Day 2: Postgraduate Course - Sunday November 10, 2019

URO-703 | Urogynecology

Date

Sunday, November 10, 2019

Time

12:30 pm – 4:30 pm

Location

TBD

Type

Cadaveric

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 URO-702 didactic from 7:00 am – 11:00 am)

Co-Chair

Ginger N. Cathey, M. Jonathon Solnik

Faculty

Fariba Behnia-Willison, Elizabeth J. Geller, Ernest G. Lockrow, Miles Murphy, Amy J. Park, Andrew I. Sokol, Kevin J.E. Stepp, Johnny Yi

Course Description

This course will provide participants with the opportunity to obtain hands-on experience exploring and dissecting the pelvic anatomy in order to proficiently perform hysterectomies, apical suspensions (including uterosacral [vault suspension] and sacrocolpopexy), and other procedures for benign conditions. On cadavers, participants will perform a hysterectomy and identify specific anatomic structures associated with each step of the procedure. They will also dissect the course of the pelvic ureter and perform a pelvic sidewall retroperitoneal dissection. Faculty will guide the participants through the pelvic surgical spaces, including vesicovaginal, rectovaginal, pararectal, paravesical, retropubic, and presacral spaces. Participants will be instructed on performing midurethral slings, Burch, and paravaginal repairs. Faculty will also review common sites of injury during gynecologic and reconstructive pelvic surgery.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Recognize the pertinent anatomy related to hysterectomy, apical support procedures, and anti-incontinence procedures; 2) demonstrate boundaries and contents of pelvic surgical spaces; and 3) integrate anatomic knowledge with clinical applications during gynecologic procedures.

Course Outline

12:30Welcome, Introductions, and Course OverviewG.N. Cathey, M.J. Solnik
12:35LAB I: Identify and Maneuver within Boundaries and Contents of Pelvic Surgical Spaces. Recognize the Pertinent Anatomy Related to Hysterectomy and Apical Support Procedures
  • Review Anatomy of Anterior Abdominal Wall and Proper Trocar Placement to Accommodate for Reconstructive Pelvic Surgery
  • Identify Superficial Anatomic Landmarks to Facilitate Surgical Objectives
  • Perform Extensive Pelvic and Retroperitoneal Dissection Focusing on Avascular Spaces
  • Review and Dissect Critical Structures within the Presacral Space, including Hypogastric Nerves and Plexus
  • Complete a Total Laparoscopic Hysterectomy
  • Practice the Various Apical Suspension Procedures
2:35Break
2:50LAB II: Demonstrate Boundaries and Contents of Pelvic Surgical Spaces. Perform Anti-incontinence Procedures
  • Define Boundaries and Contents of Retropubic and Paravesical Spaces
  • Perform Laparoscopic Urethropexy
  • Perform Midurethral Slings (Retropubic and Transobturator, Burch, and Paravaginal Repair)
4:15Questions & AnswersAll Faculty
4:30Adjourn