International Congress

AAGL-SEGi 2019

Pisa, Siena & Florence, 07 - 11 May 2019

PG Courses B1-B2 Laparoscopic Surgical Anatomy - Theoretical and Practical Courses



8 May, Venue: Palazzo dei Congressi-Florence

THEORETICAL COURSE
How to escape from the Pelvic Labyrinth: ISSA Theoretical Basic and Advanced, Intensive Course on  Laparoscopic Surgical Anatomy for Abdomino Pelvic Surgery


Chairs: Marcello Ceccaroni, Shailesh Puntambekar

Laparoscopic surgery for benign and deeply infiltrative diseases represents complex challenges for pelvic surgeons. Instructors from the International School of  Surgical Anatomy (ISSA) of Verona, Italy will provide participants a comprehensive overview of the pelvic anatomy and guidance on how to navigate the retroperitoneal space and structure. These approaches will help the surgeons to formulate a well-strategized treatment plan leading to optimal surgical outcomes.
Learning Objectives -  At the conclusion of this course, the participant will be able to:
1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection for basic, intermediate and advanced procedures;
2) Discuss laparoscopic surgical techniques to enter and expose avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vessels and their relations to the ureter and retroperitoneal structures;
3) Review the principles of a nerve-sparing;
4) Provide step-by- step dissection of the uterine artery and the pelvic ureter related to gynecologic retroperitoneal procedures (i.e. big uteri, intraligamentary myomas, deep endometriosis and gynecologic cancers).


10:00 Welcome, Introductions and Course Overview

10:05 Laparoscopic Surgical Anatomy of the Pelvis and Retroperitoneum: What we need to know for a safe surgery 

10:30 Laparoscopic Surgical Anatomy of a safe Hysterectomy step-by-step

10:55 Laparoscopic Surgical Anatomy of Parametrial Ligaments for a safe and taylored Radical Hysterectomy

11:20 Laparoscopic Surgical Anatomy of Retroperitoneum for a Safe Pelvic and Para-Aortic Lymphadenectomy

11.45 Questions & Answers

11.55 Break

12.10 Laparoscopic Surgical Anatomy of Anterior Compartment (Bladder, Ureters, Ligaments): Tips and Tricks for a Safe Pelvic Surgery

12.35 Laparoscopic Surgical Anatomy of Posterior Compartment (Uterine and Rectal Ligaments, Douglas Pouch): Tips and Tricks for a Safe Pelvic Surgery

13.00 Laparoscopic Surgical Anatomy of Visceral and Somatic Pelvic Innervation for a Safe and Nerve-Sparing Radical Pelvic Surgery

13.25 "Retroperitoneum is Your Best Friend”: How Can Anatomy Help the Surgeon in Preventing Complications

13.50 Questions & Answers

14.00 End of the Course



PRACTICAL COURSE
How to escape from the Pelvic Labyrinth: ISSA Practical  Basic and Advanced, Intensive Hands-On Cadaveric Course on  Laparoscopic Surgical Anatomy for Abdomino Pelvic Surgery with 3D Technology

Chairs: Marcello Ceccaroni, Shailesh Puntambekar


Following the principles taught in the International School of Surgical Anatomy (ISSA), this hands-on cadaveric course will provide a step-by-step surgical approach to the pelvic viscera, retroperitoneal avascular spaces and pelvic ureters. Emphasis will be put upon identifying anatomical landmarks, including surgical principles and techniques to enter the retroperitoneal avascular spaces.
Instruction on techniques for gentle tissue handling to avoid bleeding, proper traction, counter-traction, sharp and blunt dissections while preventing vascular, urinary, bowel and nervous complications. Special care will be given to nerve-sparing techniques during laparoscopic dissection, with demonstration of main pathways of visceral and somatic pelvic innervation. This course includes cadaveric specimen with intact uteri and cervix using laparoscopic instrumentation.
Learning Objectives: At the conclusion of this course, the participant will be able to:
1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection;
2) Apply laparoscopic surgical techniques to enter and expose the avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vasculature and their relations to the ureter and intraperitoneal structures;
3) Illustrate the step-by-step dissection of the pelvic ureter and pelvic-nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery.

14.30 Welcome, Introductions and Course Overview

14.35 LAB I: Hands-on Laparoscopic Dissection of Uterus, Adnexa, Parametrial Ligaments and Lateral Pelvic Sidewall:
Tips and Tricks to Perform Safe Laparoscopic Hysterectomy and Adnexal Surgery

16.35 Break

16.50 LAB II: Hands-on Laparoscopic Dissection of Posterior Compartment and Pelvic Nerves

18.15 Questions & Answers

18.30 End of the Course