THE FIRST ANNUAL

ADVANCED
HYSTEROSCOPIC
SURGERY
WORKSHOP

19
th
21
st
November, 2014
Birmingham City Hospital












The First Annual
Advanced Hysteroscopic Surgery Workshop
Course Organiser: Mr Ayman Ewies, Consultant Gynaecologist, MBChB, MSc, FRCOG, MD

November 19
th
- 21
st
November, 2014

Post Graduate Centre
Birmingham City Hospital
Dudley Road
West Birmingham
B18 7QH

Course Description

This is a two day workshop (with an optional third day) that features a comprehensive practical programme
with hands-on experience under direct supervision of experienced Gynaecological Surgeons. Detailed videos of
procedures and a high quality modern video link to live surgery will also give insight into the various advanced
techniques and nuances of operative hysteroscopy, including transcervical resections.

The main aim for the workshop is to achieve advanced level competency which equate to being able to
perform endometrial ablation using resection technique. The course will also focus on the safety aspect of
advanced hysteroscopic surgery. Delegates will also have the opportunity to discuss, debate and network.

Aimed at

Consultant Gynaecologists, SAS doctors and trainees wishing to enhance their operative hysteroscopic skills.
Trainees who have registered or plan to register for relevant ATSM.
Nurse Hysteroscopists and GPs with a special interest.

Learning Objectives

The techniques of trans-cervical resection of
endometrium (TCRE), fibroids (TCRF) and polyps
(TCRP) using bipolar technology

Morcellation (Myosure)

Second generation non-hysteroscopic
endometrial ablation

Essure hysteroscopic sterilization

Innovative ambulatory hysteroscopic surgery
Benefits of Attending


Intensive hands-on practice/maximum
laboratory time

High trainer-delegate ratio

Feedback and valuable tips on a one-to-
one basis

Informal discussion and debate

Comprehensive learning material provided

Videos and live demonstrations of
procedures



2



Course Faculty
1. Mr Ayman Ewies, Consultant Gynaecologist
2. Mr Joe Kabukoba, Consultant Gynaecologist
3. Miss Olufunmilola Ajibona, Consultant Obstetrician and Gynaecologist
4. Dr Zahid Khan, Specialty Trainee Registrar in Obstetrics and Gynaecology
5. Mr Jim Ng, Senior Theatre Manager

Theoretical Programme day of focused, didactic & interactive delivery of lectures
1. Introduction Mr Ayman Ewies
I. Course Objectives
II. ATSM Training Requirements
2. The Modern Techniques of TCRE/TCRF/TCRP/TCRS - Mr Joe Kabukoba
I. Equipment and Distension Media for Operative Hysteroscopy
II. Use of Electro-Surgery
III. (Monopolar vs Bipolar)
IV. Pre-Operative Assessment, Patient Selection, Technique Selection and Endometrial Preparation
V. Resection of Endometrium, Fibroids, Polyps and Septae
3. Second Generation Ablation Techniques Mr Richard Cartmill
I. NovaSure and Thermachoice Ablation
4. Hysteroscopic Sterilisation - Mr Stephen Burrell
I. Essure Procedure
5. Outpatient Operative Hysteroscopy - Miss Olufunmilola Ajibona
I. Setting up an Outpatient Hysteroscopic Service and Protocols
II. Analgesia and Anaesthesia
III. Versapoint and Myosure
IV. NovaSure and Thermachoice Ablation
6. Complications Associated with Hysteroscopic Surgery - Mrs Shagaf Bakour
I. Safe Use of Electro-Surgery (Monopolar vs Bipolar)
II. Safe Use of Second Generation Ablation
III. How to Minimise Risk


3



Practical Programme Three x days of comprehensive & intensive hands-on practice

1. HystSim Simulator Session on Hysteroscopic resection
2. MyoSure Simulator Session
3. Essure Simulator Session on hysteroscopic sterilisation
4. Olympus Wet Lab on Bipolar Resection using the Potato model
5. Ethicon Wet Lab on Bipolar Resection using prepared live cattle uteri
6. Ethicon Wet Lab on Versapoint Polypectomy using prepared pig bladder

Each delegate will have hands-on time dedicated to each practical session. These comprehensive
practical sessions will be small group based with emphasis on practical skills training covering essential
competencies of:
1. Equipment assembly
2. Camera and telescope orientation
3. Hand-eye coordination
4. Distension medium (saline and glycine)
5. Active / passive operative hysteroscopy
6. Safe use of electro-surgery
7. Troubleshooting

Optional 3
rd
day - Live Surgery Programme will include
1. TCRE/TCRF/TCRP
2. Novasure ablation
3. Thermachoice ablation

Each delegate will also have hands-on time dedicated to a BONUS practical session on second
generation ablation techniques led by industry leaders and experts in ablation.

