Yorkshire & Humber School of Surgery

Complex Abdominal Wall Reconstruction (CAWR) CadSim Course

This course has been nominated for the Royal College of Surgeons Innovative Education Award 2019

7th – 8th November 2019

Course Directors:

Mr P. Chitsabesan & Mr A. B. Harikrishnan

Course Convenor:

Miss O. Smith, Academic Fellow, AWR

Faculty:

Mr S. Chintapatla, General Surgeon and AWR Specialist (YTH)

Mr I. Adam, General Surgeon and AWR Specialist (NGH)

Mr D. Light, General Surgeon and AWR Specialist (NGH)

Mr P. Bazira, Programme Director: Clinical Anatomy (HYMS)

Mr T. Macleod, Plastic Surgeon and AWR Specialist (YTH)

Mr P. Lim, Plastic Surgeon and AWR Specialist (YTH)

Dr D .King, Musculoskeletal Radiologist (YTH)

Dr D. Petty, GI Radiologist (YTH)

Course co-ordinator:

Miss M. Tyas

This course has been nominated for the Royal College of Surgeons Innovative Education Award 2019

7th – 8th November 2019

This is an exciting 2 day course. The course involves a full day of theory, practical experience and knowledge of CAWR – a complex and evolving field of surgery for which York is a Tier 3 centre.

DAY 1 – Thursday 7th November:

open to all

Endoscopy seminar room

York Teaching Hospital, Wigginton Road, YO31 8HE

You will receive didactic teaching and engage in group discussions with faculty who are highly experienced in the field.

· An anatomist will outline the complex anatomy of the abdominal wall

· Radiologists will provide detailed images and discuss pre-operative botulinum toxin injections

· General surgeons who specialise in CAWR will present the York Pathway of hernia assessment

· Plastic surgeons will discuss wound closure and mesh complications

· Complex cases and techniques will be presented

· The most up to date literature in the field will be summarised

DAY 2 – Friday 8th November:

suitable for surgical registrars, paediatric surgical registrars, SCPs and ODPs

Worsley Building, University of Leeds, LS2 9NL

· 8 Thiel cadavers will be available to a mixture of delegates

· Expert mentorship will be provided by general surgeons who are experienced in CAWR

· All delegates will perform:

1) Rives-Stoppa 2) anterior component separation 3) TAR 4) plastic reconstruction and 5) closure

If you are interested in attending, please e-mail praminthra.chitsabesan@york.nhs.uk by 1st July 2019

Course directors: Mr. P. Chitsabesan and Mr. A. Harikrishnan

Complex Abdominal Wall Reconstruction (CAWR) CadSim Course

What can you expect from this course?

This course involves a full day of theory, practical experience and knowledge of this complex area via didactic teaching and group discussions as well as radiological imaging.

The faculty is highly experienced and varied with both general surgeons and plastic surgeons involved to provided expert surgical mentorship. We uniquely have an anatomist to present the detailed anatomy of the abdominal wall.

Day 2 takes place in the cadaveric labs in Leeds. We will have 8 Thiel cadavers available and a mixture of delegates. Trainees will consist of general surgical trainees of different levels. Paediatric surgical trainees have also been invited. There will also be theatre assistants and we have invited several surgical care practitioners.

We receive sponsorship from Bard and Medtronic for supplies for cadaveric procedures

Sponsorship

This course has been nominated for the Royal College of Surgeons Innovative Education Award 2019

You will obtain verbal feedback on a regular basis throughout the course. We will ask you to complete standardised feedback forms about the course (the lectures and the practical dissection) and its delivery so that we may endeavour to improve the course and its material over subsequent years.

We expect that the cadavers will not score as highly since earlier in the year another cohort of trainees has used them for CadSim training.

Assessment of course

Location: endoscopy seminar room.York Teaching Hospital, Wigginton Road, YO31 8HE

Day 1: 7th November 2019

9.00Registration and coffee

9.30Abdominal wall anatomy P Bazira

10.00Abdominal wall hernia classificationP Chitsabesan

10.15Assessing a hernia – the York pathwayS Chintapatla

10. 45Coffee break

11.00Radiological assessment D Petty

11:20Botulinum toxin injectionsD King

11.35 MDT approach and adjuncts P Chitsabesan

12.15Role of Biological MeshP Lim

12.30Lunch

13:20Modified Rives StoppaD Light

13.40Anterior Component separationS Chintapatla

14:10Posterior Component separation (TAR)I Adam

14.40Coffee break

14.55Plastic surgery considerationsT Macleod

15.30ComplicationsI Adam

16.00Feedback/QuestionsAll

16:30 Home

Location: Cadaveric Dissection Rooms, Worsley Building, University of Leeds, LS2 9NL

Day 2: 8th November 2019

May not run exactly to time due to practical nature of the programme…

9.00Welcome, introduction and coffee

9.30Commence morning practical session

10.00Modified Rives-Stoppa

Coffee break

11.30 Anterior Component separation

1 x minimally invasive

1 x open

Measure distance of midline sheath to ASIS and Kocher’s angle, then skin

Lunch

14.00 TAR – posterior component separation

Plastic reconstruction

Closure

17.00Summary

17.30Feedback/Questions

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