GESEA CERT2 Practical Training Course

Course Description and Objectives

 To ensure patient’s safety in laparoscopic surgery, it is clear that future laparoscopic surgeons should possess objective measurable theoretical knowledge and practical skills, prior to undertaking any procedure, even under supervision, in the OR.

As part of its plan to standardize strategies and regulations for training in laparoscopy throughout Europe, the European Academy of Gynaecological Surgery (EAGS) in collaboration with ESGE and EBCOG has conducted extensive scientific research resulting in a validated programme of exercises for acquiring and testing laparoscopic psychomotor skills.

LASTT™  is a validated assessment and certification method which measures and evaluates psychomotor skills in camera navigation, hand-eye and bi-manual coordination.

All exercises are executed in dry-lab set-up, with participants working together in pairs, and under the strict procedural guidance of instructors.

The course is open to all delegates interested in laparoscopic surgery, experience level is indifferent.

At the conclusion of the course the clinician will

• be assessed on his/her psychomotor skills level
• be ranked by comparison with benchmark performance data of representative experienced laparoscopic surgeons receiving a red, green or yellow colour code at each test.
• receive a final report of competence in laparoscopic
• Will have received extensive information off all modalities of the GESEA programme

Course Programme

Laparoscopic Psychomotor skill Assessment ( LASTT2™)

 Participants are invited to test the basic laparoscopic skills through the LASTT2™ method developed by +he Academy. For the first time a scientific validated method has been defined where, independent of the medical skills, the required psychomotor skills for Laparoscopy are being assessed. Participants will go through an assessment of three exercises, performed in a pelvic trainer box and using the appropriate endoscopic equipment and instruments.

The individual scoring data will be introduced by an Academy associate into the on-line Academy Scoring Platform and the individual reports will be printed on location. The reports are part of the final reporting package but will also be available for each individual participant.

Chief Instructor: TBA

General flow

 Dates and Times: (Maximum 20 participants)

Saturday 20th November 2021:    08h30 to 16h30 (20 Participants)

08h00                          Registration

08h30                          Welcome and introduction

1.Theoretical session (30 min)

During this lecture session participants will be informed on the training possibilities in South-Africa in general and in Cape Town in specific. Furthermore, they will receive an overview of the ESGE GESEA training programme, including the laparoscopic and hysteroscopic training models of +he Academy.

 Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Programme

 09H00 2. Practical Sessions

2.1   The Laparoscopic Skills Training and Testing (LASTT2™) method

Hands-on session LASTT2™(90 min) The session starts with an introduction of the method by the GESEA Programme Instructor. Participants are invited to go to the workstations in pairs to execute the runs of the first exercise. The workstations are positioned along the walls of the room with a minimum of 1 meter in between.

When the first exercise run is terminated, participants return to the presentation area for the instructive session on the second exercise. And so on, until all three exercises have been completed.

Introduction:                           10 minutes

Instruction exercise 1:            5 minutes

Session Ex 1:                         20 minutes

Instruction exercise 2:            5 minutes

Session Ex 2:                         20 minutes

Instruction exercise 3:             5 minutes

Session Ex 3:                          20 minutes

10h00    Tea Break

11h00

 2.2  The Laparoscopic Skills Training and Testing (SUTT2™) method

2.2.1 Suturing Session 1

Positioning the needle (Refresher)

Grasping and positioning the needle

Inserting the needle with right and left hand

Inserting the needle and pulling the suture through with support

Practice on SZABO Trainer on foam model

13h00   Lunch Break

13h45

2.2.2 Suturing Session 2

On jig with rope

Anatomy of a knot: Reef, granny, surgeon’s knot converting a reef knot to a sliding knot

Forming a C-loop
Tying a knot using two needle holders.

14h15

In SZABO on foam:

Knotting – Forming C-LOOP and reverse C-LOOP

Tying with both dominant hand and non-dominant hand – double throw, single throw, single throw

Practice on SZABO Trainer on foam model

15h15    Tea Break

15h30

2.2.3 Suturing Session 3

Monofilament Suture – 2-0 Biosyn on 26mm taper point half circle needle

GREEK SUTURE

RIGHT HANDED SUTURE

16h30    Close for the day

Sunday 21st November 2021:   (09h00 to 16h00)

09h00

 2.3   The Hysteroscopy Skills Training and Testing (HYSTT2™) method

Hands-on session HYSTT2™ (30 min) The session starts with an introduction of the method by the Mentor from +he Academy. Participants are invited to go to the workstations in pairs to execute the runs of the first exercise. 

When the first exercise run is terminated, participants return to the presentation area for the instructive session on the second exercise. And so on, until all three exercises have been completed.

Introduction:                           10 minutes

Instruction exercise 1:            5 minutes

Session Ex 1:                            30 minutes

Introduction:                           10 minutes

Instruction exercise 2:            5 minutes

Session Ex 2:                            30 minutes

10h30    Tea Break

11h00

 2.2  The Laparoscopic Skills Training and Testing (SUTT2™) method (continued)

2.2.4   Suturing Session 4

Multifilament Suture – 2-0 Polysorb on 26mm taper point half circle needle

LEFT HAND OBLIQUE SUTURE

VERTICAL  SUTURE

12h30   Lunch Break

13h15

2.2.5   Suturing Session 5

 The Laparoscopic Skills Training and Testing (SUTT2™) TEST

14h30

Review: SEMINAR ROOM

15h00

Additional practice as required.

16h00    Close for the day

COURSE FEE:

REGISTRARS:      R2750

CONSULANTS: ACADEMIC R3000

                          PRIVATE R3250

THIS GESEA COURSE IS SUPPORTED BY             and       

PLEASE REGISTER BELOW: