Module 3 – Principles of Salpingotomy / Salpingectomy Management of Ectopic Pregnancy

Summary

Laparoscopic salpingectomy and salpingotomy is one of the common operations in gynaecological emergencies. This module deals with theory and practice for the management of suspected ectopic pregnancy. The surgical techniques of salpingectomy and and salpingostomy are addressed in this module. Tissue retrieval, monopolar and bipolar energy sources and endoloop placements will also feature in this module.

Lectures

Schedule

This outlines the program for the day. The main aim of this module is to cover the principles of electrosurgery and ectopic pregnancy.

Reading Materials

Lecture containing document embeds of two essential reading materials required to pass this module.

Principles of Electrosurgery

Electrosurgery constitutes a vital part of the laparoscopic surgery. There are numbers of energy resources. It is necessary fro a surgeon to understand all the energy modalities, their utilization and complications.

Laparoscopic Salpingectomy

Videos demonstrates basic principles of excision and retrieval of fallopian tubes. It is important to follow the rules to avoid injury.

Laparoscopic Salpingotomy

This video will outline the techniques to carry out a safe salpingotomy. This is a valid technique in cases of contralateral tubal damage or patient wishes.

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.

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