London 2010 Course Programme
MONDAY 12 JULY 2010
Vaginal Hysterectomy Module
Moderator: Alistair Duncan
| IMPORTANT BASIC PRINCIPLES | ||
|---|---|---|
| 8.00 am | Introduction | Reid & Zimmerman |
| 8.15 am | Vaginal hysterectomy - Conceptualizing the essential steps | Reid |
| 8.40 am | Vaginal hysterectomy for non-descending uteri – Not harder, but different | Lander |
| 9.05 am | Vaginal hysterectomy with Ligasure® – A facile 'sutureless' method for pedicle control | Zimmerman |
| 9.20 am | Vaginal Hysterectomy film – Essential steps to facilitate the operation | Reid |
| 9.40 am | Vaginal Hysterectomy film – Sutureless vaginal hysterectomy in a virginal patient | Zimmerman |
| -- coffee -- | ||
| IMPORTANT BASIC PRINCIPLES | ||
| 10.30 am | Reductive techniques for trans-vaginal removal of a large and/or non-descending uterus | Zimmerman |
| 11.00 am | Adnexal removal at vaginal hysterectomy is almost always possible | Zimmerman |
| 11.20 am | Vaginal Hysterectomy films – The non-descending uterus – Uterine reductive techniques – Adnexal removal from below |
Reid von Theobald Zimmerman |
| 12.00 pm | Discussion | Panel |
| -- lunch -- | ||
| DEALING WITH INTRA-OPERATIVE DIFFICULTIES | ||
| 1.30 pm | Patient positioning & Maximizing exposure | Reid |
| 1.45 pm | Entering the anterior cul de sac | Zimmerman |
| 2.00 pm | Previous Caesarian section | Lander |
| 2.15 pm | Anatomy of the transverse & ascending ureter | Lander |
| 2.30 pm | Identifying the ureter from below | Zimmerman |
| 2.45 pm | Dealing with bladder lacerations | Lander |
| 3.00 pm | Discussion | |
| -- coffee -- | ||
| DEALING WITH INTRA-OPERATIVE DIFFICULTIES | ||
| 4.00 pm | Entering the Pouch of Douglas | Lander |
| 4.15 pm | Dealing with rectal perforations | von Theobald |
| 4.30 pm | Controlling a persistent ooze | Reid |
| 4.45 pm | Reclaiming a dropped ovarian or infundibulo-pelvic ligament pedicle | Zimmerman |
| 5.00 pm | Converting to abdominal hysterectomy | Zimmerman |
| 5.15 pm | Discussion (45 minutes) | Panel |