THE FIRST ANNUAL ADVANCED HYSTEROSCOPIC SURGERY WORKSHOP

19th – 21st November, 2014 Birmingham City Hospital

The First Annual

Advanced Hysteroscopic Surgery Workshop Course Organiser: Mr Ayman Ewies, Consultant Gynaecologist, MBChB, MSc, FRCOG, MD

November 19th - 21st November, 2014

Post Graduate Centre Birmingham City Hospital

Dudley Road West Birmingham

B18 7QH

Course Description This is a two day workshop (with an optional third day) that features a comprehensive practical programme with hands-on experience under direct supervision of experienced Gynaecological Surgeons. Detailed videos of procedures and a high quality modern video link to live surgery will also give insight into the various advanced techniques and nuances of operative hysteroscopy, including transcervical resections. The main aim for the workshop is to achieve advanced level competency which equate to being able to perform endometrial ablation using resection technique. The course will also focus on the safety aspect of advanced hysteroscopic surgery. Delegates will also have the opportunity to discuss, debate and network.

Aimed at

Consultant Gynaecologists, SAS doctors and trainees wishing to enhance their operative hysteroscopic skills.

Trainees who have registered or plan to register for relevant ATSM.

Nurse Hysteroscopists and GPs with a special interest.

Learning Objectives

The techniques of trans-cervical resection of endometrium (TCRE), fibroids (TCRF) and polyps (TCRP) using bipolar technology

Morcellation (Myosure)

Second generation non-hysteroscopic endometrial ablation

Essure hysteroscopic sterilization

Innovative ambulatory hysteroscopic surgery

Benefits of Attending

Intensive hands-on practice/maximum laboratory time

High trainer-delegate ratio

Feedback and valuable tips on a one-to-one basis

Informal discussion and debate

Comprehensive learning material provided

Videos and live demonstrations of procedures

2

Course Faculty

1. Mr Ayman Ewies, Consultant Gynaecologist

2. Mr Joe Kabukoba, Consultant Gynaecologist

3. Miss Olufunmilola Ajibona, Consultant Obstetrician and Gynaecologist

4. Dr Zahid Khan, Specialty Trainee Registrar in Obstetrics and Gynaecology

5. Mr Jim Ng, Senior Theatre Manager

Theoretical Programme – ½ day of focused, didactic & interactive delivery of lectures

1. Introduction – Mr Ayman Ewies

I. Course Objectives

II. ATSM Training Requirements

2. The Modern Techniques of TCRE/TCRF/TCRP/TCRS - Mr Joe Kabukoba

I. Equipment and Distension Media for Operative Hysteroscopy

II. Use of Electro-Surgery

III. (Monopolar vs Bipolar)

IV. Pre-Operative Assessment, Patient Selection, Technique Selection and Endometrial Preparation

V. Resection of Endometrium, Fibroids, Polyps and Septae

3. Second Generation Ablation Techniques – Mr Richard Cartmill

I. NovaSure and Thermachoice Ablation

4. Hysteroscopic Sterilisation - Mr Stephen Burrell

I. Essure Procedure

5. Outpatient Operative Hysteroscopy - Miss Olufunmilola Ajibona

I. Setting up an Outpatient Hysteroscopic Service and Protocols

II. Analgesia and Anaesthesia

III. Versapoint and Myosure

IV. NovaSure and Thermachoice Ablation

6. Complications Associated with Hysteroscopic Surgery - Mrs Shagaf Bakour

I. Safe Use of Electro-Surgery (Monopolar vs Bipolar)

II. Safe Use of Second Generation Ablation

III. How to Minimise Risk

3

Practical Programme – Three x ½ days of comprehensive & intensive hands-on practice

1. HystSim Simulator Session on Hysteroscopic resection

2. MyoSure Simulator Session

3. Essure Simulator Session on hysteroscopic sterilisation

4. Olympus Wet Lab on Bipolar Resection using the Potato model

5. Ethicon Wet Lab on Bipolar Resection using prepared live cattle uteri

6. Ethicon Wet Lab on Versapoint Polypectomy using prepared pig bladder

Each delegate will have hands-on time dedicated to each practical session. These comprehensive

practical sessions will be small group based with emphasis on practical skills training covering essential

competencies of:

1. Equipment assembly

2. Camera and telescope orientation

3. Hand-eye coordination

4. Distension medium (saline and glycine)

5. Active / passive operative hysteroscopy

6. Safe use of electro-surgery

7. Troubleshooting

Optional 3rd day - Live Surgery Programme will include

1. TCRE/TCRF/TCRP

2. Novasure ablation

3. Thermachoice ablation

Each delegate will also have hands-on time dedicated to a BONUS practical session on second

generation ablation techniques led by industry leaders and experts in ablation.

