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39th AAGL Global Congress of Minimally Invasive Gynecology

39th AAGL Global Congress of Minimally Invasive Gynecology

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30<br />

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

NEOPOLITAN<br />

PG 2B – Implementing<br />

Robotics in Benign <strong>Minimally</strong><br />

<strong>Invasive</strong> Gynecologic Surgery CME<br />

Arnold P. Advincula, Chair<br />

Faculty: Rosanne M. Kho, Catherine A. Matthews,<br />

Th omas N. Payne, Michael C. Pitter<br />

Th is course is designed for gynecologic surgeons already<br />

performing minimally invasive surgery and who have or plan<br />

to have a robotic surgical system in their respective hospital.<br />

Th e course will review current applications <strong>of</strong> robot-assisted<br />

laparoscopy in gynecology with an emphasis on the daVinci®<br />

Surgical System and the ViKY® surgical robot. Lectures will follow<br />

a surgical tutorial-based format by way <strong>of</strong> extensive surgical videos<br />

and a 3-D projection system with a strong focus on robot-assisted<br />

myomectomy, hysterectomy, reproductive surgery, and pelvic<br />

reconstructive surgery as well as radical pelvic surgery. Techniques<br />

as well as clinical outcomes will be presented by experts in the<br />

fi eld.<br />

Th e course is divided into a half day morning session with the option<br />

<strong>of</strong> an additional afternoon half day hands-on cadaveric experience for<br />

a limited number <strong>of</strong> participants on a fi rst-come, fi rst-served basis.<br />

Experienced faculty will provide additional procedure-based instruction<br />

on robotic simulators as well as the new, single-port daVinci® Surgical<br />

System. Participant numbers are unrestricted for the morning session<br />

but will be limited for the afternoon session in order to provide extensive<br />

opportunity for direct one-on-one interaction with the course faculty in<br />

the various laboratory stations. Pre-recorded videos <strong>of</strong> unedited robotic<br />

surgical cases will also be incorporated into the afternoon session.<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 />

Group A<br />

1:30 Welcome, Introductions and Course Overview<br />

A.P. Advincula<br />

1:35 Lab: Hands-On Cadaveric/Simulation Experience<br />

(1 hour 55 minutes)<br />

POD 1 (12)<br />

4 Robotic Cadaveric Stations with 3 Surgeons<br />

per Station<br />

TUESDAY, NOVEMBER 9, 2010 • 1:30 PM – 5:30 PM<br />

POD 2 (12)<br />

4 Robotic Simulation Stations with 3 Surgeons<br />

per Station<br />

3:30 Questions & Answers, Refreshments<br />

(switch cadavers)<br />

4:00 Video-Based Surgical Tutorial (Complex Hysterectomy;<br />

Pelvic Reconstruction) All Faculty<br />

5:50 Course Evaluation<br />

6:00 Adjourn<br />

Group B<br />

1:30 Welcome, Introductions and Course Overview<br />

A.P. Advincula<br />

1:35 Video-Based Surgical Tutorial (Complex Hysterectomy;<br />

Pelvic Reconstruction) All Faculty<br />

3:30 Questions & Answers, Refreshments<br />

(switch cadavers)<br />

4:00 Lab: Hands-On Cadaveric/Simulation Experience<br />

(1 hour 55 minutes)<br />

POD 1 (12)<br />

4 Robotic Cadaveric Stations with 3 Surgeons<br />

per Station<br />

POD 2 (12)<br />

4 Robotic Simulation Stations with 3 Surgeons<br />

per Station<br />

5:55 Course Evaluation<br />

6:00 Adjourn<br />

<strong>AAGL</strong> acknowledges that it has received support in part by educational<br />

grants and equipment (in-kind) from the following companies: Angiotech,<br />

Applied Medical, Covidien, Intuitive Surgical, Telefl ex Medical<br />

MILANO II-IV<br />

PG 3B – Comprehensive Hysteroscopic<br />

Workshop with Virtual Reality<br />

Simulators and Pelvic Trainers<br />

Amy L. Garcia, Chair<br />

CME<br />

Faculty: Gary N. Frishman, Isabel C. Green, Mark D. Levie,<br />

Malcolm G. Munro, Justin K. To, Robert K. Zurawin<br />

Th is course provides intensive hands-on experience with the most<br />

up-to-date and innovative technologies in diagnostic and operative<br />

hysteroscopy and non-hysteroscopic endometrial ablation devices.<br />

Th rough the use <strong>of</strong> computer simulation and standard practice models,<br />

participants practice and develop hysteroscopic skills. Th ese skills<br />

include assembly <strong>of</strong> equipment, pr<strong>of</strong>i ciency with fl exible and rigid<br />

hysteroscopes, <strong>of</strong>fi ce hysteroscopy, resection <strong>of</strong> myomas with bipolar<br />

and monopolar resectoscopes, polypectomy, hysteroscopic sterilization,<br />

mechanical morcellation, as well as hysteroscopy troubleshooting.<br />

Immersion with non-hysteroscopic endometrial ablation technologies<br />

allows the participant to fully explore, utilize and critically evaluate the<br />

diff erent available devices. Fluid management systems are available for<br />

use and assessment. Expert faculty provides participants with individual<br />

instruction on instrument use and skill development. Th e organization

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