Day 1: Postgraduate Course - Saturday November 9, 2019

ANAT-604 | Anatomy: Hands-On Dissection for Simple and Complex Benign Gynecological Surgeries

Date

Saturday, November 9, 2019

Time

12:30 pm – 4:30 pm

Location

TBD

Type

Cadaveric

Accreditation with Commendation (Criterion 28): Pending affiliation American College of Obstetricians and Gynecologists (ACOG).

The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. This course has been approved to meet ABOG Improvement in Medical Practice requirements until 12/31/2020.

Fee

$1,575 (includes ANAT-603 didactic from 7:00 am – 11:00 am)

Co-Chair

Samar Nahas, Craig J. Sobolewski

Faculty

Mohammed A. Bedaiwy, Amy J. Bregar, Sarah Choi, Geoffrey W. Cundiff, Daniel S. Dias, Ivo Meinhold-Heerlein, Sandesh D. Kade, Fariba Mohtashami, Mallory A. Stuparich

Course Description

Step by Step Hysterectomy and Suturing, Pelvic Side Wall Dissection, and Optional Pelvic Floor Support Procedures

This hands-on cadaveric lab is designed for both beginner and advanced minimally invasive gynecologic surgeons and gynecologic oncology surgeons. Familiarity with pelvic and retroperitoneal anatomy is essential to optimizing safe and efficient gynecologic surgery. The lab will commence with dissection of the pelvic sidewall, identifying all avascular pelvic spaces, followed by dissection of the ureter from the pelvic brim to the trigone, dissection of the pelvic vasculature, identifying the common iliac artery and vein, internal and external iliac artery and vein, deep circumflex vessels, deep inferior epigastric vessels, uterine vessel, obliterated umbilical artery, obturator vessels, and branches of the posterior division of the internal iliac artery. Demonstration will include dissection of the pelvic splanchnic and hypogastric nerves, and identifying the obturator, genitofemoral, and ilioinguinal nerves along their entire course in the pelvis.

After the break, we will have the option for pelvic floor support procedures, or we will proceed with more detailed pelvic anatomy; dissection of the space of Retzius; completion of hysterectomy with vaginal cuff closure; and cystotomy with repair. Participants will be able to complete the hysterectomy and practice suturing. Throughout the course, expert faculty will present tips and tricks for avoiding injury.

Course Objectives

At the conclusion of this activity, the participant will be able to1) Perform a hysterectomy more easily; 2) identify and dissect all pelvic avascular spaces, including pararectal, paravesical, rectovaginal, and presacral; 3) identify and expose the course of the ureter to avoid injury during complex gynecological surgeries; 4) identify major vascular and neural anatomic structures of the pelvis and retroperitoneum to help perform radical nerve sparing surgeries; and 5) perform optional pelvic floor support procedures.

Course Outline

12:30Welcome, Introductions, and Course OverviewS. Nahas, C.J. Sobolewski
12:35
    LAB I: Pelvic Sidewall Dissection
  • Identifying Pararectal, Paravesical, and Presacral Spaces
  • Dissection of Rectovaginal and Vesicovaginal Spaces
  • Dissection of the Ureter
  • Identifying Key Arteries, Vessels, and Nerves
All Faculty
2:35Break
2:50
    LAB II: Hysterectomy, Repair of Cystotomy
  • Completion of Hysterectomy with Vaginal Cuff Closure
  • Dissection of Space of Retzius
  • Cystotomy with Repair
  • Optional Pelvic Floor Support Procedures
All Faculty
4:15Questions & AnswersAll Faculty
4:30Adjourn