Module 4 – Ovarian Cystectomy & Retrieval Techniques

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Summary

There are various ovarian cysts such as dermoid cysts, endometriotic cysts and mucinous cysts. The underlying principles to remove the cysts are the same. We demonstrate how to develop the skills to approach ovarian cystectomy. The correct method of dissection, stripping the cyst from the ovarian walls and then retrieval are taught on innovative models. There is also a detailed discussion on tissue retrieval and the effects of electrodiathermy on ovarian tissue and techniques to employ to reduce the harmful effects on the ovarian cortex to a minimum.

Lectures

Schedule

Laparoscopic cystectomy is one of the common operations in Gynaecology. This module consists of lectures and videos to explain all the steps for carrying out a cystectomy.

Reading Material

These guidelines are taken from RCOG and help to grasp the theoretical knowledge of managing ovarian cyst in premenopausal and post menopausal women. The trainees will be assessed on their knowledge in their critical appraisal of this topic.

Laparoscopic Cystectomy

Presentation explaining all the steps to complete cystectomy without causing unnecessary bleeding and damage to ovarian tissue.

Laparoscopic Ovarian Cystectomy (Video Lecture)

Video lecture explaining the technique for ovarian cystectomy. All steps have been shown to make it easy for trainees to understand the underlying principles such as dissecting in the anatomical planes, hemostasis, effective use of instruments and suction.

Lecturers

Amer Raza

Mr Raza is a Minimal Access Surgeon and Consultant Gynaecologist with specialist interest in minimal access surgery. He completed his specialty training in West midlands and London deanery. He worked in Birmingham Womens hospital and established number of laparoscopic courses including basic and advanced laparoscopic courses. Mr Raza later moved to London in Chelsea and Westminster hospital as a Fellow in Laparoscopic surgery.

He signed in for post-graduation in Advanced laparoscopic surgery in Surrey University. He successfully completed his postgraduate certification and later appointed as a consultant in Chelsea and Westminster hospital. He is now performing the major laparoscopic surgery for endometriosis, uterine fibroids, ovarian cysts and hysterectomy.

Mr Raza has taken keen interest in developing laparoscopic courses nationally and internationally. He has been on number of laparoscopic teaching faculties in Royal college of Obstetrician and Gynaecologist, ICENI Centre UK, West midlands deanery and London. He teamed up with Mr Richardson in Chelsea and developed a series of modular laparoscopic courses over last 4 years. He is now working on various teaching and training programs to develop the online platforms for minimal access surgery education.

Mr Raza has also organized advanced laparoscopic courses in various countries including Pakistan and Iraq, which have been extremely successful. The current developments in online educational platforms will help to expand these courses to surgeons in developing countries.

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Robert Richardson

Profile

In research, beyond personal projects, I have been involved in two National NIHR portfolio studies recruiting patients to evaluate treatment methods/management pathways in gynaecology. The OPT study has now closed and is in the writing phase. I am now lead investigator at Chelsea for the MEDAL study: MRI to Establish Diagnosis Against Laparoscopy. I aim to recruit between 50 and 70 patients and we are on track to achieve this.

Other contributions

I have been appointed as a Honorary Clinical Senior Lecturer, Imperial College in recognition of contributions to the Division.

Qualifications

Bsc Pharmacology(Leeds)1979, MBBS(London) 1984, MRCOG 1991, CCST 1997, Acredited preceptor in Laparoscopic and Hysteroscopic surgery 2001, FRCOG 2006

Specialities

Gynaecology – Leading the Endometriosis and Rapid access services, Gynaecology – Laparoscopic and hysteroscopic surgery including out patient hysteroscopy

 

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