Dr Rubab Khalid: Module 5: Core Surgical Skills - Module 6: Post-op Care

RCOG modules surgical skills guidelines laparoscopy hysteroscopy

This blogpost covers the outline of Three Modules (5: Core Surgical Skills - 6: Postoperative Care - 7: Surgical Procedures) which can be collectively labeled as “Surgery in Obstetrics and Gynaecology.” I have compiled it in one post as all these modules are interlinked and follow same basic principles.

Any Surgical procedure requires certain level of surgical skills. There is pre-operative assessment including anaesthesia evaluation, informed consent and preparation of patient for surgery
Then comes the Intra-operative period where certain ethical/ legal issues as well as decision-making skills are applicable in addition to surgical skills
Post-operative period is a critical period where it is important to ensure appropriate care along with managing certain complications
RCOG Consent Advice (CA) papers are must to cover and there are different numbers which should be on your fingertips (as these are straight forward questions)
The topics in these modules are easy to cover if you keep a mental track of sequence of any surgical procedure
You can make one main folder with heading of “Surgery in Obs & Gynae” and add subfolders based on following tables. It will help to collect and organize the study material in one place
Reading resources for different Surgical Procedures are also provided which are essential to prepare for MRCOG exam
It is very important to extract the information from different resources and make your own NOTES in a format which is concise and easy to revise
Whenever you come across a new point, add it to your notes
Keep practicing SBAs and EMQs as you need to be familiar with different scenarios
Make sure to go through the details of modules on RCOG website, so that you do not miss any topic
This outline is just a suggestion from my end based on my personal experience to cover these topics. Kindly modify it according to your study preferences, as some topics might be missing

Kindly let me know if this post was helpful and suggestions to improve future posts are welcome.

Thanks

Module Details

5: Core Surgical Skills 6: Post Operative Care 7: Surgical Procedures

Important Topics to Cover
WHO	WHO Surgical Safety Checklist
RCOG	Instruments Surgical Sutures and Needles
TOG	Abdominal Incisions and Sutures in Obs & Gynae 2014 Importance of non-technical skills and risk reduction in Operation Theatre 2016
SIP	#39 Adhesion Prevention Agents in Obs & Gynae
NICE	Routine pre-operative tests for elective surgery I/V fluid Therapy in adults in hospital
Complications
SSI	WHO Surgical Site Infection Guideline NICE Surgical Site Infections: Prevention and treatment
TOG	Peri operative management of women on oral anticoagulants and antiplatelet agents undergoing gynaecological procedure 2020 Nerve injuries associated with gynaecological surgery 2014 The Perforated Uterus 2013
NICE	VTE in over 16s: reducing risk of hospital-acquired DVT/PE
Infection	Antibiotic prophylaxis during obstetric and gynaecology surgery in adults (only do Charts)

Consent
CGA	#6 Obtaining Valid Consent #6b Obtaining Valid Consent for Complex Gynaecological Surgery
CA	#3 Female Sterilisation #4 Abdominal Hysterectomy for Benign Conditions #5 Vaginal Surgery for Prolapse #10 Surgical Management of Miscarriage Blogpost Consent Advice Figures Compilation
TOG	Decision making framework in Gynaecology for patients who lack mental capacity 2018 Consent in clinical practice 2015

Enhanced Recovery
SIP	#36 Enhanced Recovery in Gynaecology
TOG	Enhanced Recovery in gynaecology 2013

Anaesthesia/ Analgesia
SIP	#59 Antenatal and Postnatal Analgesia
TOG	Analgesia for labour 2015
Blogpost	Analgesia in Obstetrics
LA	Recommended Local Anaesthetic Doses (Adults)

Caesarean Section
GTG	#45 Birth after previous Caesarean Birth
NICE	Caesarean Section
CA	#7 Caesarean Section #12 C/S for Placenta Previa #14 Planned Caesarean Birth
GP	#11 Classification of Urgency of C/S
TOG	Gynaecological morbidity associated with CS niche 2020 Acute colonic pseudo-obstruction after CS 2019 Perimortem C/S- why, when and how 2018 Complications of C/S 2016 C/S at full dilatation 2014 Counselling women about risks of C/S delivery on future pregnancies 2014

Laparoscopy
GTG	#49 Laparoscopic Injuries
CA	#2 Diagnostic Laparoscopy #8 Laparoscopic Management of Tubal Ectopic Pregnancy
TOG	Review of advanced energy devices for the minimal access gynaecologist 2021 Safe use of electrosurgery in gynaecological laparoscopic surgery 2020 Click Here: YouTube Summary Role of laparoscopic simulation training 2020 Preventing adhesions in laparoscopic surgery: role of anti-adhesion agents 2019 Surgical Smoke- what are the risks? 2019 Click Here Summary Laparoscopic myomectomy: a review of alternatives, techniques and controversies 2018 Laparoscopy in Urogynaecology 2018 Methods of specimen removal from peritoneal cavity after laparoscopic excision 2013 Optimal laparoscopic ergonomics in gynaecology 2015 Urinary tract injuries in laparoscopic gynae surgery:prevention, recognition & management 2014

Hysteroscopy
GTG	#59 Best Practice in Outpatient Hysteroscopy
CA	#1 Diagnostic Hysteroscopy Under GA
TOG	BSGE/ESGE guideline on management of fluid dissension media in operative hysteroscopy 2018 Update in hysteroscopic Sterilization 2017 Failed hysteroscopy and further management strategies 2016 Ambulatory Hysteroscopy 2013

Amniocentesis & CVS
GTG	#8 Amniocentesis and Chorionic Villous Sampling Summary Click Here
CA	#6 Amniocentesis

Perineal Tear
GTG	#29 Management of Third-and-Fourth-degree Perineal Tears
CA	#9 Repair of Third-and-Fourth- degree Perineal Tears following childbirth
TOG	Obstetrics pelvic floor and anal sphincter injuries 2012

Other Procedures
Cystoscopy	Cystoscopy for the gynaecologist: how to do a cystoscopy 2017
Robotic Surgery	Robotic Surgery in gynaecology 2016
MVA	Manual Vacuum Aspiration 2015
UAE	Use of Uterine Artery Embolisation (UAE) in management of fibroids