PRE-CONFERENCE MASTER'S CLASSES • WEDNESDAY, SEPTEMBER 5, 2012
Master’s Class #1
Smart Surgeons Learn From Their Mistakes, Brilliant Surgeons Learn From Other Surgeons' Mistakes: Prevention and Management of Laparoscopic and Endoscopic Surgical Complications
Half Day (8:00-11:30am; 3.5 AMA PRA Category 1 CreditsTM)
All abdominal and pelvic MIS procedures carry an inherent risk of complications. This interactive course will present a philosophy for the prevention and management of complications during minimally invasive surgery of the abdomen and pelvis. Video segments and case presentations will be used to demonstrate principles and stimulate discussion based on participant needs identified by responses to the pre-course questionnaire. Source material will be obtained from students’ “real world” experiences and supplemented with materials selected by the faculty panel and customized based on pre-course questionnaire results. An interactive student and faculty discussion format will be utilized. This course will discuss management paradigms to prevent, recognize, and treat complications appropriately. Careful, methodical assessment and strategies for appropriate action will be stressed. Topical presentations based on student input will highlight detailed surgical anatomy, sound surgical principles and careful technique.
Objectives:
Course participants will be better able to:
- Recognize and decrease the risk of complications in laparoendoscopic surgeries;
- Identify and discuss specific conditions affecting appropriate patient selection;
- Discuss indications, contraindications and limitations of MIS procedures and technologies;
- Understand relevant surgical anatomy and potential technical pitfalls;
- Develop management paradigms to prevent and treat complications;
- Describe the rationale and timing of conversion to open procedures.
NOTE: Syllabus materials are provided as a reference resource and are not intended as a verbatim summary of course content, which is largely video-based. Participants are strongly encouraged to anonymously submit video or other case material prior to the course to maximize topical relevance for their individual practice and needs. Please provide a brief description of the material upon submission.
FACULTY
Raymond J. Lanzafame, MD, MBA, Director
Ceana Nezhat, MD, Co-Director
Lawrence C. Biskin, MD
Howard N. Winfield, MD
Master’s Class #3
Advanced Laparoscopic Suturing for the Gynecologist, Urologist, General and Robotic Surgeon: "THE Vertical Zone - The Next Level Beyond Triangulation" (Including Primer for Effective Robotic Suturing)
Full Day (8:00am-4:00pm; 7 AMA PRA Category 1 CreditsTM)
Be one of the 90% of participants who can throw an intracorporeal knot in < 3 mins. After 90 minutes instruction in the ‘vertical zone’!
Participants will learn the uses and limitations of laparoscopic suturing with the ‘Triangulation’ algorithm. For gynecologists closing the uterus and vagina transversely, urologists anastomosing urethra to bladder, performing uretero-ureterostomy, surgeons closing colon and rectum transversely – the needle needs to move in the sagittal plane, not the side to side or coronal plane of the triangulation style. The ‘Vertical Zone’ describes our technique of suturing with two hands ipsilaterally that allows the needle to operate in the sagittal plane, while permitting a restful and relaxed attitude of the elbows, forearms and hands. Primer on robotic suturing and knot tying will be shown and discussed, so that the participants truly understand suturing applications across all platforms.
In numerous courses nationally and internationally this algorithm has allowed over 80% of participants to succeed in tying an intra- corporeal knot within 3 minutes after 2 hours of training.
With excellent fidelity, the relative hand positions and movements are immediately transferable from the trainer to the O.R. This course equips all attendees with improved suturing skills and insight into applications during surgery.
Objectives:
Course participants will be better able to:
• Understand ergonomics, theory and rationale for reproducible and efficient laparoscopic suturing
• Learn port positions, instruments and tips to minimize fulcrum and maximize efficiency
• Perform interrupted suturing, continuous suturing, cinch knotting
• Application of skills learned in relevant surgical situations across specialties.
