Day 2: Postgraduate Course - Sunday November 10, 2019

HSC-709 | Advancing Hysteroscopy Skills with Global Experts

Date

Sunday, November 10, 2019

Time

7:00 am – 5:00 pm

Location

TBD

Type

Didactic / Simulation

Presented in cooperation with the AAGL Special Interest Group on Hysteroscopy.

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

$675

Co-Chair

Aarathi Cholkeri-Singh, Alka Kumar

Faculty

Jose A. Carugno, Jorge E. Dotto, Martin Farrugia, Sergio Haimovich, Matthew Hopkins, Nash S. Moawad, Jude E. Okohue, Kirsten J. Sasaki, Sukhbir S. Singh, Michael L. Sprague, Milind A. Telang

Course Description

Learn from internationally recognized operative hysteroscopists who will demonstrate a variety of techniques for treating intracavitary pathology, imparting clinical pearls cultivated during their surgical and academic careers that will enable you to improve surgical outcomes and decrease surgical misadventures. Expect the unexpected during this session: novel hysteroscopic treatments, and strategies to advance your hysteroscopic skills. This session will provide opportunities to learn from our global leaders not only with presentations but direct interaction during a state-of-the-art hands-on simulation session proctored by the experts.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Improve operative hysteroscopic outcomes and decrease surgical complications; 2) properly utilize correct hysteroscopic instrumentation; 3) identify surgical techniques to increase complete removal of intrauterine pathology; 4) counsel patients regarding the risks and benefits of operative hysteroscopic treatment options; and 5) discuss the transition of operative hysteroscopy to the office.

Course Outline

7:00Welcome, Introductions, and Course OverviewA. Cholkeri-Singh, A. Kumar
7:05Recognize Pathology in Hysteroscopy—Normal from the Abnormal; Cervix, Endometrium, and the Tubal Ostia
(Review of intrauterine pathology and the appearance through the hysteroscope.)
A. Kumar
7:25Master the Hysteroscope
(Provide tips on instrument ergonomics and tissue handling, including angled scopes, scissors/graspers/5Fr bipolar electrodes, morcellators, and troubleshooting instruments and fluid management systems.)
M. Farrugia
7:45The Resectoscope - Its Role in Hysteroscopy
(Review the journey of the resectoscope, from myomectomy to endometrial resections, the miniaturization and its significance. Provide tips for its safe usage.)
A. Kumar
8:05Techniques to Simplify Operative Hysteroscopy: Some Tips to Take Home
(Review role of preoperative and concomitant intraoperative imaging with hysteroscopy.)
J.A. Carugno
8:25Increasing Success of Hysteroscopy in the Office Setting
(Review indications, patient selection, pain management, equipment/setup, and techniques for office hysteroscopy.)
M. Farrugia
8:45Questions & AnswersAll Faculty
9:00Break
9:15The Dysmorphic Uterus, Including Uterine Septum
(Review when to correct uterine anomalies for improved fertility outcomes, as well as hysteroscopic techniques.)
S. Haimovich
9:35Approach to the Large Hysteroscopic Myomectomy
(Review the role of the pseudocapsule and understanding the behavior of a myoma during hysteroscopy. Provide tips for improving successful resection of a large myoma with one-step approach.)
S.S. Singh
9:55Hysteroscopy of The Difficult Cavity: Asherman’s Syndrome
(Review etiology and best treatment approaches for moderate to severe intrauterine adhesions. Review prevention techniques.)
J.E. Okohue
10:15Managing Isthmocele and Associated Complications via the Hysteroscope
(Review risk factors for isthmocele formation and long-term complications from an isthmocele presence. Review hysteroscopic management of isthmocele. Review management of isthmocele ectopic pregnancy.)
S. Haimovich
10:35Endometrial Ablation and Predictors of Success
(Review goals of endometrial ablation and current techniques available. Review predictors of a successful outcome with ablation.)
A. Cholkeri-Singh
10:55Questions & AnswersAll Faculty
11:10Lunch Break
12:30Hysteroscopy at Extreme Ages
(Review indications and best practice approaches for adolescent hysteroscopy. Review postmenopausal hysteroscopy challenges and techniques to overcome cervical stenosis.)
M.A. Telang
12:50Role of Hysteroscopy for Endometrial Hyperplasia/Cancer
(Review role of hysteroscopy in high risk cancer patients.)
J.E. Dotto
1:10Hysteroscopy Complications: Learning from Other People’s Mistakes
(Review how to prevent, recognize, and manage complications that can occur from hysteroscopy.)
J.A. Carugno
1:30CASE STUDIES (Present several short cases for audience participation)A. Cholkeri-Singh
2:00Questions & AnswersAll Faculty
2:25Break
2:30Hands-on Simulation Lab
    Station I: Hysteroscopy Ergonomics
  • Perform diagnostic hysteroscopy
  • Perform operative hysteroscopy with scissors and graspers for polypectomy and septum transection models
  • Station II: Hysteroscopic Morcellators
  • Perform operative hysteroscopy for polyps, fibroids, retained products of conception, and visual D&C utilizing hysteroscopic morcellators
  • Station III: Resectoscopy
  • Review proper ergonomics of resectoscopy to perform myoma resection or endometrial ablation
  • Review role of 5Fr electrodes
  • Review principles of electrosurgery
  • Station IV: Endometrial Ablation
  • Proper use of endometrial ablation devices
  • Reinforcing indications and contraindications
  • Station V: Fluid Management
  • Understand proper setup of different fluid management systems; review troubleshooting tips
All Faculty
5:00Adjourn