4

Workshop Agenda - Day 1

0830 Registration

Breakfast provided for attendees

0900 Introduction

Course Objectives

ATSM Training Requirements

Mr Ayman Ewies

0930 The Modern Techniques of TCRE/TCRF/TCRP/TCRS

Equipment and Distension Media for Operative Hysteroscopy

Use of Electro-Surgery (Monopolar vs Bipolar)

Pre-Operative Assessment, Patient Selection, Technique Selection and Endometrial Preparation

Resection of Endometrium, Fibroids, Polyps and Septae

Mr Joe Kabukoba

1010 Second Generation Ablation Techniques

NovaSure and Thermachoice Ablation

Mr Richard Cartmill

1050 Coffee Break

Coffee provided for attendees

1110 Hysteroscopic Sterilisation

Essure Procedure

Mr Stephen Burrell

1150 Outpatient Operative Hysteroscopy

Setting up an Outpatient Hysteroscopic Service and Protocols

Analgesia and Anaesthesia

Versapoint and Myosure

NovaSure and Thermachoice Ablation

Miss Olufunmilola Ajibona

1225 Complications Associated with Hysteroscopic Surgery

Safe Use of Electro-Surgery (Monopolar vs Bipolar)

Safe Use of Second Generation Ablation

How to Minimise Risk

Mrs Shagaf Bakour

5

1300 Lunch Break

Lunch provided for attendees

1345 Practical Stations Session 1

MyoSure Simulator and NovaSure Demo

Essure Simulator

HystSim Simulator

Olympus Bipolar Resection on Potato

Blue Group

Yellow Group

Green Group

Red Group

1525 Coffee Break

Coffee provided for attendees

1545 Practical Stations Session 2

MyoSure Simulator and NovaSure Demo

Essure Simulator

HystSim Simulator

Olympus Bipolar Resection on Potato

Yellow Group

Blue Group

Red Group

Green Group

1725 Feedback Session

End of Day 1

6

Workshop Agenda - Day 2

0830 Registration

Breakfast provided for attendees

0900 Practical Stations Session 3

MyoSure Simulator and NovaSure Demo

Essure Simulator

VersaPoint Resection on Cattle Uteri

VersaPoint Polypectomy on Porcine Bladder and Thermachoice Demo

Red Group

Green Group

Yellow Group

Blue Group

1040 Coffee Break

Coffee provided for attendees

1100 Practical Stations Session 4

MyoSure Simulator and NovaSure Demo

Essure Simulator

VersaPoint Resection on Cattle Uteri

VersaPoint Polypectomy on Porcine Bladder and Thermachoice Demo

Green Group

Red Group

Blue Group

Yellow Group

1240 Lunch Break

Lunch provided for attendees

1340 Practical Stations Session 5

HystSim Simulator

Olympus Bipolar Resection on Potato

VersaPoint Resection on Cattle Uteri

VersaPoint Polypectomy on Porcine Bladder and Thermachoice Demo

Yellow Group

Blue Group

Green Group

Red Group

1520 Coffee Break

Coffee Provided for attendees

1540 Practical Stations Session 6

HystSim Simulator

Olympus Bipolar Resection on Potato

VersaPoint Resection on Cattle Uteri

VersaPoint Polypectomy on Porcine Bladder and Thermachoice Demo

Blue Group

Yellow Group

Red Group

Green Group

1720 Feedback Session

End of Day 2

7

The Gala Dinner

Rodizio Rico A unique culinary experience boasting authentic Brazilian cuisine in a beautiful waterside setting.

The Cube

Commercial Street

Birmingham

B1 1RS

7.30 PM

20th of November, 2014

The Gala Dinner is included in the price of the Course Fee, Beverages will be charged individually.

8

Workshop Agenda - Day 3 – Optional Day

0800 Registration

Coffee provided for attendees

0830 Live Surgery

TCRE/TCRF/TCRP

NovaSure and Thermachoice Ablation

Mr Ayman Ewies

1230 Feedback Session

Light Lunch provided for attendees

End of Day 3

9

Application Form

The First Annual

Advanced Hysteroscopic Surgery Workshop

November 19th - 21st November, 2014

Please complete using BLOCK CAPITALS

Full Name:

First Last

Address:

Street Address

City Post Code

Phone: eMail address:

Hospital:

Department:

Position:

Dietary Requirements:

Places limited to 15 candidates – please apply early

Places limited to 5 candidates for the optional 3rd day The course fee includes comprehensive course material, lunch, refreshments and course Gala dinner

Please make your cheque payable to ' SWBH '

Please return complete application form with the cheque to:

Mrs Debra Carr Post Graduate Centre

Birmingham City Hospital Dudley Road

West Birmingham B18 7QH

Tel: 0121 5074798 Fax: 0121 5234562 debracarr@nhs.net

Fee will not be refunded for a place that is cancelled after 1st of October 2014

Course Fee £400

(£450 if you wish to attend the optional 3rd day)

Our Key Sponsors include: