Preliminary Program
| DAY 1 :: Monday, 9 March 2026 GENERAL PRINCIPLE IN REPLANTATION SURGERY, MICROSURGERGICAL TECHNIQUES, OSTHEOSINTHESIS AND TENDON SUTURE |
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| 8.00 – 8.15 | Arrival and Registration | |
| Morning | ||
| 8.15 – 8.25 | Opening lectures – introduction to the course | |
| 8.25 – 8.35 | FESSH Education Committee | |
| 8.35 – 8.50 | Vascular, nerve, tendon/muscle anatomy of the upper limb | |
| 8.50 – 9.05 | Indication in Upper Limb Replantation | |
| 9.05 – 9.20 | Strategy on replantation – what we need to know in each level – basic principle for small and big segments, from bone to skin | |
| 9.20 – 9.32 | Techniques in vascular repair | |
| 9.32 – 9.44 | Techniques of nerve repair | |
| 9.44 – 10.00 | Strategy in mangled hand – principles | |
| 10.00 – 10.30 | Break | |
| 10.30 – 13.00 | Practical – Microscope | |
| Practicing from gauze, to chicken leg – referencing course on Microsurgery – microscope setting Vessels (t-t, t-l, vein grafts), nerves, nerve graft, tubulisation | ||
| 13.00 – 13.30 | Light lunch | |
| Afternoon | ||
| 13.45 – 14.00 | Principles in tendon suture – flexors, extensors, graft | |
| 14.00 – 14.15 | Principles in muscle suture – tendon lengthening, transfers, fasciotomies | |
| 14.15 – 14.30 | Principles of osteosynthesis in replantation surgery - principle of a "fast" and stable osteosynthesis | |
| 14.30 – 16.30 | Practical Session | |
| 1 hour Tendon sutures, Muscle suture – pig model - 4 strands / 2 strands / Tsuge suture (Arthrex) 1 hour on sawbones Bone fixation: principles, plate forearm and phalanx, K wire, Endo medullary screws, ex-fix |
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| 15 min | Principles of osteosynthesis plate/screws | |
| 15 min | External fixation in mangled hand - principle and technique | |
| 20 min | Discussion - Debriefing | |
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PRACTICAL PART OF THE DAY – A LA CARTE CHOSEN BY THE PARTECIPANTS ACCORDING TO EXPERIENCE |
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| DAY 2 :: Tuesday, 10 March 2026 BIG SEGMENT REPLANTATION |
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| Morning | ||
| 8.15 - 8.30 | Spare part concept and clinical application | |
| 8.30 - 8.45 | Flaps in emergency (local and free flaps, venous flaps) | |
| 8.45 - 9.05 | Tips and Tricks in small segment replantation | |
| 9.05 - 9.20 | Progression on big segment replantation and cases | |
| 9.20 - 9.40 | What I should do? Interactive case series on mangled hand | |
| 9.40 - 10.00 | Break | |
| 10.00 - 16.30 | Practical Session 1 specimen for each 2 participants |
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| 13.00 - 13.30 | Light Lunch | |
| Big segment replantation (the segment is cut at the middle third/distal third of the forearm and a replantation should be performed. The two surgeons help each other (synthesis plates), arteries, flexor tendons, veins, nerves, extensors, skin – double vision microscope is used 1 forearm / arm in 2 participants – 1 microscope 2 participants (double optic – 2 surgeons help each other) |
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| 45 min | Disscussion - Debriefing | |
| DAY 3 :: Wednesday, 11 March 2026 SMALL SEGMENTS REPLANTATION |
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| Morning | ||
| 8.15 - 8.30 | Epidemiology, transport and preservation | |
| 8.30 - 9.00 | Progression in Finger and thumb replantation, finger in different zones, thumb replantation | |
| 9.05 - 13.00 | Practical Session: Finger replantation Synthesis, volar vessels, tendons, veins, etc | |
| Afternoon | ||
| 14.00 – 16.30 | Practical Session - Thumb replantation | |
| 17.00 - 17.15 | Complications intraop and postop in microsurgery and in replantation – how to face problems | |
| 17.15 - 17.30 | Secondary surgery | |
| 17.30 - 17.50 | Closing remarks | |