International faculty: Prof José M. Palacios-Jaraquemada and Prof Álbaro J. Nieto-Calvache. Local faculty: Prof Natalija Vedmedovska, Dr Maira Jansone and Assoc. Prof 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 |
Bakri balloon placement during cesarean section: demonstration and safety briefing |
Practical briefing. All faculty |
|
13:45–14:20 |
30 min |
One-step conservative surgery |
Hands-on stations |
|
14:20–14:55 |
30 min |
Modified subtotal hysterectomy |
Hands-on stations |
|
14:55–15:10 |
— |
Coffee and comfort break |
Not counted |
|
15:10–15:45 |
30 min |
Uterine compression sutures for the lower uterine segment (B-Lynch 2) |
Hands-on stations |
|
15:45–16:20 |
30 min |
Manual compression of the aorta |
Hands-on stations |
|
16:20–17:00 |
40 min |
Skills debrief, troubleshooting and application to clinical practice |
Faculty debrief |
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 |
|
09:30–11:00 |
2 AH |
Preoperative ultrasound mapping for complex cesarean delivery: structured examination, image acquisition and standardised reporting; placental location and PAS signs, uterine dehiscence, fibroids and the uterovesical interface; limitations in predicting adhesions | Interactive lecture and image-based workshop |
Interactive lecture International faculty |
|
11:00–11:15
| Coffee and comfort break | ||
|
11:15–12:45 |
2 AH |
Live ultrasound demonstration with a patient:* systematic preoperative mapping, documentation and interpretation of findings, followed by translation of the ultrasound map into operative risk assessment and surgical planning, including abdominal entry, uterine incision, vascular control, blood preparation and team roles | Live patient demonstration and interactive case discussion |
Hands-on ultrasound 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 |