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AAGL Online Master Course on
Robotic Hysterectomy

Produced & Presented By
Course Faculty:
Arnold P. Advincula, Michael Pitter
 
Estimated time of Completion: 255 minutes
Release Date: July 1, 2016Expiration Date: July 1, 2017

This course is free for all physicians to watch. If you would like to earn Continuing Medical Education (CME) credit, you may log in using your AAGL membership account, or you may purchase access to the CME modules by clicking here.

Educational Grants: AAGL acknowledges that it has received in-kind support from the following company:
Facility space, robotic surgical system and cadaveric model: Intuitive Surgical

Since April 2005, Intuitive Surgical’s da Vinci Surgical System has been the only FDA approved robot for use in gynecologic minimally invasive surgery. During the last 11 years, there has been an evolution of the technology, surgical techniques and approaches used on this platform, while both single and multi-incisional options have also become available.

Given the myriad of options available for hysterectomy today, this course provides the gynecologist with the essential skills necessary to appropriately select this device and perform a robot-assisted laparoscopic hysterectomy. This two-part webcast series will highlight the differences and similarities between the new Xi surgical platform and the older Si system. A systematic and standardized approach to hysterectomy with a focus on the larger uterus will be presented, along with strategies for cost-effective implementation. Pre-recorded surgical videos will be complemented by a live demonstration with cadaveric models. Strategies for port placement and docking of both the Xi and Si Surgical Systems will be demonstrated. Key surgical dissection techniques and relevant anatomic relationships will be emphasized in order to facilitate a safe, efficient and reproducible robot-assisted laparoscopic hysterectomy.

Learning Objectives

1. Review criteria for determining a robot-assisted approach to laparoscopic hysterectomy.
2. Discuss the differences and similarities between the Xi and Si Surgical Systems.
3. Demonstrate strategic port placement and docking for either robotic platform.
4. Illustrate various dissection techniques to maximize surgical efficiency and minimize complications.
5. Demonstrate safe tissue extraction options, especially when dealing with the large uterus.

 

Target Audience

This educational activity is developed to meet the needs of surgical gynecologists in practice and in training, as well as other healthcare professionals in the field of gynecology.

The AAGL is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The AAGL designates this enduring material for a maximum of 3.75 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosures

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), AAGL requires resolution of all conflicts of interest to ensure CME activities are free of commercial bias.

PLANNER DISCLOSURE

The following members of AAGL have been involved in the educational planning of this workshop (listed in alphabetical order by last name).

Art Arellano, Professional Education Manager, AAGL*

Arnold P. Advincula
-Blue Endo: Consultant
-Cooper Surgical: Consultant, Royalties
-Intuitive Surgical: Consultant
-Titan Medical: Consultant

Edward Betcher*

Amber Bradshaw
-Myriad Genetics Lab: Speakers Bureau
-Intuitive Surgical: Proctor

Sarah L. Cohen
-Olympus: Consultant

Erica Dun*

Joseph (Jay) L. Hudgens*

Frank D. Loffer, Medical Director, AAGL*

Suketu Mansuria

– Covidien: Surgeon Education for TLH

Linda Michels, Executive Director, AAGL*

Michael C. Pitter
-Cooper Surgical: Consultant
-Intuitive Surgical: Consultant

Karen C. Wang*

Johnny Yi*

 

FACULTY DISCLOSURE

The following have agreed to provide verbal disclosure of their relationships prior to their presentations. They have also agreed to support their presentations and clinical recommendations with the “best available evidence” from medical literature (in alphabetical order by last name).

Arnold P. Advincula
-Blue Endo: Consultant
-Cooper Surgical: Consultant, Royalties
-Intuitive Surgical: Consultant
-Titan Medical: Consultant

Michael C. Pitter
-Cooper Surgical: Consultant
-Intuitive Surgical: Consultant

Content Reviewer has nothing to disclose.

Asterisk (*) denotes no financial relationships to disclose.

 

AAGL acknowledges that it has received in-kind support from the following company:
Facility space, robotic surgical system and cadaveric model: Intuitive Surgical.

