Post Course Cadaver Lab 4 dicembre 2019

Dear friends, we invite you to join us at the “1st ISSA International, Hands-On Intensive Master in Basic and Advanced Laparoscopic Surgical Anatomy of the Female Pelvis and Techniques” in collaboration with the AGGL (Elevating Gynecologic Surgery). We are delighted to welcome you in the beautiful city of Verona, in the north-eastern part of Italy, lying on the borders of the beautiful Garda lake. Verona is one of the most outstanding cities in the world, with more of two thousand years of history. Considered as the city of love, it is the place where William Shakespeare set his masterpiece “Romeo and Juliet”. This little gem of a city of art and history shines for the presence of many beautiful ancient monuments and buildings, among which the Arena, a roman coliseum hosting a very famous summer Opera festival. The neck of the city is covered by a scarf of beautiful hills and valleys overcrowded by grapevine trees, defining the famous wine area called “Valpolicella”, producing some of the finest type of wines known all over the world, such as the Amarone, Ripasso, Valpolicella and Recioto. This four-days hands-on intensive course is addressed to pelvic surgeons interested in enjoying the cadaveric model to deepen their knowledge in surgical anatomy, which is traditionally the golden rule of the ISSA School. The course is designed for gynecologists, general surgeons, urologists and pelvic surgeons who perform basic, intermediate and difficult laparoscopic surgery. It will provide a step-by-step surgical approach to the pelvic viscera and to the different surgically-treatable diseases affecting them, with a particular focus on benign disease, deep infiltrating endometriosis and gynecologic malignancies. A common distortion and infiltration of the pelvic organs may be encountered not only in a gynecological cancer and deep infiltrating endometriosis, but also in simple procedures and the only safe way to restore anatomy and achieve radicality is to follow simple anatomical rules. Each day, live-surgery sessions will alternate with cadaveric hands-on dissections. Your “spectator” part of the course will be a sparkling mix of: theoretical presentations and keynote lectures brought by an international faculty of stakeholders and key-opinion leaders, keynote cadaveric dissections held by Dr. Marcello Ceccaroni and Dr. Shailesh Puntambekar, live-surgery broadcasted to the congress Venue from the “IRCCS Sacro Cuore Don Calabria Hospital” operating rooms and performed by Dr. Ceccaroni and Dr. Puntambekar and other Masters of surgery, together with their assistants with the help of a multi-disciplinary team. For the “live-surgery” sessions, which will be casted every morning, a large set of surgical operations for different pathologies will be shown, from the simple laparoscopic hysterectomy to the “Pune Technique” radical hysterectomy and the “Negrar Method” for eradication of deep infiltrating endometriosis with parametrial and rectal resection. Particular focus will be put on the correct employment of the nerve-sparing principles both, in oncologic and benign disease, and on the correct use of energy and techniques. In fact, all the dissection will be performed under the eye of a “neurogynecologic” approach. The theoretical lessons will firstly focus on anatomical principles and then on the single pathologies and their surgical treatment options with wide use of surgical movies. In addition, a room will be avaiable for pre-recorded and on-demand surgical videos and a permanent “Continuous Video Session”. The keynote cadaveric dissections will introduce and give you a “syllabus” for the following hands-on dissection, showing how to find out and dissect the pelvic spaces on these peculiar and very realistic specimens. Your “actor” part of the course, which will be performed with the help of the Faculty tutors, will provide a hands-on tutorial on cadaveric specimen, using laparoscopic instrumentation and 3D technology. Main learning objectives will be: to recognize the anatomical landmarks and major pelvic structures pertinent to gynecologic laparoscopy and retroperitoneal dissection, to apply laparoscopic surgical techniques to enter and expose the avascular spaces of the pelvis, parametrial ligaments, nerves and pelvic vascular system and their relations with the ureter and intraperitoneal structures, to illustrate the step-by step dissection of the pelvic viscera and pelvic-nerves related to the different gynecological procedures and nerve-sparing techniques for gynecologic cancers and endometriosis surgery. The last day of the course will provide a cadaveric hands-on masterclass on laparoscopic suturing techniques, introduced by theoretical lessons showing the basic principles of endoscopic suturing and knotting. A pelvic trainer session will follow where the candidates will be guided by the tutors in suturing simple (i.e. vaginal cuff, myometrial defect after myomectomy) and complex (i.e. vescical and ureteral resections and injuries, bowel injuries, vascular injuries) wounds on the cadaveric specimen. A social dinner in an ancient and fascinating venue will be offered to all of the participants in order to give a taste of the Italian food, history and lifestyle. We look forward to sharing this inspiring, memorable and highly educational artistic, musical, anatomical and surgical experience with you! We wait for you and remember: If you love someone bring them to Verona!

