Room A: Anatomy:

Reimagining Pelvic Anatomy for Modern MIGS: Vessels, Nerves, and Function in the Era of Innovation

AAGL Chair: Sarah Choi

ESGE Chair: Benoit Rabischong

Faculty: Shailesh Puntambekar, Gianmarco D’Ancona, Nucelio Lemos

Course Description

This course explores surgical pelvic anatomy through the lens of contemporary minimally invasive gynaecological surgery, where innovation, precision, and functional preservation are paramount. Moving beyond static anatomical descriptions, the session integrates emerging concepts in pelvic vascular and neuro-anatomy, highlighting how evolving surgical paradigms—such as uterine transplantation, radical pelvic surgery, deep endometriosis procedures and nerve-sparing techniques—are reshaping the way anatomy must be understood and applied in practice. Through expert-led presentations, attendees will gain a dynamic, clinically relevant framework for translating advanced anatomical knowledge into safer, more effective MIGS procedures.

Learning Objectives

1. To understand novel and evolving concepts in pelvic vascular anatomy and their surgical relevance in advanced procedures, including uterine transplant and complex MIGS.
2. To recognise the three-dimensional organisation of visceral pelvic nerves and apply this knowledge to optimise nerve identification, preservation, and dissection during minimally invasive radical pelvic surgery.
3. To integrate functional neuroanatomy and neurophysiology into surgical decision-making, enhancing nerve-sparing strategies and improving postoperative functional outcomes.

Course Outline

• Welcome and Introductions - Sarah Choi & Benoit Rabischong (5 minutes)
• New Insights in Pelvic Vascular Anatomy in the Era of Uterine Graft - Shailesh Puntambekar (20 minutes)
• Surgical Anatomy of Visceral Pelvic Nerves and its Implications for Minimally Invasive Radical Pelvic Surgery - Gianmarco D’Ancona (20 minutes)
• Functional Pelvic Anatomy and Neurophysiology: Implications for Nerve-Sparing Surgery - Nucelio Lemos (20 minutes)
• Discussion, Questions & Answers - Sarah Choi & Benoit Rabischong (15 minutes)

Adjourn