Laparoscopic Surgical Techniques for Endometriosis

Course Description

Endometriosis is probably the most challenging among gynecologic benign diseases in terms of epidemiologic spread and impact on women’s quality of life as it about 10% of reproductive age women and almost 50% of infertile women. Recently many women with advanced endometriosis have been treated by laparoscopic approach as it results in a shorter hospitalization and recovery period as compared with laparotomy. However, Laparoscopic excision of endometriosis remains one of the most challenging procedures among gynecological surgeries.

The main goal of this course is to provide the participants with a comprehensive update on the recent laparoscopic surgical techniques in the diagnosis and management of endometriosis. To achieve this, specialists in the field of endometriosis will give interactive lectures and discussions, demonstrate laparoscopic surgical skills in animal models and live surgery and ultrasound sessions. These activities are organized to provide the participants with detailed and complete anatomical knowledge and surgical skills needed to correctly perform endoscopic surgery to treat endometriosis, ultrasound exam requirements to perform an accurate mapping of the lesions, information about other imaging techniques appropriate for presurgical evaluation of patients, correct principles of medical treatment and management of infertile patients with endometriosis.

Course Objectives

This course aims to:

  1. Explain the epidemiology and different phenotypes of endometriosis.
  2. Explain pelvic anatomy and the various anatomical spaces and layers into which endometriosis infiltrates.
  3. Provide an understanding of the role of ultrasound and laparoscopy in the diagnosis and management of endometriosis.
  4. Provide participants with comprehensive surgical dissection skills, tips and tricks required to excise the disease, and when indicated, to perform hysterectomy or remove entrapped ovaries in the presence of bowel adhesions.
  5. Explain the prognosis and the postoperative management of endometriosis
  6. Practice on live tissue (mini-pigs) in order to give participants, the technical capacity to improve their skills.

Intended Learning Outcomes

Upon successful completion of this course it is expected that the participant will be able to:

  1. Demonstrate a detailed comprehension of the anatomical knowledge and surgical skills needed to correctly perform endoscopic surgery to treat endometriosis.
  2. State ultrasound exam requirements to perform an accurate mapping of the lesions, information about other imaging techniques appropriate for presurgical evaluation of patients.
  3. Evaluate surgical indications, techniques used, the anatomical basis necessary for optimal treatment of endometriosis.
  4. Explore correct principles of medical treatment and management of infertile patients with endometriosis.

Target Audience

This course is designed for obstetricians/gynaecologists or general surgeons or residents/fellows or experienced senior medical officers with prior experience or training in the performance of abdomino-pelvic surgery with an interest in laparoscopy and endometriosis.

Course Duration

This 3-day, clinically oriented, interactive, hands-on training course offers advanced lectures complemented hands-on activities and discussion with experts.

Teaching Format

  1. Interactive theoretical and video sessions between Faculty and course participants
  2. Case presentations and interactive group discussion with experts.
  3. Hands-on practice on live tissue (mini-pigs).
    • During hands-on session, participants will be divided into small groups to practice surgical techniques on anaesthetized animals.
  4. Live operative and pre-recorded video demonstrations

CME Credits:  21.0