscow Institute of Physics & Technology, Moscow State University of Medicine & Dentistry, Moscow, Russia

Soliman Ayman M.MD, FACS, Consultant, Minimal Invasive & Bariatric Surgery Department, NMC Hospital, Abu Dhabi, UAE.

Strik, Martin Prof Dr, Head, Department of Surgery, HELIOS Klinikum Berlin-Buch, Berlin, Germany

Torab, Fawaz PhD, Associate Professor, Faculty of Medicine and Health Sciences, UAE University; Senior Consultant General, Trauma and Bariatric Surgery, Tawam Hospital, Al Ain, UAE

Watrelot, Antoine Dr, Consultant, Center for Reproductive Medicine, Hôpital Natecia, Lyon, France

Zorron, RicardoProf Dr, Director, Innovative Surgery Division, Bariatric Center, Klinikum Bremerhaven Reinkenheide, Germany, Bremerhaven, Germany; NOTES Research Group, Brazil

Scienti�c Program

09:00-09:05 Opening of the Conference. Dr. Shamsheer Vayalil Parambath

OPENING LECTURE09:05-09:20 Evolution of Surgery: from amputation to regeneration. Antonello Forgione, Italy

KEY NOTE LECTURES09:20-09:35 Natural Ori�ce Transluminal Endoscopic Surgery (NOTES): Update. Ricardo Zorron, Germany, Brazil

09:35-09:50 Single Access Surgery: A quantum leap in surgery? Wolfgang Schwenk, Germany

09:50-10:15: COFFEE BREAK

SESSION 1: CLINICAL NOTES APPLICATION: TRANSVAGINAL / TRANSGASTRIC (Chair: Ali Khammas, Antoine Watrelot)

10:15-10:30 Transvaginal fertiloscopy: Long-term results of an old pure NOTES technique. Antoine Watrelot, France

Safe and simpli�ed endoscopic technique in transvaginal NOTES. Antoine Watrelot, France

10:30-10:45 Transvaginal NOTES with rigid instruments: Long-term results from Burjeel Hospital. Tahar Benhidjeb, Saleem Mohammad Arshad, Ishrath Rana, Fady Georges Hachem, UAE

Transvaginal simultaneous cholecystectomy/ appendectomy with rigid instruments. Tahar Benhidjeb, UAE

10:45-11:00 Transvaginal NOTES with �exible instruments. Ricardo Zorron, Germany/Brazil

Transvaginal cholecystectomy with �exible instruments. Ricardo Zorron/Brazil

11:00-11:15 Transgastric NOTES applications in pancreatic disorders. Hassan Abou-Rebyeh, UAE

Transgastric pancreatic drainage. Hassan Abou-Rebyeh, UAE

11:15-11:30 Discussion of Session 1

SESSION 2: CLINICAL NOTES APPLICATION: TRANSANAL (Chair: Fawaz Torab, Wolfgang Schwenk)

11:30-11:45 Evolution of laparoscopic colorectal surgery: Evidence-based review. Wolfgang Schwenk, Germany

11:45-12:00 Transvaginal colorectal surgery. Update Jens Burghardt, Germany

Transvaginal sigmoid resection. Jens Burghardt, Germany

12:00-12:15 NOTES applied for rectal diseases: Clinical applications and results. Ricardo Zorron, Germany/Brazil

Perirectal NOTES Access: “Down-to-Up” Total Mesorectal Excision for Rectal Cancer. Ricardo Zorron, Germany/Brazil

12:15-12:30 Transanal Endoscopic Microsurgery. State of the Art. Xavier Serra-Aracil, Spain

Transanal Endoscopic Surgery for rectal cancer with the TEO system. Xavier Serra-Aracil, Spain

Day 1 Thursday, 21 May, 2015

12:30-12:45 Video-assisted anal �stula treatment (VAAFT): Results of an innovative sphincter-saving procedure for complex anal �stulas. Piercarlo Meinero, Italy

Video-assisted anal �stula treatment (VAAFT) Piercarlo Meinero, Italy


13:00-14:00 LUNCH BREAK

KEY NOTE LECTURES14:00-14:15 The German and the European Registry for Natural Ori�ce Transluminal Endoscopic Surgery (NOTES). Heinz Johannes Buhr, Germany

14:15-14:30 NOTES implementation in the UAE: A pious hope? Rolf Hartung, UAE

SESSION 3: ENDOCRINE SURGERY (Chair: Rolf Hartung, Martin Strik)

14:30-14:45 Classic laparoscopic adrenalectomy: Update. Iyad Hassan, UAE

14:45-15:00 Single access adrenalectomy: Evidence-based review. Oliver Mann, Germany

15:00-15:15 Minimally Invasive Parathyroidectomy. Iyad Hassan, UAE

15:15-15:30 Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): Indication, Limitation, Results. Tahar Benhidjeb, Isabel Gerntke, UAE, Germany

Minimally Invasive Video-Assisted Thyroidectomy (MIVAT). Tahar Benhidjeb, Stefan Anders, Matthias Barth, UAE, Germany

15:30-15:45 Axillo-Bilateral-Breast-Approach thyroidectomy: Results. Martin Strik, Germany

Axillo-Bilateral-Breast-Approach thyroidectomy. Martin Strik, Germany

15:45-16:00 Transoral video-assisted thyroid and parathyroid surgery: Premature for clinical application! Tahar Benhidjeb, Isabel Gerntke, Michael Stark, UAE, Germany


16:15-16:30 COFFEE BREAK

SESSION 4: INTERDISCIPLINARY (Chair: Amin El-Gohary, Mohamed Hassan)

16:30-16:45 Advanced Minimally Invasive Surgery in Neonates. Mohamed Hassan, UAE

16:45-17:00 Laparoscopic management of undescended testis. Amin El-Gohary, UAE

17:00-17:15 Impact of CO2-pneumoperitoneum during prolonged laparoscopy on respiratory parameters: Literature review. Fabrizia Massaro, Italy

17:15--17:30 Endometrial receptivity and implantation window. Marina Yu Eliseeva, Russia

17:30--17:45 Discussion of Session 4 and closing of day 1

20:00-23:00 WELCOME RECEPTION DINNER

12:30-12:45 Video-assisted anal �stula treatment (VAAFT): Results of an innovative sphincter-saving procedure for complex anal �stulas. Piercarlo Meinero, Italy

Video-assisted anal �stula treatment (VAAFT) Piercarlo Meinero, Italy



KEY NOTE LECTURES14:00-14:15 The German and the European Registry for Natural Ori�ce Transluminal Endoscopic Surgery (NOTES). Heinz Johannes Buhr, Germany

14:15-14:30 NOTES implementation in the UAE: A pious hope? Rolf Hartung, UAE

SESSION 3: ENDOCRINE SURGERY (Chair: Rolf Hartung, Martin Strik)

14:30-14:45 Classic laparoscopic adrenalectomy: Update. Iyad Hassan, UAE

14:45-15:00 Single access adrenalectomy: Evidence-based review. Oliver Mann, Germany

15:00-15:15 Minimally Invasive Parathyroidectomy. Iyad Hassan, UAE

15:15-15:30 Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): Indication, Limitation, Results. Tahar Benhidjeb, Isabel Gerntke, UAE, Germany

Minimally Invasive Video-Assisted Thyroidectomy (MIVAT). Tahar Benhidjeb, Stefan Anders, Matthias Barth, UAE, Germany

15:30-15:45 Axillo-Bilateral-Breast-Approach thyroidectomy: Results. Martin Strik, Germany

Axillo-Bilateral-Breast-Approach thyroidectomy. Martin Strik, Germany

15:45-16:00 Transoral video-assisted thyroid and parathyroid surgery: Premature for clinical application! Tahar Benhidjeb, Isabel Gerntke, Michael Stark, UAE, Germany



SESSION 4: INTERDISCIPLINARY (Chair: Amin El-Gohary, Mohamed Hassan)

16:30-16:45 Advanced Minimally Invasive Surgery in Neonates. Mohamed Hassan, UAE

16:45-17:00 Laparoscopic management of undescended testis. Amin El-Gohary, UAE

17:00-17:15 Impact of CO2-pneumoperitoneum during prolonged laparoscopy on respiratory parameters: Literature review. Fabrizia Massaro, Italy

17:15--17:30 Endometrial receptivity and implantation window. Marina Yu Eliseeva, Russia

17:30--17:45 Discussion of Session 4 and closing of day 1

20:00-23:00 WELCOME RECEPTION DINNER

Scienti�c Program

KEY NOTE LECTURE09:00-09:15 Bariatric and Metabolic Surgery in the UAE: quo vadis? Faruq Badiuddin, UAE

SESSION 5: BARIATRIC AND METABOLIC SURGERY I (Chair: Abdelrahman Nimeri, Oliver Mann)

09:15-09:30 Bariatric NOTES procedures: Clinical applications. Ricardo Zorron, Germany/Brazil

09:30-09:45 Bariatric & Metabolic Surgery today: Evidence-based review. Abdelrahman Nimeri, UAE

