Day 2 - November 28, 2025
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Time
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Teaching Formats including Interactivity
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Topic and Learning Objective
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Category
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Speaker’s Name
Designation
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08:00 am - 08:30 am
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Registration
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ACS Clinical Session II
Theme: Friday Clinical Starters: Advances in Acute Care Surgery Practice
Moderator: Dr. Mohammad Al Kofahi, Dr. Nizar Bouchiba
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08:30 am - 08:50 am
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Interactive session
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Deploying Robotic Platforms in Emergency Surgery - Challenges & Opportunities
By the end of this session, participants will be able to:
- Identify the current indications and limitations of robotic-assisted surgery in emergency general surgical settings.
- Discuss the technical and logistical challenges of introducing robotic platforms in time-sensitive surgical scenarios.
- Compare patient outcomes and procedural metrics between traditional, laparoscopic, and robotic emergency surgeries.
- Evaluate resource, training, and infrastructure requirements for successful robotic integration in acute care workflows.
- Analyze future opportunities for robotic expansion in emergency surgical care, including triage, trauma, and complex minimally invasive interventions.
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1
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Dr. Ahmed Abutaka USA , Mayo Clinic
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08:50 am - 09:10 am
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Interactive session
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From Bottlenecks to Breakthroughs: Transforming Patient Flow in Emergency Surgery
By the end of this session, participants will be able to:
- Identify common causes of bottlenecks in emergency surgical patient pathways.
- Analyze the impact of delayed flow on patient safety, surgical outcomes, and hospital resource utilization.
- Explore successful models and tools used to streamline patient flow in high-demand acute care settings.
- Apply principles of lean management, capacity optimization, and early discharge planning in surgical workflows.
- Evaluate real-world case studies where patient flow transformation led to measurable improvements in emergency surgery services.
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Mr. Mohamed AL Hawari -Qatar, HMC
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09:10 am - 09:30 am
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Interactive session
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From Knife to Culture: Pharmacist-Guided Antibiotic Optimization in Acute Abdomen
By the end of this session, participants will be able to:
- Describe the principles of antimicrobial stewardship in the context of acute abdominal emergencies.
- Identify common pathogens and resistance patterns associated with intra-abdominal infections.
- Evaluate the role of the clinical pharmacist in guiding empiric and culture-directed antibiotic therapy in surgical patients.
- Discuss strategies to reduce antibiotic overuse and prevent hospital-acquired resistance in emergency surgery settings.
- Apply multidisciplinary approaches to optimize antimicrobial selection, dosing, and duration based on evolving clinical data.
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Ms. Asma Ibrahim Abdulrahman - Qatar, HMC
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09:30 am - 09:45 am
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Interactive session
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Panel Discussion 2 with Q&A
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Break (15 min)
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ACS Clinical Session III
Theme: Friday Clinical Starters; Advances in Biliary surgery
Moderator: Prof Dr. Stephanie F. Heller, Dr. Syed Ali
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10:00 am - 10:20 am
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Interactive session
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Critical View of Safety in Laparoscopic Cholecystectomy - What if I Can’t Get It?
By the end of this session, participants will be able to:
- Define the concept and criteria of the Critical View of Safety (CVS) in laparoscopic cholecystectomy.
- Recognize intraoperative situations where achieving CVS is challenging or unsafe.
- Discuss alternative surgical strategies, such as subtotal cholecystectomy or fundus-first approach, when CVS cannot be safely obtained.
- Analyze risk factors and techniques to prevent bile duct injury in difficult gallbladder cases.
- Apply decision-making frameworks to optimize safety and outcomes in complex biliary anatomy scenarios.
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Dr. Mohammad Al Koufahi - Jordan, MOH, Al Basher Hospital
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10:20 am - 10:40 am
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Interactive session
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Fluorescence Imaging for the Acute Care Surgeon: Biliary, Bowel and beyond
By the end of this session, participants will be able to:
- Understand the principles and mechanisms of near-infrared fluorescence imaging in surgical practice.
- Identify clinical applications of fluorescence imaging in biliary mapping, bowel perfusion assessment, and anastomotic evaluation.
- Evaluate the evidence supporting the use of indocyanine green (ICG) in emergency and acute care surgery settings.
- Discuss the impact of fluorescence-guided surgery on intraoperative decision-making and complication reduction.
- Integrate fluorescence imaging into operative workflows to enhance precision, safety, and outcomes in acute surgical cases.
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Prof Dr. Thomas Carus- Germany, Kliniken Landkreis Diepholz
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10:40 am - 11:00 am
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Interactive session
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Scope, Skill, and Stone: Laparoscopic Biliary Exploration in the Emergency Setting
By the end of this session, participants will be able to:
- Describe the indications for laparoscopic common bile duct exploration (LCBDE) in emergency surgical settings.
- Differentiate between transcystic and transductal approaches for stone retrieval based on anatomy and stone burden.
- Identify the technical skills and instrumentation required for safe and effective LCBDE.
- Evaluate patient selection criteria and the benefits of single-stage laparoscopic cholecystectomy with bile duct clearance.
- Discuss the role of intraoperative cholangiography and choledochoscopy in enhancing outcomes in biliary emergencies.
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Dr. Omar Bekdache - UAE, Tawam Hospital
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11:00 am - 11:20 am
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Interactive session
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Panel Discussion 3 with Q&A
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11:20 am - 01:00 pm
Juma Prayer (at the hotel) and Lunch Break
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ACS Clinical Session IV
Theme: Complex Biliary Emergency Surgery
Moderator: Prof Dr. Zacho Koto, Dr Kamran Malik
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01:00 pm - 01:20 pm
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Interactive session
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Minimizing Risks, Maximizing Success: Endoscopic Solutions for CBD Stones
By the end of this session, participants will be able to:
- Outline the indications and contraindications for endoscopic management of common bile duct (CBD) stones.
- Compare the techniques of endoscopic sphincterotomy, balloon dilation, and stone extraction in acute settings.
- Identify the predictors of successful endoscopic clearance and risk factors for complications such as pancreatitis or perforation.
- Discuss the timing and integration of ERCP in the surgical management of choledocholithiasis.
- Evaluate strategies to optimize patient outcomes while minimizing procedure-related risks in emergency presentations.
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Dr. Anil Kochukaleekal John, Qatar -HMC
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01:20 pm - 01:40 pm
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Interactive session
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Surgical Rescue in Biliary Obstruction: Strategies After ERCP Failure
By the end of this session, participants will be able to:
- Identify the clinical scenarios and anatomical factors leading to failed ERCP in biliary obstruction.
- Evaluate the role of surgical intervention as a definitive rescue strategy following unsuccessful endoscopic management.
- Compare operative techniques such as biliary drainage, choledochotomy, hepaticojejunostomy, and T-tube insertion in complex cases.
- Recognize the risks, benefits, and timing considerations for transitioning from endoscopic to surgical biliary decompression.
- Develop a structured decision-making framework to manage difficult biliary access or impacted stones in emergency settings.
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Dr. Waleed Elmoghazy - Qatar, HMC
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01:40 pm - 02:00 pm
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Interactive session
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From Error to Expertise: A Surgical Guide to Bile Duct Injury Management
By the end of this session, participants will be able to:
- Classify bile duct injuries using standard systems (e.g., Strasberg, Bismuth) and recognize their clinical implications.
- Identify early intraoperative and delayed postoperative signs of bile duct injury.
- Discuss principles of surgical repair based on injury type, timing of detection, and patient stability.
- Evaluate the role of imaging, cholangiography, and multidisciplinary coordination in diagnosis and planning.
- Apply preventative strategies and best practices to reduce the risk of bile duct injury during cholecystectomy.
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Dr. Ahmad Afandi - Qatar, HMC
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02:00 pm - 02:20 pm
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Interactive session
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Panel Discussion 4 with Q&A
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Break (20 min)
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ACS Clinical Session V
Theme: Complex Biliary, Pancreatic and Gastric Emergency Surgery
Moderator: Dr Saud Al Turki, Dr Mohammad Ghali
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02:40 pm - 03:00 pm
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Interactive session
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When to Call IR in Biliary Emergencies
By the end of this session, participants will be able to:
- Identify clinical scenarios where interventional radiology (IR) offers effective, minimally invasive solutions in biliary emergencies.
- Describe the indications, techniques, and outcomes of percutaneous transhepatic biliary drainage (PTBD) and biliary stenting.
- Evaluate the timing and coordination between surgical and IR teams in managing failed ERCP, cholangitis, or bile leaks.
- Discuss complications and technical limitations of IR-guided biliary interventions in acute settings.
- Develop an evidence-based approach to selecting IR vs. surgical strategies for biliary decompression and drainage.
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Dr Rahil Kassamali - Qatar, HMC
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03:00 pm - 03:20 pm
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Interactive session
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Navigating Danger Zones: Operating on High-Risk Acute Cholecystitis
By the end of this session, participants will be able to:
- Identify clinical and radiological features that define high-risk acute cholecystitis.
- Evaluate operative strategies including early vs. delayed surgery, subtotal cholecystectomy, and bailout techniques.
- Discuss the management of severe inflammation, dense adhesions, and aberrant anatomy in the hepatocystic triangle.
- Apply intraoperative decision-making tools to avoid bile duct injury in complex cases.
- Optimize patient outcomes through preoperative planning, intraoperative imaging, and multidisciplinary coordination.
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Dr. Fawzi Al Ayoubi - Qatar, Al Fardan Medical Center
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03:20 pm - 04:00 pm
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Interactive session
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Severe Necrotizing Pancreatitis: From Inflammation to Intervention
By the end of this session, participants will be able to:
- Describe the pathophysiology and clinical stages of severe necrotizing pancreatitis.
- Recognize key indicators for escalation from conservative management to invasive intervention.
- Evaluate current interventional strategies, including percutaneous drainage, endoscopic necrosectomy, and open necrosectomy.
- Discuss the timing and sequencing of interventions based on patient stability, sepsis, and imaging findings.
- Apply evidence-based protocols for multidisciplinary management to reduce morbidity and mortality in complex pancreatitis cases
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Prof. Dr. Fausto Catena - Italy, University of Bologna
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04:00 pm- 04:20 pm
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Interactive session
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Acute Hiatal Hernias and Gastric Volvulus: Emergency Surgical Intervention and Outcomes
By the end of this session, participants will be able to:
- Recognize the clinical presentation and diagnostic features of acute hiatal hernia and gastric volvulus.
- Differentiate between organoaxial and mesenteroaxial volvulus and their surgical implications.
- Discuss emergency management strategies including decompression, reduction, and surgical repair techniques.
- Evaluate intraoperative decision-making regarding mesh use, fundoplication, and gastropexy.
- Analyze postoperative outcomes and strategies to prevent recurrence in emergent hiatal hernia repairs.
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Dr. Ahmed Z. Al Bahrani, Qatar, HMC
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04:20 pm- 04:40 pm
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Interactive session
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NSQIP in Emergency Surgery: Tool for Progress or Mismatch?
By the end of this session, participants will be able to:
- Describe the purpose and methodology of the American College of Surgeons NSQIP (National Surgical Quality Improvement Program).
- Evaluate the strengths and limitations of NSQIP when applied to emergency surgical cases.
- Discuss how NSQIP metrics influence clinical benchmarking and quality improvement in acute care surgery.
- Identify discrepancies between NSQIP outcome measures and the realities of high-acuity, non-elective surgical care.
- Formulate strategies to enhance the relevance and adaptability of surgical quality data for emergency surgery settings.
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Dr Shameel Musthafa - Qatar, HMC
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4:40 pm - 05:00
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Interactive session
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The Frontline of Acute Surgical Care: Nursing Roles in Early Recognition and Response
By the end of this session, participants will be able to:
- Define the critical role of acute care nurses in the early identification of patient deterioration in surgical settings.
- Describe standardized early warning systems and escalation protocols for deteriorating surgical patients.
- Apply structured communication tools such as SBAR to improve nurse-physician collaboration during emergencies.
- Recognize signs of sepsis, bleeding, and postoperative complications and initiate timely interventions.
- Promote a culture of safety through empowerment, teamwork, and proactive clinical surveillance in surgical units.
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Mrs. Nagwa F. S. Nana, Qatar, HMC
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5:00 pm- 5:30 pm
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Interactive session
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Panel Discussion 5 with Q&A
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