During the COVID 19 epidemic, all health professionals have suffered difficult times accompanied by uncertainty.
On the other hand, this crisis has shown us new ways of being in contact.
Our society is acutely aware of the need to continue carrying out its mission of sharing knowledge.
Within the Educational Committee, we are pleased to offer a new training initiative that we find very attractive.
Once a month, usually the last Thursday of each month at 6:00 pm we will meet in this online meeting called "Meet the surgeon."
We will have an excellent opportunity to share from the hands of an expert a specific surgical technique of our specialty.
In these 60-minute live webinars, leading surgeons will present and discuss with participants their approach to specific surgical techniques in gynaecological oncology.
The webinars will include:
+ 30-minute presentation of the surgical technique and approach, including real case videos, to demonstrate practical tips and recommendations.
+ 30-minute discussion and Q&A, participants will be able to send questions to the surgeon during the webinar.
The monthly “MEET THE SURGEON” webinars, will be the first edition of the new concept of web-based education. Each webinar will be dedicated to a specific topic. The list of topics and experts will be available soon.
Support open-access webinars from ESGO and help us create more educational opportunties.
Speaker: Gwenaël Ferron (France)
Date: May 28, 2020 at 18:00 CEST
Moderators: Luis Chiva (ESP), Denis Querleu (FRA) and Maximilian Lanner (AUT)
Panellists: Anna Fagotti (ITA) and Cagatay Taskiran (TUR)
Colorectal resection is a surgical procedure frequently employed when performing cytoreductive surgery for ovarian carcinomatosis in order to obtain complete cytoreduction. However, gynecologic oncologic surgeons are not always used to this surgical technique and acquiring the surgical skills to perform this kind of procedure is crucial to offer our patients an optimal management.
The anatomical knowledge of bowel blood supply is essential to perform bowel resections. Moreover, according to the principles of colorectal surgery, we will also discuss about the type of colorectal resection depending on the extent of the disease.
Though, bowel resections are not exempt from postoperative morbidity. Not only they are associated to severe postoperative complications such as anastomotic leakage or fistulas, but also to a decreased quality of life. For this reason, before discussing about the surgical technique of colorectal resection, we will highlight how to avoid bowel resections. There are some organ-sparing techniques which allow to perform less radical and morbid surgeries without precluding from achieving complete cytoreduction. Mesentery and mesocolon vaporization or extended peritonectomy and modified-Hudson procedure may help to reduce the rate of bowel resection during cytoreductive surgery. As well, it is important to strictly select the patients who will undergo this kind of procedure.
Afterwards, we will focus our presentation on the tips and recommendations on how to perform a colorectal resection and anastomosis, such as the mobilization of the colic spleen flexure, the selective ligation of the inferior mesenteric artery with the preservation of the left colic artery, the ligation of the inferior mesenteric vein close to the inferior border of the pancreas, the verification of the viability of the descending colon, the type of colorectal anastomosis, the importance of a tension-free anastomosis, the quality of the stapled rectum, and the role of a transient colostomy or ileostomy.
Speaker: Dr. Santiago Domingo (Spain)
Date: June 30, 2020 at 18:00 CEST
Panellists: Artem Stepanyan (AM)
Although it is not a common procedure in gynecology oncology, splenectomy is increasingly performed if malignant involvement is noticed (superficial or intraparenchymal), especially in women who undergo debulking surgery for advanced ovarian cancer. Less common, due to an accidental injury during the surgery.
As with any surgical procedure, it is mandatory to have a deep knowledge of the anatomy, in this particularly case, of the superior hemiabdomen, focused on vascularization, landmarks and its relationship with adjacent organs. Once the tumor involvement has been thoughtfully studied (CT Scan, exploratory laparoscopy, etcetera), a proper technique must be learned in order to standardize the procedure, step by step. Two different approaches can be done for removing the spleen, according to the approach to the hilium: anterior, most commonly used in patient with bulky carcinomatosis, and posterior. We will show a step-by-step academic technique video, outstanding the anatomical landmarks and consecutive steps of the procedure. Post-operative considerations and complications will be disclosed along wih the oncological outcome in our serie.