ISGE Basic Laparoscopy E-Learning Course

ISGE Basic Laparoscopy E-Learning Course

Categories: General

About Course

This course provides a theoretical foundation in laparoscopic surgery within the field of gynecology, specifically designed for residents and early-career gynecologic surgeons. It encompasses fundamental principles, surgical techniques, and procedural planning to establish a comprehensive understanding of minimally invasive surgical approaches.

The course begins with an in-depth review of pelvic and abdominal anatomy, followed by a detailed exploration of laparoscopic instrumentation, including optical systems, insufflation technology, and electrosurgical devices. Surgical planning is systematically addressed, with an emphasis on patient selection, preoperative preparation, and intraoperative strategy. The course further examines the principles of safe abdominal entry, comparing different access techniques, and the optimization of surgical field exposure to enhance visualization and operative precision.

Theoretical instruction in laparoscopic suturing is provided, with a particular focus on intracorporeal and extracorporeal knot-tying techniques. The curriculum includes step-by-step analysis of fundamental gynecologic laparoscopic procedures, such as diagnostic laparoscopy, elective and emergency adnexal surgeries and adhesiolysis. Complication management and preventive strategies are emphasized through comprehensive lectures supplemented by unique surgical videos demonstrating challenging intraoperative scenarios.

The course concludes with an introduction to robotic-assisted surgery, analyzing its expanding role in gynecologic procedures and the transition from conventional laparoscopy to robotic platforms.

By the end of the course, participants will have developed a thorough theoretical understanding of laparoscopic surgery, equipping them with the knowledge necessary to apply these principles effectively in clinical practice.

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Course Content

Anatomy of the pelvis
This topic provides a detailed theoretical overview of pelvic anatomy relevant to laparoscopic gynecologic surgery. It covers landmarks of abdominal wall, anatomy of pelvic organs, vascular and neural structures, as well as key anatomical spaces to enhance spatial orientation during minimally invasive procedures. A thorough understanding of these structures is essential for safe surgical navigation, complication prevention, and optimizing surgical outcomes.

  • Comprehensive Pelvic Anatomy for Gynecologic Surgery: Organs, Blood Supply, and Nerve Pathways
    30:21
  • Comprehensive Pelvic Anatomy for Gynecologic Surgery quiz
  • Pelvic Sidewall Surgical Anatomy: Key Landmarks for Safe Dissection in Gynecologic Surgery
    34:57
  • Pelvic Sidewall Surgical Anatomy quiz
  • Anatomy of pelvic vascular structure
    06:31
  • Anatomy of pelvic vascular structure quiz
  • Posterior Retroperitoneal Nerves Key Considerations in Pelvic Surgery
    07:10
  • Posterior Retroperitoneal Nerves quiz
  • Hypogastric Nerve and Plexus: Key Considerations in Pelvic Surgery
    07:05
  • Hypogastric Nerve and Plexus quiz
  • Pelvic Splanchnic Nerves: Anatomy, Surgical Relevance, and Functional Impact
    06:14
  • Pelvic Splanchnic Nerves quiz
  • Lymphatic Anatomy and Its Role in Gynecological Oncology: Surgical Implications and Advances
    17:36
  • Lymphatic Anatomy and Its Role in Gynecological Oncology quiz
  • Pelvic Floor Anatomy in Laparoscopic Surgery
    19:55
  • Pelvic Floor Anatomy in Laparoscopic Surgery quiz
  • Anatomy of the Anterior Abdominal Wall
    03:52
  • Anatomy of the Anterior Abdominal Wall quiz

Planning of laparoscopic surgery
This topic provides a comprehensive framework for preoperative preparation in laparoscopic gynecologic surgery. It covers essential aspects such as history taking, pathology mapping, and evaluation of previous surgical history to guide individualized surgical planning. Informed consent, including risk communication, is emphasized as a critical component of patient-centered care. The course also addresses the selection and optimization of laparoscopic equipment, principles of surgical ergonomics for efficiency and precision, and anesthesiological considerations to enhance perioperative safety. A structured perioperative workup ensures optimal patient readiness and minimizes intraoperative and postoperative risks.

