Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 14th International Conference on Dermatology and Cosmetic Medicine Rome, Italy.

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Scientific Program Day 1

Day 1 :

Keynote Forum

Silvia Bisti

PUC-Rio, Brazil

Keynote: New advances in innovations for skin expansion

Time : 10:40-11:10

Conference Series Dermatology Medicine 2019 International Conference Keynote Speaker Silvia Bisti photo
Biography:

Djenane Pamplona is currently Visiting Professor at the Department of Mechanical Engineering, Catholic University of Rio de Janeiro-Brazil. She works in Biomechanical Engineering since 1989 when doing a post-doctoral at the Engineering Department of the University of Cambridge – England. She is a member of the Brazilian Academy of Engineering since 1995. Her present research mainly focuses on Experimental and Numerical Analysis of Biomembranes. She is an author of 25 publications in peer- review journals, several chapter and editions of books, performed several invited lectures in International Conferences and has more than 100 contributions to International and National Conferences.

 

Abstract:

Skin expansion is a physiological process based on the capacity of human skin to increase its superficial area in response to a stress, it is used in plastic reconstructive surgery every time that an extra flap of skin is needed to reconstruct burned areas, hide scars etc. The surgical procedure is performed by implanting skin expanders, Fig. 1(a), that are silicon bags, under the subcutaneous tissue and infiltrating them weekly with a saline solution. The physiology of skin expansion considers both the stretching of the skin and the relaxation process used to obtain the extra flap of skin that possesses the required characteristics needed to the reconstruction. Finite elements controlling the internal volume have been used to simulate numerically the whole process of skin expansion. During our research on the subject, some points were considered of great importance: the characterization of human skin as a viscoelastic material and the choice of the site to perform the expansion. To guide the surgeon in choosing the number and shape of skin expanders necessary to obtain the extra flap of skin, the application SKIN CALC was developed and is accessible in Play Store. Since the internal pressure in the skin expanders is dependent on the volume of liquid infiltrated, to aid surgeons in this topic an apparatus to measure the internal pressure before, during and after the skin expansion was processed, Fig. 1 (b). The frequently visits of the patients to the ambulatory, to perform the several infiltrations needed, are an issue and to avoid it a new portable apparatus, Fig. 1(c) was developed in a way that the patient can infiltrate himself in his house. The pressure and volume infiltrated are registered in a Simcard, and all the data can be recovered by the surgeon, which is fundamental for further research.

 

Break: Networking & Refreshment Break 11:15 - 11:30 @ Foyer

Keynote Forum

Djenane Pamplona

PUC-Rio, Brazil

Keynote: New advances in innovations for skin expansion

Time : 10:40-11:10

Conference Series Dermatology Medicine 2019 International Conference Keynote Speaker Djenane Pamplona photo
Biography:

Djenane Pamplona is currently Visiting Professor at the Department of Mechanical Engineering, Catholic University of Rio de Janeiro-Brazil. She works in Biomechanical Engineering since 1989 when doing a post-doctoral at the Engineering Department of the University of Cambridge – England. She is a member of the Brazilian Academy of Engineering since 1995. Her present research mainly focuses on Experimental and Numerical Analysis of Biomembranes. She is an author of 25 publications in peer- review journals, several chapter and editions of books, performed several invited lectures in International Conferences and has more than 100 contributions to International and National Conferences.

Abstract:

Skin expansion is a physiological process based on the capacity of human skin to increase its superficial area in response
to a stress, it is used in plastic reconstructive surgery every time that an extra flap of skin is needed to reconstruct
burned areas, hide scars etc. The surgical procedure is performed by implanting skin expanders, Fig. 1(a), that are silicon
bags, under the subcutaneous tissue and infiltrating them weekly with a saline solution. The physiology of skin expansion
considers both the stretching of the skin and the relaxation process used to obtain the extra flap of skin that possesses
the required characteristics needed to the reconstruction. Finite elements controlling the internal volume have been used
to simulate numerically the whole process of skin expansion. During our research on the subject, some points were
considered of great importance: the characterization of human skin as a viscoelastic material and the choice of the site to
perform the expansion. To guide the surgeon in choosing the number and shape of skin expanders necessary to obtain
the extra flap of skin, the application SKIN CALC was developed and is accessible in Play Store. Since the internal pressure
in the skin expanders is dependent on the volume of liquid infiltrated, to aid surgeons in this topic an apparatus to
measure the internal pressure before, during and after the skin expansion was processed, Fig. 1 (b). The frequently visits
of the patients to the ambulatory, to perform the several infiltrations needed, are an issue and to avoid it a new portable
apparatus, Fig. 1(c) was developed in a way that the patient can infiltrate himself in his house. The pressure and volume
infiltrated are registered in a Simcard, and all the data can be recovered by the surgeon, which is fundamental for further
research.

