39th AAGL Global Congress of Minimally Invasive Gynecology

MILANO V-VIII
PC 2A – Laparoscopic Suturing
CME
in the “Vertical Zone”
Charles H. Koh, Chair
Faculty: Yanaris R. Avellanet, Elizabeth E. Ball, Jessica A.
Crawford, Maurice Chung, Jerome Delotte, Jason Foil,
Dobie L. Giles, Jack Lullo, Cecilia Medina, Stephanie N. Morris,
Anjali G. Martinez, Magdy P. Milad, Nashat Moawad, Curtis E.
Page, James K. Robinson, Sangeeta Senapati, Yoko Suzuki
Operative laparoscopy has advanced so tremendously that profi ciency in
suturing is a mandatory skill. Th e progressive algorithm for laparoscopic
suturing as described in the “Vertical Zone” has been taught and tested
over many years nationally and internationally. All courses include preand
post-testing following instruction in the structured curriculum.
Th e metrics have repeatedly shown that over 80% of preceptees achieve
tying an intracorporeal knot in less than 3 minutes. Th is includes
practicing gynecologists, residents, and fellows. Th ere is good fi delity,
concurrent and face validity with the technique described, as the relative
hand positions and movements are immediately transferable from the
trainer to the O.R. Th is course equips all attendees with improved
suturing skills and insight into applications during surgery. Algorithms
for standing on the right and left side of the patient will be taught, with
progression from simple interrupted to continuous and cinch knots.
16
Pre-Congress Practice Development Courses
MONDAY, NOVEMBER 8, 2010 • 8:00 AM – 12:00 PM
Learning Objectives: At the conclusion of this course, the clinician will
be able to: 1) Diff erentiate the theory, ergonomics and rationale for
reproducible laparoscopic suturing; 2) apply the skills learned to relevant
surgical situations; 3) apply appropriate suture repair for the prevention
and management of bowel, bladder, and ureteral complications; and 4)
demonstrate through the use of pre-post test application their personal
improvement in suturing skills.
8:00 Welcome, Introductions and Course Overview C.H. Koh
8:10 Pre Test – Cut off 3 minutes All Faculty
8:30 Managing Needles, Suture, Smiley Knotting C.H. Koh
8:45 LAB I: Drills, Intracorporeal Suturing with ‘Smiley’
Needle Technique C.H. Koh
9:45 Questions & Answers All Faculty
9:55 Break
10:10 Lecture: “Expert Knotting, Continuous Suturing,
Cinch Knot.
Applications in Surgery Including Managing
Complications by Suturing” C.H. Koh
10:30 LAB II: Expert Knotting, Continuous, Cinch
All Faculty
11:30 Post Test: Intracorporeal Knot Tying.
Cut off time 3 minutes All Faculty
11:50 Questions & Answers
12:00 Course Evaluation
AAGL acknowledges that it has received support in part by educational
grants and equipment (in-kind) from the following companies:
Covidien, Ethicon Endo-Surgery, Inc., Ethicon Women’s Health &
Urology, Olympus, Karl Storz Endoscopy-America, Inc.
OCTAVIUS 9-11
PC 3 – Beyond Surgery:
Medicine Matters
Ralph J. Turner, Chair
Faculty: David Hetzel, Sheryl A. Kingsberg, Ajay Kumar
CME
Th is course provides the gynecologic surgeon with an overview of
recent developments in medical aspects of gynecologic care. Th e topics
include medical complications of laparoscopic surgeon, management of
anemia, aspects of female sexuality, breast cancer, new technology for
breast imaging, post-menopausal hormone therapy and menopause.
Learning Objectives: At the conclusion of this course, the clinician will
be able to: 1) Assess the medical considerations of the laparoscopic
candidate; 2) Evaluate the current state of breast cancer diagnosis and
treatment; 3) Apply the recent recommendations of diagnostic imaging
modalities for breast cancer; 4) counsel patients on sexuality aspects
relative to laparoscopic surgery; 5) discuss the Timing Hypothesis/
Critical Period of hormone therapy; and 6) individualize hormone
therapy to the patient’s need and risk factors.
8:00 Welcome, Introductions and Course Overview All Faculty
8:05 Getting Your Patient Ready for Surgery: Th e ABC’s
A. Kumar
8:30 Image Directed Biopsy of the Breast and Clinical
Applications of Advanced Breast Imaging D. Hetzel
8:55 Female Sexuality and the Laparoscopic Surgeon
S.A. Kingsberg
9:20 Eu-estrogenemia – A Physiological Approach
to Hormone Th erapy R.J. Turner
9:45 Questions & Answers All Faculty
9:55 Break
10:10 Blood Conservation Programs: Identifying and Treating
Your Anemic Patient Peri-Operatively A. Kumar
10:35 Breast Conserving Surgery and Sentinal Node
Techniques D. Hetzel
11:00 Behind Closed Doors: Can We Talk About Sex?
S.A. Kingsberg
11:25 Challenges in Managing the Symptomatic
Postmenopausal Patient R.J. Turner
11:50 Questions & Answers
12:00 Course Evaluation