Course Program

The Anatomy of Surgical Exposure is an unique course run over three days in the modern laboratories of James Cook University, in Smithfield, Cairns.

This cadaveric course has been designed to reflect all stages of a successful simulation exercise, so that the entire curriculum of general surgery, can be taught and learned in a simulated operating theatre environment. Each of the ten stations consists of two candidates, an OR theatre nurse, a complete set of instruments, and one or more senior surgeons as tutors and supervisors. The candidates are expected to do the operations themselves, with skilled supervision or assistance as required. Senior Trainees can expect to be quizzed on the details of the operative surgery. The performance of each candidate is assessed during the course, using the Objective Structured Assessment of Technical Skills (OSATS), and this will be used after the course to provide a complete debrief with each candidate.

Following feedback from participants over the last few years, the course has been adjusted to be more flexible in regard to the dissection program, and will offer choices dependent on participant requirements.  For example, some candidates may not be interested in the Craniotomy section, and may wish to do more in the head and neck section or vascular exposures. The organisers will endeavour to mix and match candidates and tutors to meet their requirements.

The philosophy that underpins this course is that there will always be a place for mastery in open surgery, particularly in the trauma or re-operative setting. Few trainees have the opportunity to see all these important exposures in the course of their training, and many will be uncertain about the anatomical principles that underlie these exposures.

This course will not be possible without the dedication of many senior surgeons who give their time freely.

List of Procedures

Procedures covered throughout this course are listed below.

  • Carpal Tunnel Release to Decompress the Median Nerve
  • Exposure of the Neurovascular Bundle in the Antecubital Fossa
  • Axillary Dissection
  • Exposure of the first part of the axillary artery
  • Extraperitoneal Exposure of the Iliac Vessels & Ureter
  • The Pfannenstiel Incision
  • The Principle of Anterior Components Separation for hernia repair
  • Lower midline Incision and Extraperitoneal Packing for Haemostasis.
  • Rives/Stoppa approach to hernia repair
  • Open  Appendicectomy
  • Midline Incision into Peritoneal cavity.
  • Development of subrectus space.
  • Principle of  Posterior Components separation for hernia repair
  • Sub-Xiphoid (Window) Exposure of the Pericardium
  • Median Sternotomy
  • Left Antero-Lateral Thoracotomy
  • Left Postero-Lateral Thoracotomy
  • Stab wound of heart
  • Inguinal Hernia Exposure
  • The Saphenofemoral Junction & Low Approach to Femoral Hernia
  • The High Approach to Femoral Hernia Repair
  • Lichtenstein Hernia Repair / Low Approach femoral hernia repair
  • The Femoral Triangle & Inguinal Lymph Node Dissection
  • Secure and stent the  superficial femoral artery
  • Kocher Incision extended to Rooftop or Chevron
  • Cholecystectomy and Bile Duct Exploration
  • Mobilisation of Duodenum
  • Exposure of the head and body of the pancreas
  • Splenectomy and Mobilisation of tail of pancreas
  • The Tail of the Pancreas
  • Mobilisation of the Liver
  • The Stomach & Mobilisation of the Abdominal Oesophagus
  • Right Hepatic Lobectomy
  • Roux En Y & Surgical Options for Upper GI Reconstruction (Optional)
  • Exposure of the Infrarenal Aorta
  • Right Hemicolectomy
  • Left Hemicolectomy with Mobilisation of the Splenic Flexure Extended to High Anterior Resection
  • Right & Left Medial Visceral Rotation
  • Open Hysterectomy
  • Total Mesorectal Excision of the Upper Rectum (Anterior Resection)
  • Loop Ileostomy
  • Exploration of the Scrotum and Inguinal Orchidectomy
  • Ureteric Repair
  • Partial cystectomy
  • Principles of total cystectomy
  • Nephrectomy (Optional)
  • Submandibular Gland
  • Parotidectomy
  • Thyroidectomy
  • Cricothyroidotomy
  • Tracheostomy
  • Exposure of cervical oesophagus
  • Introduction to Surgical Neck Dissection
  • Exposure of the Subclavian Artery
  • Trauma Craniotomy

Registration opens 1 January!

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