Electrosurgery in Laparoscopy: Principles and Energy Modalities
This topic provides an in-depth theoretical understanding of electrosurgical principles and the various energy sources utilized in laparoscopic gynecologic surgery. It covers monopolar and bipolar electrosurgery, advanced energy devices such as ultrasonic and laser instruments, and their respective mechanisms of action, indications, and safety considerations. Emphasis is placed on optimizing energy application to achieve hemostasis and tissue dissection while minimizing thermal spread and the risk of complications. A thorough understanding of electrosurgical technologies is essential for enhancing surgical precision and patient safety in minimally invasive procedures.

Laparoscopic Entry: Techniques and Safety Considerations
This topic explores the fundamental principles and techniques of safe abdominal entry in laparoscopic gynecologic surgery. It covers the advantages, indications, and risks associated with different entry methods, including the closed (Veress needle) technique, open (Hasson) technique, and direct trocar insertion. Emphasis is placed on patient selection, anatomical considerations, and strategies to minimize complications such as vascular and visceral injuries. Understanding proper entry techniques is critical for ensuring a safe and controlled initiation of laparoscopic procedures.

Exposure in Laparoscopic Surgery: Techniques for Optimal Visualization and Access
This topic focuses on the principles of achieving and maintaining optimal exposure during laparoscopic gynecologic surgery. It covers patient positioning, trocar placement strategies, and the use of uterine manipulators, retractors, and suction devices to enhance visualization and facilitate tissue handling. Techniques for maintaining a stable pneumoperitoneum and minimizing obstruction from bowel or adipose tissue are also discussed. Proper exposure is crucial for improving surgical efficiency, reducing operative time, and minimizing the risk of complications.

Laparoscopic Suturing: Techniques, Materials, and Skill Development
This topic provides a theoretical foundation in laparoscopic suturing, covering needle types, suture materials, and the principles of intracorporeal and extracorporeal knot tying. It explores the biomechanics of laparoscopic suturing, including needle handling, angle optimization, and tension control to enhance precision and efficiency. Additionally, guidance is provided on constructing a cost-effective pelvic trainer for independent skill development, allowing surgeons to practice suturing techniques outside the operating room. Mastery of laparoscopic suturing is essential for performing advanced gynecologic procedures with confidence and safety.

Basic Laparoscopic Surgeries in Gynecology
This topic provides a theoretical overview of fundamental laparoscopic procedures commonly performed in gynecologic surgery. It includes diagnostic laparoscopy, adhesiolysis, elective and emergency adnexal surgeries covering their indications, surgical steps, and potential complications. Emphasis is placed on procedural planning, instrument selection, and safe tissue handling techniques to optimize surgical outcomes. A solid understanding of these basic procedures forms the foundation for advancing to more complex laparoscopic gynecologic surgeries.

Complications in Laparoscopic Surgery: Prevention, Recognition, and Management
This topic provides a comprehensive overview of complications associated with laparoscopic gynecologic surgery, focusing on their prevention, early recognition, and management. It covers entry-related injuries, such as vascular and visceral trauma, complications related to electrosurgery, and postoperative concerns, including infections, thromboembolic events, and port-site hernias. Strategies for intraoperative troubleshooting, conversion to laparotomy when necessary, and best practices for minimizing patient morbidity are discussed. A thorough understanding of complications is essential for improving surgical safety and patient outcomes in minimally invasive gynecologic procedures.

Robotic Gynecologic Surgery: Fundamentals and Applications
This topic introduces the basic principles of robotic-assisted surgery in gynecology, highlighting its advantages, limitations, and expanding role in minimally invasive procedures. It covers the technological components of robotic systems, including instrumentation, console operation, and surgeon ergonomics. Key applications in gynecologic surgery, such as hysterectomy, myomectomy, and endometriosis excision, are discussed, along with patient selection criteria and procedural considerations. A comparison between conventional laparoscopy and robotic-assisted techniques provides insight into the integration of robotics into modern gynecologic surgical practice.

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