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NewsS co pe
In This Issue A AG L A dva n c i n g M i n i m a l l y I nva s ive G y n e c o l o g y Wo r l dw i d e NewsScope You Will Be the Winner JUL – SEPT 2010 VOL. 24 NO. 3 Buy your airline ticket now, select your gorgeous room, and register for the 39th AAGL Global Congress of Minimally Invasive Gynecology, November 8-12, 2010 at the newly renovated Caesars Palace in Las Vegas, Nevada. The hotel has firstDr. Bradley class amenities. For five days you will be in the city that never sleeps, entertainment that will dazzle you, and a hotel with world class conference facilities. Our Scientific Planning Committee and Board unanimously bet that you will experience one of the most memorable, fun, and educational Annual Meetings. Globalization of the Annual Meeting has been an essential component of planning that has led to our success. Our international physicians and national speakers bring diversity of thought, shared experiences, and most importantly a cultural understanding of how “best surgical procedures and practices” cultivated around the globe can be shared communally. We have wagered a few bets. I bet that we would exceed the number of abstracts, posters, and videos submitted for an annual meeting. Guess what? I won. The qualities of the abstracts submitted are nothing less than spectacular. My intuition tells me that we have a few emerging producers/ musicians in our midst. Myriad educational and entertaining surgical videos were accepted this year. They demonstrate the highest caliber of surgical precision, illustration of surgical anatomy, and clinical pearls. Once the votes are tabulated, I wager that you will be impressed by the winners. Revamping the format of the posters brings new energy and vitality to the Annual Meeting. Wait until you experience it! See more on page 17. You must bring a colleague or resident to the Annual meeting. Why? Certainly, it helps to have a friend nudge you away from the casino if you are loosing your shirt and skirt to the Blackjack, roulette table, Baccarat board, or the penny slot machines. However, bringing a colleague or resident would quadruple your return on investment. Why? Two is better than one!! Two individuals (or more) attending the meeting together fosters discussion about innovations learned that will increase your competitiveness locally. Bringing a colleague from home will create a synergy, zeal, and animated discussions about implementation of surgical procedures at home. You both will make contacts with a variety of thought leaders around the globe that will be life long mentors. In your tool-box you will add many new resources. Your new lexicon will include: SurgeryU, Mini-Fellowships, International Meetings to add to your calendar, and invaluable resources from our AAGL LISTSERV, Endo Exchange. Finally you may want to become involved with a Special Interest Group. By the time that you both return home, you will have conversed on the plane, drawn up your new business plans, and have the strategies to implement new t e ch n i q u e s i n t o your practice. New knowledge is infectious. With record numbers of pre-congress and postgraduate courses as well as New Frontiers (formally called Debates), video sessions, Surgical Tutorials, and luncheon round tables….you just won’t be able to do it or see it all. Bring a colleague and select varying venues, so that your practice can “have it all”. In so doing, our patients are the winners! The Congress has continued with many traditional courses that have historically been winners. We have paired seasoned course directors and moderators with enthusiastic experienced emerging leaders. This triples the benefits to our members. Hands-on courses in hysteroscopy, suturing, and cadaver labs return to Las Vegas. This year the buzz words are “robotic and single port surgery.” Experience these techniques in Pre Congress and Post Graduate Courses as well as during several of the live telesurgery events. You pick the winner from the simultaneous sur(Continued on page 11) NewsScope Focus on AAGL The AAGL’s Role in Education When the AAGL began in 1971 it basically was a forum for clinicians to learn about laparoscopy and later hysteroscopy. These recently popularized procedures were not being taught in residencies. Dr. Loffer Their advocates at that time saw their potentials. And today many see them as the catalysts for other minimally invasive procedures. The educational programs at that time were primarily “how to do” and early reports were often little more than expanded “case reports” of diagnostic and minor procedures. As instrumentation became more sophisticated and endoscopic surgeons more experienced endoscopy was able to replace some traditionally open procedures such as ectopic pregnancies and submucosal myomectomies. Those surgeons who had become skilled in more advanced endoscopic procedures were reporting their results, but formal training for others was difficult to obtain. The “how to do” courses which were available often lacked sufficient training to allow surgeons to safely integrate these new procedures into their practice. These deficiencies in training in gynecology were magnified when essentially all open gynecological procedures could be accomplished endoscopically. In 2001, the AAGL and the ASRM joined to establish a formal postgraduate training program in endoscopy. Although not recognized by the American Board of Obstetrics and Gynecology, The Fellowship in Minimally Invasive Gynecologic Surgery is accomplishing its purpose in giving advanced endoscopic training to gynecologists not available elsewhere. As (Continued on page 19) From the President AAGL Marches Forward Spectacular things are happening with AAGL! The organization is experiencing phenomenal progress on numerous fronts. From our ambitious international mission to the proliferation of Dr. Liu programs and projects here and abroad, the scope of AAGL has expanded significantly. Here are a few of the highlights: International Mission of AAGL: The primary goal of our international mission is to capitalize upon the proficiency of our international colleagues to provide top quality minimally invasive gynecology for the benefit of all patients regardless of where they live. As the premier international society of minimally invasive gynecology, AAGL is in a pivotal position to undertake this privilege. With a current membership of 4,864, the organization now boasts a full 30% representation by our international members. We also have 41 Affiliated Societies representing over 15,000 members. The past few years have witnessed 2 JUL - SEPT 2010 increasingly solid ties with our affiliate societies through improved communication, exchange of knowledge and surgical techniques, and stronger collaborative efforts in education and training. In addition to our annual scientific meeting in the United States, we have launched international and regional meetings around the globe. This past June, we held the 4th international meeting, a successful event in Dubrovnik, Croatia (see page 16). Representatives from the AAGL attended our Asia Pacific Regional Meeting held in Singapore at the end of September in conjunction with the Asian Pacific Association of Gynecologic Endoscopists (APAGE). Two international meetings are slated for next year – the first one April 6-10, 2011, in Istanbul, Turkey, and the second one December 9-12, 2011, in Osaka, Japan. The international meeting for 2012 has already been scheduled for Buenos Aires, Argentina, April 25-28 2012. Mark on your calendar now for what promises to be outstanding events. At the last meeting in July, the Board formed a special committee to study AAGL’s response to (Continued on page 8) NewsScope t h e a a g l v i sio n The AAGL vision is to serve women by advancing the safest and most efficacious diagnostic and therapeutic techniques that provide less invasive treatments for gynecologic conditions through integration of clinical practice, research, innovation, and dialogue. editorial s ta ff Managing Editors Linda Michels Franklin D. Loffer, M.D. Editorial Staff Lynn Bell Barbara Hodgson Art Director Dené Glamuzina Jennifer Sanchez board of truste e s President C.Y. Liu, M.D. Vice-President Linda D. Bradley, M.D. Secretary-Treasurer Keith B. Isaacson, M.D. Immediate Past President Resad P. Pasic, M.D., Ph.D. International Vice-President Errico Zupi, M.D. Trustees Mauricio S. Abrao, M.D. Ted L. Anderson, M.D., Ph.D. Viviane F. Connor, M.D. Peter J. Maher, M.D. Rosanne M. Kho, M.D. Harry Reich, M.D. Eugenio Solima, M.D. Edward J. Stanford, M.D. Executive Vice President, Medical Director Franklin D. Loffer, M.D. Executive Director Linda Michels NewsScope [Library of Congress Cataloging in Publication Data, Main entry under NewsScope, Vol. 24, No. 3; (ISSN 1094–4672)] is published quarterly by the AAGL for ten dollars, paid from member’s dues. Periodicals Postage Paid at Cypress, California. Copyright 2010 AAGL. Publisher AAGL Advancing Minimally Invasive Gynecology Worldwide 6757 Katella Avenue Cypress, California 90630-5105 USA Tel 714.503.6200, 800.554.2245 Fax 714.503.6201, 714.503.6202 E-mail: [email protected] Website: www.aagl.org The views and opinions expressed by the authors in this publication do not necessarily reflect those of NewsScope, its editors, and/or the AAGL. SILS™ Port multiple instrument access port SILS™ Stitch endoscopic suturing device SILS™ Clinch single use articulating grasper Covidien’s Innovative Portfolio of Products Designed for Gynecologic Surgery LigaSure™ Advance opic Pistol Grip Laparoscopic ealer Sealer For minimally invasive SILS™ procedures or standard laparoscopy, laparosc Covidien has a solution to meet your every need. V-Loc™ 90 and V-Loc™ 180 absorbable wound closure devices Visit Covidien’s booth #208 to see our advanced MIS products for gynecological surgery. COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and/or