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Robotic Surgery for Complex Benign Gynaecology

3-day Intensive Training Program

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Course Director- Dr Rooma Sinha

Clinical Lead, Robotic Gynecological Surgery, Apollo Group of Hospitals
Founder & President AGRS
President-Elect, Asian Society of Gynecological Robotic Surgeons ASGRS

Course Highlights & Objectives

  • Live Surgeries Observation
  • Didactic Surgical Case discussions
  • Step wise learning of key surgical steps in 3D Virtual Reality with Quest-3 Meta Headsets
  • Managing Complications- Surgical & Technical
  • Handling the ureter in complex gynaecological surgery
  • Hands on experience of using the daVinci Xi system with Docking and Practice Suturing and tissue manipulation. Along with Hands on Virtual reality simulator exercises.

What is unique about this course?

An opportunity to enhance your understanding and skills in robotic surgery with Dr. Rooma Sinha, who has extensive experience training gynaecologists worldwide. She has conducted courses in India, Asia, and Europe and has delivered lectures at major international conferences. With her over 13 years of expertise & performed more than 1000 cases in complex benign robotic gynaecological surgeries, she has meticulously designed this course for intensive training, including live surgical demonstrations, case discussions and learning through Virtual Reality Quest-3 Meta headsets which will provide accurate insight of the 3D immersive vision of the Robotic Console along with HANDS ON experience with docking & Simulation. The participants will learn the Key steps of Hysterectomy, Myomectomy, Endometriosis, Sacrocolpopexy, Cystectomy, Ureterolysis, and Bowel dissection in Endometriosis during Live surgery. This course highlights the opportunity to learn surgeries in the 3D immersive experience on Quest-3 VR Meta Headsets & a HANDS-ON experience with daVinci Xi docking & Simulation.

Who can attend this course

Gynecologists with or without exposure to robotic surgery

Day 1

8 am-8.30 am

Registration & Breakfast

8.30-9.30 am

  • 1. Introduction to the course
  • 2. Anatomy of the pelvis, vessels, ureters and its spaces
  • 3. Types of Instruments & appropriate Selection
  • 4. Port Placement & Positioning & OT Setup

9.30 am – 5 pm

Live surgery 2 or 3 surgeries (subject to availability)
Proposed surgeries- Hysterectomy, Myomectomy, Endometriosis, Sacrocolpopexy, Cystectomy, Ureterolysis, Bowel dissection in Endometriosis (Subject to availability of the type of cases)
During Live Surgery- Real-time discussion on tips & tricks of Port Placement, Docking, Positioning, Anaesthesia, Handling technical & Surgical difficulties, & Techniques of Specimen Extraction & Morcellation strategies of including In-bag cold Morcellation.

5- 8 pm

Hands-on DaVinci Xi- Docking and simulation experience

Evening Off

Day 2

9 am to 4 pm

Case discussion with a step-wise demonstration of specific procedures with surgery experience with 3-D Virtual Reality using Meta Headsets
Case wise discussion in five segments

  • 1. Robotic Hysterectomy
  • Hysterectomy- Sinha Apollo Technique
  • Hysterectomy for large Uterus
  • Hysterectomy with obliterated anterior compartment
  • Hysterectomy with obliterated posterior compartment
  • Hysterectomy for a bicornuate uterus
  • 2. Robotic Myomectomy
  • Myomectomy for large Fibroid
  • Myomectomy for multiple fibroids
  • Myomectomy for cervical fibroid
  • Myomectomy of Figo 2 fibroid
  • Myomectomy for Cesarean Scar Fibroid
  • 3. Robotic Reconstructive Surgeries
  • Cervical reconstruction for a large cervical fibroid
  • Sacrocolpopexy
  • Uterine Niche with Firefly & KOH cup assistance
  • Endometrial cavity reconstruction
  • Abdominal cerclage
  • 4. Robotic Endometriosis
  • Cystectomy for Endometrioma
  • Ureterolysis Techniques- Medial & lateral Approach
  • Uterosacral nodule excision
  • Butterfly peritonectomy
  • Tailored Radical Robotic Hysterectomy for Stage 4 Endometriosis
  • Complex case with multiple pathologies- Endometriosis, fibroids and adenomyosis
  • 5. Other Robotic Procedures
  • Four Petal adenomyomectomy
  • Scar Ectopic pregnancy excision
  • In bag Ovarian Cystectomy for Dermoid cyst

Networking Dinner

Day 3

8 am- 1 pm

  • Live surgeries

2 pm-4 pm

  • 1. Hybrid Myomectomy
  • 2. Neuropelviology and its implications
  • 3. Videos of Complications and management
  • 4. Managing technical difficulties of Robotic platform including emergency undocking

4 pm – 4.30 pm

  • 1. Interaction & Debriefing
  • 2. Feedback session
  • 3. Distribution of Certificates

Course location

NOTE:

  • By the end of the training, you will get certificate from the Apollo Hospital Hyderabad
  • Delegates will only observe the live surgeries in OT
  • Lunch will be provided on all three days, Networking Dinner on day 2
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