IN COLLABORATION WITH

Workshop 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 SOCIETY FOR GYNAECOLOGICAL ENDOSCOPY (ESGE), in collaboration with ESHRE, SERGS and ESGO, has conducted extensive scientific research, resulting in a validated programme of exercises for acquiring and testing laparoscopic psychomotor skills.

LASTT2™ 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 workshop is open to all delegates interested in laparoscopic surgery and successfully completed GESEA LEVEL 1 CERTIFICATION.

At the conclusion of the Workshop 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 psychomotor, suturing and hysteroscopy skills.
• Will have received extensive information off all modalities of the GESEA programme

General flow

 Dates and Times: (Maximum 18 participants)

Saturday 11 November 2023

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 specifically. Furthermore, they will receive an overview of the ESGE GESEA Training Programme, including the laparoscopic and hysteroscopic training models of the GESEA Programme.

 Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Programme

Chief Instructor:  TBA

09h00         

2. Practical Sessions
   • The Laparoscopic Skills Training and Testing (LASTT2™) method
   • The Hysteroscopy Skills Training and Testing (HYSTT2™) method
   • The Laparoscopic Suturing Skills Training and Testing (SUTT2™) method

Chief Instructor:   TBA

The Laparoscopy Psychomotor Skills Training and Testing – Camera Navigation, Hand/eye co-ordination & Bi manual co-ordination method

Hands-on session LASTT2™ (120 min) The session starts with an introduction of the method by the GESEA (SA) 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:                           5 minutes

Instruction exercise 1:            15 minutes

Session Ex 1:                         30 minutes

Instruction exercise 2:            5 minutes

Session Ex 2:                         30 minutes

Instruction exercise 3:             5 minutes

Session Ex 3:                          30 minutes

11h00                                      TEA

11h15                                       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 the GESEA DIPLOMA CENTRE (SA). 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:                           15 minutes

Instruction exercise 1:            5 minutes

Session Ex 1:                         30 minutes

Introduction:                           15 minutes

Instruction exercise 2:            5 minutes

Session Ex 2:                         30 minutes

13h00                          Lunch

13h45                          Suturing session 1

• The Laparoscopic Skills Training and Testing (SUTT2™) method presented by the GESEA (SA) Programme Instructor

Handling a needle in a Laparoscopic Pelvic Trainer

• The anatomy of a needle
• Picking up and manipulating a needle, especially with respect to the angle and slant/tilt of the needle
• The rotation of the needle through the foam model and pulling the suture through
• Skill of positioning the needle and suturing with both left and right hands

EXERCISE 1 – Stitching Greek Suture

• SUTT2™ Exercise 1 using a 15 cm 2-0 single filament absorbable suture on a 26mm 1/2 circle taper point needle

Loading the needle with both hands starting to pass the needle through the red dot – running the suture until the last black dot. Alternating stitching hand after each 2 dots. Passing the tissue with a precise entry and exit in the centre of the dots. Manipulation of the thread, avoiding tearing the tissue.

14h45                          Tea

15h00                          

Suturing session 2

EXERCISE 2 – Right hand suture – Stitching and knot tying with right hand

On a jig:

The technique of tying a surgeon’s knot using string by hand using the C/reverse C technique

• The technique of tying a surgeon’s knot using 2 open needle holders

In a laparoscopic pelvic trainer

• Practice trying a knot in the laparoscopic pelvic trainer

Right hand suture and tying a surgeon’s knot

• SUTT2™ Exercise 2 using a 15 cm 2-0 single filament absorbable suture on a 26mm 1/2 circle taper point needle

16h30                          Close

Sunday 12th November 2023:               08h30 to 16h00

08h00                          Refreshments served

08h30                          Suturing session 3

EXERCISE 3 – Left hand oblique suture – Stitching and knot tying with left hand

• SUTT2™ Exercise 3 using a 15 cm 2-0 braided absorbable filament suture on a 26mm 1/2 circle taper point needle

Precise positioning of stitch on the predefined entry (red dot) and exit point (black dot). 1 Intra-corporeal knot with double flat knot, 1st locking sequence and 2nd locking sequence. The exercise is being timed till the participant releases the thread at both ends at the end of the knotting movements.

10h30                          Tea

11h00                          Suturing session 4

EXERCISE 4 – Dominant hand VERTICAL (Wedge) SUTURE

• SUTT2™ Exercise 4 using a 15 cm 2-0 braided absorbable filament suture on a 26mm 1/2 circle taper point needle

Practice on SUTT2™ pad:

Precise positioning of stitch on the predefined entry and exit point with dominant hand. Correct approximation of tissue by performing an intra-corporeal double flat knot with 2 locking sequences. The exercise is being timed till the participant releases the thread at both ends at the end of the knotting movements.

1300                            Lunch

14h00                          Suturing session 5

The Laparoscopic Skills Training and Testing (SUTT2™) TEST

16h00 Conclusion

PLEASE REGISTER BELOW:

Please note that you must have registered for the GESEA e-learning programme before you can register for the workshop – GESEA Level 2MIGS e-learning

Workshop will only take place subject to sufficient number of delegates.