09:45-09:55 Laparoscopic sleeve gastrectomy. Faruq Badiuddin, UAE

09:55-10:10 Single access bariatric surgery: Update. Fawaz Torab, UAE

Single access sleeve gastrectomy. Fawaz Torab, UAE

10:10-10:25 New sleeve gastrectomy plicating antrum. Ali Fardoun, UAE Gastric plication. Ali Fardoun, UAE



SESSION 6: BARIATRIC AND METABOLIC SURGERY II (Chair: Faruq Badiuddin, Hassan Abou- Rebyeh)

10:55-11:05 Interdisciplinay Bariatric-Metabolic Center as a conditio sine qua non for patient’s safety and treatment e�ciency. Anna Dupree, Germany

11:05-11:15 Laparoscopic gastric bypass. Oliver Mann, Germany

11:15-11:25 Biliopancreatic diversion with duodenal switch. Oliver Mann, Germany

11:25-11:40 Endoscopic non-surgical bariatric approaches: Meta-analysis. Hassan Abou-Rebyeh, UAE

11:40-11:55 Interdisciplinary approach in the management of bariatric surgery complications. Abdelrahman Nimeri, UAE

11:55-12:05 Redo in bariatric surgery for non-bariatric indications. Laparoscopic management of gastric volvulus with hiatal hernia 2 years after laparoscopic sleeve gastrectomy (Video presentation). Ayman M. Soliman, UAE

12:05-12:15 Banded laparoscopic sleeve gastrectomy: To Band or not to Band? It is time to control weight regain. Ayman M. Soliman, UAE 12:15-12:25 Women’s perception of NOTES: Comparative study of a survey performed in Hamburg/ Germany and Abu Dhabi. Isabel Gerntke, Jan Felix Kersten, Gerhard Schön, Tahar Benhidjeb, Germany, UAE



Day 2 Friday, 22 May, 2015

SESSION 7: BEYOND SURGERY (Chair: Ricardo Zorron, Ospan A Mynbaev)

13:30-13:45 Robotic surgery: The incredible success story of an “ine�cient” approach? Rolf Hartung, UAE

13:45-14:00 Translational Research and Personalized Medicine. Ospan Mynbaev, Russia

14:00-14:15 Mathematical modeling in surgery: theoretical and practical aspects. Sergei Simakov, Russia

14:15-14:30 Less postoperative pain after transvaginal NOTES? Jens Burghardt, Germany

14:30-14:45 Laparoscopic Resection of Type I Choledochal Cyst in an Adult with Total Intracorporeal Roux-en-Y Hepaticojejunostomy. Ayman M. Soliman, UAE

14:45-15:00 Teaching and Innovating Surgery in the Third Millennium. Antonello Forgione, Italy


SESSION 7: BEYOND SURGERY (Chair: Ricardo Zorron, Ospan A Mynbaev)

13:30-13:45 Robotic surgery: The incredible success story of an “ine�cient” approach? Rolf Hartung, UAE

13:45-14:00 Translational Research and Personalized Medicine. Ospan Mynbaev, Russia

14:00-14:15 Mathematical modeling in surgery: theoretical and practical aspects. Sergei Simakov, Russia

14:15-14:30 Less postoperative pain after transvaginal NOTES? Jens Burghardt, Germany

14:30-14:45 Laparoscopic Resection of Type I Choledochal Cyst in an Adult with Total Intracorporeal Roux-en-Y Hepaticojejunostomy. Ayman M. Soliman, UAE

14:45-15:00 Teaching and Innovating Surgery in the Third Millennium. Antonello Forgione, Italy


• Transanal Endoscopic Surgery with the TEO system. Xavier & Cristina Serra-Aracil, Spain

• NOTES Transvaginal. Jens Burghardt, Germany; Tahar Benhidjeb, UAE

• Single Access Surgery. Antonello Forgione, Italy; Ricardo Zorron, Germany/Brazil

• Advanced Stapler & Energy Devices.

• Transanal Endoscopic Surgery with the TEO system. Xavier & Cristina Serra-Aracil, Spain

• NOTES Transvaginal. Jens Burghardt, Germany; Tahar Benhidjeb, UAE

• Single Access Surgery. Antonello Forgione, Italy; Ricardo Zorron, Germany/Brazil

• Advanced Stapler & Energy Devices.

15:15-17:00 HANDS-ON WORKSHOP

17:00 END OF THE CONFERENCE


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MIDDLE EAST AND NORTH AFRICA CONFERENCE

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Interdisciplinary Implementation of Innovations




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rosewood hotel, abu dhabi, uae - next level tricks · access surgery, notes and advanced stapler...

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