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36                                                                                     RVC CPD 2022                     Small animal surgery and dentistry                                                                  37




         Laparoscopic neutering and beyond                                                                                       Fixing fractures – basic internal and external      Stifle surgery – the basics through to TTA
                                                                                                                                 fixator training


         Stage 1: Friday 29th April at the Royal Free Simulation Centre
         Stage 2: Various dates in-between Monday 2nd May to Friday 8th July at the Royal Free Simulation Centre                                                      UPDATED                                             UPDATED
         Stage 3: Thursday 14th and Friday 15th July (lectures and on-site practical) at the RVC                                 Tuesday 29th March                                  Thursday 5th May
         Are you interested in adding laparoscopy to the services you can offer    Why do this course?                           Do you want to enhance your clinical practice by tackling some of the more   Do you want to enhance your skills and surgically manage stifle problems
         your patients?                                      This course is designed to launch your “key hole” surgery journey. You will   straightforward fractures, but are not confident about how to proceed?  such as cruciate rupture and patellar luxation?
                                                             develop the psychomotor skills for laparoscopic surgery using a computer
         Laparoscopy can be used in veterinary clinics to perform neutering,   simulator training programme, proven to be “the most effective method    This course of recorded webinars will be followed by an all-day practical   This course of recorded webinars will be followed by an all-day practical
         prophylactic gastropexy, abdominal organ biopsies and much more.   to acquire and retain long-term surgical skills” (Dr Pasquale Berlingieri).  giving you the opportunity to practise surgical techniques on synbones and   giving you the opportunity to practise surgical techniques on synbones and
         Laparoscopy has proven benefits compared to conventional open                                                           cadavers. The webinars will cover the theory, and provide the necessary   cadavers. The webinars will cover the theory, and provide the necessary
         surgery including:                                  Key areas                                                           background for disease diagnosis and technical aspects required for the   background for disease diagnosis and technical aspects required for the
                                                             •  Development of the unique set of psychomotor skills required for  practical day. The onsite practical part of the course will give you the   practical day. The onsite practical part of the course will give you the
         • Smaller surgical wounds                            laparoscopic surgery                                               opportunity to put the theory into practice.        opportunity to put the theory into practice and develop your surgical skills.
         • Decreased pain                                    •  Practical hands-on experience of laparoscopic surgeries including
         • Faster recovery to normal activities               neutering, gastropexy, liver biopsy, bile aspirate, abdominal      Why do this course?                                 Why do this course?
         • Improved outcomes                                                                                                     The course would be of interest to any recent graduate looking to    Whether you are a relative surgical novice or a more experienced
                                                              exploration and gastrointestinal biopsies.
         Laparoscopy requires a unique psychomotor skill set including: video   Previous participants have commented…            develop their confidence in basic fracture repair, as well as veterinarians   surgeon this course will help you become a more skilled and
                                                                                                                                                                                     knowledgeable surgeon.
                                                                                                                                 wishing to refresh their knowledge and understanding of the principles
         eye-hand coordination, instrument manipulation about a single entry    “Informative, well organised course with great tutors, and very good    of this fixation technique.
         point into the abdomen and adaptation to a 2-D monitor display.                                                                                                             Key areas
                                                             at solidifying and developing laparoscopic skills.”
         A great way to achieve laparoscopic competency, is to practice in a   “The structure and delivery of the course was exceptional. The course leaders   Key areas             • Surgical anatomy of the stifle joint
                                                                                                                                 • Instrumentation and types of plates
                                                                                                                                                                                     • How to perform a lateral parapatellar arthrotomy of the stifle
         controlled environment, outside the operating room, using computer   were extremely knowledgeable and approachable, with a genuine interest   • Understanding the principles of internal fixation  •  How to place an extra-capsular suture for stabilisation of the
         simulators. This affords the opportunity for rapid and sustained skill   in providing a well taught and practical course. The addition of the work at   • Preoperative planning  cranial cruciate ligament deficient stifle
         acquisition in a safe, ethical and friendly environment. Such training    the Royal Free Hospital was hugely beneficial, with the ability to continue   • Management of the most common complications  • How to perform meniscal inspection and resection
         will maximise your chances of success and reduce risk to your patients    practicing beyond the anticipated confines of the course being very useful.”  • Types of external fixators and principles of their application  • Corrective techniques to address patellar luxation
         as you start out on your laparoscopic journey.                                                                          •  Practical experience repairing a range of fractures using plates  • How to perform a medial parapatellar arthrotomy
                                                             “I think for any surgeon who wants to embark on laparoscopic surgery this
         This is a 3-stage course.                                                                                                and screws and external fixators.                  • How to perform a tibial tuberosity advancement procedure (TTA)
                                                             is the course to attend. I don’t think you can find a comparative available
         The first stage is a one-day onsite course*. We will discuss the purpose of   course that comes close.”                 Previous participants have commented…               Previous participants have commented…
         laparoscopic surgery in veterinary medicine; the kit required for laparoscopic   Course details                         “The best course I have ever done.”                 “Honest, practical, educational.”
