Course Description: This comprehensive hands-on Gynecologic Minimally Invasive Surgery Course is designed to provide an in-depth experience in Gynecologic Laparoscopic Surgical skills and techniques. Participants will have the choice of selecting the educational track (Benign or Oncology) that advances their laparoscopic skills and knowledge to support their gynecologic practice. The course features; laparoscopic suturing techniques, gynecologic procedure reviews, discussions, hands-on dry and laparoscopic cadaveric dissection laboratories. During the hands-on laboratory experiences, the instructors will demonstrate the surgical technique and then guide the attendees as they repeat the surgical technique at their laboratory stations. Benign Gynecology Track Overview: This hands-on cadaveric Gynecologic minimally invasive surgery course focuses on benign gynecologic procedures and laparoscopic skill development. The aim of this Course is to enable the participant to perform minimally invasive dissection of gynecologic anatomic structures, to recognize the important anatomic landmarks, and to have an overall topographic knowledge of the pelvic anatomy as it relates to benign gynecologic surgery. Objectives: 1. Describe the pelvic anatomy and appropriate anatomical landmarks as it relates to benign Gynecologic Minimally Invasive Surgery. 2. Identify the retroperitoneal anatomy of the ureter, vessels, and nerves. 3. Apply the appropriate surgical technique and approach utilized in benign Gynecologic Minimally Invasive Surgery. 4. Develop the psychomotor skills needed to efficiently perform laparoscopic suturing and knot tying. 5. Describe both the intraoperative & postoperative complications associated with advanced pelvic surgery. Faculty: Dr. William Kondo (Coordinator) Dra. Christine Fujimoto Dr. Monica Tessmann Zomer Kondo (Coordinator) Dra. Claudia Lima Rocha Prof. Armando Romeo (Coordinator) Dr. Rodrigo Fernandez Dr. Fabio Roberto Fin Dr. Guilherme Karam Correa Leite Dr. Gil Kamergorodsky Dr. Ramiro Cabera Carranco Special Guest Faculty Member: Dr. Marco Antonio Bassi Colorectal Surgical Specialist Cost: Session 1: 08-10 March 2020 Session 2: 11-13 March 2020 Session 1 & 2 (Early Bird) $3,300 USD Deadline 30 November 2019 (2 Participants per Cadaver) Session 1 & 2 (Early Bird) $2,500 USD Deadline 30 November 2019 (3 Participants per Cadaver) Session 1 & 2 $3,700 USD Deadline 01 February 2020 (2 Participants per Cadaver) Session 1 & 2 $2,900 USD Deadline 01 February 2020 Agenda: Option 1: Laparoscopic Skill Focus Option 2: Anatomical Focus Laparoscopic Benign Gynecology Agenda Option 1 Session 1 D A Y # 1 - SUNDAY 08 MARCH 2020 08:00-08:30 Reception & Breakfast 08:30-09:00 Opening Remarks 09:00-10:00 Theory: Knot Tying Technique 10:00-12:30 Practical Application of Knot Tying Technique 12:30-13:30 Lunch 13:30-14:30 Theory: Loading the Needle & Suturing 14:30-17:00 Practical Application of Laparoscopic Suturing Technique 17:00-18:00 Video Session: Demonstration of Suturing Exercises in a Cadaveric Model 18:00-18:10 End of Session D A Y # 2 - MONDAY 09 MARCH 2020 08:00-08:30 Breakfast 08:30-09:00 Abdominal Wall Anatomy Applied to Laparoscopic Surgery 09:00-09:30 Avascular Spaces in Laparoscopic Surgery 09:30-10:00 Vascular Anatomy & Pelvic Innervation 10:00-10:30 Pelvic Floor Anatomy 10:30-11:00 Anatomy of the Gastrointestinal Tract & Diaphragm 11:00-11:30 Urinary Tract Anatomy 11:30-12:00 Questions 12:00-12:30 Video Review: Step-by-Step Cadaveric Dissection 12:30-13:30 Lunch Laboratory: Cadaveric Dissection • Inspection & Adhesyolisis • Dissection of the Ureter 13:30-17:00 • Identification of the Hypogastric Nerve • Excision of the Ovarian Fossa Peritoneum • Dissection of Obturator Fossa • Opening the Sacrospinal Ligament & Identification of the Pudendal Nerve 17:00-17:10 End of Session D A Y # 3 - TUESDAY 10 MARCH 2020 08:00-08:30 Breakfast 08:30-09:00 Video Review: Step-by-Step Cadaveric Dissection Laboratory: Cadaveric Dissection • Dissection of the Retrorectal Space & Presacral Space • Opening the Presacral Fascia & Hypogastric Fascia 09:00-12:30 • Dissection of the Rectovaginal Space • Dissection of the Pararectal Fossa & Identification of Puborectal Muscles • Mobilization of Bladder & Opening of the Retzius Space 12:30-13:30 Lunch Laboratory: Application of Suturing Techniques on Cadaveric Model • Opening & Closure of the Bladder • Uretero-uretero Anastomosis • Laparoscopic Burch 13:30-17:00 • Laparoscopic Promontofixation • Rectal Shaving • Discoid Resection • Segmental Bowel Resection 17:00-17:10 End of Course Laparoscopic Benign Gynecology Agenda Option 2 Session 1 D A Y # 1 - SUNDAY 08:00-08:30 Reception & Breakfast 08:30-09:00 Opening Remarks Video Review: Surgical Technique • Pelvic Floor 09:00-11:00 • Deep Endometriosis in the Anterior Compartment • Deep Endometriosis in the Posterior Compartment • Gynecology Oncology 11:00-12:30 Anatomical Landmarks in Advanced Pelvic Surgery 12:30-13:30 Lunch 13:30-15:30 Intraoperative Complications in Laparoscopic Surgery • Urological • Intestinal • Vascular Postoperative Complications in Laparoscopic Surgery • Urological 15:30-17:00 • Intestinal • Vascular 17:00-18:00 Video Session: Demonstration of Suturing Exercises in a Cadaveric Model 18:00-18:10 End of Session D A Y # 2 - MONDAY 08:00-08:30 Breakfast 08:30-09:00 Abdominal Wall Anatomy Applied to Laparoscopic Surgery 09:00-09:30 Avascular Spaces in Laparoscopic Surgery 09:30-10:00 Vascular Anatomy & Pelvic Innervation 10:00-10:30 Pelvic Floor Anatomy 10:30-11:00 Anatomy of the Gastrointestinal Tract & Diaphragm 11:00-11:30 Urinary Tract Anatomy 11:30-12:00 Questions 12:00-12:30 Video Review: Step-by-Step Cadaveric Dissection 12:30-13:30 Lunch Laboratory: Cadaveric Dissection • Inspection & Adhesyolisis • Dissection of the Ureter 13:30-17:00 • Identification of the Hypogastric Nerve • Excision of the Ovarian Fossa Peritoneum • Dissection of Obturator Fossa • Opening the Sacrospinal Ligament & Identification of the Pudendal Nerve 17:00-17:10 End of Session D A Y # 3 - TUESDAY 08:00-08:30 Breakfast 08:30-09:00 Video Review: Step-by-Step Cadaveric Dissection Laboratory: Cadaveric Dissection • Dissection of the Retrorectal Space & Presacral Space • Opening the Presacral Fascia & Hypogastric Fascia 09:00-12:30 • Dissection of the Rectovaginal Space • Dissection of the Pararectal Fossa & Identification of Puborectal Muscles • Mobilization of Bladder & Opening of the Retzius Space 12:30-13:30 Lunch Laboratory: Application of Suturing Techniques on Cadaveric Model • Opening & Closure of the Bladder • Uretero-uretero Anastomosis • Laparoscopic Burch 13:30-17:00 • Laparoscopic Promontofixation • Rectal Shaving • Discoid Resection • Segmental Bowel Resection 17:00-17:10 End of Course Laparoscopic Benign Gynecology Agenda Option 1 Session 2 D A Y # 1 - WEDNESDAY 11 MARCH 2020 08:00-08:30 Reception & Breakfast 08:30-09:00 Opening Remarks 09:00-10:00 Theory: Knot Tying Technique 10:00-12:30 Practical Application of Knot Tying Technique 12:30-13:30 Lunch 13:30-14:30 Theory: Loading the Needle & Suturing 14:30-17:00 Practical Application of Laparoscopic Suturing Technique 17:00-18:00 Video Session: Demonstration of Suturing Exercises in a Cadaveric Model 18:00-18:10 End of Session D A Y # 2 - THURSDAY 12 MARCH 2020 08:00-08:30 Breakfast 08:30-09:00 Abdominal Wall Anatomy Applied to Laparoscopic Surgery 09:00-09:30 Avascular Spaces in Laparoscopic Surgery 09:30-10:00 Vascular Anatomy & Pelvic Innervation 10:00-10:30 Pelvic Floor Anatomy 10:30-11:00 Anatomy of the Gastrointestinal Tract & Diaphragm 11:00-11:30 Urinary Tract Anatomy 11:30-12:00 Questions 12:00-12:30 Video Review: Step-by-Step Cadaveric Dissection 12:30-13:30 Lunch Laboratory: Cadaveric Dissection • Inspection & Adhesyolisis • Dissection of the Ureter 13:30-17:00 • Identification of the Hypogastric Nerve • Excision of the Ovarian Fossa Peritoneum • Dissection of Obturator Fossa • Opening the Sacrospinal Ligament & Identification of the Pudendal Nerve 17:00-17:10 End of Session D A Y # 3 - FRIDAY 13 MARCH 2020 08:00-08:30 Breakfast 08:30-09:00 Video Review: Step-by-Step Cadaveric Dissection Laboratory: Cadaveric Dissection • Dissection of the Retrorectal Space & Presacral Space • Opening the Presacral Fascia & Hypogastric Fascia 09:00-12:30 • Dissection of the Rectovaginal Space • Dissection of the Pararectal Fossa & Identification of Puborectal Muscles • Mobilization of Bladder & Opening of the Retzius Space 12:30-13:30 Lunch Laboratory: Application of Suturing Techniques on Cadaveric Model • Opening & Closure of the Bladder • Uretero-uretero Anastomosis • Laparoscopic Burch 13:30-17:00 • Laparoscopic Promontofixation • Rectal Shaving • Discoid Resection • Segmental Bowel Resection 17:00-17:10 End of Course Laparoscopic Benign Gynecology Agenda Option 2 Session 2 D A Y # 1 - WEDNESDAY 11 MARCH 2020 08:00-08:30 Reception & Breakfast 08:30-09:00 Opening Remarks Video Review: Surgical Technique • Pelvic Floor 09:00-11:00 • Deep Endometriosis in the Anterior Compartment • Deep Endometriosis in the Posterior Compartment • Gynecology Oncology 11:00-12:30 Anatomical Landmarks in Advanced Pelvic Surgery 12:30-13:30 Lunch Intraoperative Complications in Laparoscopic Surgery • Urological 13:30-15:30 • Intestinal • Vascular Postoperative Complications in Laparoscopic Surgery • Urological 15:30-17:00 • Intestinal • Vascular 17:00-18:00 Video Session: Demonstration of Suturing Exercises in a Cadaveric Model 18:00-18:10 End of Session D A Y # 2 - THURSDAY 12 MARCH 2020 08:00-08:30