• Prevention and management of bowel, bladder and ureteral complications by appropriate suture repair
• Pre-test and post-test to demonstrate improvement in skills
FACULTY
Charles H. Koh, MD, Director
Gustavo Stringel, MD, MBA, Co-Director
Yaniris R. Avellanet, MD
Maurice K. Chung, RPh, MD
Dobie Giles, MD
Keith B. Isaacson, MD
Grace M. Janik, MD
Michelle Mustapich
Master’s Class #4
Mastery of Robotics in Gynecology "Robotic Assisted & Video Assisted Laparoscopic Treatment of Endometriosis & Uterine Fibroids from Diagnosis to Management" (Joint Course: MIRA, SRS, SLS)
Half Day (12:30-4:00pm; 3.5 AMA PRA Category 1 CreditsTM)
This Master’s Class is for advanced robotic and laparoscopic surgeons specializing in the treatment of endometriosis and fibroids. Leading practitioners in the fields of gynecology will discuss their experiences in the evaluation and management of these pathologies. Given the potential for involvement of nerves, blood vessels, intestinal tract, or urinary tract, and the various faces and behaviors of fibroids, surgery for endometriosis and fibroids can be very difficult. Minimally invasive surgical and non-surgical approaches will be presented.
Objectives:
At the conclusion of this course, participants will be able to 1) Understand the various pathologies related to endometriosis and fibroids 2) Learn what to anticipate during surgery and whether to refer the patient. 3) Learn a standard plan of attack for each anatomic problem 4) Assemble a multi-disciplinary surgical team 5) Analyze the role of different surgical and non-surgical minimally invasive techniques for the treatment of uterine fibroids and endometriosis.
FACULTY
Camran Nezhat, MD, Director
Arnold P. Advincula, MD, Co-Director
Farr Nezhat, MD, Co-Director
Harry Reich, MD, Co-Director
Masaaki Andou, MD, PhD
Mona Orady, MD
Master’s Class #6
ORReady Surgical Safety and Superior Outcomes (Jointly with the Association of periOperative Registered Nurses [AORN])
Half Day (12:30-4:00pm; 3.5 AMA PRA Category 1 CreditsTM)
ORReady is a worldwide, multispecialty initiative meant to encourage steps that are known to improve surgical outcomes and save lives. If the current guidelines such as Check Lists, Time Outs and Warm Ups are followed routinely, it is estimated that six million patients around the world could have better outcomes through error reduction. That's 2-3% of the approximately 250 million surgeries that are performed worldwide each year. This course is meant to improve awareness of safety and outcome issues and focus on how to implement systems that promote the penetration of these measures into the culture of the operating room environment and beyond. Validated warm-up procedures, introduction of empowering patients and referring physicians in the peri-operative process; and suggestions for better communication amongst the peri-operative team will be presented. Nurses, surgical technicians, surgical physician assistants, surgeons and administrators are all invited.
Objectives:
1) Describe the etiology of Operating Room Errors. Where does the error begin and time to discovery
2) What is the impact to the hospital, physician and patient of an error in the Operating Room?
3) Define the “Team Approach” to error management and prevention from patient admission to discharge.
FACULTY
James C. “Butch” Rosser, Jr., MD, Director
Annette Wasielewski, BSN, RN, CNOR, Co-Director
Jay A. Redan, MD, Co-Director
Donald W. Moorman, MD
Richard M. Vazquez, MD
Paul Alan Wetter, MD
Master’s Class #8
Mastery of Robotics in General Surgery (Joint Course: MIRA, SRS, SLS)
Half Day (12:30-4:00pm; 3.5 AMA PRA Category 1 CreditsTM)
Leading practitioners in the field of Abdominal Robotic Surgery will discuss the application of Robotics to Foregut Surgery, Pancreatic Surgery, Colorectal Surgery and Surgery for the Pelvic Floor. The techniques, advantages, risks, and disadvantages of Robotics will be discussed and debated. Attendees will gain an understanding of the indications and contraindications to the application of robotics; become familiar with facilitating instrumentation and technology and will understand the choreography and technical concepts of robotic surgery. Participants will also learn to judge whether robotics would be applicable to their individual surgical practices.
Objectives:
At the conclusion of this course, participants will understand the indications and contraindications to the application of robotics, be familiar with facilitating instrumentation and technology, and understand the choreography and technical concepts of robotic surgery. They will be familiar with the evolving technics in robotics, understand the potential risks and benefits, and be able to judge whether robotics would be applicable to their individual surgical practices.
FACULTY
Konstantinos Konstantinidis, Prof Dr Med, Director
Ivo A.M.J. Broeders, Prof Dr Med, Co-Director
Fabrizio Luca, MD, Co-Director
Anusak Yiengpruksawan, MD, Co-Director
