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

B1. THEORETICAL COURSE
09.00 am - 01.00 pm  How to escape from the Pelvic Labyrinth: ISSA Theoretical Basic and Advanced, Intensive Course on  Laparoscopic Surgical Anatomy for Abdomino Pelvic Surgery


Chairs:  M. Ceccaroni, S. Puntambekar
Faculty: M. Ceccaroni, R. Clarizia, T.T.M. Lee, J.F. Magrina, S. Puntambekar,
              G. Roviglione, P.N. Barri, S. Uccella


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).


09.00 am - 09.05 am  Welcome, Introduction and Course Overview

09.05 am - 09.30 am  Laparoscopic Surgical Anatomy of the Pelvis and Retroperitoneum:
                                  What we need to know for a safe surgery   S. Uccella

09.30 am - 09.55 am  Laparoscopic Surgical Anatomy of a safe Hysterectomy step-by-step   P.N. Barri

09.55 am - 10.20 am  Laparoscopic Surgical Anatomy of Parametrial Ligaments for a safe
                                  and taylored Radical Hysterectomy     S. Puntambekar

10.20 am - 10.45 am Laparoscopic Surgical Anatomy of Retroperitoneum for a Safe Pelvic
                                   and Para-Aortic Lymphadenectomy   G. Roviglione

10.45 am - 10.55 am   Questions & Answers

10.55 am - 11.10 am   Break

11.10 am - 11.35 am  Laparoscopic Surgical Anatomy of Anterior Compartment (Bladder, Ureters,                                                  Ligaments): Tips and Tricks for a Safe Pelvic Surgery   R. Clarizia

11.35 am - 12.00 pm  Laparoscopic Surgical Anatomy of Posterior Compartment
                                 (Uterine and Rectal Ligaments, Douglas Pouch): Tips and Tricks for a
                                 Safe Pelvic Surgery   T.T.M. Lee

12.00 pm - 12.25 pm  Laparoscopic Surgical Anatomy of Visceral and Somatic Pelvic Innervation
                                  for a Safe and Nerve-Sparing Radical Pelvic Surgery   M. Ceccaroni

12.25 pm - 12.50 pm  "Retroperitoneum is Your Best Friend”: How Can Anatomy Help the Surgeon in                                                Preventing Complications   J.F. Magrina

12.50 pm - 01.00 pm  Questions & Answers

01.00  pm                    Adjourn



B2. PRACTICAL COURSE
01.30 pm - 05.30 pm  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: M. Ceccaroni, S. Puntambekar

Faculty and Course Supervisors: M. Ceccaroni, M.F.R. Paraiso, S. Puntambekar

Faculty: J. Albornoz, F. Bruni, R. Clarizia, K. Huang, T.T.M. Lee, D. Mautone, A. Puppo
              G. Roviglione, P.N. Barri, J.D. Villegas-Echeverri


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.

01.30 pm - 01.35 pm  Welcome, Introduction  and Course Overview   M. Ceccaroni

01.35 pm - 03.35 pm   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

03.35 pm - 03.50 pm   Break

03.50  pm - 05.15 pm  LAB II: Hands-on Laparoscopic Dissection of Posterior Compartment and 
                                                  Pelvic Nerves

05.15 pm - 05.30 pm   Questions & Answers

05.30 pm                      Adjourn