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Calendar Dates

2/22/2018 » 2/24/2018
AUGS Urogyn Update 2018

2/27/2018 » 3/3/2018
SUFU 2018 Winter Meeting

3/22/2018 » 3/24/2018
RCOG World Congress 2018, Singapore

Summary of the Laparoscopic Tips & Tricks Webinar
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  1. Be Committed. Complex pelvic reconstructive surgery is not for the faint hearted. You must want to do this type of surgery and you must be prepared to invest the time to become safe and proficient.
  2. Find yourself a Preceptor who you can observe, then assist and who you can seek advice from when you begin to 'fly solo' and realize that the true 'tips and tricks' can shorten your operating time and make you a safer surgeon.
  3. Know or become very familiar with the relevant anatomy. This will increase your awareness of potential risks and allow you to respond quickly and appropriately to any complications.
  4. Accept that there is a steep learning curve for this surgery and that you will need to have done at least 30 cases before you begin to get comfortable.
  5. Aim to become proficient at laparoscopic suturing techniques.
  6. Adequate support of the vaginal apex (vault or uterus) is essential for global pelvic floor support.
  7. Always weigh up the risks and benefits of surgery versus conservative measures in general and specifically factors that increase the risk of laparoscopic sacrocolpopexy (raised BMI, previous abdominal surgery, medical co-morbidities).
  8. Lightweight Polypropylene meshes have excellent strength and reduced risk of erosion compared to other meshes on the market.
  9. Don't use staples on the vagina. Use re-absorbable sutures.
  10. Don't attach the mesh to the Levator muscles.
  11. When placing the mesh, ensure that it is well stretched and not folded.

IUGA members, click here to view the full webinar.

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