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COVIDIEN

The Nottingham Total Laparoscopic Hysterectomy Masterclass Utilising Cadaveric and Clinical Immersion

Training Model

The Post Graduate Centre Nottingham University Hospital

Department of Gynaecological Oncology City Hospital Campus

Nottingham

Course Director: Mr Jaf Abu

Consultant Gynaecological Surgeon and Oncologist Course overview This is a two-day course aimed at the consultant gynaecological oncologist or general gynaecologist interested in being able to perform total laparoscopic hysterectomy (TLH), laparoscopic pelvic lymphadenectomy and laparoscopic omentectomy. Delegates will also be showed various tips and tricks plus TLH for the morbidly obese women. Day 1: Lectures, video presentations, practical training for TLH in the cadaver (delegates performing procedure), equipment demonstrations and laparoscopic intra-corporeal suture workshop. Day 2: In-theatre training, during which delegates will be physically present in the theatre, watch live procedures and learn theatre set up for TLH. This will be as interactive as possible. The aim of the course: By the end of the course, delegates should be competent to independently perform total laparoscopic hysterectomy as well as able to close the vaginal vault laparoscopically. Delegates are advised to book TLH cases at their base hospitals prior to attending the course. This way they can immediately carry out TLH upon their return whilst still fresh from attending the course. Delegates will also be showed pelvic sidewall dissection, mobilising the ureters, pelvic lymphadenectomy and laparoscopic omentectomy. Various tips and tricks will be taught including TLH in the morbidly obese patients with endometrial cancer diagnosis, fibroids and previous abdominal surgeries (including previous caesarean sections). Efforts will be made to select a variety of cases for the course although this may also be influenced by the surgical needs at the time. Programme outline

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Day 1

08.00 – 08.30 Arrival of delegates/faculty members, Clinical Skills Training Centre, Post Graduate Education Centre, City Campus, NUH

Registration, Tea and Coffee

08.30 – 08.45 Welcome and Introduction – Jaf Abu 08.45 – 09.30 TLH technique and indications TLH in the surgical management of endometrial cancer –

Jaf Abu 09.30 – 09.45 Benign indications – Shilpa Deb

09.45 – 10.10 TLH: Audit – The Nottingham Experience Amudha Thangavelu 10.10 – 10.30 Writing a business Plan for TLH – David Nunns 10.30 – 10.45 Tea/coffee break 10.45 – 11.00 Electrosurgery – Colin Simpson (Covidien) 11.00 – 12.00 Video presentations, tips and tricks – Jaf Abu 12.15 – 13.00 Anaesthesia for TLH, morbid obesity – Amelia Banks

13.00 – 13.30 Lunch

Cadaver Laboratory - (Supervisors: J Abu, S Deb, A Thangavelu)

13.30 – 14.00 Demonstration of laparoscopic instrumentation for TLH 14.00 - 1530 Cadaver training in techniques for TLH 15.30 – 15.45 Tea/coffee break 15.45 – 16.45 Cadaveric training session continues 16.45 – 17.45 Intra-corporeal suture skills training 17.45 Close

19.30 Course dinner at World Service, Nottingham

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Day 2 Whole-day operating session: Consultant Anaesthetist – Dr Amelia Banks

08.00 – 08.15 Urology Seminar Room – presentation of the cases for

immersion by Amudha Thangavelu. There may be a live link to try to reduce the number of

people in theatre at any one time. However, all delegates will be able to spend adequate amount of time in theatre with the faculty members during all the live cases and be able to watch some cases in 3D.

08.30 – 12.30 Live operating – J Abu, S Deb, A Thangavelu 12.30 – 13.00 Lunch/discussion and comments about morning session 13.00 – 16.30 Live operating – J Abu, S Deb, A Thangavelu

16.30 – 17.00 Feedback from delegates 17.30 Close

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Important notes:

1. The faculty members assume that delegates attending this course wishes to learn TLH. Although a brief mention will be made of the advantages of TLH over other forms of total hysterectomy (TH), this is not the primary aim of the course. Delegates who are comfortable doing other forms of TH need not attend this Masterclass Course.

2. Delegates should bring along clean theatre footwear for their use during the live operating sessions. A refundable cash payment of £20 for a pair theatre shoes will be required from those who fail to do so. This fee will only be refunded upon return.

Course Faculty:

Mr Jaf Abu Consultant gynaecological oncologist Nottingham University Hospital City Hospital Campus Nottingham NG5 1PB

Mr David Nunns Consultant gynaecological oncologist Nottingham University Hospital Nottingham

Dr Amelia Banks Consultant anaesthetist Nottingham University Hospital

Miss Shilpa Deb Consultant Gynaecologist Nottingham University Hospital Nottingham Dr Melanie Davies Consultant anaesthetist Nottingham University Hospital Nottingham

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Course includes: Hotel accommodation, all course tuition, materials and course dinner. CME Credits: The Royal College of Obstetricians and Gynaecologists have approved this course for 10 CME points. Approval is currently been sought for a total of 15 CME points. Delegates who have attended all the sessions can apply by sending the course programme and their certificate of attendance to the CME department of the RCOG. To reserve a place: Send a cheque of £350.00 made payable to Nottingham University Hospital and post to: John Garnham-Davies  Clinical Skills Centre Manager Clinical Skills & Competency Centre Nottingham University Hospitals NHS Trust City Hospital Campus Hucknall Road Nottingham NG5 1PB

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Map:

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NottinghamCity Centre3rd Exit atRoundabout

NottinghamCity Centre

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BestwoodRise ParkTop Valley

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Emergency Department4.5 miles

Ropewalk HouseNG1 5DU 4.2 miles

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NHSNottingham University HospitalsNHS Trust

Nottingham City Hospital Campus

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Smoking is not permitted anywherein the grounds of this hospital

City Hospital, Hucknall Road, Nottingham NG5 1PBPhone: 0115 969 1169 Email: nuhcommunications@nuh.nhs.ukWebsite: www.nuh.nhs.uk Twitter: @nottmhospitals

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Maggie’s Centre

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Postgraduate Education Centre

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St Francis Day Hospital

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Derwent House

David Evans Medical Research Centre

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Cityside Restaurant (Staff and Public)

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Clinic 7 Elizabeth Suite

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