48th Annual Scientific Meeting
March 27-30, 2022

“Gynecologic Surgery Training: Lessons from the Past, Looking to the Future ”


Course 1: Interdisciplinary Approach and Surgical Techniques for Diagnosis and Repair of Mullerian Anomalies
Sunday, March 27, 2022 | 8:00 am - 12:00 pm PT
Live Only

Course Director
 
Cara King, DO
Cleveland Clinic

Course Faculty: Marjan Attaran, MD, Cecile A. Ferrando, MD, V. Gomez-Lobo, MD, Oz Harmanli, MD, Marc Laufer, MD, Joseph Sanfilippo, MD 

This course will provide a comprehensive overview of how to provide interdisciplinary care for patients who present with complex anatomy from Mullerian anomalies. A methodical and reproducible approach for work up and repair will be described using both didactics and video review. Participants will be taught appropriate preoperative work up including thorough physical exam and integration of imaging modalities. Specific attention will be devoted to crucial pelvic anatomy and surgical approaches for repair of congenital uterine and vaginal anomalies, as well as management of postoperative vaginal stenosis after neovagina repair. These dissection principles and anatomic relationships can be applied to multiple modalities of pelvic surgery including both laparoscopic and vaginal approaches. Furthermore, opportunity will be offered for individual case review to assist with personalized coaching for the participants.

Course Objectives:

At the conclusion of this activity, the participant should be able to:
1) Describe a methodical and efficient work up for patients presenting with Mullerian anomalies including physical exam and indicated imaging.
2) identify laparoscopic and vaginal surgical techniques to enable safe and efficient repair of various Mullerian anomalies utilizing multiple approaches.
3) demonstrate how to create an interdisciplinary care team to serve our patients with Mullerian anomalies for optimized patient outcomes.

Course Outline:

8:00 am – 8:05 am Introduction – Cara King, DO

8:05 am – 8:30 am Preoperative work up for Mullerian anomalies: Integration of physical exam and imaging – Cecile Ferrando, MD

8:30 am – 8:55 am Surgical Approach for Septum Removal: Metroplasty, Vaginal Septoplasty, and OHVIRA – Cara King, DO

8:55 am – 9:20 am MRKH Syndrome: Surgical Tips for Neovagina Creation (Vecchietti and Davydov Procedures) – Oz Harmanli, MD

9:20 am – 9:40 am Questions/Answers/Break

9:40 am – 10:05 am Laparoscopic Excision of a Rudimentary Horn or Hemi-Hysterectomy - Cara King, DO

10:05 am – 10:25 am Integration of Pelvic Floor Physical Therapy: Vaginal Dilation/Pelvic Spasm - Cecile Ferrando, MD

10:25 am - 10:45 am  Questions/Answers

10:45 am – 11:55 am Case Based Panel
                                        How to Create an Interdisciplinary Mullerian Anomaly Center
                                        Neovagina revision surgery for vaginal stenosis in MRKH patients
                                        Reproductive Impact on Patients With Mullerian Anomalies
Marjan Attaran, MD, Cecile Ferrando, MD, V. Gomez-Lobo, MD, Oz Harmanli, MD, Marc Laufer, MD, Joe Sanfilippo, MD

11:55 am – 12:00 pm Wrap up - Cara King, DO