Welcome Messages

About 13th IAAS

The 13th International Congress on Ambulatory Surgery, taking place in Porto in 2019, reflects the availability and openness of the scientific ecosystem of Porto, by bringing together some of the most prominent researchers in the field of health in general, and of ambulatory surgery in particular. We can, thus, claim that the receptiveness of the scientific atmosphere of a city has the gift of enabling new liaisons as well as promoting the cherishing of a new knowledge. On the other hand, we must never forget that when we speak of our city, we are, actually, speaking of a sea port: a venue of departures, arrivals, exchanges, trade, and development.

Hence my wish to extend to all the intervenient in the 13th International Congress on Ambulatory Surgery a welcoming message. Porto is a unique city, a metropolis that by its dimension and features so special captivates all those who visit it. It is not only the architecture, or the heritage that enchant the foreigners, it is mostly its people whose character so peculiar makes everybody feel at home. I sincerely wish that you all feel in Porto as you do at home, I wish you get to know our identity, and take advantage of your partaking in this meeting to find out what is going on here in the fields of research and science.

Looking forward to seeing you in Porto, we trust you will enjoy this 13th International Congress on Ambulatory Surgery and also the city of Porto, awarded with the Best European Destination for 2012, 2014 and 2017.

Rui Moreira

Mayor of Porto

Ambulatory Surgery had a big improvement in Portugal in the last decade and APCA hopes that this area will remain one of the priorities in the agenda of our country's health policies, as it plays a major role in the economic sustainability of the NHS.

The 13th International Congress of Ambulatory Surgery, to be held in May 2019, will be an excellent opportunity to show you all the good work that we are doing in our ASC in Portugal and also the expression and worldwide growth of AS.

The Organizing Committee will define a High-level Scientific Program covering the most current topics related to AS, including Innovation, new surgical and anesthetic trends and new technologies and will be invited speakers that are reference elements in this area worldwide.

About 2,000 delegates from all over the world are expected. who will then take to their countries the main updates and conclusions resulting from Porto 2019.

APCA ends in May 2019 the celebration of its twentieth anniversary and invites everyone to join us in our celebrations. 

The Organizing Committee invites everyone to visit Porto, try our food, taste some Port Wine and enjoy our fantastic city.

500 years ago the Portuguese discovered the world ...
Now its time for you to come and discover Portugal and Porto ...

Come and join us! Be part of the best IAAS International Congress!

Carlos Magalhães
President, Portuguese Ambulatory Surgery Association


On behalf of the International Association for Ambulatory Surgery - Welcome!

The IAAS holds international congresses every two years, and we are honored to have our 2019 13th Congress in Porto

We will have an outstanding interactive educational program, with plenary and specialty sessions for anesthesiologists, surgeons, nurses and administrators – multidisclinary learning, just as we work in the ambulatory surgery environment.  There will be sessions for the novice as well as the experienced, trainee as well as practitioner. We will also have dedicated sessions for your research, to share with everyone the advances that you are creating – please submit! 

And with all this, an excellent opportunity to meet old friends and make new ones. 

See you in May!

Beverly K. Philip, MD

Vice President for Scientific Affairs, American Society of Anesthesiologists
President, International Association for Ambulatory Surgery
Professor of Anaesthesia, Harvard Medical School
Founding Director, Day Surgery Unit Brigham and Women's Hospital

Dear friends and colleagues,

On behalf of the Spanish Association for Ambulatory Surgery (ASECMA) is pleasure for me to invite you to the 13th International Congress on Ambulatory Surgery, that will take place in Porto in 2019, along with the 11th Portuguese and 7th Iberian Congresses. I have not any doubt about the high scientific level that the Congress will reach and I am sure that participation will be successful. From the social point of view, I know that Porto offers a huge possibilities for enjoying our free time

In my opinion, we will have an excellent opportunity to share experiences and to develop very interesting sessions. Moreover, I think is time to include in the IAAS many countries of South America and Africa. For no English speakers from those continents, it will be attractive to attend different lectures and workshops in Portuguese or Spanish. We have a chance to increase the knowledge of Ambulatory Surgery in many countries.

I look forward to seeing you in Porto.

Luis A. Hidalgo Grau
President of the Executive Committee of ASECMA.

