Review of the Juzo® Symposia 2016

In 2016, Juzo organised three lymphologic symposia in Germany, an orthopaedics symposium and a scar symposium. In addition, Juzo organised two international symposia held in English language in the Netherlands and in Germany. Thus, Juzo offers platforms for an interprofessional and interdisciplinary exchange as well as for discussions of current issues. Juzo opens up new perspectives to doctors, therapists and professionals from medical specialist shops.


Under the scientific direction of Prof. Dr. med. Markus Stücker, the speakers comprehensively discussed the topic “Lymphoedema and problem skin – a particularly challenging medical issue”.

 

320 physicians, therapists and medical specialists took part and were given the opportunity to contribute their insights in various panel discussions. Especially interesting, too, were the practical demonstrations.

 

In the accompanying exhibition, visitors were able to inform themselves of the latest lymphological compression treatment options.

The aim of this year’s symposium was to provide current answers to the most common issues in the field of lymphology. To this end, the scientific director Dr. med. Anett Reißhauer, Chief Physician of the Physical Medicine and Rehabilitation department of the Charité University Hospital in Berlin, put together another interesting and varied programme.

 

Just under 500 participants from various medical and paramedical occupations – physicians, physiotherapists and medical aids experts from medical supply stores – utilised this opportunity to inform themselves of the “state-of-the-art” of modern oedema treatment.

 

A particular focus of the presentations in the morning session was the possible approaches to lymphological problems after radiation treatment, and oedema-associated chronic wounds. Topics of particular interest were the feasibility and limits of autologous lymph node transplantation, as well as the question of whether lipooedema can be regarded as an illness or a media hype. In the afternoon, the participants were able to select from five practical seminars in which the various therapeutic options were explained and demonstrated in a practice-oriented manner.

 

The “6th Berlin Lymphology Symposium” will take place on 1 April 2017.

Close to 200 participants from medical supply stores and the medical profession along with therapists and caregivers answered the invitation to come to the Westphalia Hall in Dortmund.

 

The scientific directors for the day were Prof. Dr. med. Markus Stücker, Head Physician at the Interdisciplinary Vein Centre of the University Hospital of Bochum, Prof. Dr. med. Joachim Dissemond, Senior Physician at the University Hospital of Essen, and Prof. Cees H.A. Wittens, Director of the Vein Centre at the University Hospital of Aachen and the Vascular Surgery Department at Maastricht University Medical Centre.

 

The PD event was organized into two sessions: In the joint German-language session in the morning, the participants informed themselves about current developments in varicose vein treatment, starting with conservative measures, various surgical techniques, right through to the treatment of venous ulcers. This included, amongst other things, a presentation by PD. Dr. med. Reich-Schupke, Bochum, on the relevant considerations when treating older patients. Prof. Dr. med. Achim Mumme, Bochum, presented on the topic “Treatment of varicose veins and vein preservation”. For example, when the venous valves are intact, endoluminal valvuloplasty provides an alternative to thermal ablation or surgical removal of the pathologically altered vein segment. In his presentation “Post-operative application of compression stockings for non-phlebological indications”, Dr. med. Christian Lange, Bad Camberg, reported on his experience with rehab patients after total endoprosthetic replacement of the knee or hip joint.

 

In the afternoon, the participants separated into a Dutch session and a German session.

 

According to Prof. Dr. med. Dissemond, besides interventional measures to the venous system, the treatment of Ulcus cruris venosum is essentially based on two conservative pillars: modern moist wound healing, and compression therapy. For almost all patients with venous ulcers, it is possible nowadays to develop a well-accepted, targeted and functional treatment strategy that is tailored to the particular needs and abilities of the affected person.

 

The scientific directors were delighted with the high level of attendance at this interdisciplinary symposium. The response of the guests and presenters was also very positive. Planning is therefore underway for a 2017 Phlebology Symposium.

In late June, 400 visitors to Unterschleißheim exchanged their experiences on the subject of “Lymphoedema and wounds – a therapeutic challenge”.

 

This PD event, which was attended by physicians, therapists and medical aids specialists from medical supply stores, was directed by Dr. med. Michaela Knestele, Chief Physician of the Allgäu Wound Centre in Kaufbeuren.

 

 

First-rate presentations from renowned experts

 

The day was opened by a presentation from Dr. med. Anya Miller, Berlin. In her talk she informed the audience about the establishment of new guidelines for lymphoedema, to which 40 medical associations are contributing. These include a new fifth pillar for CPDT, which calls for the provision of self-management instructions to patients. A final draft is expected at the end of this year.