Keynote Forum

Tatiana Shilova

Smile Eyes Augenklinik Moskau, Russia

Keynote: The outcomes of laser vision correction ReLEX SMILE under general anesthesia

Time : 11:30-11:55

Biography:

Tatiana Shilova is the Head of the "Dr. Shilova Clinics" and the Founder of the Russian branch of an international chain "SMILE EYES", the Clinical Expert of the
company "Carl Zeiss" in cataract surgery. Her surgical activity is on average up to 200 cataracts, up to 30 vitreoretinal operations and about 100 laser operations
per month, including all complex cases, cases of combined pathology and severe eye injuries. She combines clinical work with teaching activities-she works as
a CLINICAL PROFESSOR and Training Surgeon in Cataract, Vitreoretinal and Refractive Surgery. She is the Member of the European Society of Cataract and
Refractive Surgeons (ESCRS) and the American Academy of Ophthalmology (AAO). She is Russia's leading expert on laser vision correction ReLEx SMILE.

Abstract:

Purpose: To study results and features of laser vision correction ReLEX SMILE under general anesthesia.
Materials & Methods: The study included 24 eyes from 12 patients between the age groups of 28 and 35 years, undergoing
bilateral surgery with ReLEX SMILE for correction of myopia within the range of -1.65 to-8.15 D (-4.5 ±3.5 D), with
astigmatism of 0 to -2.25 D (-1.15 D). Central corneal thickness (um) from 515 to 580, keratotopography in all cases were
regular. Operations were performed under general intravenous anesthesia by fractional injection of Propofol at doses of
200 to 400 ml with monitoring of blood pressure, heart rate, saturation, and a moistened oxygen supply (3-4 liters per
minute). The ReLEX SMILE was performed in the "Expert mode", the energy level from 26 to 28 MJ (*15), the mechanical
centration of the pre-determined position of the optical axis on the aberrometer, taking into account the Kappa-angel.
At the moment of laser-cuts the eye was fixed manually. The standard separation of the lenticule by Reinstein Lenticule
Separator with the positioning of the eyeball with the help of an assistant.
Results: Visual Acuity in the first day after surgery was 0.95-1.5 (1.15) in all cases. The interface was clean. Patients were
subjectively very satisfied. Keratotopography made after 1 week, 1 month and 3 months after correction showed a good
centration of the optical zone. Comparative evaluation keratotopography data patients after correction by SMILE method
under general anesthesia and patients after operation SMILE under local anesthesia revealed no significant differences.
Conclusion: ReLEX SMILE procedure under general anesthesia makes it possible to obtain high refractive results in
patients with the inability to perform it under local anesthesia. However, it requires a competent anesthesia and high
manual skill of the surgeon.

Break: Keynote Forum Continued....

Keynote Forum

Suhail M Hadi

The Mount Sinai Medical Center, USA

Keynote: The use of 308-nm excimer laser for treatment of vitiligo

Time : 11:55-12:25

Biography:

Suhail Hadi, MBChB, M, Phil, FAAD currently holds the title of Associate Professor in Mount Sinai’s Department of Dermatology. He received his training in
dermatology at the University of Edinburgh and joined the Dermatology FPA of Mount Sinai in April of 2000. Dr. Hadi comes with 25 years of prior teaching
experience in dermatology and is in charge of our International Fellowship Program. His clinical interests are in various blistering diseases, vitiligo and patch
testing. He has received many awards in our specialty and has published over 30 articles in peer-reviewed dermatology journals as well as book chapters in
some of the most widely used textbooks in dermatology.

Abstract:

Two hundred twenty one patches of stable vitiligo from ninety seven patients of different ethnic backgrounds were
treated with this modality of treatment. 54 were males and 43 were females. Mean age was 33.5 years. 30 lesions
were left untreated as controls. Patients were treated for 30 sessions or 75% repigmentation or more, whichever comes
first. Initial dose was 100mj/cm2 which is increasd by 1/2 MED(50 mj/cm2) until erythema developed treatment was
given twice per week. 50.6% of treated lesions showed 75% repigmentation or more, 64.3% of lesions showed 50%
repigmentation or more. Lesions on the face showed the best response with 77.6% of them achieved 75% repigmentation
or more and 81.3% had 50% repigmentation or more. Patients with skin phototype III-VI had the best results. None of the
control patches developed pigmentation. No significant side effects were encountered and none of the responding patients
lost their pigment during the two year follow up