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39th AAGL Global Congress of Minimally Invasive Gynecology

39th AAGL Global Congress of Minimally Invasive Gynecology

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State-<strong>of</strong>-the-Art Postgraduate Courses<br />

TUESDAY, NOVEMBER 9, 2010 • 8:00 AM – 12:00 PM<br />

Learning Objectives: At the conclusion <strong>of</strong> this course, the clinician will<br />

be able to: 1) Apply the skills necessary for using robotics to specifi c<br />

gynecologic procedures including operating room set-up and port<br />

placement, correct positioning <strong>of</strong> camera and instrument arms with<br />

docking alternatives, uterine manipulation and trouble-shooting; 2)<br />

develop a working knowledge <strong>of</strong> the components <strong>of</strong> a daVinci® Surgical<br />

System (multi- and single-port) and ViKY® surgical robot; 3) Assess the<br />

surgical techniques and challenges involved with robotic myomectomy,<br />

hysterectomy, pelvic reconstruction and reproductive surgery as well as<br />

radical pelvic surgery; 4) incorporate robotic simulators in gynecologic<br />

training; 5) review pertinent clinical case scenarios and outcomes in<br />

order to avoid and manage complications; 6) identify patients most<br />

likely to benefi t from robot-assisted gynecologic surgery; and 7) Apply<br />

the appropriate algorithm for getting a robotics program started.<br />

8:00 Welcome, Introductions and Course Overview<br />

A.P. Advincula<br />

8:05 Th e Triumphs and Challenges <strong>of</strong> Robotics in<br />

Gynecologic Surgery A.P. Advincula<br />

8:30 Robot-Assisted Laparoscopic Myomectomy:<br />

Optimizing Techniques and Outcomes M.C. Pitter<br />

8:55 A Practical Approach to Robot-Assisted Laparoscopic<br />

Sacrocolpopexy C.A. Matthews<br />

9:20 Tips and Tricks for a Successful Robotic Case:<br />

A Roadmap from Start to Finish R.M. Kho<br />

9:45 Questions & Answers All Faculty<br />

9:55 Break<br />

10:10 ABC’s <strong>of</strong> Robot-Assisted Laparoscopic Hysterectomy<br />

for Simple and Complex Cases A.P. Advincula<br />

10:35 Recognizing and Managing Complications:<br />

Are Th ey Unique to Robotics? R.M. Kho<br />

11:00 Tackling Endometriosis and Other Complex<br />

Pathology: A Surgical Tutorial M.C. Pitter<br />

11:25 Th e Nuts and Bolts <strong>of</strong> Program Development,<br />

Outcome Management and Cost Containment C.A.<br />

Matthews<br />

11:50 Questions & Answers<br />

12:00 Course Evaluation<br />

MILANO I<br />

PG 3A – Hysteroscopy in the Offi ce<br />

and the OR: What You Need to<br />

Know to Be Successful<br />

CME<br />

Mark D. Levie, Chair<br />

Faculty: Scott G. Chudn<strong>of</strong>f , George A. Vilos, Robert K. Zurawin<br />

Hysteroscopy has become an important part <strong>of</strong> the practicing<br />

gynecologists’ armamentarium for diagnosing and treating common<br />

problems. Its role in the work-up and treatment <strong>of</strong> abnormal uterine<br />

bleeding as well as for treatment <strong>of</strong> fi broids and other intrauterine<br />

pathology is well established. With the miniaturization <strong>of</strong> hysteroscopes<br />

many procedures, which were once limited to the operating room, are<br />

being performed commonly in an <strong>of</strong>fi ce setting. Currently, diagnosis<br />

and treatment <strong>of</strong> pathology is easily performed in the physicians’ <strong>of</strong>fi ce.<br />

Offi ce hysteroscopy has also broadened our ability to <strong>of</strong>f er women less<br />

invasive choices for permanent sterilization.<br />

Th e purpose <strong>of</strong> this course is to review the role <strong>of</strong> hysteroscopy in<br />

the management <strong>of</strong> common gynecologic problems. We will discuss<br />

basic hysteroscopy concepts, and address common complications that<br />

may be encountered. We will review which procedures are amenable<br />

to an <strong>of</strong>fi ce setting and present evidence based outcome data for the<br />

procedures reviewed.<br />

Learning Objectives: At the conclusion <strong>of</strong> this course, the clinician will<br />

be able to: 1) Utilize currently approved hysteroscopic equipment,<br />

and ancillary hysteroscopic devices; 2) determine indications and<br />

contraindications <strong>of</strong> hysteroscopic procedures; 3) select the hysteroscopic<br />

procedures that can be performed in an <strong>of</strong>fi ce setting; and 4) outline<br />

complications and how to manage them.<br />

8:00 Welcome, Introductions and Course Overview<br />

M.D. Levie<br />

8:05 In-Offi ce Hysteroscopy: Its Role in a Gynecologist’s<br />

Practice M.D. Levie<br />

• Pathogenesis and Mechanisms <strong>of</strong> Abnormal Uterine<br />

Bleeding<br />

• Evaluating Abnormal Bleeding<br />

• SIS vs. Offi ce Hysteroscopy<br />

• Role in Infertility Evaluation<br />

8:30 Hysteroscopy: Th e Basic Principles S.G. Chudn<strong>of</strong>f<br />

8:55 Distention Medium and Electrosurgery in Hysteroscopy<br />

G.A. Vilos<br />

9:20 Review <strong>of</strong> ACOG’s Task Force Recommendations for in<br />

Offi ce Procedures R.K. Zurawin<br />

• Credentialing <strong>of</strong> Sites<br />

• Appropriate Procedures<br />

• Anesthesia in Offi ce<br />

9:45 Questions & Answers All Faculty<br />

9:55 Break<br />

10:10 Hysteroscopic Sterilization in 2010 M.D. Levie<br />

10:35 Hysteroscopic Management <strong>of</strong> Polyps and Fibroids<br />

S.G. Chudn<strong>of</strong>f<br />

• Techniques<br />

• Offi ce vs. O.R.<br />

• Mechanical Morcellators<br />

11:00 Hysteroscopic Endometrial Ablation: Is Th ere Still<br />

a Role for Hysteroscopically Guided Endometrial<br />

Ablation? R.K. Zurawin<br />

11:25 Hysteroscopy/Ablation Complications, Immediate<br />

and Delayed, Management Options G.A. Vilos<br />

11:50 Questions & Answers<br />

12:00 Course Evaluation<br />

23<br />

T<br />

U ES<br />

D AY

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