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The OASIS Course - "How to Manage OASIS" - was offered during ESCP 2022 as an additional paid service. 

Date: Tuesday 20 September 2022
Times: 08:00 - 17:00
Cost: €160 (excluding VAT), includes morning and afternoon coffee breaks and lunch

This course is aimed at all practitioners who are involved in the management of the Obstetric Anal Sphincters Injuries (OASIS), i.e. colorectal surgeons, obstetricians, midwives, general surgeons, etc.. It will feature concepts and techniques of repairing OASIS, and also the optimal timing for the repair. Moreover, it will be elucidated how to prevent them and how and when to follow the patients after the delivery.

A special focus will be dedicated to the most reliable diagnostics to be used in this complex condition. The second part of the course will provide a “hands on” session on a reliable model of OASIS to repair different degrees of sphincters injuries under the guide of expert proctors.

Course Director
Prof. Carlo Ratto

Dr. Ilaria Baini - Milan, Italy
Dr. Paola Campennì - Rome, Italy
Dr. Veronica De Simone - Rome, Italy
Dr. Francesco Litta- Rome, Italy
Dr. Angelo Alessandro Marra - Rome, Italy
Dr. Angelo Parello - Rome, Italy
Prof. Carlo Ratto – Rome, Italy
Prof. Marco Soligo – Milan, Italy


08:00 - 08:15 Welcome – C. Ratto
08:15 - 08:45 Functional anatomy of the perineum: why it is so important to know it… even in the delivery room – V. De Simone and M. Soligo
08:45 - 09:15 Normality and abnormality of vaginal birth: episiotomy, suction cup, forceps, lacerations, hematomas – I. Baini and M. Soligo
09:15 - 09:45 Epidemiology of childbirth injuries – I. Baini and A. Parello
09:45 - 10:15 Diagnostics of obstetric lesions and classification – P. Campennì and M. Soligo
10:15 - 10:45 Coffee Break
10:45 - 11:15 Surgical repair of 3rd and 4th degree perineal lacerations and post-operative management – C. Ratto and M. Soligo
11:15 - 11:45 Follow up and obstetric prognosis after OASIS – M. Soligo and I. Baini
11:45 - 12:15 The treatment of fecal incontinence: how and when? – F. Litta and A.A. Marra
12:15 - 12:45 Question time
12:45 - 14:00 Light Lunch
14:00 - 17:00 PRACTICAL SESSION ON SIMULATOR: Repair of 3rd and 4th degree lacerations on basic organic model (bovine tongue) and associated vagino-perineal repair – Campennì P. and De Simone V. and Litta F. and Marra A.A. and Parello A. and Ratto C.
17:00 - end Conclusion

For the first time, ESCP will feature pre-conference course on “How to Manage OASIS” (Obstetric Anal Sphincters Injuries), a very relevant condition involving not only obstetricians, but definitely also coloproctologists and, more at large, any general surgeons.


Anders Mellgren

Carlo Ratto, MD, FASCRS
Associate Professor in General Surgery at Catholic University
Chief of Proctology Unit, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS
Rome, Italy

Carlo Ratto, Course Director, explains the novelty and utility of the OASIS Course:

Despite the efforts in improving safety of the childbirth, the OASIS still represent a quite frequent event which needs hopefully immediate interventions (much better if performed by well-trained obstetrician/surgeon) to prevent faecal incontinence. The optimal diagnostic work up (to avoid occult or underestimated sphincters lesions), the best timing and modality of repair, and the best postoperative management (including treatment of persistence/recurrence of faecal incontinence) are still debated and not standardised.

The OASIS Course promoted by ESCP, this year for the first time, is aimed to discuss all critical steps of diagnosis and repair of OASIS by a well-experienced Faculty. Moreover, the Course will offer to the participants the unique opportunity to be trained on a realistic model of OASIS, on which each single participant will be able to perform a repair of severe to moderate OASIS.

Register for the OASIS Course and become confident in managing an urgent and very complex clinical condition, saving the future health of your patients!