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<p>MASTER Course on</p><p>Laparoscopic</p><p>Suture Technique</p><p>Romeo Gladiator Rule</p><p>October, 18th to 20th, 2023</p><p>CHAIRMAN</p><p>Henrique Prata</p><p>President of Fundação Pio XII</p><p>Hospital de Amor - Barretos</p><p>PRESIDENT</p><p>Jacques Marescaux</p><p>President of IRCAD</p><p>University of Strasbourg, France</p><p>DIRECTOR</p><p>Armando Romeo</p><p>Universitá di Torino - Italy</p><p>COURSE CO-DIRECTORS</p><p>Guilherme Karam</p><p>Gynecology coordinator</p><p>Hospital Ana Costa</p><p>Santos, Brazil</p><p>FACULTY / TRAINERS</p><p>SCIENTIFIC DIRECTOR</p><p>Armando Melani</p><p>Americas Medical City</p><p>Rio de Janeiro, Brazil</p><p>Adriana Liceaga</p><p>Chief of surgery, Hospital Ángeles</p><p>Universidad</p><p>Mexico City, Mexico</p><p>Cláudia Rocha</p><p>Gynecologist</p><p>Rede D’or/São Luiz Itaim</p><p>São Paulo, Brazil</p><p>P</p><p>R</p><p>O</p><p>G</p><p>R</p><p>A</p><p>M</p><p>M</p><p>E</p><p>4</p><p>th</p><p>E</p><p>D</p><p>IT</p><p>IO</p><p>N</p><p>Adriana Liceaga (Mexico)</p><p>Andresa Paiva (Brazil)</p><p>Beatriz Porto (Brazil)</p><p>Cláudia Rocha (Brazil)</p><p>Fernanda Almeida (Brazil)</p><p>Fernanda Arcoverde (Brazil)</p><p>Françoise Padula (Brazil)</p><p>Guiherme Karam (Brazil)</p><p>Luciana Saboya Da Col (Brazil)</p><p>Mariana Vieira (Brazil)</p><p>Wilmer Bustamante (Peru)</p><p>Yeray Trujillo (Peru)</p><p>THIS COURSE IS ACCREDITED BY:</p><p>Check out our society partners and</p><p>contact our office to check your discount!!</p><p>COURSE OBJECTIVES</p><p>EDUCATIONAL METHODS</p><p>• To provide the basic knowledge required for clinical applications of suturing for all</p><p>Gynecology, Urology and General Surgery performing Videolaparoscopy;</p><p>• ONE to ONE expert Tutor on each working station will support and guide you during</p><p>the Hands-on training session. You will learn and improve the performance of basic</p><p>technical skills in laparoscopic surgery, such as intra-corporeal suturing and knots tying</p><p>techniques, two-hands co-ordination for dissection, safe use of energy in laparoscopy.</p><p>The tutors will help with basic and specific tasks for your specialty, emphasizing the</p><p>laparoscopic suture, particularly on difficult situation.</p><p>• Interactive theoretical and video sessions between faculty and course participants</p><p>• Pre-recorded operative demonstrations</p><p>• Practical sessions in live tissue and pelvic trainer</p><p>American College of Surgeons World Endoscopy Organization</p><p>MASTER Course on Laparoscopic Suture Technique</p><p>Romeo Gladiator Rule</p><p>INVITED SPEAKERS</p><p>Liliana Puycan</p><p>OBSERVERS</p><p>Isabella Furuie</p><p>Luiza Irizawa</p><p>Mariama Salazar</p><p>Roberta Tranchina</p><p>Tatiana Colombari</p><p>MASTER Course on</p><p>Laparoscopic Suture Technique</p><p>Wednesday, October 18th</p><p>…</p><p>Faculty & Participants Shuttle Bus: Hotel - IRCAD</p><p>09:00 am Welcoming the participants Armando Romeo</p><p>THEORETICAL SESSION</p><p>Chairpersons:</p><p>09:10 – 09:40 am Romeo’s Gladiator Rule: An easy repeateble technique Françoise Pádula</p><p>09:40 – 10:30 am</p><p>What is the best knot? Clinical applications The blocking</p><p>sequences: new</p><p>Cláudia Rocha</p><p>10:30 – 10:45 am Coffee break</p><p>THEORETICAL SESSION</p><p>10:45 – 11:45 am</p><p>Knots Classification :safe unsafe and dangerous knots: The</p><p>Dynamometer Method</p><p>Armando Romeo</p><p>11:45 – 12:30 am Suture in Laparoscopic Gynecologic: Surgery</p><p>and Educational Experience</p><p>Beatriz Porto</p><p>12:30 – 1:30 pm Lunch at institute</p><p>1:30 – 2:10 pm Suture in Urology and the use of the robot-assisted surgery Luciana Saboya</p><p>2:10 – 2:40 pm</p><p>Endometriosis: gynecological pathology or multidisciplinary</p><p>surgery?