Course Organised by Dr Ayman Ewies

1. THE FIRST ANNUAL
ADVANCED
HYSTEROSCOPIC
SURGERY
WORKSHOP
19th
– 21st
November, 2014
Birmingham City Hospital

2. The First Annual
Advanced Hysteroscopic Surgery Workshop
Course Organiser: Mr Ayman Ewies, Consultant Gynaecologist, MBChB, MSc, FRCOG, MD
November 19th
- 21st
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
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3. 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 – ½ 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
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4. Practical Programme – Three x ½ 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 3rd 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.
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5. 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

6. 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

7. 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

8. 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
Wednesday, 19th of November, 2014
The Gala Dinner is included in the price of the Course Fee, Beverages will be charged individually.
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9. 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
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10. Our Key Sponsors include: