Complications are an inherent part of our practice of medicine, especially with surgical specialities. Neurosurgery is the most intricate of all, and complications in this field can be truly devastating, and may not only make the patient and his/her family miserable but also tarnish the name of the neurosurgeon and the specialty at large. There are two sides of the coin of Complications – Anticipation or Prevention, and Recognition and Management. In our increasingly litigious society, it is best to make every effort to prevent them from occurring by careful attention to patient’s history and clinical examination (before jumping to the images), accurate reading of scans and other investigations, and discussing the nuances of the case, preparing detailed plan and alternatives towards its approach, execution and closure (or repair), with members of the neurosurgical and allied specialty teams. Involving the patient and his/her family in decision-making, making them allies of our plan and patient-care will lessen the ill-feeling and agitation that can possibly arise following a complication. Intra-op management of complication is often complex, and if well-planned, intra-op adverse events can be handled swiftly, and with least fuss or agony between the surgeon and his team; but in the face of unexpected events, much will depend upon the experience and wisdom of the surgeon. Again, it is necessary and prudent to convey such events to the patient’s family as soon as one can.
The issue of dealing with Complications in Neurosurgery is vast, and opinions diverse and even paradoxical. Social, cultural, geographical and economic factors also come into play. Hence, it is essential to discuss such cases and events in an open forum, unabashedly, with a view to learning from each other, and as an obligation to our patients. Such a forum can help us share and lighten the huge burden we carry, create consensus and even act as insulation from criticism or penal action by the authorities.
With this, and many such issues in mind, we had organised the 1st International Conference on Complications in Neurosurgery (ICCN) in Mumbai, India in March, 2017. This was attended by 383 delegates from 25 countries. All 215 presentations were deliberated over 3 days (average 72/day) in one ballroom hall so that no one missed out any discussion. The response at that meeting and its spinoffs were truly encouraging. Suddenly there is a buzz all around with many local and regional conferences devoting a session or two to discussing Complications, with some basing the theme of an entire conference on it. The President of WFNS pronounced a new Committee on this important issue under my Chairmanship, and we are now poised to host the 2nd ICCN, again in Mumbai, 25th thru 27th January, 2019.
Whilst the basic format remains the same as of 1st ICCN, we will minimise didactic lectures and provide more time for discussion. The details of scientific program will be spelt out in the appropriate section. We invite all members of our large neurosurgical community from all corners of the world to meet under one roof and partake of this unique educational event.
My Dear Keki
Thank you for the superb and unique meeting you organized in Mumbai. Your choice was fabulous since we rarely spend sufficient time on complications and errors in our practice. I enjoy the discussions and controversies concerning special cases especially because the majority of speaker play an honest role talking on what they have have done wrongly and what they were supposed to do.
Thank you for that and thank you for the incredible organization of your meeting. The social program was great and I was impressed by the show and the female singer.
Kind regards my dear friend for your kind invitation.
Before leaving India, I would like to thank you - formally - again very much for your great thoughts and efforts with which you and your team made this fascinating congress possible. I learned a lot from all lectures and the discussions, and it would be great pleasure for me if we would edit a possible book together, if you wish.
All the best - relax and enjoy - and do keep a good work-life balance!
Dear Prof. Keki Turel,
Thank you for inviting me to this wonderful conference. And congratulations on your success. The content was so educational as to greatly impress myself. I will continue to brush up my skills while truthfully taking care of the patient.
Looking forward to seeing you next.
Thank you very much for everything in Mumbai.
Your congress was so wonderful, and very philosophical.
I could study a lot.
I hope to see you again. Thank you very much.
It was a wonderful meeting which I never experienced before. Complication is the mother of improvement of skill and knowledges. This kind meet will greatly impact YNS and senior NS both.
Once again thank you for your hospitality and give us a chance.
Dear Dr Keki
Thank you very much for your hospitality.
The meeting was so impressive for me discussing about complications. Your passion and will, led us to such a successful meeting.
I could not meet you for saying my appreciation and good-bye at the final day.
Thank you very much.
Thank you very much.
My hat-off salute to you and your team on successful completion of such an extraordinary meeting on Neurosurgery.
I feel proud to be part of the meet.
Dear Dr Turel,
Thanks for the opportunity to present at the meeting. It is truly a unique event. I learnt a lot in the time I was there.
Hope you conduct this annually.
Heartiest congratulations for organizing a successful conferece... It was throughly enjoying, educational and has provided room for more thought and introspection.
Thank you for providing an opportunity to reflect within and participate in the scientific proceedings.
I am great full for your kind invitation and hospitality. I appreciate your kind thought of providing me a platform in your esteemed workshhop.