Chairs: Marcello Ceccaroni, Shailesh P. Puntambekar
Faculty: Sarah Choi, Shanti I. Mohling, Fariba Mohtashami, Giovanni Roviglione,

Description: Following the principles taught in the International School of Surgical Anatomy-(ISSA), this course, based on pre-recorded Keynote cadaveric dissections and surgical videos will provide a step-by-step surgical approach to the pelvic viscera, retroperitoneal avascular spaces and pelvic ureters. Emphasis will be put upon identifying anatomical landmarks, including surgical principles and techniques to enter the retroperitoneal avascular spaces, identify and dissect the ureter, isolate the uterine artery at its origin and dissect the parametrial ligaments. Instruction on techniques for gentle tissue handling to avoid bleeding, proper traction, counter-traction, sharp and blunt dissections while preventing vascular, urinary, bowel and nervous complications. Special care will be given to minimally invasive nerve-sparing techniques with demonstration of main pathways of visceral and somatic pelvic innervation. The aim of this course is to demonstrate an overall pelvic surgical anatomy on cadaver and its surgical implications during radical pelvic procedures such as deep endometriosis or oncological procedures.

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; 2) Apply laparoscopic surgical techniques to enter and expose the avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vasculature and their relations to the ureter and intraperitoneal structures; and 3) Illustrate the step-by step dissection of the pelvic ureter and pelvic-nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery.

Course Outline

12:15 PM Welcome, Introduction and Course Overview
M. Ceccaroni, S. Puntambekar

12:17 PM Role of Cadaveric Dissection Models and Technology in the Learning Processes of Surgery
F. Mohtashami

12:31 PM Surgical Anatomy of Pelvic Spaces for a Safe Minimally Invasive Surgery
S. Mohling

12:45 PM Laparoscopic Surgical Anatomy of the Pelvis and Retroperitoneal Spaces
M. Ceccaroni, G. Roviglione

1:13 PM Laparoscopic Surgical Anatomy of Uterine Parametrial Ligaments for a Safe Radical Surgery for Deep Endometriosis and Oncology
S. Puntambekar

1:27 PM Laparoscopic Surgical Anatomy of the Uterine Ligaments and Parametria for a Safe Simple and Radical Hysterectomy
M. Ceccaroni, G. Roviglione

1:55 PM Surgical Landmarks of Lateral Spaces and Anatomical Considerations for Pelvic Lymphadenectomy and Deep Endometriosis Procedures
G. Roviglione

2:09 PM Laparoscopic Surgical Anatomy of Lateral Spaces for a Safe Pelvic Lymphadenectomy and Radical Procedures in Deep Endometriosis
M. Ceccaroni, G. Roviglione

2:37 PM Nerve-Sparing Minimally Invasive Approaches to Deep Endometriosis
S. Choi

2:51 PM Laparoscopic Surgical Anatomy of Pelvic Innervation for Deep Endometriosis and Radical Procedures
M. Ceccaroni, G. Roviglione

3:19 PM Discussion Questions & Answers

3:30 PM Adjourn