Day 1: Postgraduate Course - Saturday November 9, 2019

ANAT-603: Advanced Retroperitoneal Surgical Anatomy: The Solution to Difficult Surgery—Navigate, Dissect, Do No Harm


Saturday, November 9, 2019


7:00 am – 11:00 am


Room 109



Presented in affiliation with American College of Obstetricians and Gynecologists (ACOG).




Geoffrey W. Cundiff, Fariba Mohtashami


Mohammed A. Bedaiwy, Amy J. Bregar, Sarah Choi

Course Description

Anatomy is the foundation of surgery. Gynecologic surgeons operate in one of the most complex anatomic environments of the human body. Hence, a deep knowledge and understanding of the three-dimensional relationship of pelvic structures is the key to successful and safe outcomes.

This course provides a strategic approach to retroperitoneal pelvic anatomy and covers the commonly encountered scenarios in complex pelvic surgery where a practical knowledge of surgical anatomy makes all the difference.

The anatomy of pelvic viscera, vasculature, nerves, ligaments, and structural landmarks will be demonstrated using a multitude of highly selected surgical videos. Concomitant emphasis will be made on dissection techniques, surgical planes, and tissue handling. Knowledge of anatomy is the road map and dissection is the vehicle that moves the surgeon toward the destination. One needs both for a safe journey.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Identify visceral, vascular, and neurologic components of the pelvic side wall; 2) utilize mastery of anatomy for knowledge-based decision-making during difficult surgery with distorted pelvic anatomy; and 3) identify, isolate, and dissect the vital anatomic structures to avoid complications.

Course Outline

7:00Welcome, Introductions, and Course OverviewG.W. Cundiff, F. Mohtashami
7:05Safe Entry and Laparoscopic Dissection Techniques: Well Begun Is Only Half DoneF. Mohtashami
7:25Pelvic Sidewall and Ureter: Charming the Snake in the GrassS. Choi
7:40Retroperitoneal Spaces and Pelvic Vasculature: Origin of Uterine ArteryA.J. Bregar
8:10Frozen Pelvis: Anatomical Approach to Obliterated Cul-de-SacM.A. Bedaiwy
8:40Questions & AnswersAll Faculty
9:05Pelvic Organ Prolapse and Urinary Incontinence: Surgical Anatomy for Apical Suspension and Anti-incontinence SurgeryG.W. Cundiff
9:40Difficult Hysterectomy: Retroperitoneum Is the Only Way OutF. Mohtashami
10:00Neuroanatomy of Pelvis: Avoiding Nervous BreakdownS. Choi
10:35How to Teach Surgical Anatomy in the ORG.W. Cundiff
10:50Questions & AnswersAll Faculty