 

The most common type of wound in conjunction with a lymphoedema is a crural ulcer, according to Dr. med. Andrè Glod, Senior Physician at Földiklinik, a specialist clinic for lymphology in Hinterzarten. Treatment of these requires a multi-modal approach of CPDT (MLD, compression, skin care, and exercise) and stage-appropriate wound management. A supplementary treatment that has proven to be particularly effective is the technique of wound drainage.

 

Dr. med. Michaele Knestele discussed the subject of lymphoedema and diabetic foot. A lymphoedema may already be present as a comorbidity for diabetes, but can also develop as a secondary condition associated with particular foot disorders – e.g. a Charcot arthropathy – or a surgical measure. As with every wound situation, the increased wound secretion caused by the lymphoedema is also disruptive to healing in the case of a diabetic foot. For an angiopathic or even a neuropathic foot, the use of compression stockings must be planned with great care to ensure it does not result in further skin damage.

 

In the presentation by Dr. med. Nora Wroblewski from Charité Berlin, the audience obtained insights into skin care and wound margin protection for lymphoedema with associated wounds. Since the skin barrier is typically impaired in lymphoedema patients, the lymphoedema is frequently accompanied by complications, for example, erysipelas, stasis dermatitis or papillomatosis. Gentle and carefully tailored skin cleansing and skin care measures are therefore especially important. Problems can arise in the wound area due to secretions or adhesive borders and dressings, so prophylactic wound care is always worth considering.

 

Ms. Susanne Helmbrecht, president of the self-help society Lymphselbsthilfe e.V., presented on the topic of the necessity for self-motivation and self-management. For her, it is not only the carrying out of suitable skin care that is important, but also the ability of the patient to bandage themselves. The use of modern bandaging aids was clearly demonstrated to the participants in a practical workshop by Sascha Ternedde, a product manager at Juzo.

 

The 8th Munich Lymph Symposium will take place on 24 June 2017.

In the rooms of the BG Trauma Clinic Ludwigshafen, over 150 attendees took advantage of the opportunity to exchange their insights on the subject of “Innovative scar therapy in an interdisciplinary and interprofessional context”.

This scar symposium was the third Juzo event of its kind, after Munich and Berlin in the previous years. The event was once again very well received by the physicians, therapists and medical specialists in attendance. The intermingling of attendees enabled the issues to be examined in an interdisciplinary context, which was very interesting for everyone involved.

The scientific directors for the day were Dr. med. Bernd Hartmann, Chief Physician of the Center for Patients with Severe Burn Injuries and Plastic Surgery at the Trauma Hospital Berlin (UKB) in collaboration with PD Dr. med. Leila Harhaus, Senior Physician of the Department of Hand, Plastic and Reconstructive Surgery at the BG Trauma Clinic Ludwigshafen. Thematically, the event was organized into three blocks with medical presentations followed by a Q&A and discussions. The symposium attendees were also given the opportunity to take a guided tour of the ICU for burn patients and the on-site rehabilitation center.

In the first part of the symposium, renowned experts presented on the latest developments from the annual conference of the German-Speaking Association for Burn Therapy (DAV), as well as on the topic of “Reconstruction and Rehabilitation” for burn patients. This part was jointly chaired by Dr. med. Bernd Hartmann and PD DR. med. habil. Frank Siemers, Chief Physician of the Department of Plastic Surgery – Hand Surgery and Burn Center at the BG Hospital Bergmannstrost. The impressive presentations examined some areas of burn treatment that still have room for improvement, and highlighted some promising approaches.

In his presentation on disaster relief in Romania, Johannes Horter (BGU) explained just how important it is to provide quick cross-border assistance. Juzo, too, was involved in the relief effort at the time by supporting the victims of a fire in a nightclub. And Juzo continues to remain in contact with the affected patients to this day, supporting them with the necessary compression garments as well as silicone products for scar therapy.

The second part of the symposium illustrated new therapy approaches in scar treatment and was chaired by Prof. Dr. med. C. Can Cedidi, Director of the Department of Plastic, Reconstructive and Aesthetic Surgery at Bremen Central Hospital. Particular emphasis was placed on the treatment option of medical and surgical needling, which can also achieve good results for children. Furthermore, a special technique of medical tattoos was presented that can help women with post-OP scars in the chest area, in particular, to regain a little more femininity.

The third and last part of the event, chaired by Dr. med. univ. Herbert Haller, Senior Physician at the AUVA Trauma Hospital Linz, consisted of several presentations about the latest developments in scar therapy. In this part, too, a number of new treatment approaches, for example enzymatic debridement, were presented and discussed.

During this year’s symposium, Dr. Bernd Hartmann was once again presented with a check donation of EUR 5,000. This donation from Juzo was made out to INTERPLAST Germany e.V, an organization that performs plastic surgery free of charge in developing countries.

