December 14 - 16, 2017

The Cosmopolitan of Las Vegas

(Pre-conference Workshops, December 13, 2017)
 

Register by Sept. 29 to Save up to $690!

Workshops

Pre-Conference Workshops

PAGS will offer optional (extra fee required) hands-on workshops on December 13, 2017.
PAGS Hands-on Workshops are open to PAGS attendees only. Space is limited, so we encourage you to register as soon as possible.

Click here for TISSUE EXTRACTION TECHNIQUES WORKSHOP NEW!

Click here for HANDS-ON HYSTEROSCOPY WORKSHOP

Click here for HANDS-ON LAPAROSCOPIC SUTURING WORKSHOP – THE "VERTICAL ZONE" (SIMULATION LAB)

Click here for HANDS-ON ULTRASOUND WORKSHOP

Click here for HANDS-ON TECHNICAL ASPECTS OF VAGINAL HYSTERECTOMY

 

TISSUE EXTRACTION TECHNIQUES WORKSHOP NEW!

4 CME Credits Available
Wednesday, December 13, 2017, 8:30 am - 12:30 pm, The Cosmopolitan of Las Vegas

Director: Rosanne M. Kho, MD
Faculty: Andrew I. Brill, MD: Tommaso Falcone, MD; Keith B. Isaacson, MD

The objective of this workshop is to provide both didactic information and hands on experience using simulation models for tissue extraction at the time of laparoscopic surgery. General principles of safety concerns with the use of morcellation and electromechanical devices in particular will be reviewed. Techniques for morcellation that will be covered include vaginal and mini-laparotomy techniques in a contained and uncontained setting. Simulation using trainers will allow the participant to practice these techniques.

At the end of this 4-hour hands-on workshop, participants will be able to:

  • Demonstrate safe techniques using new power morcellators in a containment system
  • Learn efficient and safe alternatives to power morcellation such as manual morcellation through the vaginal and the mini-laparotomy routes.

Program:

8:30

Welcome.  Introduction   

Rosanne Kho, MD

8:40 – 9:00 am

Tissue Morcellation: What’s the Issue?              
(Aftermath of FDA Statement on Power Morcellation,
Vaginal Tissue Extraction technique)

Rosanne Kho, MD

9:00 – 9:30 am

Principles and Technique to Tissue Morcellation after TLH of Large Uterus                            

Andrew Brill, MD

9:30 - 10:00 am

Techniques to Fibroid Morcellation              

Keith Isaacson, MD

10:00 – 10:15 am

Q and A

10:15 – 10:30 am

Break

10:30 am

Workshop
Stations:
-    Placement of large specimen into containment bags
-    Power morcellation        
-    Tissue extraction – mini-lap
-    Tissue extraction – vaginal route (Inverted C technique)
-    Tissue extraction – vaginal route (Coring/wedge Technique)

12:15 pm

Wrap-up. Q and A.  Prize for longest intact specimen

12:30 pm  

Adjourn

 

HANDS-ON LAPAROSCOPIC SUTURING WORKSHOP – THE “VERTICAL ZONE” (SIMULATION LAB)

4.0 CME Credits Available
Wednesday, December 13, 2017, 8:30 a.m. - 12:30 p.m., The Cosmopolitan of Las Vegas

Director: Charles H. Koh, MD

Proficiency in suturing is mandatory in performing advanced operative laparoscopy. The progressive algorithm for laparoscopic suturing as described in the "Vertical Zone" has been taught and tested over many years in national and international courses. This course includes a pre-test and post-test followed by instruction in a controlled setting. Previous results have shown that over 90% of the participants who attend this course achieve tying an intracorporeal knot in less than 3 minutes.

There is strong validity with using the technique described, as the relative hand positions and movements are immediately transferable from the trainer to the operating room. Algorithms from standing on the right and left side of the patient will be taught, with progression from simple interrupted to continuous and cinch knots.

This course equips attendees with improved suturing skills which can be applied in gynecologic surgery. Procedures requiring suturing will be described in videos and related to the drills performed. These include TLH vault closure, colposuspension, sacrocolpopexy, Burch, myomectomy, bowel, bladder, ureteral repair in endometrosis surgery and complications.

Learning Objectives:

At the conclusion of this course, the clinician will be able to:

  1. Explain the ergonomics, theory, and rationale for reproducible laparoscopic suturing
  2. Apply the skills learned relevant to gynecologic surgery
  3. Apply skills acquired to management of bowel, bladder, and ureteral complications by appropriate suture repair
  4. Demonstrate measurable improvement in laparoscopic suturing skills.

Agenda:

8:30 – 8:35 am

Welcome, Introductions and Course Overview

8:35 – 9:00 am

Pre Test (3 minutes)

9:00 – 9:15 am

Managing Needles, Suture, “Smiley” Knotting

9:15 – 10:15 am

LAB I: Drills, Intracorporeal Suturing with “Smiley” Needle Technique

10:15 – 10:25 am

Questions & Answers

10:25 – 10:40 am

Break

10:40 – 11:00 am

Expert Knotting, Continuous Suturing and Cinch Knot

11:00 – 12:00 pm

LAB II: Expert Knotting, Continuous and Cinch

12:00 – 12:20 pm

Post Test: Intracorporeal Knot Tying (3 minutes)

12:20 – 12:30 pm

Questions & Answers

 

HANDS-ON HYSTEROSCOPY WORKSHOP

4 CME Credits Available
Wednesday, December 13, 2017, 1:30 pm - 5:30 p.m, The Cosmopolitan of Las Vegas

Director: Andrew I. Brill, MD
Faculty: Linda Bradley, MD, Tommaso Falcone, MD and Keith B. Isaacson, MD

The course will include didactic and hands-on training with expert faculty and the use of state-of-the-art virtual reality surgical simulators, inanimate-working models and advanced hysteroscopic instrumentation. Small faculty to participant ratio insures that each surgeon will get personal instruction, practice time, and real-time assessment of hysteroscopic skills including:

  1. Office diagnostic and operative hysteroscopy using flexible and rigid hysteroscopes
  2. Transcervical tubal occlusion
  3. Resectoscopic hysteroscopy using bipolar electrosurgical instruments
  4. Intrauterine tissue removal systems
  5. Fluid management system utilization

Agenda:

 

Introduction / Andrew I. Brill, MD

 

Diagnostic Office Hysteroscopy / Linda D. Bradley, MD

 

Office Operative Hysteroscopic Procedures / Keith K. Isaacson, MD

 

Resectoscopic Surgery and Tissue Removal / Andrew I. Brill, MD

 

Essentials of Hysteroscopic Sterilization / Linda D. Bradley, MD

 

BREAK

 

Lab Introduction / Andrew I. Brill, MD

 

Hands – On Hysteroscopy Lab

 

HANDS-ON ULTRASOUND WORKSHOP

4.0 CME Credits Available
Wednesday, December 13, 2017, 1:30 p.m. - 5:30 p.m., The Cosmopolitan of Las Vegas

Director: James M. Shwayder, MD, JD
Faculty: William W. Brown, III, MD Todd Deutch, MD and Tommaso Falcone, MD

Gynecologic and REI ultrasound at your fingertips!

During this half day course, leading experts in gynecologic ultrasound will provide a combination of lectures and hands-on training to assist you in state of the art 2D and 3D ultrasound scanning. This course will focus on common and advanced gynecologic problems, basic infertility, and early pregnancy from an ultrasound perspective. Diagnostic pearls and case based scenarios will be included. Participants will have hands-on experience with downloaded ultrasound cases for manipulation using 3D technology.

Learning objectives:

At the end of this program, the participant will be able to use ultrasound to:

  1. Classify ovarian masses into risk categories and determine type of follow up needed
  2. Differentiate fibroids, adenomyosis, and polyps as well as successful surgical approaches
  3. Enhancing your assessment of patients with urogynecologic symptoms
  4. Differentiate early pregnancy and ectopics
  5. Identify the cornual view 3D ultrasound of the uterus and its pathologies

Agenda:

1:30 – 2:00 pm

Ovarian masses: Refining your Management / James M. Shwayder, MD, JD

2:00 – 2:30 pm

Abnormal uterine bleeding: Effective Use of Ultrasound / William W. Brown, III, MD, FACOG, FAIUM

2:30 – 3:00 pm

3D in Evaluating Uterine Anomalies / Todd Deutch, MD

3:00 – 3:15 pm

Break

3:15 – 3:45 pm

Early Pregnancy Evaluation and Ectopic Pregnancy / William W. Brown, III, MD, FACOG, FAIUM

3:45 – 4:15 pm

Enhancing Your Assessment of Pelvic Floor Disorders / James M. Shwayder, MD, JD

4:15 – 5:30 pm

Ultrasound Uses: Hands-on Simulation / Todd Deutch, MD

 

HANDS-ON TECHNICAL ASPECTS OF VAGINAL HYSTERECTOMY & CYSTOURETHROSCOPY FOR THE GYNECOLOGIST

4.0 CME Credits Available
Wednesday, December 13, 2017, 1:30 p.m. - 5:30 p.m., The Cosmopolitan of Las Vegas

Director: Mickey Karram, MD
Faculty: Rosanne M. Kho, MD, and Doug Miyazaki, MD

This workshop is intended to improve your surgical skills in performing vaginal hysterectomy and diagnostic and operative cystourethroscopy.

Surgical videos as well as unique hands on models will be used to teach the technical aspects performing simple and difficult vaginal hysterectomy.

Hands-on cystourethroscopy will be taught using porcine bladders.

Course Objectives:

  1. Teach a step by step approach to simple and complicated vaginal hysterectomy with the utilization of extensive video footage as well as the Miya Model
  2. Review the surgical anatomy required to perform Synthetic Mid-urethral slings, utilize extensive video footage to demonstrate the techniques of Synthetic Mid-urethral slings and utilize a variety of models to actually perform Synthetic Mid-urethral slings
  3. Discuss indications and techniques for cystourethroscopy, review a variety of pathologic conditions that the gynecologist may encounter when performing cystourethroscopy, and participate in a hands-on cystoscopy lab.

Agenda:

1:30 – 1:45 pm

Introduction Welcome and Review of Objectives

1:45 – 2:15 pm

Indications for Vaginal Hysterectomy, Including a Review of Current Surgical Trends in the United States

2:15 – 2:45 pm

Surgical Videofest: Step – by-step Approach to Simple and Difficult Vaginal Hysterectomy

2:45 – 3:15 pm

Anatomy Indications and Techniques of Synthetic Mid – Urethral Slings

3:15 – 3:45 pm

Cystourethroscopy for the Gynecologist

3:45 – 5:30 pm

Hands-on Workshop on Cystourethroscopy, Vaginal Hysterectomy and Synthetic Mid-Urethral Slings

 
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