Details
All Hands-on Advanced Training Course in Endometriosis Excision Surgery
This 9 hr CME and MOC IV accredited all hands-on training course (each attendee having their own station) is focused on radical surgical skill development leveraging highest fidelity real tissue surgical simulation models, close supervised deliberate practice, and full surgeon engagement in highly realistic simulation.
Course Goals
In this one-day intensive hands-on endometriosis training course surgeons will develop the fundamental knowledge and skills necessary for performing radical peritonectomy, as well as excision of DIE from bowel, rectum, bladder, ureter and diaphragm. Wet labs allow for supervised deliberate practice on highest fidelity simulation modeling of stage 4 endometriosis.
Intended audience
Gynecologic surgeons desiring skill advancement in the surgical excisional treatment of Stages I-IV endometriosis. Course limited to 10 attendees.
Course Program
An excisional approach (not surface ablative) to the surgical treatment of endometriosis is increasingly recognized as standard of care. For both DIE and for superficial peritoneal disease, removal of it is curative.
The necessary laparoscopic skills for performing such radical excisional procedures are taught and practiced in this two day course: hemostasis, retroperitoneal dissection, radical excision of surperficial peritoneal disease as well as deeply invasive disease involving bowel, bladder and ureter with requisite defect repair and integrity testing. Other non-Gyn specific procedures including cystoscopic stent placement, bowel resection and re-anastomosis as well as transanal disc excision can be taught. Advanced skill in laparoscopic suturing requisite.
Instructor
Dr. Malcolm Mackenzie – Endometriosis Excision Surgeon
Course Schedule
Sunday, May 11, 2025
7:30 a.m.—8 a.m. Pre-course assessment of skills
8 a.m.–12 p.m. Hands-on skills development:
Review of geometric principles of laparoscopic suturing and knot-tying
Application of Electrosurgical energy to tissue dissection, ureterolysis
Cystoscopy and stent placement
Dry lab suturing, knot-tying with application to bladder, bowel and vaginal defect closure with integrity testing of rectum and bladder
12 p.m.–1 p.m. Lunchpail lecture: Why Excise? Changes in Paradigms
1 p.m.–5 p.m. Application of skills to Stage IV endometriosis. Wet lab Radical Excision of superficial peritoneal endometriosis. Wet Lab Excision of DIE of bladder, rectum, ureter, including shaving and disc excision .
Course Tuition: $1350