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AAGL Global Hysterectomy Summit: Expanding the Surgical Armamentarium & Optimizing Outcomes in a Value-Based Medical World

Produced & Presented By

This course is free for all AAGL Members to complete online. If you are not currently a member of the AAGL and would like to access our online CME, you can become a member by clicking here.

Please scroll down to read the course description, learning objectives, faculty disclosures and maximum number of CME credit available for this course.

Release Date: April 5, 2017
Expiration Date: April 5, 2018
Estimated time of Completion: 12.5 hours

As technology and surgical experience have evolved, so have the options available to women undergoing a hysterectomy. Recently, despite the predominance of endoscopic techniques, there has been a renewed interest in the vaginal approach, as well as an emphasis on value-based medical decision making. This three-day summit will provide attendees with a comprehensive overview of all currently available minimally invasive routes of hysterectomy for both benign and malignant conditions. Integrated into the discussions will be financial implications, efficiency models, training paradigms and the prevention/management of complications. Unique to this summit will be an emphasis on advanced techniques and principles presented by world-class faculty through live cadaveric demonstrations, as well as several televised cases that will be applicable to all facets of gynecologic surgery regardless of sub-specialization. Global perspectives will be incorporated as each surgical route is addressed. Focused scientific sessions will highlight cutting-edge oral and video abstract presentations.

An optional third day cadaveric/simulation lab will allow a limited number of interested attendees the opportunity to work alongside experienced surgeons and fine-tune various nuances of the laparoscopic, robotic and vaginal approaches to hysterectomy.  This intensive laboratory will provide extensive hands-on proctoring, allowing participants the opportunity to enhance and acquire skills, which will be used in real time on cadaveric specimens and high-fidelity simulators.  Participation will be limited to two attendees per station, thereby maximizing the educational opportunity.  With an emphasis on proper surgical technique, retroperitoneal dissection, and complication recognition/management, a systematic approach to hysterectomy will be introduced.  The focus of this course will include surgical principles that can be applied to all surgical modalities (i.e., laparoscopic, robotic and vaginal surgery).

Learning Objectives: At the conclusion of this course, the clinician will be able to: 1) Formulate an appropriate value-based clinical decision-making algorithm for route of hysterectomy; 2) review the advantages and disadvantages of each of the currently available minimally invasive routes of hysterectomy; 3) discuss tips and tricks to improve the safety and efficiency of performing a vaginal, conventional laparoscopic or robot-assisted hysterectomy; 4) apply proper surgical technique to enhance strategic approach and reduce complications during hysterectomy, as well as decrease conversions to laparotomy; 5) use various surgical instrumentation to successfully complete difficult cases; and 6) apply skills learned to perform post-hysterectomy cystoscopy to diagnose bladder and/or ureteral injuries.

Target Audience
This educational activity is developed to meet the needs of residents, fellows and new minimally invasive specialists in the field of gynecology.

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

The AAGL designates this enduring material for a maximum of 12.5 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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 Disclosures
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
Consultant: Blue Endo, Intuitive Surgical, Titan Medical
Royalty: CooperSurgical

Edward Betcher*

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

Sarah L. Cohen
Consultant: Olympus

Erica Dun*
Jon I. Einarsson*
Joseph (Jay) L. Hudgens*

Bruce S. Kahn
Contracted Research:  AbbVie, Boston Scientific Corp., Inc., Urigen
Consultant: Boston Scientific Corp., Inc., Mobile ODT

Franklin D. Loffer, Medical Director, AAGL*

Suketu Mansuria
Other: Surgeon Education for TLH: Covidien

Linda Michels, Executive Director, AAGL*
Karen C. Wang*
Johnny Yi*

Faculty Disclosures
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
Consultant: Blue Endo, Intuitive Surgical, Titan Medical
Royalty: CooperSurgical

Emma Barber*
Nisse V. Clark*
Pamela D’Apuzzo*
Stephen V. DiMarzo*
Jon I. Einarsson*

Richard W. Farnam
Consultant: Intuitive Surgical

Nicholas Fogelson*

Xiaoming Guan
Consultant: Applied Medical

Jo Marie Janco*

Bruce S. Kahn
Contracted Research:  AbbVie, Boston Scientific Corp., Inc., Urigen
Consultant: Boston Scientific Corp., Inc., Mobile ODT