Ambulatory Surgery is one of the areas with the greatest growth in the world in the last years, being one of the main solutions to improve the capacity in hospital medical services.

The benefits of AS are recognized and accepted worldwide and its time to make this area a clear priority for all health decision makers.

APCA and Porto were chosen by the IAAS Executive Committee for the organization of the next Ambulatory Surgery World Congress, to be held in May 2019.

This Congress will take place in one of the the reference spaces of our city - Edifício Alfândega - and will certainly remain a decisive mark in the worldwide growth and implementation of AS.

The Scientific program will be of high quality, joining all those who are world references in this area.

I leave the invitation to all of you to visit the city of Porto and to have an active participation in what will certainly be, the largest World Congress of AS ever held.









Honorary Members

Rui Moreira

Rui Moreira

Mayor of Porto

Marcelo Rebelo de Sousa

Marcelo Rebelo de Sousa

President of The Portuguese Republic

Carlos Magalhães

Carlos Magalhães

President of APCA

Eurico Castro Alves

Eurico Castro Alves

Consultive Committee - President

Beverly K. Philip

Beverly K. Philip

Organizing Committee - President

Luis Hidalgo

Luis Hidalgo

Organizing Committee - Vice President

Vicente Vieira

Vicente Vieira

Cientific Commitee - President

Paulo Lemos

Paulo Lemos

International Executive Committee

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Preliminary Program

9.00 - 10.00H
Mobile Apps and new technologies can help patients and clinicians (advantages vs ethical issues)
• Nightmare to dreams: The timeline of technology
• The power of a digital community of medical doctors
• Follow-up of Ambulatory Surgery patients using WhatsApp
10.00 - 11.00H
Ambulatory Surgery in the world
• Ambulatory Surgery in China before and after 2017
• Africa and Latin America Vs USA and Northern Europe (two sides of the same coin)
• Portugal – 10 years after the CNADCA Report (The impact of Major National policies in the development of Ambulatory Surgery)
14.30 - 15.30H
New insights on head and neck procedures
• Video assisted thyroidectomy in Ambulatory Surgery
• ENT procedures in Ambulatory Surgery – are we pushing too far or can we go further ahead?
• Dealing with the predictable Difficult Airway in Ambulatory Surgery
16.00 - 17.00H
Recent advances in endoscopic surgery
• Laparoscopic hemicolectomy – is it feasible in the Ambulatory Surgery setting?
• Thoracoscopic procedures in Ambulatory Surgery - is one lung ventilation a major problem?
• Pediatric laparoscopic surgery in Ambulatory Surgery – the experienced scrub nurse is vital!
17.30 - 18.30H
The obese patient in Ambulatory Surgery
• No patient too large?
• Surgical strategies feasible in Ambulatory Surgery
• New endoscopic strategies in Ambulatory Surgery
• Patient education for obesity procedures: Role of nurses
14.30 - 15.45H
Hernia Session - State of the art
• Recent advances in Inguinal hernia repair
• Ventral and incisional Hernias – what’s the best strategy for the management of postoperative pain?
• Hiatus hernia repair – strategies for Ambulatory Surgery
• Paediatric inguinal hernia repair
15.45 - 17.00H
Innovation in the surgical treatment of Pelvic Floor disorders
• The role of Patient Education before surgery – probes, drains and bags
• Minimally invasive surgery of the pelvic floor
• Recent advances in Robotic prostatic surgery
• Chronic pain after surgery – the tip of the iceberg
17.30 - 18.30H
Locoregional anesthesia in Ambulatory Surgery
• Thoracic Wall: Peripheral Nerve Blocks are easy!
• PNB for children? Of course!
• Nurses are crucial to a successful peripheral nerve block
14.30 - 17.00H
WORKSHOP “Advanced use of the LMA”
• LMA for ENT and stomatology
• LMA in prone position
• LMA for laparoscopic surgery
• LMA for very small infants
• LMA for difficult intubation
09.00 - 10.00H
Organizational aspects important to local Ambulatory Surgery policies
• Beds, Trolleys or Chairs
• Going green in Ambulatory Surgery
