Day 4: Congress - Tuesday, November 12, 2019

Surgical Tutorial 3: TLH-Everyone Is Doing It, But We Make It Look Good!!


Tuesday, November 12, 2019


11:00 am – 12:45 pm


Rooms 220-222




Suketu M. Mansuria


David I. Eisenstein, Robert T. O’Shea, Mina Wesa

Course Description

This course is designed to provide the attendee with a systematic and comprehensive overview of laparoscopic hysterectomy from leading experts in the field. We will focus on practical skills that will help surgeons become safer and more efficient. In addition, we will discuss surgical strategies to tackle more difficult cases (e.g., scarred bladder flaps, obliterated posterior cul-de-sac, etc.) without conversion.  The course will emphasize education through the heavy use of surgical videos to enhance the applicability of the techniques taught and will show real world utilization of these methods. Attendees will bridge the gap that separates novice from expert surgeons through a thoughtful overview of correct surgical technique, retroperitoneal anatomy, complication avoidance and management, appropriate OR set up, and proper ergonomics. There will also be a focus on reviewing the methodology of how to train others and teach TLH. Any surgeon wishing to refine their techniques should not miss this course!

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Describe proper OR set up for laparoscopy and explain best practice to improve operating room ergonomics; 2) develop the proficiency to utilize retroperitoneal anatomy and identification of the uterine artery from its origin to complete difficult cases and minimize conversion to laparotomy; 3) employ time-tested tips and tricks to improve surgical efficiency and patient outcomes; and 4) review techniques on how to train others in TLH.

Course Outline

11:00Welcome, Introductions, and Course OverviewS.M. Mansuria
11:05Optimizing Ergonomics in the Operating RoomM. Wesa
11:25Total Laparoscopic Hysterectomy-Surgical Steps for a Safe and Successful OutcomeR.T. O’Shea
11:45Simplifying the Difficult HysterectomyS.M. Mansuria
12:05Training Our Trainers for TLHD. I. Eisenstein
12:25Questions & AnswersAll Faculty