Transanal Minimally Invasive Surgery (TAMIS) Courses

Applied Medical's TAMIS courses train surgeons on how to perform endoscopic local excision of rectal neoplasia. TAMIS enables the resection of benign and malignant lesions in the rectum using an advanced access device along with standard laparoscopic instrumentation.

This one-day course is designed for advanced laparoscopic Colorectal and General surgeons who wish to explore TAMIS using the GelPOINT path transanal access platform. The course is led by expert TAMIS surgeons and includes a didactic session and a hands-on workshop using animate tissue. Participants will gain a comprehensive understanding of the current indications for TAMIS, as well as the procedural techniques and instrumentation used. The program is limited to 14 participants per course to maximize the hands-on experience.

For more information about TAMIS, please visit TAMISurgery.com.

In addition to serving as a resource for patient education on TAMIS, TAMISurgery.com also provides an overview of clinical literature evaluating the approach, as well as procedural videos and links to other useful resources.

Simulation Courses

Applied Medical's simulation courses are designed for residents interested in enhancing their skill sets and attaining hands-on experience in a high fidelity simulation platform. On-site simulation courses focus on basic general surgery procedures, as well as hand access laparoscopic surgery and single incision laparoscopic procedures.

Each course provides the ability to measure skills attainment levels using scientifically validated metrics, including time, path and economy of movement. Immediate analysis, along with graphical playback, ensures a sophisticated and educational training experience.

Applied also offers a unique laparoscopic trainer for residents and advanced surgeons wanting to practice basic laparoscopic skills and new surgical approaches.

vNOTES

Vaginal hysterectomy is the recommended approach by ACOG (American College of Obstetricians and Gynecologists) and AAGL (American Association of Gynecologic Laparoscopists) whenever indicated and feasible.1,2 Despite these recommendations and supporting clinical evidence, the rate of vaginal hysterectomies has steadily declined. Some of the challenges that contribute to lower adoption of the vaginal approach include lack of visibility and reduced access to the anatomy.

vNOTES (vaginal natural orifice transluminal endoscopic surgery) modernizes vaginal surgery. A new advanced access platform, the GelPOINT® V-Path, combined with standard laparoscopic instruments, enables access into the peritoneal cavity through the vagina. vNOTES gives the gynecologist the ability to expand their skills by combining the benefits of vaginal and laparoscopic surgery. According to Baekelandt et al., this may allow more patients to be treated in a day-care setting.³

In collaboration with Dr. Jan Baekelandt, a course was created to train interested gynecologists in the vNOTES technique. This course is designed for advanced gynecologists, skilled in both vaginal and laparoscopic surgery, who wish to explore vNOTES using the GelPOINT V-Path platform. The vNOTES course provides a comprehensive understanding of vNOTES procedural steps and instrumentation used in the treatment of benign gynecologic pathologies. The workshop includes the following:

• Didactic lectures reviewing indications, clinical literature, anatomy, and instrument placement
• Live surgeries covering various benign indications
• Hands-on practicum with lifelike Simsei® tissue models to simulate vNOTES
• Expert guidance and feedback from the faculty
• Continued education and support after workshop completion

Each course has a limited number of participants to maximize the hands-on experience.

For more information on vNOTES and to contact us, please visit appliedmedical.com/vnotes.

• Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. (2017). Obstetrics and gynecology, 129(6), e155–e159. https://doi.org/10.1097/AOG.0000000000002112

• AAGL Advancing Minimally Invasive Gynecology Worldwide (2011). AAGL position statement: route of hysterectomy to treat benign uterine disease. Journal of minimally invasive gynecology, 18(1), 1–3. https://doi.org/10.1016/j.jmig.2010.10.001

• Baekelandt, J. F., De Mulder, P. A., Le Roy, I., Mathieu, C., Laenen, A., Enzlin, P., Weyers, S., Mol, B., & Bosteels, J. (2019). Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: a randomised controlled trial. BJOG : an international journal of obstetrics and gynaecology, 126(1), 105–113. https://doi.org/10.1111/1471-0528.15504  ”

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