Marcello Ceccaroni Course Director ISSA President

Shailesh P. Puntambekar Course Director

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28 November - 29 November 2019

Educational needs and expected outcome

In the Endovascular Era is important that surgeons do not lose their familiarity with the surgical skill indispensable for dealing with complications that may arise during endovascular treatment, or for confronting hybrid procedures. The participants would benefit from the experience of expert tuition in aortic surgery in a very interactive and stimulating educational context.

Objectives

This specific vascular course aims at improving knowledge of anatomical access to the thoracic and abdominal aorta and its branches including anatomic laparotomic and laparoscopic dissections and practice on fresh cadavers, with the contribution of experts in this field of Vascular Surgery.

The course is open to Vascular and General Surgeons from around the world who have successfully completed their surgical training or are at an advanced level of training.

The official language is English.

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Questo corso avanzato è rivolto ai ginecologi interessati alla diagnosi ed al trattamento isteroscopico della patologia uterina benigna e maligna. Lo scopo di questo corso è quello di illustrare i differenti approcci isteroscopici alle patologie intrauterine e dei vantaggi derivanti dall’ausilio di nuovi strumenti mini-invasive nel trattamento delle stesse. Il corso inizierà con una prima sessione pratica sui trainer, la mattina e poi con una sessione pomeridiana teorica nella quale verranno discusse le varie metodiche di approccio isteroscopico e le varie strumentazioni oggi a disposizione dello specialista. La seconda giornata del corso prevede una “full-day live surgery”; i corsisti potranno assistere non solo a differenti interventi, ma potranno direttamente interagire dall’auditorio con gli operatori al fine di acquisire i dettagli tecnici e strumentali fondamentali alla realizzazione delle varie procedure. Nel pomeriggio ci sarà una nuova sessione pratica sui trainer. Particolare attenzione sarà rivolta alla valutazione delle indicazioni chirurgiche, delle tecniche utilizzate, delle basi anatomiche indispensabili per un trattamento ottimale, dei vantaggi derivanti dall’uso di sistemi tecnologici di nuova generazione in corso di chirurgia isteroscopica routinaria ed ad alta complessità.

Dott. Marcello Ceccaroni

direttore del corso

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Questo corso di una giornata, intensivo e altamente interattivo, è rivolto ai ginecologi chirurghi interessati ad approfondire le conoscenze, ottimizzare le strategie e migliorare le competenze legate all’esecuzione di interventi chirurgici laparoscopici con differenti livelli di complessità su pazienti ginecologiche affette dalle principali patologie pelviche (da malattie benigne, difetti di pavimento pelvico o patologie infiltranti come l’endometriosi severa o le neoplasie ginecologiche maligne). Saranno proposti approcci mini-invasivi e a radicalità modulata, così come verranno illustrati concetti anatomici finalizzati a conoscere e “dominare” il retroperitoneo e le strutture in esso contenute (visceri, organi, vasi, nervi, strutture linfatiche) al fine di migliorare la radicalità oncologica (parametrectomie, linfoadenectomie, ecc.), preservare le funzioni nervose pelviche post operatorie (tecniche nerve-sparing) e contenere, prevenire e gestire le complicanze intraoperatorie (lesioni vascolari, ureterali, intestinali, vescicali, nervose). Verrà proposto ai partecipanti un training personalizzato pratico (personalizzato sulle singole capacità ed aspettative) su preparati anatomici umani (cadaveri freschi) per poter effettuare dissezioni chirurgiche laparoscopiche per interventi pelvici radicali con supporto tecnologico ad alta definizione.

Dott. Marcello Ceccaroni

direttore del corso

Questo corso avanzato è rivolto ai ginecologi interessati trattamento chirurgico mini-invasivo dell'endometriosi. Lo scopo di questo corso è quello di illustrare i differenti approcci laparoscopici all'endometriosi super ficiale e profonda basandosi su principi anatomo-chirurgici dei vari compartimenti della pelvi. Il corso inizierà con una prima sessione chirurgica live in cui verranno eseguiti interventi di eradicazione di endometriosi profonda, seguita nel pomeriggio da una sessione teorica nella quale verranno discusse le varie metodiche di approccio laparoscopico all'endometriosi e, con l'ausilio di una video session, saranno illustrate le differenti strategie e tecniche chirurgiche. La seconda giornata del corso prevede una "full-day live surgery”, i corsisti potranno assistere non solo a differenti interventi, ma potranno direttamente interagire dall'auditorio con gli operatori al fine di acquisire i dettagli tecnici e strumentali fondamentali alla realizzazione delle varie procedure. Particolare attenzione sarà rivolta alla valutazione delle indicazioni chirurgiche, delle tecniche utilizzate, delle basi anatomiche indispensabili per un trattamento ottimale, dei vantaggi derivanti dall'uso di sistemi 3D e alta de finizione in corso di chirurgia ad alta complessità.

Dott. Marcello Ceccaroni

direttore del corso

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