• Organ preservation without surgery

    Organ preservation without surgery

    Organ preservation without surgery

    Monday, 30 November 2026, 11:15 am

    Gabor Liposits & Markus Glatzer

    St. Gallen, CH

    Can we treat the tumour and spare the organ? Gabor Liposits and Markus Glatzer explore the potential of modern systemic therapy and radiotherapy to induce a complete clinical response in selected rectal cancer patients, thereby opening the door to non-operative management. The crux of the matter lies in the selection of patients, the assessment of responses, and the evidence supporting watch-and-wait strategies, with the utmost priority placed on oncological safety. A multidisciplinary look at when surgery may be avoidable, and what rigorous surveillance must follow.

    About the speakers

    Gabor Liposits is a medical oncologist with a clinical and research focus on gastrointestinal cancers, particularly colorectal cancer, with a strong interest in patient-centred treatment strategies and personalised decision-making.

    Markus Glatzer is a radiation oncologist specialising in modern radiotherapy and multidisciplinary management of cancer patients, with a particular focus on integrating radiotherapy into complex treatment pathways. Together, they bring the medical- and radiation-oncology perspectives to the question of when effective non-surgical treatment and careful response assessment may allow selected rectal cancer patients to preserve their organ.

    Care Symposium 2026

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  • Surgery on colorectal malignancy

    Surgery on colorectal malignancy

    Surgery on colorectal malignancy

    Monday, 30 November 2026, 10:45 am

    Joep Knol

    Genk, BE

    Joep Knol emphasizes that oncological quality remains the central goal of colorectal cancer surgery, with meticulous resection and an understanding of embryological planes, lymphatic drainage and mesorectal anatomy determining the quality of the operation. He will translate these principles into practical surgical strategies for the treatment of colorectal malignancy, addressing how technical precision and patient-tailored approaches can be combined in modern colorectal surgery.

    About Joep Knol

    Joep Knol is an abdominal surgeon at ZOL Hospital in Genk, Belgium, with a clinical focus on colorectal and rectal surgery and a professorship at Hasselt University. His research and surgical work have particularly focused on total mesorectal excision (TME), transanal TME (taTME), surgical anatomy and the safe implementation of advanced colorectal techniques. As co-founder of the iLappSurgery Foundation and an experienced international faculty member, he is also strongly involved in surgical education and the digital teaching of operative techniques.

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  • Case presentation – recurrence

    Case presentation – recurrence

    Case presentation – recurrence

    Monday, 30 November 2026, 9:45 am

    Boudewijn Toorenvliet

    Rotterdam, NL

    Recurrence remains one of the major challenges in pilonidal sinus surgery. Boudewijn Toorenvliet’s work highlights how surgical technique and patient selection influence recurrence, with off-midline approaches such as the Bascom Cleft Lift offering an important strategy for complex and recurrent disease. His presentation will address how recurrence can be reduced through a more standardized, evidence-based surgical approach.

    About Boudewijn Toorenvliet

    Boudewijn Toorenvliet is a colorectal and proctological surgeon based in Rotterdam, the Netherlands. An active researcher, he is the co-author of national studies and guidelines on pilonidal sinus disease and has particular expertise in minimally invasive treatment and the Bascom cleft-lift procedure. He has also contributed to numerous other surgical publications on topics such as colon and rectal surgery, appendicitis and anastomoses. Through his clinical, research and teaching work, he promotes evidence-based, patient-centred care that minimises wound-healing time, recurrence rates and the burden of postoperative wound care.

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  • Perioperative aspects & wound management

    Perioperative aspects & wound management

    Perioperative aspects & wound management

    Monday, 30 November 2026, 9:15 am

    Jose Lopez

    Jose Lopez

    Austin, US

    Jose Lopez treats pilonidal disease as a problem involving the local anatomy, mechanical forces and wound environment, not just a sinus that needs to be excised. His discussion of cleft-lift surgery emphasises patient selection, wound care, pain, activity and healing problems. The practical question is how perioperative management can support reliable healing and reduce wound-related complications.

    About Jose Lopez

    José Lopez is a general surgeon based in Austin, Texas, with a clinical focus on minimally invasive colorectal surgery and the surgical management of pilonidal disease. He is a co-host of the Pilonidal Podcast, in which he engages in discourse on contemporary approaches to diagnosis, surgical treatment, recovery and wound care. He employs his practical expertise to inform perioperative management of pilonidal disease, with a focus on wound healing and postoperative care.

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  • Therapeutic options – what and when?

    Therapeutic options – what and when?

    Therapeutic options – what and when?

    Monday, 30 November 2026, 8:45 am

    Susanne Haas

    Aarhus, DK

    Which procedure for which disease? Susanne Haas takes a practical, surgical look at the treatment spectrum of pilonidal sinus disease — from minimally invasive techniques for limited disease to off-midline procedures for more extensive or recurrent disease. Focused on patient selection, indications and timing, her talk addresses the key surgical decisions that can determine healing, recurrence and morbidity.

    About Susanne Haas

    Susanne Haas is a Danish colorectal surgeon and associate professor. Her research focuses mainly on pilonidal sinus disease. She is the PI of the ESCP led international PILO-ACT snap shot audit on pilonidal absces. She is also a co-author of the ESCP guidelines for the management of pilonidal disease and holds a chair in the board of the International Pilonidal Society.

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  • What is a pilonidal sinus?

    What is a pilonidal sinus?

    What is a pilonidal sinus?

    Monday, 30 November 2026, 8:30 am

    Peter Wysocki

    Brisbane, AU

    Peter Wysocki debunks the myths and misconceptions that have led to incorrect treatments in the past. He provides an update on the current consensus among colorectal and general surgeons. He advocates moving away from the traditional ‘bigger operation is better’ philosophy towards treatments based on our current understanding of the disease’s pathophysiology. Therefore, it is more important to understand why pilonidal disease develops than to simply remove diseased tissue.

    About Peter Wysocki

    Peter Wysocki is a general surgeon in Brisbane (Australia) and the founder and president of the International Pilonidal Society, where he has become a leading advocate for improving the understanding and treatment of pilonidal disease. Through his clinical practice, research, educational initiatives, and international collaborations, he has worked to advance evidence-based care and connect patients and surgeons worldwide. He has authored or co-authored more than 60 peer-reviewed publications, with his most influential work focusing on pilonidal sinus disease, minimally invasive surgery, and surgical management.

    Care Symposium 2026

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