International faculty: José M. Palacios-Jaraquemada and Álvaro J. Nieto-Calvache. Local faculty: Natalija Vedmedovska, Maira Jansone and Anna Miskova.
DAY 1 | FOUNDATIONS AND SIMULATION
|
Time |
Credit |
Session and core content |
Format |
|
09:00–09:20 |
— |
Registration, welcome and course orientation |
Faculty-led briefing |
|
09:20–10:05 |
1 AH |
What makes a cesarean complex? Risk identification, team activation, hemorrhage preparedness and an individualised surgical plan |
Interactive lecture International faculty |
|
10:05–10:50 |
1 AH |
Anatomy-guided surgery: pelvic spaces, uterine vascular pedicles and selection of topographic bleeding-control strategies |
Interactive lecture International faculty |
|
10:50–11:05 |
— |
Coffee and comfort break |
|
|
11:05–11:50 |
1 AH |
Difficult abdominal access: repeat cesarean, adhesions and fibrosis; safe peritoneal entry, paramedian access and bladder mobilisation |
Video-based teaching International faculty |
|
11:50–12:35 |
1 AH |
Uterine dehiscence, placental location and fibroids: choosing the uterine incision, high hysterotomy and prevention of uncontrolled extension |
Interactive cases International faculty |
|
12:35–13:25 |
— |
Lunch |
Not counted |
|
13:25–13:45 |
20 min |
Simulation briefing, safety points and faculty demonstration |
Practical briefing. All faculty |
|
13:45–14:20 |
30 min |
Simulation circuit — rotation 1: 30 minutes of practice + 5-minute changeover |
Hands-on stations |
|
14:20–14:55 |
30 min |
Simulation circuit — rotation 2: 30 minutes of practice + 5-minute changeover |
Hands-on stations |
|
14:55–15:10 |
— |
Coffee and comfort break |
Not counted |
|
15:10–15:45 |
30 min |
Simulation circuit — rotation 3: 30 minutes of practice + 5-minute changeover |
Hands-on stations All faculty |
|
15:45–16:20 |
30 min |
Simulation circuit — rotation 4: 30 minutes of practice + 5-minute changeover |
Hands-on stations All faculty |
|
16:20–17:00 |
40 min |
Consolidated skills debrief, troubleshooting and transfer to clinical practice |
Faculty debrief |
Day 1 low-cost PPH simulation circuit: four simultaneous
stations
|
No. |
Technique focus |
Practice objective |
|
A |
Segment-specific uterine haemostasis |
Practise upper- and lower-segment haemostasis using uterine compression sutures and uterine bandage principles. |
|
B |
Emergency vascular control |
Practise internal and external manual aortic compression, vaginal compression of the uterine arteries and placement of a uterine tourniquet. |
|
C |
Intraoperative uterine tamponade |
Compare and practise hydrostatic Bakri balloon tamponade and uterine tamponade by suction during cesarean section. |
|
D |
Pelvic packing and damage control |
Practise pelvic packing with compresses and review the artisanal subatmospheric-pressure system and escalation criteria. |
DAY 2 | ULTRASOUND MAPPING AND INTERACTIVE SURGICAL CASES
|
Time |
Credit |
Session and core content |
Format |
|
09:00–09:30 |
— |
Participant arrival, Day 1 recap and Day 2 briefing |
Faculty-led briefing |
|
09:30–10:15 |
1 AH |
Preoperative ultrasound mapping for complex cesarean: placental location and PAS signs, uterine dehiscence, fibroids and the uterovesical interface; limitations in predicting adhesions |
Interactive lecture International faculty |
|
10:15–11:00 |
1 AH |
Ultrasound hands-on rotation 1: structured examination, image acquisition and standardised reporting |
Hands-on ultrasound All faculty |
|
11:00–11:15 |
— |
Coffee and comfort break |
|
|
11:15–12:00 |
1 AH |
Ultrasound hands-on rotation 2: translating findings into operative risk and surgical preparation |
Hands-on ultrasound All faculty |
|
12:00–12:45 |
1 AH |
From ultrasound map to operative strategy: abdominal entry, uterine incision, vascular control, blood preparation and team roles |
Small-group planning All faculty |
|
12:45–13:45 |
— |
Lunch |
Not counted |
|
13:45–14:30 |
1 AH |
Clinical case set 1 — planned uterine entry and difficult abdominal access: paramedian pelvic access in abdominal-wall fibrosis, high hysterotomy and intraoperative staging of myometrial defects with placental intrusion |
Video case discussion All faculty |
|
14:30–15:15 |
1 AH |
Clinical case set 2 — uterine dehiscence and myometrial-defect repair: repair during cesarean section, sliding myometrial flap and uterine compression sutures |
Video case discussion All faculty |
|
15:15–15:30 |
— |
Coffee and comfort break |
Not counted |
|
15:30–16:15 |
1 AH |
Clinical case set 3 — bleeding complications: high vaginal tears with haemodynamic compromise, control of broad-ligament haematoma, uterine tourniquet and hydrostatic balloon tamponade |
Video case discussion All faculty |
|
16:15–17:00 |
1 AH |
Clinical case set 4 — PAS surgery: one-step conservative surgery versus modified subtotal hysterectomy in vesicouterine fibrosis; comparative decision-making and final synthesis |
Video case discussion All faculty |