706-ANAT
AAGL/ISSA: “The Tide is High, But I’m Holdin’ On” Tips and Tricks in Laparoscopic Retroperitoneal Surgical Anatomy to Perform Safe Gynecologic Surgery 

Chairs: Shailesh P. Puntambekar, Marcello Ceccaroni
Faculty: Javier F. Magrina, Gaby N. Moawad, Giovanni Roviglione, Maria Victoria N. Vargas
 

Description: Laparoscopic surgery for benign and deeply infiltrative diseases represents a difficult and challenging issue for pelvic surgeons. A precise knowledge of pelvic Surgical Anatomy and the achievement of a know-how for navigating the retroperitoneal spaces and structures, provide a powerful tool to formulate a well-planned treatment strategy for a successful and safe surgery. A skilled laparoscopic surgeon is the one who is able to dominate with no fear the surgical field, achieving the perception of retroperitoneum as their "best friend." The golden word for that is: "ANATOMY." A panel of teachers of the International School of Surgical Anatomy (ISSA) of Verona (Italy), directed by Dr. Marcello Ceccaroni, will be delighted to share its experiences with you.

Learning Objectives: At the end of this course, the participant will be able to: 1) Recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection for basic, intermediate and advances procedures; 2) Utilize laparoscopic surgical techniques to enter and expose avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vessels and their relations to the ureter and retroperitoneal structures; and 3) Apply the principles of a nerve-sparing philosophy and the step-by-step dissection of the uterine artery and the pelvic ureter related to the different gynecological retroperitoneal procedures (i.e. big uteri, intraligamentary myomas, deep endometriosis and gynecologic cancers).

Course Outline

9:15 AM Welcome, Introduction and Course Overview
S. Puntambekar, M. Ceccaroni

9:17 AM “The Perfect Navigation” Cartography of the Pelvis and Retroperitoneum for a Safe Minimally Invasive Navigation
G. Moawad

9:36 AM “How to Make It Easy” Minimally Invasive Surgical Anatomy for a Safe Hysterectomy Step-By-Step in Different Settings
M. Vargas

9:53 AM "The Journey of Parametrial Surgery" Surgical Anatomy of Parametrial Ligaments and its Importance in Radical Hysterectomy and Uterine Transplant
S. Puntambekar

10:11 AM “Friends Will Be Friends” When the Surgeon Meets the Ureter and the Bladder. Tips and Tricks for a Safe Minimally Invasive Pelvic Surgery
G. Roviglione

10:29 AM "Have You Ever Been to Electric Ladyland?" Laparoscopic Surgical Anatomy of Visceral and Somatic Pelvic Innervation for a Safe and Nerve-Sparing Radical Pelvic Surgery
M. Ceccaroni

10:47 AM “With a Little Help from My Friends” How Anatomy Can Help the Surgeon in Preventing and Managing Complications
J. Magrina

11:05 AM Discussion Questions & Answers

11:15 AM Adjourn