Seth Kivnick*

Charles H. Koh
Speakers Bureau: CooperSurgical, Karl Storz
Royalty: CooperSurgical, Karl Storz

Mel Kurtulus*

Ted T.M. Lee
Consultant: Ethicon Endo-Surgery

Barbara S. Levy*
Peter C.W. Lim*
Tresa Lombardi*
Shailesh Puntambekar*
Richard B. Rosenfield*
Ronald G. Salzetti*

Linda-Dalal J. Shiber
Other: Research project (grant funding provided by Ethicon): Ethicon Endo-Surgery

Matthew T. Siedhoff
Consultant: Applied Medical, Intuitive Surgical, Olympus, Teleflex Medical

Amanda Simsiman*
Edward Tangchitnob*
Lily Tsai*
Andrew Walter*
Megan N. Wasson*
John J. Willems*
Robin E. Wood*

Kelly N. Wright
Other: Proctor: Applied Medical

Hamid Zadeh*

Content Reviewer
Johnny Yi*
Asterisk (*) denotes no financial relationships to disclose.

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.

Click here to view AAGL’s Policy on Enduring Materials

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. 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

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Video Main Menu

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Stainless Steel Surgeon (Episode 1): Developing Your Anatomical GPS: A Guided Laparoscopic Tour of the Pelvic Retroperitoneum (52.58 min) hours
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Keynote Address: Lessons Learned from Being a Global Ambassador for TLH (28.15 min)
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Stainless Steel Surgeon (Episode 2): The Streamlined Laparoscopic Hysterectomy (55.02 min)
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Surgical Strategies for Vascular Control during Laparoscopic Hysterectomy (30.04 min)
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From Patient Positioning to Vaginal Cuff Closure: Optimizing the Laparoscopic Hysterectomy (37.30 min)
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Breaking the Code: A Refresher on Maximizing Billing & Reimbursement for Hysterectomy (51.17 min)
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Stainless Steel Surgeon (Episode 3): The Modernized Vaginal Hysterectomy (61.40 min)
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Mastering the Cost Effective Hysterectomy in the Outpatient Surgical Environment (31.57 min)
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Stainless Steel Surgeon (Episode 4): Single-Site (Si) versus Multi-port (Xi) Robotic Hysterectomy (66.04 min)
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Stainless Steel Surgeons Sharpen Their Knives: A Panel Discussion on Whose Approach is Truly the Best (42.15 min)
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The Role of Simulation in Hysterectomy Training (34.43 min)
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Live Surgery Webcast #2: Robot-Assisted Laparoscopic Hysterectomy (83.01 min)
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Nerve-Sparing Radical hysterectomy: Its Time Has Come (26.32 min)
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Expert Film Festival: Hysterectomy under Adverse Surgical Conditions (80.37 min)
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Highlights from 44th Global Congress: Impact of a Minimally Invasive Gynecologic Surgeon on Patient Outcomes Following Laparoscopic Hysterectomy (11.04 min)
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Highlights from 44th Global Congress: Prognostic Factors for Morcellation during Vaginal Hysterectomy (11.15 min)
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Highlights from 44th Global Congress: Identifying the Rate-Limiting Step in Total Laparoscopic Hysterectomy at a Training Hospital (13.36 min)
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Highlights from 44th Global Congress: Trainee Participation in Benign Hysterectomy: The Role of Operative Time and Surgical Approach (9.10 min)
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Highlights from 44th Global Congress: Cost-Effectiveness of Laparoscopic Hysterectomy with Morcellation Compared to Abdominal Hysterectomy for Presumed Fibroids (11.04 min)
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About Our Faculty

Dr. Barbara Levy

Vice President for Health Policy
American College of Obstetricians & Gynecologists
Washington, D.C.

Dr. Rosanne Kho

Head of the Division of Urogynecology
Columbia University Medical Hospital
New York, NY

Dr. John Gebhart

Professor/Fellowship Program Director Mayo Clinic
Rochester, MN

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