</p><p>Guilherme Karam</p><p>Laboratory Coordinator: Adriana Liceaga</p><p>EXPERIMENTAL LABORATORY – DRY LAB</p><p>02:40 – 05:30 pm • Suturing Training - Hands On1</p><p>• Exercises on ETX LAP 2 Pelvic Trainer.</p><p>• Performance of the Gladiator Rule above the Horizon (clockwise movement) from</p><p>right trocar access with needleholder in a right hand.</p><p>• Performance of the Gladiator Rule Horizon under the Horizon (counterclockwise</p><p>movement) from right trocar access with needleholder in a right hand.</p><p>• Performance of the Gladiator Rule in Central Trocar to perform clockwise and</p><p>counterclockwise difficult knot-tying with needlleholder in suprapubic position.</p><p>• Intracorporeal Knot-tying sequence combination: surgical knot.</p><p>• The surgical knot the three movements to avoid the sliding of the knots.</p><p>• The role of the “square knot” stable and no-stable configuration.</p><p>05:30 pm Bus shuttle IRCAD-Hotel.</p><p>This programme may be subject to modifications or cancellations for timing reasons</p><p>MASTER Course on</p><p>Laparoscopic Suture Technique</p><p>Thursday, October 19th</p><p>Faculty & Participants Shuttle Bus: Hotel - IRCAD</p><p>THEORETICAL SESSION</p><p>Chairpersons: Beatriz Porto</p><p>09:00 – 09:20 am</p><p>• The Stitch</p><p>• The Theory of the Perfect Stitch and the Ideal Knotting</p><p>Technique: The Gladiator Rule</p><p>• The axes, plan and angles of suture and their parallel</p><p>geometric ideal combination</p><p>09:20 – 10:00 am</p><p>• Needle Introduction</p><p>• Loading of the needle on the needleholder directly</p><p>• Orientation, fine tuning of the needle direction</p><p>• Change of orientation and direction of the needle</p><p>• Recharge of the needle</p><p>Cláudia Rocha</p><p>10:00 – 10:30 am</p><p>Suture in bariatric surgery and the use of robot-assisted</p><p>surgery</p><p>Adriana Liceaga</p><p>10:30 – 10:45 am Coffee break</p><p>THEORETICAL SESSION</p><p>10:45 – 11:30 am Energy in the OR - principles and fundamental concepts Armando Romeo</p><p>11:30 – 11:50 am Monomanual or Bimanual suturing technique: what is the best? Fernanda Almeida</p><p>11:50 – 12:15 pm The Romeo’s Gladiator Rule – Peru Experience Yeray Trujillo</p><p>12:15 – 12:45 pm</p><p>Suturing in robot-assisted surgery. Is it the answer to all</p><p>difficulties?</p><p>Adriana Liceaga</p><p>12:45 – 01:45 pm Lunch at institute</p><p>Laboratory Coordinator: Guilherme Karam</p><p>EXPERIMENTAL LABORATORY – DRY LAB</p><p>01:45 pm • Loading techniques of the needle on the needleholder</p><p>• First and second levels adjustments of the needle</p><p>• Direction, Versus and Orientation of the needle respect to the F axe of</p><p>the tissue</p><p>• Easy Stitches (P axe parallel to the F axe and the T plan of the needle</p><p>perpendicular to both (F and P) axes: Perfect direct and reverse</p><p>Stitches in the right hand dominant</p><p>• Easy Stitches with left