46th Annual Scientific Meeting

20/20 Vision
Embracing innovation that builds on past success

July 9 - 12, 2020 | Virtual

PG Course 1
Sunday, July 12, 2020 | 3:00 pm - 7:00 pm ET

Total Laparoscopic Hysterectomy: Pushing the Envelope 
Course Director: Cara King, DO
Course Faculty:
Sara Cohen, MD, Ted Lee, MD, Linda Yang, MD

Course Description:
This course will provide a comprehensive overview of how to perform a total laparoscopic hysterectomy in the setting of complex anatomy. A methodical and reproducible approach will be described utilizing both didactics and video review. Participants will be taught surgical technique for safe peritoneal entry and port placement in the morbidly obese population. Specific attention will be devoted to pelvic anatomy including identification of the ureter, uterine artery at its origin, and hypogastric nerves for safe hysterectomy execution with avoidance of complications with large fibroids and advanced endometriosis. These dissection principles and crucial anatomic relationships can be applied to all modalities of pelvic surgery. Various methods of tissue extraction will also be reviewed for safe case completion. Furthermore, opportunity will be offered for individual case review to assist with personalized coaching for the participants. 

Course Objectives: 
At the conclusion of this activity, the participant should be able to:

  1. Safely obtain peritoneal entry and strategically place accessory ports in the morbidly obese population
  2. Understand retroperitoneal anatomy for identification of key structures to enable safe laparoscopic hysterectomy execution and minimize complicationS
  3. Understand multiple approaches for dissection of a severely scarred bladder flap 4) Apply safe and efficient tissue extraction techniques for removal of large pathology

Click HERE for Agenda

Course Agenda:

3:00 pm – 3:05 pm Introduction 

3:05 pm – 3:30 pm Positioning and Peritoneal Entry in Obese Population 

3:30 pm – 3:55 pm Conquering Retroperitoneal Anatomy

3:55 pm – 4:15 pm Efficient Dissection of the Scarred Bladder Flap

4:15 pm – 4:40 pm Surgical Tips for the Extremely Large Uterus (>1000gm)

4:40 pm – 5:00 pm Questions/Answers/Break 

5:00 pm – 5:25 pm Navigating Lower Uterine Segment and Cervical Fibroids

5:25 pm – 5:50 pm Dissection Techniques for Concurrent Endometriosis

5:50 pm – 6:15 pm Safe and Efficient Tissue Extraction

6:15 pm – 6:40 pm Challenging Case Review (participants may bring own videos to discuss/review with surgical coaching option)

6:40 pm – 7:00 pm Questions/Answers