Chairs: Kalyan Barmade

Faculty: Kalyan Barmade, S. Krishnakumar, Atul Ganatra, Sudha Tandon, Sujal A. Munshi, Vidya V. Bhat

Description: Hysteroscopy and laparoscopy have revolutionized gynecological surgery, offering minimally invasive solutions with faster recovery and fewer complications. However, certain clinical scenarios present formidable challenges that test the surgeon’s expertise and judgment. This high-impact session brings together esteemed leaders from the Indian Association of Gynaecological Endoscopists (IAGE) to share their experience, insights, and practical solutions to some of the most demanding situations in hystero-laparoscopy.

Learning Objectives: At the end of this course, the participant will be able to:

1. Objective Understand the nuances and safety considerations of performing laparoscopy during pregnancy, including appropriate case selection, surgical timing, and intraoperative precautions;
2. Objective Recognize the unique anatomical and physiological challenges of hysteroscopy in very elderly patients and apply tailored techniques to minimize risks and optimize outcomes;
3. Objective Identify and implement effective strategies for managing difficult myomas, focusing on safe dissection techniques and efficient tissue retrieval methods;
4. Objective Approach complex endometriosis surgeries with confidence, employing advanced laparoscopic techniques to manage distorted anatomy, deep infiltrative disease, and preserve organ function;
5. Objective Address the complexities of redo surgeries in pelvic organ prolapse, including preoperative planning, managing adhesions, and ensuring durable surgical repair; and Navigate challenges in bladder dissection during hysterectomy in patients with previous cesarean sections, with emphasis on avoiding injury and achieving safe anatomical separation.

Course Outline

3:15 PM Welcome, Introduction and Course Overview

K. Barmade

3:17 PM ⁠Laparoscopy in Pregnancy

K. Barmade

3:25 PM ⁠Overcoming Challenges in Hysteroscopy in Very Elderly Patients

S. Krishnakumar

3:33 PM Difficult Myomas: Dissection and Tissue Retrieval

A. Ganatra

3:41 PM Challenging Situations in Endometriosis Surgery

S. Tandon

3:49 PM Challenges of Redo Surgeries in Prolapse

S. Munshi

3:57 PM Challenges in Bladder Dissection During Hysterectomy With Previous C-Section

V. Bhat

4:05 PM Discussion Questions & Answers

3:15 PM Adjourn