Peter C. Neligan,M.B., B.Ch., F.A.C.S.,Professor andDirector, Centerfor ReconstructiveSurgery, Universityof Washington

Pediatric Urology& Infertility /

Andrology

Friday – SaturdaySpring2009

University ofToronto

Toronto, Ontario,Canada

Philip S. Li, MD.Associate ResearchProfessor ofUrology, AssociateResearch Professorof ReproductiveMedicine; andDirector of

Microsurgical Research andTraining Program at the Centerfor Male Reproductive Medicineand Microsurgery, Weill MedicalCollege of Cornell University

Visiting Guest Faculty

The Hospital for SickChildren

Mt. Sinai Hospital

University of TorontoCourse Coordinators

Dr. Darius J. Bägli (Pediatric Urology)MDCM, FRCSC, FAAP, FACSAssociate Professor of SurgeryAssociate Surgeon-In-Chief,SickkIds Hospital

Dr. Ethan Grober (Infertility)MD, FRCSCAssistant Professor of SurgeryMt. Sinai Hospital

Toronto’s MountSinai Hospital is oneof the preeminenthealth sciencecenters in theWorld. The Divisionof Urology offersleading internationalclinical programs inMale Infertility &Andrology, and post-graduate trainingfellowships in Male

Reproductive Medicine & Microsurgery. TheUniversity of Toronto Surgical Skills Centreis a state-of-the-art surgical training facility,located in Mt. Sinai Hospital. All courseactivities and lectures will take place in theSkills Centre.

SickkidsHospital is thelargest pediatrichealth sciencecentre in theworld. It is thehome of theUniversity ofToronto post-graduateResearch &Training Fellowship in Pediatric Urology,with an international reputation in urologicsurgical reconstruction in children.

Surgical Skills CentreUniversity of Toronto

Elements ofUrologic

MicrosurgeryTraining Course

CourseObjectivesThe purpose of this 2-Day course is toprovide an intensive, structured overviewof the fundamental technical principleswhich comprise loupe and microscopeassisted surgery, in the context of pediatricurology and infertility / andrologysubspecialities. Mentored paired-instructionusing video review and feedback of a varietyof microsurgical domains, short didacticlectures, and wet-lab animal procedures willbe employed.

At the conclusion of the course,participates will:

1. Understand the design & preparationof a microsurgical field for loupe andmicroscope work.2. Become proficient with the ORmicroscope.3. Become familiar with the essentialergonomic principles of microsurgicalinstruments.4. Understand modern principals offlaps and grafts.5. Receive a customized assessment oftheir individual strengths andweaknesses in specific technicaldomains of microsurgery for futurepractice.

All Course activities will take place in the University ofToronto Surgical Skills Center, located at Mt. Sinai

Hospital. (Schedule subject to revision)

DAY ONE

8:00AM-8:30AMRegistration and Continental Breakfast

8:30AM-8:40AMWelcome & Introduction (Drs. Bagli & Grober)

8:40AM-9:00AMCourse Overview - Exercises in Micorsurgery(Dr. Bagli)

9:00AM-NoonPaired mentored stations in microsurgical domainstraining and evaluation - I

(15 Minute Coffee Break at 10:30AM)

Noon-1:00PMBuffet Lunch

1:00PM-1:20PMModern Principles of Flaps, Grafts, & small woundhealing (Dr. Neligan)

1:20PM-1:40PMPrinciples and Training in Current MicrosurgicalTechniques (Dr. Li)

1:40PM-4:40PMPaired mentored stations in microsurgical domainstraining and evaluation - II

(15 Minute Coffee Break at 2:50PM)

4:45PM-5:00PM - Day 1 Wrap-Up6:30PM - Dinner for Participants, Faculty, &Mentors (Location: TBA)

Schedule of Labs andLectures

For Registration, Housing,Travel, or Course information,

please contact:

Angela McGerrigle (administrator):416-813-6580

angela.mcgerrigle@sickkids.caDr. Darius Bägli 416-813-8192

darius.bagli@sickkids.ca

Dr. Ethan Grober 416-586-4000 Ext 3985EGrober@mtsinai.on.ca

DAY TWO

9:00AM-9:30AMContinental Breakfast

9:30AM-9:45AMDay 2 Overview (Dr. Grober)

9:45AM-12:30PMPaired mentored stations in loupe / microsurgicalprocedures: • Small flap dissection • Tubularization • Flap and skin coverage • Arterial, Vein, and Vasal Anastamoses

12:30PM-1:00PMBuffet Lunch & LectureAnastomotic Techniques: Arteries, Veins, andNerves (Dr. Neligan)

1:00AM-4:45PMPaired mentored stations in loupe / microsurgicalprocedures: • Small flap dissection • Tubularization • Flap and skin coverage • Arterial, Vein, and Vasal Anastamoses

4:45PM-5:00PM - Day 2 Wrap-Up

5:00PM - Adjourn