hand</p><p>• Vertical Stitches(F axe vertical) Right Hand in central trocar access</p><p>• Difficult Stitches with limited angles and extreme loadings of the</p><p>needle: the “Mandatory” use of the Left Hand</p><p>All Faculty</p><p>03:00 pm • The role of Half Hitch (semichave);</p><p>• The BLocking sequences mono e bimanual;</p><p>• The multiangle Wheel - Training with both hands and very difficult</p><p>stitches;</p><p>• Basic perfect Blocking sequences triple -doble doble – doble – demicle</p><p>- demicle</p><p>• All demicle combinations;</p><p>All Faculty</p><p>05:30 pm Bus shuttle IRCAD-Hotel.</p><p>This programme may be subject to modifications or cancellations for timing reasons</p><p>MASTER Course on</p><p>Laparoscopic Suture Technique</p><p>Friday, October 20th</p><p>Faculty & Participants Shuttle Bus: Hotel - IRCAD</p><p>THEORETICAL SESSION</p><p>Chairpersons: Françoise Padula</p><p>09:00 – 09:35 am</p><p>Energy in the OR - applications of electrosurgical</p><p>devices in gynecologic procedures</p><p>Mariana Vieira</p><p>09:35 – 10:00 am Pig Anatomy Fernanda Arcoverde</p><p>10:00 – 10:10 am Laboratory Rules Paula Silva</p><p>10:10 – 10:25 am Coffee break</p><p>Laboratory Coordinator:</p><p>EXPERIMENTAL LABORATORY – VET LAB</p><p>10:30 – 12:15 pm Animal Live Surgery</p><p>All Faculty</p><p>Dissection-Energy and Suturing Techniques</p><p>12:15 – 1:15 pm Lunch at institute</p><p>EXPERIMENTAL LABORATORY – VET LAB</p><p>01:15 – 04:30 pm</p><p>• Extra corporeal Knots</p><p>• Vessels dissection and suture ligation</p><p>• Bowel preparation with ligatures</p><p>• Gastrointestinal anastomosis</p><p>• Vascular, Ureter repair</p><p>• Bladder Suture</p><p>All Faculty</p><p>• Total Nephrectomy*</p><p>• Fundoplication Nissen*</p><p>• Splenectomy*</p><p>*The last three procedures will be perform according to the time and skill of participants.</p><p>04:30 pm</p><p>End of the course</p><p>Delivery of certificates of attendance</p><p>04:45 pm Shuttle bus for participants: IRCAD – Hotel</p><p>Shuttle bus for faculty: IRCAD – Hotel</p><p>This programme may be subject to modifications or cancellations for timing reasons</p><p>Visite nossas redes sociais e Conecte-se conosco:</p><p>IRCAD América Latina</p><p>R. Antenor Duarte Viléla, 1650</p><p>Dr. Paulo Prata, Barretos - SP</p><p>CEP. 14784-400</p><p>Fone. +55 (17) 3321 7000</p><p>Conheça nossos programas de</p><p>Certificação em Cirurgia Robótica:</p><p>COLORRETAL GINECOLÓGICA</p><p>https://www.instagram.com/ircadamericalatina/</p><p>https://www.instagram.com/ircadamericalatina/</p><p>https://www.ircadamericalatina.com.br/</p><p>https://open.spotify.com/show/6gO11elY8kVAgAZbCfWVox</p><p>https://br.linkedin.com/company/ircadamericalatina?trk=similar-pages_result-card_full-click</p><p>https://twitter.com/ircadamerica</p><p>https://www.youtube.com/channel/UC1upbRiO7C70S9xxa-ijk9w</p><p>https://goo.gl/maps/PaUf6qGuBpK3bwoF8</p><p>https://www.ircadamericalatina.com.br/barretos/cursos/programa-de-certificacao-em-cirurgia-robotica-colorretal/</p><p>https://www.ircadamericalatina.com.br/barretos/cursos/programa-de-certificacao-em-cirurgia-robotica-ginecologica/</p><p>Slide 1</p><p>Slide 2</p><p>Slide 3: MASTER Course on Laparoscopic Suture Technique</p><p>Slide 4: MASTER Course on Laparoscopic Suture Technique</p><p>Slide 5: MASTER Course on Laparoscopic Suture Technique</p><p>Slide 6</p>