Gynesim MIGS Simulation Training in Excision of Stage 4 Endometriosis: Developing a Relationship with the Ureter
8 hours all Hands-On Training: (CME and ABOG MOC IV credits available)
2 hrs - performance and practice in laparoscopic suturing and knot tying with application to vaginal cuff closure.
2 hrs - performance of ureterolysis and dissection on Real Tissue Models.
1 hr - performance and practice in cystoscopy, ureteral stent placement laparoscopic suturing and knot tying with application to vaginal cuff closure on Real Tissue Models
3 hrs - performance of excision of DIE (deep infiltrating endometriosis) of bowel, bladder, and ureter with defect repair on Real Tissue Models.
Schedule
Thursday, May 22, 2025
8:00 am - 10:00 am
Hands on Dry Lab and Real Tissue Model Lab- Introduce and apply geometric fundamentals of laparoscopic suturing, knot-tying principles and mechanics. Skills will include needle introduction, needle handling and loading, manipulation and driving, suturing and intracorporeal knot-tying (flat knot) with and without needle. Ipsilateral approaches emphasized. Application of principles in the performance of cuff closure on dry simulation and Real Tissue Models.
10:00 am - 12:00 pm
Hands-on Real Tissue Model Lab: Mastery of skills – Review fundamentals of retroperitoneal dissection. Perform ureteral dissection and ureterolysis with excision of endometriosis including defect repair over stent.
12:00pm - 1:00pm
Lunchpail Lecture - Electrosurgical Energy: fundamental physics and concepts of safe energy application.
1:00pm - 5:00pm
Hands-on Dry Lab Simulation: Practice bowel and bladder defect repair.
Hands-on Real Tissue Model Lab: Finish ureterolysis and excision of endometriosis with defect repair. Perform excision of deeply infiltrative endometriosis of bowel and bladder and defect repair. Both cold and hot excision techniques will be demonstrated and practiced.
Faculty
(Kip) Malcolm W. Mackenzie, M.D. – Assistant Professor, Harvard Medical School
Course Highlights
Small group training focused on advanced laparoscopic manual skill development: straight stick instrument handling, proficiency in suturing and intracorporeal knot tying, safe and effective identification and dissection of the ureter, ureterolysis and stenting. Excision of bowel and bladder endometriosis with defect repair.
100% Active Hands-On! You will learn the technique by doing.
Biologic Tissue Surgical Simulation Models (Real Tissue Models™) - highly realistic practice on highest fidelity surgical simulation. Real physical representation of anatomy and pathology.
Course Format
The course is composed skills development in dry and wet labs. Each attendee works individually on their own box trainer and monitor screen. Precepting is accomplished through individual guidance as well as through projection of the preceptor's monitor.
