Didactic & Suture Training, Thursday-Friday, May 28 – 29, 2020
This 2 day course, without the cadaver lab, will focus on learning TLH techniques and advanced general laparoscopic procedures with the latest technology, using videos, didactics and pelvic trainers. Surgeons will learn multiple techniques for vaginal, bowel and bladder closures.
Early Registration is on Wednesday, May 27; at 6:00 pm, there will be a Welcome Reception and Suture Cafe.
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Agenda, Day 1
Learning TLH techniques with latest technology
7:00am Breakfast 7:30am Introduction & Course logistics Dr. O’Hanlan 8:15am Suturing basics I: Figure of “N” and the Holiotomy™ Challenge Dr. O’Hanlan 9:00am Planning your TLH: Pre-operative: SCIP, Multimodal analgesia Dr. O’Hanlan 10:00am Precepted Suture Session on pelvic trainer Suture Café 10:30am Break 11:00am Access to peritoneum and avoiding complications Dr. Siedhoff 11:25am Laparoscopic anatomy and retroperitoneal landmarks Dr. Naumann 11:50am Q&A: All faculty from morning 12:00pm Lunch 1:00pm TLH: Unedited, nonstop video of procedure using bipolar and monopolar device Dr. O’Hanlan 2:00pm TLH for the morbidly obese, massive uterus Dr. Nahas 3:00pm Precepted Suture Session on pelvic trainer Suture Café 3:30pm Break 4:00pm Laparoscopic cystectomy and the pelvic mass Dr. Naumann 4:30pm Ablation, supracervicals, how to perform a trachelectomy Dr. Siedhoff 5:00pm Reducing surgical infection from laparoscopy Dr. Wright 5:30pm Q&A: All faculty from afternoon 6:00pm “Stump the LIGO Faculty”: Q&A with faculty, and Precepted Suture Session on pelvic trainer Suture Café 8:00pm Adjourn -
Agenda, Day 2
Advanced laparoscopic procedures: Minimizing complications
7:00am Breakfast 7:30am Suture basics II – Show closure of enterotomy, cystotomy, colotomy Dr. O’Hanlan 7:45am Parametrial dissections Dr. O’Hanlan 8:30am Laparoscopic dissections for pelvic pain/endometriosis Dr. Siedhoff 9:00am Addressing mild to moderate support and continence at every TLH Dr. Wright 10:00am Precepted Suture Session on pelvic trainer Suture Café 10:30am Break 11:00am Laparoscopic myomectomy Dr. Wright 11:25am Laparoscopic vaginal closures, management of dehiscence and ectopic Dr. Beingesser 11:50am Q&A: All faculty from morning 12:00pm Lunch 1:00pm GI Surgery for the Gynecologist Dr. Nahas 1:30pm Postop recognition and address of GI Injury Dr. O’Holleran 2:00pm Precepted Suture Session on pelvic trainer Suture Café 2:30pm Break 3:00pm Avoiding and managing urologic injury Dr. Brown 3:30pm Tissue extraction Dr. Siedhoff 4:00pm How to decide if the ovaries should come out Dr. Brown 4:30pm Q & A: all faculty from afternoon 5:00pm Ethical integration of new skills into surgeon’s armamentarium: teaching and mentoring All Faculty 5:30pm Adjourn Agenda Day 3
Cadaver dissections
7:30am Breakfast opens 8:00am Required Lab Briefing 9:00am General Gynecology Cadaver Lab - Open retroperitoneum, paravesical, pararectal spaces
- Identify intraperitoneal and retroperitoneal landmarks
All surgeons will perform:
- Total laparoscopic hysterectomy
- Appendectomy
- Create 2cm cystotomy and close it
- Laparoscopic cystoscopy to check closure—identify each ureter
- Open the parametrium near the uterine artery and find the ureter
- Isolate the uterosacral ligament for colposuspension
- Uterosacral ligament plications
- Open space of Retzius to perform Burch Suspension with CT-1 Vicryl (Ethibond or mesh in real surgery)
12:00pm Lunch 1:00pm Lab resumes with objectives from morning session 4:00pm Adjourn