Laparoscopic Female Surgical Pelvic Anatomy Cadaveric course

Advanced multidisciplinary Abdominal, Pelvic and Pelvic floor surgery Cadaveric course.

This is an opportunity for pelvic surgeons wishing to understand the anatomy of the deep pelvis. You will learn from experienced surgeons and anatomists the anatomy of deep pelvis which is poorly understood due to complexity of structures. The objective will be learning principles of surgical steps in complex gynaecological procedures with aim to reduced complication rates.

Simulating the operating theatre environment with the use of fresh frozen cadavers and advanced laparoscopic equipment including 3D technology delegates will obtain invaluable hands on experience.

During the course you will have the opportunity to see clinical cases and interact with the next generation minimal access surgery device (3D HD vision).

Course is aimed for: Gynaecologist consultant and trainees Gynaeoncologist , Endometriosis surgeons , pelvic surgeons , Urogynaecologist.

GYNAEONCOLOGY : Compartmental based pelvic surgery, PMMR (Peritoneal mesometrial resection) in modified radical hysterectomy, Para-aortic & pelvic nodal dissection , Nerve sparing surgery, Peritoneal and diaphragmatic resection of disease

ENDOMETRIOSIS: Rectovaginal dissection, Autonomic& deep pelvic nerves and Nerve sparing excision of deep endometriosis, diaphragmatic resection

FACULTYCourse Directors:Miss Nahid Gul & Mr David Rowlands

Keele University Anatomy Department FacultyMr Luke Welsh

Course Surgical ObjectivesGENERIC SKILLDissect pelvic side wall, ureters and pelvic spaces, vascular anatomySafe removal of pelvic masses, large uterus and surgical steps of Laparoscopic Total HysterectomyClosure of Enterotomy and CystotomyAbdominal wall anatomy, safe entry , hernia and abdominal wall reconstructionAnatomy of Pelvic floor, ischiorectal fossa and pudendal nerve

COURSE OBJECTIVESUnderstanding of female pelvic anatomy with an emphasis on pelvic nerve identification and sparingAim: To understand, demonstrate and perform dissection of the female pelvis in relation to1. Pelvic floor , side wall, avascular spaces2. Anatomical distribution of pelvic nerves including somatic and autonomic system to understand nerve sparing procedures in endometriosis and other gynaecological anatomical procedures , retro peritoneal approach for dissection3. Pelvic anatomy, neurovascular relations, muscles, ligaments, lymphatic drainage4. Performance of total laparoscopic hysterectomy including suturing5. Anatomy of pelvic floor (muscle, nerves, vessels, relation for prolapse surgery)6. Upper abdomen (diaphragm, para-aortic lymph nodes, mesentery, omentum, ureteric relations)

Learning outcomes:Understanding of the anatomy of the female pelvis in relation to advanced laparoscopic surgery with particular emphasis on retro peritoneal spaces, pelvic nerve identification and sparing in advancedExcision of rectovaginal endometriosisSafe anatomical performance of total laparoscopic hysterectomyPrevesicular, paravesicular dissection, Uretrolysis, cystectomy repairPrinciples of Mobilization of colon, excision of rectosigmoid disease, gynaecological cancer, endometriosis), repair, anastomosisAnatomy and principles of pelvic floor repair ( sacrocolpopexy , sacrospinous fixation, paravaginal repair, colposuspension, sacrorectopexy)Understand embryonic and avascular planes for dissectionPrinciples of compartmental surgery

Resource:Fresh frozen female cadaversUse of lab and teaching roomHelp with technical staff and demonstratorInteractive discussion with facilitatorsLaparoscopic stations, instruments and demonstration of 3D technology

Host or Publisher Nahid Gul FRCOG