Day 2: Postgraduate Course - Sunday November 9, 2019

ANAT-701 | Advanced Anatomy Lab: Tips and Tricks in Laparoscopic Retroperitoneal Surgical Anatomy to Perform Safe Gynecologic Surgery

Date

Sunday, November 10, 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-700 didactic from 7:00 am – 11:00 am)

Co-Chair

Marcello Ceccaroni, R. Wendel Naumann

Faculty

Salvatore Gueli Alletti, William Kondo, Daniele Mautone, Shailesh P. Puntambekar, Andrea Puppo, Cristiano Rossitto, Giovanni Roviglione, Audrey T. Tsunoda, Stefano Uccella

Course Description

2nd International School of Surgical Anatomy (ISSA) Course

Following the principles taught in the International School of Surgical Anatomy (ISSA), this hands-on cadaveric course will provide a step-by-step surgical approach to the pelvic viscera, retroperitoneal avascular spaces, and pelvic ureters. Emphasis will be on identifying anatomical landmarks, including surgical principles and techniques. We will highlight techniques for gentle tissue handling to avoid bleeding, proper traction, counter-traction, and sharp and blunt dissections while preventing vascular, urinary, bowel, and nervous system complications. Special care will be given to nerve-sparing techniques during laparoscopic dissection, with demonstration of main pathways of visceral and somatic pelvic innervation. This course includes laparoscopic cadaveric simulation.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection; 2) apply laparoscopic surgical techniques to enter the avascular spaces of the pelvis, exposing the parametrial ligaments, nerves, and pelvic vasculature, and their relations to the ureter and intraperitoneal structures; and 3) illustrate the step-by step dissection of the pelvic ureter and pelvic nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery.

Course Outline

12:30Welcome, Introduction, and Course OverviewM. Ceccaroni, R.W. Naumann
12:35LAB I: Hands-on Laparoscopic Dissection of Uterus, Adnexa, Parametrial Ligaments, and Lateral Pelvic Sidewall: Tips and Tricks to Perform Safe Laparoscopic Hysterectomy and Adnexal Surgery
  • Opening of paravesical and pararectal spaces, dissection and isolation of the ureter, pelvic vessels, and uterine artery
  • Hypogastric artery identification and ligation; identification and resection of the cardinal ligament
  • Opening retropubic space of Retzius; identifying bladder pillars and anterior parametrium; isolation of the ureter in the ureteral tunnel
  • Tips and tricks for performing safe radical hysterectomy, pelvic lymphadenectomy, and managing complications
All Faculty
2:35Break
2:50LAB II: Hands-on Laparoscopic Dissection of Posterior Compartment and Pelvic Nerves
  • Dissection of presacral, retrorectal, ileolumbar, and rectovaginal spaces
  • Identification and isolation of visceral pelvic innervation: inferior mesenteric plexus, superior hypogastric plexus, hypogastric nerves, pelvic splanchnic nerves, pelvic plexus
  • Tips and tricks for nerve-sparing pelvic surgery in gynecologic oncology and deep endometriosis procedure
  • Identification of obturator nerve, sciatic nerve, pudendal nerve, sacral plexus, sacral roots, and managing complications
All Faculty
4:15Questions & AnswersAll Faculty
4:30Adjourn