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An educational program developed by the Institute of Image-Guided Surgery of Strasbourg, University of Strasbourg and in partnership with IRCAD.

1.
Endoscopy - Basic Principes
2.
Laparoscopy - Basic Principles
3.
General Considerations
1.
Endoscopy - Basic Principes
2.
Laparoscopy - Basic Principles
3.
General Considerations

Basic Principles

With Module One, “Basic Principles”, we introduce you to the fundamental tools, techniques and principles underlying surgical endoscopy. The lectures within this module are divided into sections covering Surgical, Medical and Common considerations. This is done to emphasize that students with various backgrounds will take part in this training and allows us to start with a shared understanding of the fundamental principles, tools and practices involved. We begin with the endoscope (its variations, components and accessories) and start to explain the techniques and tricks for technical success...

Introduction

Presentation

With Module One, “Basic Principles”, we introduce you to the fundamental tools, techniques and principles underlying surgical endoscopy. The lectures within this module are divided into sections covering Surgical, Medical and Common considerations. This is done to emphasize that students with various backgrounds will take part in this training and allows us to start with a shared understanding of the fundamental principles, tools and practices involved. We begin with the endoscope (its variations, components and accessories) and start to explain the techniques and tricks for technical success.
We briefly explain laparoscopy, recognizing that much surgical endoscopy begins in the operating room and may involve combined approaches. We cover the common topics of pre-operative patient preparation, airway management, anesthesia and post-operative care. Finally, we create the segue to more advanced modules by introducing the principles and techniques for cautery, resection and specimen orientation.

11 lessons

11 speakers

06:59 hours

16 followers

Course directors

Silvana Perretta

Silvana Perretta

Lee Swanström

Lee Swanström

B. Dallemagne

Bernard Dallemagne

Objectives

  • Possess a basic technical understanding of endoscopic equipment, platform and accessories.
  • Demonstrate the care, cleaning and basic manipulation of upper and lower GI endoscopes.
  • Understand the principles and practice of patient preparation, sedation, anesthesia and airway management for surgical endoscopy.
  • Know the indications and contraindications for surgical endoscopy interventions.
  • Know the basic principles of laparoscopic surgery.
  • Understand the principles of cautery, tissue resection and specimen orientation.
  • Be able to recognize and manage common complications.
  • Understand the management of post-operative care including pain, diet and activity.

Endoscopy - Basic Principes

Principles of upper gastrointestinal endoscopy

Upper endoscopy is an exam performed to explore the first parts of the digestive tract up to the second portion of the duodenum. Using a flexible endoscope the operator can perform a gastroscopy to inspect the mucosa, to perform biopsies or many therapeutical interventions on the upper GI tract.

12 min Margherita Pizzicannella

Diagnostic Esophagogastroduodenoscopy EGD

This module will introduce the learner to the basic principle of performing esophagogastroduodenoscopy (EGD).

Upon completion of the module, the learner will be able to:

27 min Brian Dunkin

Performance of diagnostic EGD with modified anatomy

This module describes commonly encountered altered anatomy in the upper gastrointestinal tract as seen while performing EGD. It focuses on the proper description and documentation of post surgical anatomy so that it can be clearly related to the patient’s symptoms.

20 min Brian Dunkin

Management of endoscopy complications

Iatrogenic perforations of the GI tract are rare but can occur during diagnostic or interventional endoscopy. Early recognition, localization and evaluation of the severity of injury are mandatory to direct possible endoscopic treatment.

22 min Gianfranco Donatelli

PEG after 30 years

Percutaneous Endoscopic Gastrostomy was first performed in 1979 and appeared first in the literature in 1980. Since that time the technique has become the standard for performance of feeding gastrostomy.

37 min Jeffrey L Ponsky

Bowel preparation

Poor bowel preparation at colonoscopy may be associated with incomplete colonic examinations, inadequate mucosal visualization, missed lesions, prolonged procedure time, and increased complications. High quality colonoscopy needs a good bowel preparation. 

10 min Margherita Pizzicannella

Laparoscopy - Basic Principles

Instrumentation for laparoscopic surgery

Performing surgical procedures by laparoscopy alters the surgeon’s vision of the surgical site. As opposed to having a direct view, the surgeon visualises the operative space by means of a screen transmitting as accurately as possible images of the working space.

28 min Didier Mutter

General Considerations

Pathological specimen handling endoscopic surgery

Digestive pathology represents an essential part of the activity of most pathologists. Over the past decade, developments and advances have changed the endoscopic technique approach for digestive pathologies.

20 min Véronique Lindner

Radiation and radiation protection

The utilization of radiology equipment has become an integral part of the modern medical practice. Apart from diagnostic imaging, recent year have seen ongoing development and adoption of image guided therapeutic techniques.

32 min Rebecca Zener