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Hysteroscopy is considered the gold standard examination for investigation of the uterine cavity and its disorders.
Diagnostic hysteroscopy allows the visualization of the anatomical structures of the uterine cavity, as well as the identification of abnormal findings, such as myomas, polyps, synechiae, uterine malformations, among others.
Surgical hysteroscopy, on the other hand, with the incorporation of appropriate instruments, allows the visualization and treatment of intra uterine lesions in a single procedure ("see and treat" principle), either in an outpatient setting, with the use of the Bettocchi set, or in a hospital setting, with the use of the resectoscope.
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This is a hybrid immersive course, with a total duration of 30 hours. The classes will be distributed into two online days and two face-to-face days, with training in the training center and a third face-to-face day in the operating room.
During the online classes, which will take place at the beginning of the same week as the face-to-face course, from 19:30 to 21:30, participants will have an introduction to the subject and theoretical background, totaling 4 hours.
The face-to-face classes will consist of two days of consolidating theoretical knowledge and focusing on technical principles and instruments in the morning, followed by specially designed hands-on training on inanimate simulation models and animal models in diagnostic and surgical hysteroscopy, using the Bettocchi system and the resectoscope in the SCOLLA laboratory, totaling 16 hours.
On the third day, participants will have the opportunity to train "hands-on" with real patients in the operating room of the Erasto Gaertner Hospital, under the supervision of a team of gynecological surgeons, for a total of 10 hours.
The course objectives are to provide knowledge and training for the participant to recognize the different hysteroscopy instruments and their mounting, to understand the correct use of the different forms of energy and the risks associated with the procedures, and to develop technical skills for performing diagnostic hysteroscopy exams and surgical hysteroscopy procedures.
one week
10 hours of theoretical lessons
10 hours live surgery 20 hours hands-on practice
19:30-19:45 - Team presentation / welcome - Daniele Pastore / Daniel Dias
19:45-20:05 - History of hysteroscopy - Leonardo Vieira Elias
20:05-20:25 - Introduction to instruments - Simone Josiane Westarb
20:25-20:45 - Indications and contraindications for hysteroscopy - Marcia Penteado
20:45-21:05 - Applied anatomy and physiology of the endometrium - Nilton de Nadai Filho
21:05-21:25 - Endometrial polyps - Flávia Bueloni Dias
21:25-21:40 - Presentation of the course program - Daniele Pastore
19:30-19:50 - Submucosal fibroids - Ulises Armando Menocal Tavernier
19:50-20:10h - Isthmocele and Adenomyosis - Thomas Moscovitz
20:10-20:30 - Hysteroscopy in infertility - Fernanda Okita
20:30-20:50 - IUD and foreign body - Alexandre Amaral
20:50-21:10 - Endometrial hyperplasia and endometrial adenocarcinoma - Fernando Heredia
21:10-21:30 - Discussion
08:00-08:30 - Reception and welcome - Daniele Pastore / Daniel Dias
08:30-09:00 - Presentation of the course and the team of instructors, delivery of scrubs and support material - Daniele Pastore / Daniel Dias
09:00-09:20 - Diagnostic hysteroscopy instruments and Bettocchi set - Alexandre Gnoatto
09:20-09:40 - Video surgery instruments - Helena Slongo
09:40-10:00 - Material processing methods - Guest nurse
10:00-10:20am - Hysteroscopy in the normal menstrual cycle - Luiz Rodrigo Ferreira
10:20-10:40am - Coffee break
10:40-11:00h - Diagnostic and surgical hysteroscopy technique with Bettocchi set - specular examination/vaginoscopy - Diogo Rosa
11:00-11:20 - Endometrial biopsy and polypectomy with Bettocchi set - Diogo Rosa
11:20-11:40am - Image documentation in hysteroscopy and preparation of reports - João Paulo Epprecht
11:40-12:00 - Discussions related to structuring and applying for health insurance - Renata Mieko Hayashi
12:00-12:30 - Guidelines on practical training in the Scolla lab and division of teams (pairs and instructors) - Daniele Pastore / Daniel Dias
12:30-13:30h - Lunch
13:30-16:30 - Training in the Scolla lab in outpatient diagnostic hysteroscopy with diagnostic shirt and Bettocchi set in EVA model.
16:30-17:00 - End of activities
08:00-08:10h - Reception and clarification of doubts - Daniele Pastore / Daniel Dias
08:10-08:30 - Electrosurgery applied to surgical hysteroscopy - João Paulo Epprecht
08:30-08:50 - Surgical hysteroscopy instruments with resectoscope - Helena Slongo
08:50-09:10h - Means of distension - Alexandre Gnoatto
09:10-09:30 - Anesthesia in surgical hysteroscopy - Daniel Dias
09:30-09:50h - Preparing the cervix and special care - Daniele Pastore
09:50-10:20 - Coffee break
10:20-10:40am - Surgical hysteroscopy technique with resectoscope - Luiz Rodrigo Ferreira
10:40-11:00 - Polypectomy and endometrial biopsy with resectoscope - Luiz Rodrigo Ferreira
11:00-11:20am - Myomectomy and endometrial ablation with resectoscope - Renata Hayashi
11:20-11:40am - Synechiae and mullerian malformations - Diogo Rosa
11:40-12:00 - Complications in surgical hysteroscopy - João Paulo Epprecht
12:00-12:30h - Discussion
12:30-13:30h - Lunch
13:30-16:30 - Training in the Scolla lab in surgical hysteroscopy with the
Bettocchi set and with a resectoscope in an EVA/animal model.
16:30-17:00 - End of activities
07:30-17:30h - Training in the operating room of the Erasto Gaertner Hospital with a resectoscope
This course is designed for gynecologists or gynecology residency/post-graduate students with an interest in minimally invasive gynecologic surgery.
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