Day 4: Congress: Tuesday, November 12, 2019

General Session IV: “Game of Zones” Learn Subspecialty Surgical Technique as Expert Surgeons Compete for the Stainless-Steel Throne


Tuesday, November 12, 2019


7:30 am – 9:30 am


Ballroom B and C


Cadaveric Dissection


David M. Boruta (Tyrion), Amanda Nickles-Fader (Cersei), Anusch Yazdani (Bran Stark)


Erinn Myers (Mother of Dragons), Marc Possover (Jon Snow), Stuart Salfinger (Jaime Lannister)

Course Description

Game of Zones is not fantasy, but it is full of drama! Based on the HBO award-winning drama, we invite you to join the Houses of Laparoscopy as the leaders of three Kingdoms battle with excellent surgical technique to gain the ultimate reward: The Stainless-Steel Throne. Three subspecialty surgeons will demonstrate their expertise and make this information useful to the generalist MIGS surgeon.

This strategy contest is set in a fictional medieval world. It places the surgeon in the role of a monarch who will be demonstrating access to and surgical excellence in one of three zones: The Anterior Zone, the Neuropelveology Zone, and the Bowel Zone. They must use optimal surgical technique amid sound advice, heckling, and wisdom of their advisors and foes to make these dissections and surgical techniques useful to the generalist gynecologic surgeon. You as the audience are the townspeople who judge them on their ability to make the subsurgical techniques useful to the generalist gynecologic surgeon.

This session will include 3 cadaveric dissections. The Mother of Dragons will demonstrate urogynecologic techniques to access the Anterior Zone and show how support procedures may be used by MIGS surgeons when necessary to provide support or dissect when necessary for conditions like endometriosis. Jon Snow will use his surgical prowess to demonstrate neuropelveology and make this access and surgery relevant to general minimally invasive gynecologic surgeons. The leader of the House of Lannister will single-handedly demonstrate how knowledge of bowel surgery is essential for the generalist in the setting of endometriosis or intestinal injury and repair.

Three Zones, three Leaders, each competing to win the Stainless-Steel Throne. The goal is to make the dissection relevant to the general gynecologic surgeon while focusing on the details of the dissection at hand. Who teaches the best? You decide.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Use this fun and entertaining session as a way to assess the technical skills and efficiency of expert surgical teams. 2) Show how to access the anterior pelvis and incorporate urogynecologic surgery as a means for support and bladder dissection. 3)  Distinguish neuroanatomy and neuropelveology and how to integrate this into surgical practice. 4) Incorporate knowledge of bowel injury, repair, and endometriosis management into surgical management.

Course Outline

7:30Welcome, Introductions, and Course OverviewJubilee Brown
7:37Navigating the Anterior Zone: Urogynecology in PracticeErinn Myers
8:10Neuropelveology Zone: Not for the Faint of HeartMarc Possover
8:43The Bowel Zone: Resect, Repair, ReviewStuart Salfinger
9:16Questions, Answers, and Selection of Who Rules the KingdomAll Faculty