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OSATS, gynaecological oncology

This page sets out the OSATS requirements for subspecialty training in gynaecological oncology.

You have to be competent in:

Major gynaecological oncology procedures

Items under observation:

  • Appropriate preoperative counselling
  • Appropriate choice of procedure 
  • Appropriate investigations 
  • Appropriate positioning of patient 
  • Choice of incision 
  • Adequate intraoperative assessment 
  • Adequate field exposure 
  • Appropriate operative steps 
  • Management of anatomical abnormalities/variations 
  • Appropriate dissection/tissue handling/suture/stapling/techniques (PTO)
  • Care for haemostasis 
  • Communication with anaesthetists/assistants/nursing staff
  • Wound closure/drains etc.
  • Note keeping/postoperative instructions

Pelvic lymph node dissection (laparoscopic/open)

Items under observation:

  • Opening of pelvic side wall 
  • Exposure of iliac vessels with landmarks for dissection identified 
  • Identification of obturator nerve 
  • En-bloc dissection 
  • Haemostasis, lymphostasis 
  • Identification of specimen

Ureteric dissection

Items under observation:

  • Round ligament, grasped, divided and ligated close to pelvic side wall 
  • Opening of broad ligament to expose retroperitoneal structures, including the ureter attached to the medial aspect 
  • Development of vesicouterine and vesicocervical spaces with sharp and blunt dissection 
  • Further exposure of ureter with sharp dissection from the peritoneum 
  • Identification, ligation and cutting of uterine vessels close to their origins at the internal iliac vessels
  • Deroofing of ureteric tunnels
  • Exposure of ureter and separation from parametrial tissues

Elsewhere on the site

OSATS
An explanation of OSATS: what they are and how they are used within O&G training
Resources for trainees
Resources to support specialty trainees in O&G