• Financing strategies that promote Ambulatory Surgery
10.00 - 11.00H
Ambulatory Surgery for the diabetic patient
• Should we discontinue oral antidiabetic drugs before Ambulatory Surgery
• Is diabetes directly related to poor surgical outcomes?
• Monitoring blood glucose throughout the Ambulatory Surgery circuit: the virtues of a good protocol
11.30 - 12.30H
Old ideas vs new concepts
• Emergency Ambulatory Surgery
• So much promised, so little delivered
• Does every patient need a care for 24 hours post discharge?
14.30 - 15.30H
The elderly patient
• Surgical outcomes are (not?) affected by age
• Is elderly patient no longer a challenge?
• POCD and delirium: risk factors, anesthetic strategies and diagnosis. How big is the problem?
15.30 - 16.30H
Threats to Ambulatory Surgery or “sign of the times” – safety comes first!
• Sedation by non-anesthesiologists
• Endoscopic surgical procedures by non-surgeons
• Office-based surgery and reduced staffing ratios
16.30 - 17.00H
6 expert surgeons, anesthesiologists and nurses give opinions and counselling to those who previously make an appointment. Conversations can be shared with the audience by 1 moderator.
17.30 - 18.30H
My worst nightmares in AS
• Haemorrhage during laparoscopy – lesson from the UK
• The patient that doesn´t stop bleeding
• Hypertensive crisis
09.00 - 10.00H
Team work and Leadership in ASU
• Strategies to the creation of a multidisciplinary Team in the ASU
• The young and the experienced Surgeon
• Competencies of the coordinator of the ASU
10.00 - 11.00H
Recent advances in Breast Surgery
• Radical mastectomy in Ambulatory Surgery
• Options for breast reconstruction after mastectomy in Ambulatory Surgery
• Nursing the mastectomized patient
11.30 - 12.45H
Prophylaxis is the key to the best outcome
• Prophylaxis of Thromboembolic events: when and how?
• Hypothermia: are Ambulatory Surgery patients at risk
• New developments in PONV prophylaxis
• Surgical site infection – no improvement in 50 years?
14.30 - 15.45H
Patient Care After Discharge:
• Is the 24h Phone Call absolutely necessary? – Are there alternatives?
• New Strategies for severe pain control after Hip and Knee arthroplasty
• Strategies for patient follow-up in private practice – is there a difference?
• Unexpected admissions after Ambulatory Surgery – are they preventable?
15.45 - 17.00H
Perineal and anal procedures in Ambulatory Surgery
• Innovation in the treatment of anal fistulas
• Colo-rectal surgeries under local anaesthesia are feasible and have good results
• Ultrasound-guided Peripheral nerve Blocks for perineal surgical procedures
• Importance of diet and clean dressings
17.30 - 18.30H
Planning Strategies for Ambulatory Surgery Units (ASUs)
• How to organize a big ASU
• Analysis of failed discharge after ambulatory surgery
• What should be taken into account when moving several ASU together at a New hospital?
09.00 - 10.00H
Education and training in Ambulatory Surgery
• Pregraduate curriculum in Medicine
• Teach the Teachers - Feedback from Cape Verde
• High Fidelity Simulation as a tool in AS team training
10.00 - 11.00H
Ambulatory Surgery in the future
• Can we have better drugs and monitors?
• The role of technology in Surgery
• At home Hospitalization – will this strategy work for Ambulatory Surgery complex patients
11.30 - 12.30H
Guest Lectures: Tears and Laughs in ASUs
• The operating theatre - stage for Re - Traumatization of terror victims…
• It’s Kids day in the Ambulatory Surgery Unit
09.00 - 10.00H
Estratégias pouco comuns em Cirurgia Ambulatória
• Tiroidectomia total em Cirurgia Ambulatória – como prevenir as principais complicações
• Indicações para bloqueios do neuroeixo em Cirurgia Ambulatória
• O doente que vive só também pode ser intervencionado em Cirurgia Ambulatória – Como e quando...
10.00 - 11.00H
Colecistectomia Laparoscópica em Cirurgia Ambulatória
• Exploração da Via Biliar em Cirurgia Ambulatória – como, quando, porquê?
• O doente com Apneia do sono proposto para cirurgia laparoscópica
• Pernoita em Cirurgia Ambulatória (em que condições?) - Maria José Crista