ESUT boosts presence in Southeast Asia Philippine Urological Association harnesses ESUT expertise Prof. Ali Serdar Gözen Chair, ESUT Training Group Heilbronn (DE)
The course opened with welcome remarks from Dr. Jaime C. Balingit, chairman of the Department of Urology of East Avenue Medical Center. Gözen, head of the ESUT’s Training Section, gave an introduction on ESUT structure and activities and the European school of Urology (ESU)/ESUT European Basic Laparoscopic Urological Skills (EBLUS) Programme. He also presented a follow-up lecture on Small Access Retroperitoneoscopic Technique (SMART).
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Following the first European Association of Urology Section of Uro-Technology (ESUT) training courses held in Jakarta and Manado, Indonesia in 2013 and 2014, EAU training standards have been successfully introduced in Southeast Asia. The initial activities were followed in the last two years with training courses organized with the Russian Endourology and New Urotechnology Society in Vladivostok and with the Thailand Urological Society in Chiang Mai during the 2016 Videourology Congress. This year, the ESUT cooperated with national associations such as the Philippine Urological Association (PUA) when it joined the PUA on October 6 to 8 in Metro Manila. Professors Jens Rassweiler and Ali Serdar Gözen represented the ESUT in what is considered as the largest urology post-graduate course in the Philippines which has the theme “Retroperitoneoscopy & Extraperitoneoscopy, Paths Less Travelled.”
"Profs. Jens Rassweiler and Ali Serdar Gözen represented the ESUT in what is considered as the largest urology post-graduate course in the Philippines..." The local retroperitoneoscopic specialists present in the meeting included Dr. Jun Dy, Dr. Samuel Vincent Yrastorza, Dr. Karl Marvin Tan, Dr. James Claveria and Dr. Juvido Agatep. They shared their experiences and expertise on the topics assigned to them. Aside from the comprehensive lectures and interactive open forums, Day 1 of the programme also gave participants the chance to have an ESU/ ESUT basic laparoscopy Hands-on Training Course (E-BLUS). Everyone was eager to try out the different modules that were provided. In pairs, the participants patiently lined-up to finish the course, which turned out to be a friendly competition. The enthusiasm at the end of Day 1 was evident with several participants staying longer at the venue to further work on the laparoscopy training models.
PUA President Dr. Pedro Lantin and Heilbronn fellows Dr. Samuel Vincent Yrastorza and Dr. Juvido Agatep, as well as PUA members, welcomed the ESUT representatives in Metro Manila, one of Southeast Asia’s biggest metropolitan cities. The course was held at the East Avenue Medical Center, one of the biggest public hospitals in the Philippines. The high attendance by urologists was remarkable, considering that almost one-third of the country’s urological community took part in the event.
EAU Section of Uro-Technology (ESUT)
The participants were eager to avail of the hands-on training opportunities in Manila
The gathered PUA members posing together with Prof. Jens Rassweiler (middle front)
Live surgeries Prof. Rassweiler, Chairman of the EAU Section Office and former ESUT chair, gave three lectures on retroperitoneoscopic laparoscopic surgery and performed with Prof. Gözen two live laparoscopic retroperitoneal surgeries which were simultaneously transmitted to the plenary hall and posted on the internet. A laparoscopic retroperitoneoscopic adrenalectomy and retroperitoneoscopic partial nephrectomy cases were completed successfully. Both cases were discussed interactively with the moderator and the audience. The operations were fast and each segment of the surgery were fully explained and discussed with the attendees in the main hall. The surgeries were the first cases to be performed in the newly opened surgery suites of the East Avenue Medical Center which has a dedicated Minimally Invasive Operating Room. Day 2 of the course ended with a fellowship night to foster camaraderie among members of the society and distinguished guests. A sumptuous dinner was shared by everyone with musical performances to keep everyone entertained. It was also a chance for Prof. Rassweiler to showcase his talent by performing classic rock and blues songs. Day 3 took place at the Center for Advanced Skills, Simulation and Training Innovation, (CASSTI) at The Medical City in Pasig City. A lecture on retroperitoneoscopic surgery on a porcine model was conducted followed by a live demonstration. The ESUT animal training programme was used during the session. This also marked the first successful retroperitoneoscopic training programme in a porcine model done in the Philippines. Five stations were prepared with 11 porcine models for the hands-on training.
Live surgery was performed in the the East Avenue Medical Center, Manila
As the course came to a close, the participants expressed thanks not only for the new knowledge and skills they gained but also for the friendships forged. As of this date, plans are underway for a possible follow-up of the programme. In fact, discussions are ongoing to include the resident group as EAU Junior Members to facilitate contacts and further cooperation with the EAU in future training programmes. With this programme, everyone looks forward to an innovative and dynamic practice of urology in the Philippines.
ESUT HOT Sessions at CEM16 Honing surgical skills in newly-formatted laparoscopic training Dr. Jan-Thorsten Klein Universitätsklinikum Ulm Dept. of Urology & Paediatric Urology Ulm (DE)
The course used three fully-equipped dry-lab work stations, and to guarantee an ideal training environment each workstation was supervised by an experienced tutor. The trainees had the opportunity to work on different models, including suturing tasks and simulation of laparoscopic kidney surgery using perfused kidney models which provided a very interesting training protocol for each participant.
jtk171272@gmx.net
New training formats After a short introduction demonstrating the different steps of the surgical techniques and videoclips of the tasks, the participants were divided into small subgroups of three to four participants per workstation where they performed real hands-on training.
As part of the EAU Section of Uro-Technology‘s (ESUT) aims to boost the surgical skills of young urologists, the ESUT organised a Hands-on Training Session during the16th Central European Meeting (CEM16) held in Vienna, Austria last October 7 and 8. The two full-day sessions included laparoscopic surgery on Day 1 and retrograde intrarenal stone surgery (RIRS) on Day 2. With the high interest among the young doctors, all courses were fully booked.
"...two sessions ... were fully booked which reflected the high interest particularly on techniques of flexible ureterorenoscopy." EAU Section of Uro-Technology (ESUT)
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European Urology Today
Two sessions (each lasting for two hours) were offered and all participants showed rapid progress in their training performance. After the laparsocopy training, a session provided a new training format which included case discussions. Clinical cases were presented and critically discussed. The cases tackled main complications often encountered during laparoscopic surgery such as bleeding and trocar injuries and two so-called ‘nightmare‘ scenarios. Meanwhile, Day 2 was dedicated to retrogarde intrarenal surgery. The sessions were structured like in Day 1, starting with a theoretical introduction on the indication, pre-operative management, surgical technique and postoperative management of semirigid and flexible ureterorenoscopy. The participants then used the workstations to practice all possible stone-manipulating techniques (e.g. laser desintegration, stone-dusting and stone fragment extraction using Dormia baskets or graspers), under the supervision of expert endourology-trainers.
The participants were divided into small subgroups of three to four participants per workstation to perform real hands-on training
Two sessions (two hours each) were fully booked which reflected the high
Sixty-four participants benefitted from a in-depth look into modern minimally invasive surgery
interest particularly on techniques of flexible ureterorenoscopy. Following the two URS hands-on sessions, case discussions were held to prompt insights on surgical procedures and best practices. Various nightmare scenarios and typical complications of URS (e.g. what to do in case of perforation, bleeding, etc.) were shown and discussed. The ESUT exert efforts to implement its goals of providing quality training and these two hands-on training days met the expectations of 64 satisfied participants who benefited from this in-depth look into modern minimally invasive urological surgery. October/December 2016