4



Workshop Agenda - Day 1

0830 Registration
Breakfast provided for attendees

0900 Introduction
Course Objectives
ATSM Training Requirements


Mr Ayman Ewies
0930 The Modern Techniques of
TCRE/TCRF/TCRP/TCRS
Equipment and Distension Media for
Operative Hysteroscopy
Use of Electro-Surgery
(Monopolar vs Bipolar)
Pre-Operative Assessment, Patient
Selection, Technique Selection and
Endometrial Preparation
Resection of Endometrium, Fibroids, Polyps
and Septae

Mr Joe Kabukoba
1010 Second Generation Ablation Techniques
NovaSure and Thermachoice Ablation

Mr Richard Cartmill
1050 Coffee Break
Coffee provided for attendees

1110 Hysteroscopic Sterilisation
Essure Procedure

Mr Stephen Burrell
1150 Outpatient Operative Hysteroscopy
Setting up an Outpatient Hysteroscopic
Service and Protocols
Analgesia and Anaesthesia
Versapoint and Myosure
NovaSure and Thermachoice Ablation

Miss Olufunmilola Ajibona
1225 Complications Associated with
Hysteroscopic Surgery
Safe Use of Electro-Surgery
(Monopolar vs Bipolar)
Safe Use of Second Generation Ablation
How to Minimise Risk


Mrs Shagaf Bakour
5


1300 Lunch Break
Lunch provided for attendees

1345 Practical Stations Session 1
MyoSure Simulator and NovaSure Demo
Essure Simulator
HystSim Simulator
Olympus Bipolar Resection on Potato

Blue Group
Yellow Group
Green Group
Red Group
1525 Coffee Break
Coffee provided for attendees

1545 Practical Stations Session 2
MyoSure Simulator and NovaSure Demo
Essure Simulator
HystSim Simulator
Olympus Bipolar Resection on Potato

Yellow Group
Blue Group
Red Group
Green Group
1725 Feedback Session
End of Day 1













6


Workshop Agenda - Day 2

0830 Registration
Breakfast provided for attendees

0900 Practical Stations Session 3
MyoSure Simulator and NovaSure Demo
Essure Simulator
VersaPoint Resection on Cattle Uteri
VersaPoint Polypectomy on Porcine Bladder
and Thermachoice Demo

Red Group
Green Group
Yellow Group
Blue Group
1040 Coffee Break
Coffee provided for attendees

1100 Practical Stations Session 4
MyoSure Simulator and NovaSure Demo
Essure Simulator
VersaPoint Resection on Cattle Uteri
VersaPoint Polypectomy on Porcine Bladder
and Thermachoice Demo

Green Group
Red Group
Blue Group
Yellow Group
1240 Lunch Break
Lunch provided for attendees

1340 Practical Stations Session 5
HystSim Simulator
Olympus Bipolar Resection on Potato
VersaPoint Resection on Cattle Uteri
VersaPoint Polypectomy on Porcine Bladder
and Thermachoice Demo

Yellow Group
Blue Group
Green Group
Red Group
1520 Coffee Break
Coffee Provided for attendees

1540 Practical Stations Session 6
HystSim Simulator
Olympus Bipolar Resection on Potato
VersaPoint Resection on Cattle Uteri
VersaPoint Polypectomy on Porcine Bladder
and Thermachoice Demo

Blue Group
Yellow Group
Red Group
Green Group
1720 Feedback Session
End of Day 2

7





The Gala Dinner
Rodizio Rico
A unique culinary experience boasting authentic Brazilian cuisine in a beautiful waterside setting.

The Cube
Commercial Street
Birmingham
B1 1RS

7.30 PM
20th of November, 2014

The Gala Dinner is included in the price of the Course Fee, Beverages will be charged individually.








8


Workshop Agenda - Day 3 Optional Day

0800 Registration
Coffee provided for attendees

0830 Live Surgery
TCRE/TCRF/TCRP
NovaSure and Thermachoice Ablation

Mr Ayman Ewies
1230 Feedback Session
Light Lunch provided for attendees
End of Day 3


9


Application Form

The First Annual
Advanced Hysteroscopic Surgery Workshop
November 19
th
- 21
st
November, 2014



Please complete using BLOCK CAPITALS

Full Name:

First Last
Address:

Street Address


City Post Code
Phone: eMail address:

Hospital:

Department:

Position:

Dietary Requirements:







Places limited to 15 candidates please apply early

Places limited to 5 candidates for the optional 3
rd
day
The course fee includes comprehensive course material, lunch, refreshments and course Gala dinner
Please make your cheque payable to ' SWBH '
Please return complete application form with the cheque to:

Mrs Debra Carr
Post Graduate Centre
Birmingham City Hospital
Dudley Road
West Birmingham
B18 7QH

Tel: 0121 5074798
Fax: 0121 5234562
debracarr@nhs.net

Fee will not be refunded for a place that is cancelled after 1
st
of October 2014
Course Fee 400


(450 if you wish to attend the optional 3
rd
day)






Our Key Sponsors include: