London 2010 Course Programme

Day 1 Day 2 Day 3 Day 4 Day 5

FRIDAY 16 JULY 2010
Pelvic Organ Prolapse Module
Moderator: Ami Shukla

INTRODUCTION TO ANTERIOR COMPARTMENT
8.30 am Film & PPT: Anatomy of cystocoele Reid
8.45 am Film & PPT: What does imaging add to pre-operative decision-making? Lander
9.10 am Embryologic planes for bloodless retroperitoneal pelvic dissection
Anterior compartment
Reid
9.30 amProtecting the ureter von Theobald
9.40 amDiscussion 
-- coffee --
DEFINITIVE CYSTOCOELE REPAIR
10.30 am Film & PPT: VPVR operative technique – Using the native fascia Zimmerman
11.00 am Film & PPT: VPVR operative technique – Using a biomesh bridging graft Reid
11.45 am Films – Operative Difficulties in the Anterior Compartment:
– Dissection into the bladder wall submucosa
– Exposing the ureter from below
– Pre-peritoneal removal of a TVT, for obturator pain
– Heavy bleeding at VPVR in a 32 yr old woman with procidentia

Reid
Reid
von Theobald
Reid
12.00 pm Discussion Panel
-- lunch --
SURGICAL FILMS OF ANTERIOR COMPARTMENT REPAIRS
1.30 pm Virtual “LIVE SURGERY” (2 ½ hr operation was edited down to 45 mins, cutting non-instructive footage but preserving all difficult segments):
Vaginal hysterectomy (for fibroids), vaginal paravaginal repair & vaginal sacrocolpopexy in a 46 yr old woman with antero-apical procidentia
Reid
2.15 pm Film: Bladder neck sling Lander
2.30 pm Film & PPT: A safe and effective technique for perineoplasty Reid
2.45 pm Discussion  
-- coffee --
SOME CONCLUDING THOUGHTS
3.30pm The importance of operating in the mid-pelvis Zimmerman
3.55pm Hysterectomy is not a prolapse operation Von Theobald
4.20pm Bleeding at pelvic surgery – Where did it come from and why did it happen? Reid
4.45pm Cystoscopy for the gynaecologist Lander
5.10pm Discussion  
-- adjourn --