         surgery; and laparoscopic psychomotor skills training. You will be introduced   Course type: Onsite                     Course details                                      Course details
         to state-of-the-art, virtual reality, high fidelity, laparoscopic computer   Course format: Lectures/recorded and live webinars, virtual reality   Course type: Recorded webinars and onsite   Course type: Recorded webinars and onsite
         simulators and also have the opportunity to practice using real laparoscopic   laparoscopic simulator training and cadaver practical sessions   Course format: Practical sessions using cadaver material and plastic   Course format: Practical sessions using cadaver material and
         instruments in training boxes.
                                                             Course length: 3 stage course: 1) 1 day introductory course*;       bones, case-based discussions and 4 hours of recorded webinars    plastic bones, case-based discussions and 4 hours of recorded webinars
         The second stage is a laparoscopic psychomotor skills course, using   2) Psychomotor skill training at the Royal Free Hospital Medical  to be viewed before the onsite course   to be viewed before the onsite course
         computer simulators. This is completed over a 60-day period at the    Simulation Centre over a 60-day period and 3) 2 day course  Course length: 1 day and 4 hours of webinar viewing   Course length: 1 day and 4 hours of webinar viewing
         Royal Free Hospital Medical Simulation Centre. This course includes:    including 1 day of lectures* and 1 day of cadaver practicals  CPD hours: Up to 12                   CPD hours: Up to 12
         an introductory session; 16 to 25 one-hour, self-directed, training    CPD hours: 42                                    Relevant to CertAVP module: Small Animal Surgery (C-SAS.7)   Relevant to CertAVP module: Small Animal Surgery (C-SAS.7)
         sessions; 3 to 4 one-on-one formative assessments; and a final summative   Course fee: £2,499                           Course fee: £949                                    Course fee: £949
         assessment. Introductory sessions and assessments are arranged by   Tutors                                              Tutors                                              Tutors
         appointment. Delegates are free to complete the training sessions at their   Karla Lee MA VetMB PhD CertSAS DipECVS PGCAP FHEA MRCVS,   Anna Frykfors von Hekkel BVetMed PGDipVCP MVetMed MRCVS,   Richard Meeson MA VetMB PhD MVetMed PGCertVetEd DipECVS
         own convenience: the simulation centre is open 24 hours a day, 7 days per   Head of Soft Tissue Surgery, Veterinary Specialists Scotland   Lecturer in Small Animal Surgery, RVC   FHEA FRCVS, Senior Lecturer in Small Animal Orthopaedic Surgery, RVC
         week. However, it is best not to do more than 2 training sessions in one   Pasquale Berlingieri MD PhD MSc, Head of Screen-Based Simulation   Richard Meeson MA VetMB PhD MVetMed PGCertVetEd DipECVS   Rhiannon Strickland BVetMed MRCVS, Lecturer in Small Animal
         day and assessments should not be performed after a training session    Centre, Royal Free Hospital                     FHEA FRCVS, Senior Lecturer in Small Animal Orthopaedic Surgery, RVC   Orthopaedics, RVC
         on the same day.
                                                             Cristina Bianchi DVM MVetMed MRCVS, Staff Clinician in Veterinary
         The third stage includes a one-day lecture series* in small animal   Anaesthesia and Analgesia, RVC                     Proudly supported by                                Proudly supported by
         laparoscopic surgery, complemented by one-day of on-site cadaver   Matteo Rossanese DVM SPSA MSc DipECVS CertAVP MRCVS,
         practicals at the RVC.                              Lecturer in Small Animal Surgery, RVC
         Stage 2 is fundamental to this course, so please consider your    Proudly supported by
         access to the Royal Free Hospital and commitment to laparoscopic
         surgery before signing up. All prospective applicants should contact
         Karla Lee (klee@rvc.ac.uk). In order to access the Royal Free Hospital
         all delegates will need to provide a CV and 2 references.  *These sessions may be moved to online
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