• Start date:
  • 11 October 2020
  • Duration:
  • 2 days
  • Working as:
  • Resident physician, Medical specialist

Accreditations

  • NVvH:
  • 14
  • NOV:
  • Requested
  • NVPC:
  • Requested
  • NVVN:
  • 13

During this two-days hands-on dissection course you will learn how to expose all the major nerves of the upper limb. The relation of the median nerve to the carpal tunnel syndrome, and the ulnar nerve to the cubital tunnel syndrome and Guyon’s canal will be studied. You will gain experience in neurolysis and transposition. Furthermore, the approach of both the supraclavicular as well as the infraclavicular part of the brachial plexus will be practised and all elements will be identified. Specific nerve transfers can be practised on request. Additionally attention will be paid to the course of the main vessels.

The course consists of four half-day sessions. Each session starts with a brief theoretical introduction. The practical part of the training will start with a short cadaver surgical demonstration. Subsequently, participants will dissect themselves under the supervision of an experienced staff.
Prior to the course all participants will receive the course manual. The course will be English spoken if non-Dutch speaking participants will attend.

Learning objectives
After following this course you are able to carry out operations to the arm where the treatment of nerve pathology is central or where iatrogenic nerve injuries must be avoided, with confidence.

Language
In case of participants from outside the Netherlands the course language will be in English.

Accreditation
Accreditation will be requested at the various professional associations.

Target group
This course is meant for neurosurgeons, orthopaedic surgeons, traumatologists, plastic surgeons, general surgeons and for those who are in training for one of these specialties.
For Neurosurgery trainees in the Netherlands the course is a compulsory part of the curriculum.

09:00 Registration and coffee
09:15 Introduction
  M.J.A. Malessy
09:30 Incision and surgical anatomy of median and ulnary nerve in distal lower arm
10:00 Carpal tunnel syndrome: dissection of the median nerve in the carpal tunnel. Guyon-entrapment: dissection of the ulnary nerve in the carpal tunnel
10:45 Coffee and tea
11:00 Continuation: Carpal tunnel syndrome
12:30 Lunch
13:30 Incision and surgical anatomy of cubital tunnel entrapment and transposition
  M.J.A. Malessy
14:00 Volar transposition of ulnary nerve in cubital fossa trajectory
15:30 Coffee and tea
15:45 Incision and surgical anatomy of radial nerve
16:15 Radial neurolysis at intermuscular lateral septum and supinator muscle
17:00 end of program
09:00 Incision and surgical anatomy of supraclavicular brachial plexus
09:30 Exploration of supraclavicular brachial plexus including spinal nerve C4 and phrenic nerve
10:45 Coffee and tea
11:00 Incision and surgical anatomy of infraclavicular brachial plexus
11:15 Exploration of infraclavicular brachial plexus brachialis including subclavial artery and vein via transpectoral approach and additional exploration of axillary fossa
12:30 Lunch
13:30 Overview brachial plexus: exploration of continuity of infraclavicular en supraclavicular brachial plexus with overview of major vessels
14:30 Incision and surgical anatomy of accessory nerve
  M.J.A. Malessy
14:45 Coffee and tea
15:15 Exploration accessory nerve
17:00 Discussion clinical aspects, pitfalls, complications
17:30 Drinks
LUMC
Einthovenweg 20, 2333 ZC Leiden

Price
Course fee        € 1.250,00
EANS Member  € 1.125,00