SASES “Prevention of Complications in Laparoscopic Surgery” focussed on Lap Appendix and LapChole

Event Description


The purpose of this course is to take a deeper look at the complication that are still common in Laparoscopy and ways at preventing them. A segment of the course will also focus on Laparoscopic Suturing Techniques. The course will be suitable for both Specialists with  a lot of experience in Laparoscopic Surgery as well as Registrars.

Faculty: Prof Alp Numanoglu, Dr Marc Bernon, Dr Christo Kloppers & Dr Bernie Maree, Mr Dirk von Delft, Dr Babalwa Nondela

Surgical Skills Training Centre, 6th Floor ICH Building, Red Cross Children’s Hospital, Rondebosch

DAY 1:

08:00 Registration

08:30 Welcome

Principles of Laparoscopy

Energy Sources – what to use when and the function of each of the available energy devices

Ergonomics in MAS

Anatomy of Bile Ducts

Avoiding bile duct injuries

Laparoscopic Appendicectomy

11:00 Tea

11:30 Practical exercises

Camera navigation

Hand-eye co-ordination

Bi-manual co-ordination

12:00 Lunch

13:00 Cholecystectomy (Porcine Model) 15:00 Tea

15:30 Cholecystectomy (Porcine Model) When to convert


Day 2:

8:00 Registration

On jig with rope

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

Tying a knot using two needle holders.

Specific attention to C-loop

Converting a reef knot to a sliding knot and locking back with needle holders

10.30 – 10.45: Tea

Suturing stage 1: Inserting the needle into peritoneal cavity

Suturing stage 2: Grasping and positioning the needle in the needleholder: 5 methods

Suturing stage 3: Inserting the needle and pulling suture through

12.45 – 13.30: Lunch

Practical: Box Trainer

Knotting – Forming C-loop – Reef knot

Capsizing and relocking

15h00 – Tea

Practical: Porcine Bowel

Intermittent and continuous suturing