Abdominal ultrasound for surgeons
Date: Tuesday, 31 October 2023
Location: Ramada Plaza Hotel
Registration Fee: 50 EUR
Maximum number of participants: 24
IMPORTANT: Participation at the course is possible ONLY after payment of the Meeting registration fee.
The course was credited with 6 EMC credits by CMR.
Course Directors:
Călin Tiu (Câmpina, Romania)
Andreas Melzer (Lepzig, Germany)
The Course will have 2 modules:
Abdomen
FAST
09:00-09:30
Concept and training, platform presentation, physical principles
Modul I & II: Abdominal ultrasound & eFAST
Trainers:
Vasile Bințințan (Cluj-Napoca, Romania)
Ciprian Duță (Timișoara, Romania)
Valeriu Șurlin (Craiova, Romania)
Alexandru Carâp (Bucharest, Romania)
Bogdan Socea (Bucharest, Romania)
Florin Botea (Bucharest, Romania)
09:30-10:30
Liver, gallbladder, pancreas, digestive tube
10:30-11:00
Break
11:00-12:30
Kidney, spleen, abdominal wall
12:30-13:30
Lunch break
13:30-15:00
Introductive elements of intraoperative ultrasound
15:00-15:30
Break
15:30-16:30
Abdominal vessels, case presentation, tips and tricks
Modul II: eFAST
09:30-10:30
FAST I
10:30-11:00
Break
11:00-12:30
FAST II
12:30-13:30
Lunch break
13:30-15:00
eFAST
15:00-15:30
Break
15:30-16:30
Trauma of the abdominal parenchymal viscera
16:30-17:00
Course evaluation, discussions, final remarks
Course objectives:
The transcutaneous abdominal ultrasound module, the first built in our EAES platform, Frankfurt 2017, offers the surgeon a wide and deep view on the anatomy and pathology of the internal organs. The skills acquired by the trainees will allow him independence and speed in decision making as well as a good control of the postoperative evolution. At the same time, this module is a foundation for approaching high-specific applications such as intraoperative ultrasound or ultrasound guidance techniques of various surgical procedures associated with minimally invasive surgery. By the end of the Abdominal Module module the trainees will be able to identify, measure and evaluate:
Liver
• Optimization (depth, frequency, focus, gain)
• Image Acquisition
• Follow the inferior border of Liver
• Follow the superior border
• Measure:
• the right lobe
• the left lobe
• the caudatum lobe
• the mid claviculardiameter
• the Portal Vein including Color and Wave Doppler evaluation
• The Biliary Main Duct
• Appreciate the Eco structure (homogeneity)
• Appreciate the parenchyma
• Appreciate the ecogenity
• Hepatorenal space
• Extra hepatic ducts
• Intra hepatic ducts
• Diaphragm
• Suprahepatic veins
Gall bladder
• Identify the gallbladder regions in the sonogram
• Determine the dimension
• Evaluate the GB wall
• Evaluate the GB contests
Pancreas
• Anatomic components and normal size
• Vascular landmarks
• Pancreatic duct
• Pathological findings in pancreatitis, tumors, cysts, pseudocysts
Spleen
• Localization
• Measurement
• Diaphragm examination
• Splenic vein measurement
Kidney
• How should a kidney be scanned
• Normal dimensions
• Accepted size discrepancy
• Renal pyramids
• Ultrasound features for Cyst, hydronephrosis, tumors, lithiasis
• Urinary bladder
Abdominal Wall
• Identify structures of abdominal wall like:
• Skin
• Fat (F)
• Linea alba
• external oblique muscle (EO)
• internal oblique muscle (IO)
• transversusabdominis muscle (TA)
• rectus abdominis (RA)
• peritoneum (arrow)
• aponeurosis of external oblique
• anterior part of the aponeurosis of internal oblique
Recognize US feature for:
• Hernia
• Hematoma
• Abscess
• Seroma
• Lipoma
• Suture Granuloma
• Muscular tumors
Digestive Tract
• At the end of this module the trainees have to recognize:
• The diaphragm
• Abdominal esophagus
• Stomach
• Pylorus
• Duodenum
• Small Bowel
• Large Bowel
• Appendices
• Anus
• Ultrasound pathological findings
Abdominal vessels
• Abdominal Aorta
• Normal diameter
• Bifurcation
• Aneurysm, surgical indication
• Celiac trunk
• Superior Mesenteric Artery
• Iliac Arteries
• Renal Arteries
• Vena Cava
• Iliac veins
• Portal vein branches
• Hepatic veins
The trauma ultrasound module will give the surgeon the ability to personally identify signs of gravity in just a few seconds, when the seconds count. By the end of the eFAST module the trainees will be able to identify:
Basic ultrasound semiology
Free fluid in the peritoneal, pleural and pericardial cavities
Basic ultrasound structure of liver, spleen, kidneys, urinary bladder and will be able to perform:
- A complete and correct E-FAST exam
- A clinical decision pathway for trauma patients
- Elements of the E-FAST exam for other clinical situations
For more details about the EAES ultrasound course platform, as well as to find out about future training opportunities, visit www.surgus.eu.