As the feedback from the attendees and presenters was very positive, we will be holding another scar symposium in 2017. Initial preparations for the event are already underway.

Science and practice should build on and supplement each another. A prime example of this was the 3rd hands-on orthopedics symposium that took place on 11 and 12 November in Berlin, where the attendees were able to put their newly acquired knowledge into practice.

The objective of the Symposium of Modern Wrist and Ankle Surgery was to inform the attendees about the latest treatment methods, give them the opportunity to exchange views, and enable them to return to their day-to-day work armed with comprehensive new knowledge.

Over 80 registered orthopedic surgeons, clinical physicians and surgeons from the field of orthopedics took part in this event, which was supported by Juzo. The historic rooms of the Anatomical Institute of the Berlin Charité Hospital provided a perfect setting for the anatomical workshop.

The scientific directors for the symposium were Dr. med. Michael Lehnert (Meviva Medical Center, Berlin) and Dr. med. Martin Jordan (Hessingpark Hospital, Augsburg).
The event was opened by Dr. med Michael Lehnert with an excursus on the significance and history of the symposium.

The first presentation in the thematic block on osteochondral lesions of the upper ankle joint was given by the second scientific director, Dr. med. Martin Jordan, who elucidated the various comprehensive forms of treatment available for this most complex injury. Both minimally invasive treatments as well as conservative treatment approaches were discussed.

 

The second presentation in this thematic block, given by Dr. med. Christian Plaaß, was on the subject of treatment options for progressive symptoms. The speaker presented surgical and conservative treatment methods for the restoration of physical mobility.

The second thematic block focused on the latest developments in hand surgery. The first, very practice-oriented presentation by Prof. Dr. med. Joachim Felderhoff looked at the ulnar shortening osteotomy procedure, and the available surgical techniques for the clinical presentation involved. This was followed by a talk by Dr. med. Maryam Wickert on scapholunate ligament injuries to the wrist, which can lead to functional restrictions in daily life for affected patients.

The third thematic block on hallux valgus was opened by Dr. med. Martin Jordan with his presentation on stage-appropriate surgical treatment. Dr. med. Christian Plaaß then discussed the latest, much-debated insights into the development of a hallux valgus.

The fourth thematic block focused once again on hand surgery. Dr. med. Christian Pessenlehner described, with the aid of real-life case studies, the diagnostic and treatment options for extensor tendon injuries of the fingers. In doing so, he also analyzed a number of different surgical techniques.
This block was concluded by the scientific director Dr. med. Michael Lehnert with a talk on rhizarthrosis. Having described the anatomy of the different joint types, he explained their significance for the functionality of the hand and examined the methods for ensuring their problem-free function.

 

Following this exciting series of presentations, the attendees looked forward with great anticipation to the next day when they would be given the opportunity to directly apply the conveyed knowledge in practice on anatomical preparations. All the presenters of the previous day were available to jointly carry out the new techniques with the attendees, and to assist them with any questions that arose.


This conjunction of theory and practice was a great success yet again this year, as evidenced by the uniformly positive feedback from the attendees. All the participants at the symposium – the scientific directors, presenters, attendees and organizers – made a significant contribution to its success.

Dear Sirs and Madams,

We are looking forward to invite you to the 2nd International Lymphoedema Symposium.

State of the Art: The new agenda in healthcare “Lymphoedema”

We have planned an inter-disciplinary and inter-professional knowledge exchange on lymphological themes. Recent studies and cases will be presented and discussed. In the afternoon there will be workshops on detailed aspects of diagnoses and treatment.

A program targeting MD’s, therapists and compression specialists who are working within the field of the chronic condition lymphoedema. You will gain the most up to date and practical knowledge. There also will be opportunity for questions and the possibility to network with professionals from other countries to build up personal connections that may help in future work and research against lymphoedema.

Healthcare and the definition of health in general is changing. In the treatment of chronic diseases the scope changes more possibilities of a person. “Self-management” and “Patient-empowerment“ are considered to be new aspects in the maintenance phase of lymphoedema treatment.

We will focus in this symposium on new and innovative concepts of care and the change toward this new approach.

We are very much looking forward to your participation.

Robert Damstra

 

Congress language

English

 

Conference site

Woudschoten
Hotel & Conferentiecentrum
Woudenbergseweg 54
3707 HX Zeist
The Netherlands
www.woudschoten.nl

 

Scientific manager
Robert Damstra MD PhD
Dermathologist
Nij Smellinghe Hospital
Drachten, The Netherlands

 

CertificationThe Netherlands: applied for

 

 

 

 

 

 

 

 

 

 

 

Abstracts

Åsa G. Andersson

 

Prof. Dr. Nele Devoogdt

Decongestive Lymphatic Therapy: compression is the deciding component

 

Sarah Thomis