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Gynaecological Endoscopy and Vaginal Surgery Workshops
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital Pond Street
Hampstead
London NW3 2QG, UK


Advanced Techniques in Vaginal Hysterectomy Workshop

Hysterectomy is the commonest major operation that women undergo during their fertile years. In most cases, surgery is performed abdominally with all the traumas of laparotomy, despite the knowledge that complications are considerably higher than with the vaginal route. Recently, laparoscopic or laparoscopically assisted vaginal hysterectomy has been described as a less traumatic alternative to abdominal hysterectomy. While a laparoscopic approach is useful for adhesiolysis and mobilisation of pelvic structures, laparoscopic hysterectomy is both slow and expensive compared with traditional alternatives. The ideal hysterectomy remains vaginal.

There is a reluctance, however, by many gynaecologists to perform a vaginal hysterectomy in the absence of utero-vaginal prolapse, in the presence of uterine enlargement, after previous pelvic surgery, or if oophorectomy is indicated. The aim of the ADVANCED TECHNIQUES IN VAGINAL HYSTERECTOMY WORKSHOP is to teach vaginal surgical techniques, some old, some new, which can be used in these situations. Techniques covered will include intramyometrial coring, uterine bisection, myomectomy, morcellation, the Doderlein-Kronig approach, and methods for carrying out oophorectomy and subtotal hysterectomy vaginally. Guest speakers in the past have included Michael Brudenell (London), Paul Hardiman (London), James Unger (USA), Shirish Sheth (India), Terry Grody (USA), Henri Clave (France) and Karl Olah (Warwick). All delegates will be given the CD "Advanced Techniques in Vaginal Hysterectomy" and a DVD recording of the surgery performed during the workshop.

The message is simple - most hysterectomies could and should be performed vaginally.

Key Benefits
Technical tips and tricks
Emphasis on learning clinical skills
Live demonstration of surgery

Workshop duration: 1 day
Places per workshop: Unlimited
Course fee for 2006: £300

Click here to see the programme.

THIS SITE: Home ¦ Workshop dates ¦ Gynaecological Endoscopy ¦ Laparoscopic Hysterectomy ¦ Endoscopy for Nurses ¦ Vaginal Hysterectomy ¦ Download programmes ¦ Individual training ¦ Pictures from our workshops ¦ Feedback ¦ Acknowledgements
LEARNING RESOURCES: Computer capture ¦ Movie collection ¦ H Pipelle®¦ Publications ¦ Discussion Groups ¦ Really Useful Software
CONTACT: Further details & application ¦ Application form ¦ How to find us ¦ Accommodation ¦ Clinical Fellowships
OTHER USEFUL LINKS: fibroids.uk.net ¦ One Stop Fertility Clinic ¦ Royal Free Hospital ¦ General Medical Council ¦ MRCOG & DRCOG Courses ¦ Royal College of Obstetricians and Gynaecologists ¦ Karl Storz ¦ Tyco Healthcare ¦ Laboratoire C.C.D. ¦ Eurosurgical

Do you agree?

On the subject of operative complications

If a student performs the surgery, the bleeding is due to his or her lack of experience.

If a resident is the surgeon, the rationale is that the resident performs many such operations and a rare one bleeds.

If the department chairman performs the operation and it bleeds, we perform a workup for a bleeding disorder.