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Poster Presentations

Abstract

Introduction: Non-melanoma (NMSC) and melanoma are the most common types of skin cancer. Incidence rates keep increasing every year. Between Northern European countries Latvia, Estonia and Lithuania demonstrate the lowest incidence but unfortunately one of the highest mortality rates for malignant melanoma. Objectives: To compare Malignant Melanoma and NMSC incidence and mortality rates among - Latvia, Estonia and Lithuania. Materials and methods: Data collected from official State institutions and analysed since 2007.The data from Disease and Prevention centre of Latvia (CDPC) were analysed for ten years and compared with corresponding data in Estonia (National Institute for Health Development) for nine-year period and in Lithuania (Lithuanian Cancer Registry, National Cancer Institute) for six-year period. Results: Incidence of NMSC has increased from 42.2 to 75.3 in Latvia, from 67.7 to 108.9 in Estonia and from 67.0 to 94.4 in Lithuania. The number of newly diagnosed skin cancer cases before the age of 50 is increasing in all three countries. The incidence of melanoma has increased from 6.9 in 2007 to 11.8 in 2017 per 100 000 inhabitants in Latvia, from 11,2 in 2007 to 20.79 in 2015 in Estonia and from 8,2 in 2007 to 10,5 in 2013. Conclusions: The number of newly diagnosed cases of cutaneous melanoma and other skin cancers keeps increasing in all of the Baltic States. The highest skin cancer incidence is in Estonia. There has been a tendency of more melanoma cases for younger people comparing to previous years. In Estonia, there has been a larger increase for newly discovered melanoma cases, in Lithuania the increase has been larger for NMSC, but in Latvia, both skin cancers have increased proportionally.

Biography

Riga Stradiņs University Professor Ludmila Viksna is a Head of the Department of Infectology and Dermatology, corresponding member of the Latvian Academy of Sciences, author of five books and co-author of fifteen national patents. Ludmila Viksna has more than 150 scientific papers, under her guidance 10 specialists have defended the dissertation.

Speaker
Ludmila Vīksna / Chair of Infectology and Dermatology department at Riga Stradins University
Latvia

Abstract

Biography

Born in 1933, in Osaka. Graduated from Kyoto University in 1959. Engaged in Medical Chemical research work from April, 1960 to July, 1981. Main achievements of my work are (1)Discovery of a novel coenzyme of thiamine pyrophosphokinase in Baker’s yeast, i.e. myo-Inositol 1-pyrophosphate. and (2)Identification of the initiator of rat liver regeneration as biliverdin. Each work was published in Biochemical and Biophysical Research Communications, in 1975 and 1978, respectively. Engaged in clinical internal medical work since July, 1981. Started running a private clinic in September, 1989.

Speaker
Kimihiko Okazaki / Okazaki Medical Clinic, Ukyoku
Japan.

Abstract

A 62 year old woman developed a widespread eczematous eruption six weeks after surgery to implant a titanium alloy metatarsal plate in her foot to repair a deforming osteoarthritis. The eruption cleared only after the plate was surgically removed. The plate and screws were analyzed with Electron Microprobe Analysis and Mass Spectroscopy to determine the metallic constituents. After discovering that the plate contained 4% Vanadium, patch testing was performed and it was determined that the patient was allergic to Vanadium (III) chloride. Further studies showed that the plate and screws were of different composition, and that the plate contained inappropriate sheets of Beta phase Vanadium. Also we found that at physiologic pH, the metallic difference between the plate and screws could drive the vanadium from the sheet into the tissue. The detailed results from this study were published in Cutis. 2017 Apr; 99(4):245-249.We advocate for the removal of Vanadium in surgical Titanium alloy implants, and substitution with Niobium.

Biography

Dr. Engelhart is on the house staff in Internal Medicine at the University of Toronto. This research was performed when she was a medical student at Harvard Medical School. Dr. Segal is a professor at the University of Arizona, Tucson. He was Dermatology Resident and Chief Resident at Stanford University, Palo Alto, CA, and has 35 years of experience in clinical Dermatology and advanced medical education. Dr. Segal is the inventor of the Dermablade and holds 6 patents on its development.

Speaker
Robert J. Segal / Professor at University of Arizona
USA

Abstract

Background: We evaluate the results after 13 years of Endolift Laser technique for the "soft" Rejuvenation of face, neck and body, using a very thin optical fibre connected to a 1470nm diode laser, combined in the last years with Ultherapy which allows in a single session to lift the muscles and the skin. Methods: We report our experience after more than 4000 areas treated with Endolift for the treatment of skin laxity of the face, neck and the body. A 200-300 micron fiber is used for the face and the neck; a 400-600 micron fiber is used for the body. The fiber is easily inserted, without incisions under the skin directly in the superficial hypo-derma. After Endolift, a Ultherapy® session is performed. Results: The areas of skin laxity of the face, neck and body, can benefits from the possibility that the Endolift Laser has to retract the skin and remodel the derma, activate the collagen production, stimulate the neo-angiogenesis. Ultherapy® helps to obtain the maximum result possible working more deeply the middle and deep hypo-derma up to the muscular fascia, permitting to obtain an immediate and a longterm lifting. Conclusions: Endolift laser combined with Ultherapy is the best non-surgical treatment for the areas of muscular and skin laxity of the face and the neck.