This CME activity was produced by AAGL and the information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by AAGL. In no event will AAGL be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

 

POLICY ON ENDURING MATERIALS: Click here to read our policy

How to Obtain AMA PRA Category 1 Credit(s)

1. Log into your AAGL membership account or enter your personal details.
2. Watch the webcast.
3. Take the CME posttest (each question must be answered correctly).
4. Select the number of CME hours for which you are applying for this activity.
5. You will receive your personalized CME certificate by email.

 

Technical Requirements

This site is best viewed using Internet Explorer 7 and higher, or Firefox 3.0 and higher. A broadband Internet connection with a minimum speed 512Kbps is suggested, although the webcast is still viewable on slower connections with a significant buffering delay.

All CME webcast activities feature audio and you must have a sound card and speakers or headphones to listen to the audio portion of the program.

The streaming video portion of the webcast requires Adobe Flash, Version 9.0 or later. You can download and install Adobe Flash Player by visiting

http://get.adobe.com/flashplayer/


About the Course Faculty
  
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View the Course Outline

 

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Access to this Webinar for non-AAGL Members

AAGL is pleased to offer our online Master Course in Robotic Hysterectomy to non-members for just $40. By purchasing CME access to this course, you will be able to earm AMA PRA Category 1 Credit(s)TM for the modules in the course. You may also watch the video series for free, but you will not be able to claim CME credit unless you purchase CME access.


 
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Course Outline

PART 1: Didactic
The Robot-Assisted Laparoscopic Hysterectomy: Introduction and Who Is a Candidate? A.P. Advincula
Xi vs. Si: A Comparison and Contrast of Two Evolved Robotic Surgical PlatformsM.C. Pitter
Optimizing the Robot-Assisted Laparoscopic HysterectomyA.P. Advincula
FAQs: Answers from a Seasoned Veteran of the Robotic ApproachM.C. Pitter
PART 2: Cadaveric Demonstration
Port Placement and Docking for the DaVinci Si Robotic SystemA.P. Advincula/ M.C. Pitter
Port Placement and Docking for the DaVinci Xi Robotic SystemA.P. Advincula/ M.C. Pitter
Laparoscopic Hysterectomy Part One: Retroperitoneal Dissection and ExplorationA.P. Advincula /M.C. Pitter
Laparoscopic Hysterectomy Part Two: Exploring the Retroperitoneal Spaces Tissue ExtractionA.P. Advincula, M.C. Pitter
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Video Main Menu

PART 1: Didactic
The Robot-Assisted Laparoscopic Hysterectomy: Introduction and Who Is a Candidate? A.P. Advincula
Watch w/CME
Watch Now
Xi vs. Si: A Comparison and Contrast of Two Evolved Robotic Surgical PlatformsM.C. Pitter
Watch w/CME
Watch Now
Optimizing the Robot-Assisted Laparoscopic HysterectomyA.P. Advincula
Watch w/CME
Watch Now
FAQs: Answers from a Seasoned Veteran of the Robotic ApproachM.C. Pitter
Watch w/CME
Watch Now
PART 2: Cadaveric Demonstration
Port Placement and Docking for the DaVinci Si Robotic SystemA.P. Advincula/ M.C. Pitter
Watch w/CME
Watch Now
Port Placement and Docking for the DaVinci Xi Robotic SystemA.P. Advincula/ M.C. Pitter
Watch w/CME
Watch Now
Laparoscopic Hysterectomy Part One: Retroperitoneal Dissection and ExplorationA.P. Advincula /M.C. Pitter
Watch w/CME
Watch Now
Laparoscopic Hysterectomy Part Two: Exploring the Retroperitoneal Spaces Tissue ExtractionA.P. Advincula, M.C. Pitter
Watch w/CME
Watch Now

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About Our Faculty


Dr. Arnold P. Advincula

Division Chief, Gynecologic Surgery & Urogynecology
Columbia University Medical Center
New York, NY

Dr. Michael Pitter

Assistant Professor of Obstetrics & Gynecology
Columbia University / NYP Lawrence Hospital
New York, NY

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