Biography

Dell’Avanzato Roberto is Specialist in Surgery with an University Master in Aesthetic Medicine and Surgery; Professor of Laser and Laser Assisted Liposuction, San Marino University (San Marino), University Diploma in Laparoscopic Surgery, Louis Pasteur University of Strasbourg (France); Honorary Member of the Israel Academy of Beauty; Honorary Member of the Italian Academy of Beauty, Certificate of excellence awarded from The Pakistan Medical Association, for humanitarian services rendered to the burnt and scarred victims of Pakistan; Certificate of Merit awarded from the Combined Military Hospital of Islamabad (Pakistan), for humanitarian services.

Speaker
Roberto Dell Avanzato / Medical Department of Espace Chenot Health Wellness Spa - L’Albereta Relais & Chateaux
Italy

Abstract

Introduction: Eighteen months ago, in October 2016, I started, as one of the first in Europe, my experience with Cellfina®, a Tissue Stabilized-Guided Subcision® (TS-GS), a new procedure that represents the only FDA-cleared minimally invasive and clinically proven treatment to improve the cellulite blemishes for nearly four years in only one session. Materials and Methods: We report our experience of 80 patients (78F; 2M) with cellulite treated in a single session, selected and classified with a simplified Cellulite Severity Scoring (CSS). Follow-up was scheduled after 7 days (T7) and 14 days (T14) for all the 80 patients; after 30 days (T30) for 77 patients; after 90 days (T90) for 72 patients; after 180 days (T180) for 65 patients; 50 patients (49F; 1M) had a medical check at 12 months and 15 months; 3 patients (2F; 1M) at 18 months. Outcome measures included subject photographs, Cellulite Severity Scale (CSS) and Global Aesthetic Improvement Scale (GAIS) assessment. Patient’s satisfaction with a 5-point Likert scale and pain rating with Visual Analog Scale (VAS) were also recorded. The treatment takes 45-65 minutes. Cellulite dimples are marked and the device is applied to stretch and stabilize tissue in a vacuum chamber, while local anesthesia is delivered. Then, a precise minimally-invasive subcutaneous release of the connective bands or TS-GS is performed with a micro-blade, without cuts or incisions. We have safely treated 6 to 55 sites in one session. After treatment, a light compression is applied and patients are able to return promptly to their daily life. Results: The procedure treated successfully the primary structural cause of cellulite blemishes in all the 80 patients with a range of 15-30 sites in 74% of cases, 6-14 sites in 15% and 31-55 in 11%. Concerning patient’s satisfaction at T90, 64 patients (88,89%) out of 72 were very satisfied (score of 5) and satisfied (4) while 8 patients (11,11%) were neither satisfied nor dissatisfied (3); these excellent results have been confirmed at T180, 12 months and 15 months, with the first 3 patients that at 18 months were very satisfied (5) and satisfied (4). In our experience, 0% of the patients were dissatisfied (2) or very dissatisfied (1). Transient treatment-related adverse events were mild in severity and the most common side effects reported were soreness and bruising and no serious adverse events were reported. The GAIS showed that the mean baseline CSS score of 3.6 before the treatment, decreased to 1.2 at T90, 1.1 at T180, 12 months and 15 months and 1.0 in the first 3 patients at 18 months. The VAS was 2.2 at T7, 1.8 at T14 and 0 from T90 onwards. None of the 80 patients changed the weight by more than 10%, otherwise they would have been excluded from the present study.

Biography

Dell’Avanzato Roberto is Specialist in Surgery with an University Master in Aesthetic Medicine and Surgery; Professor of Laser and Laser Assisted Liposuction, San Marino University (San Marino), University Diploma in Laparoscopic Surgery, Louis Pasteur University of Strasbourg (France); Honorary Member of the Israel Academy of Beauty; Honorary Member of the Italian Academy of Beauty, Certificate of excellence awarded from The Pakistan Medical Association, for humanitarian services rendered to the burnt and scarred victims of Pakistan; Certificate of Merit awarded from the Combined Military Hospital of Islamabad (Pakistan), for humanitarian services.

Speaker
Roberto Dell Avanzato / Medical Department of Espace Chenot Health Wellness Spa - L’Albereta Relais & Chateaux
Italy