internationally registered trademarks of Covidien AG. All other brands are trademarks of a Covidien company. © 2010 Covidien. LigaSure™ Advance 5mm Laparoscopic Sealer Endo Stitch™ endoscopic suturing device NewsScope Perspective on Robotics A Flight Plan for Credentialing There is no question that robotic assisted surgery has grabbed the attention of both surgeons and patients alike. This remarkable computer Dr. Lenihan Jr. assisted technology has benefitted both surgeons who were not comfortable with their vaginal or laparoscopic skills as well as advanced surgeons who are able to operate more efficiently with improved vision and ergonomics when performing complex laparoscopic procedures. But, as with any new and evolving technology, there have been growing pains. In particular, developing mastery in robotic surgery requires a basic comfort and surgical skills to begin with, a dedication to get through the learning curve, and finally continued frequent utilization of this technique to maintain skills. Just like flying a jet airplane, this is not a procedure that a surgeon can learn and master quickly or perform infrequently in a safe and efficient manner.1,2 There have been several early reports of surgical complications resulting from inexperience as well as poor surgical judgment. The pressure to learn and become proficient with robotics in order to keep up with increasing patient demands for minimally invasive procedures has outstripped our professional organization’s ability to establish guidelines and policies for the safe implementation of this rapidly advancing technology. To this end, at last year’s AAGL meeting, the AAGL Board voted to form a new Special Interest Group (SIG) focused on robotic-assisted surgery. Under the direction of Arnold Advincula, MD who led the first meeting of the Robotics SIG, the members present determined that the SIG should approach two goals in the coming year. The first was to organize and develop outcome data on the use of robotics that could be factually compared to existing methodologies of performing reproductive surgery in 4 JUL - SEPT 2010 women. The second goal was to develop recommendations on establishing training and credentialing policies for hospitals that wish to implement this technology and start robotic programs. The subcommittee charged with developing credentialing guidelines looked to the existing model used by the military and aviation industries. There are many similarities between surgeons and pilots that make this model extremely useful.3 Both pilots and surgeons must undergo initial training and certification. But unlike pilots, surgeons are usually then able to continue operating without any further evaluations or requirements for demonstrating proficiency. Pilots There are many similarities between surgeons and pilots that make this model extremely useful. cases before jumping into more complex procedures, and 4th – developing standards for ongoing certification of proficiency possibly utilizing standard deviations from normal benchmarks or even using simulation to measure ability to perform robotic skills in a safe manner. This evolution towards requiring surgeons to operate more frequently and to be able to demonstrate competency in order to be recertified is clearly a direction that our specialty should move in. In the long run, surgeons who don’t maintain their skills will be encouraged or even required to refer major surgeries to minimally invasive surgeons who can demonstrate improved outcomes for their patients. This is a win-win-win for surgeons, healthcare systems, and especially for patients. If any AAGL members want to share their hospital’s current credentialing requirements or wish to offer opinions on this approach, please email your info to: [email protected]. References: 1. Payne T, Dauterive FR. Robotically assisted hysterectomy: 100 cases after then learning curve. J Robotic Surg, (2010) 4-1, 11-17. Doi:10.1007/s11701-010- have both currency requirements (they are required to have a certain number of takeoffs and landings every six months in order to retain their licenses) as well as competency requirements (pilots are required to be able to demonstrate advanced procedures on a regular basis both in the air and in simulators to maintain their advanced flight ratings.) We think that this is a good model for surgeons attempting to use advanced technologies as well. The Robotics SIG is completing work on credentialing recommendations that will consist of the following major concepts: 1st - initial training and proctoring recommendations, 2nd – a minimum number of cases required annually or semi-annually to maintain skills (and privileges), 3rd – recommendations for beginning slowly with easy 0174-2. 2. Lenihan J, Kovanda C, & Kreaden, U. What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol. Sep 2008; Vol 15: 589594. 3. Nance J. Why hospitals should fly. The ultimate flight plan to patient safety and quality care. Second River Healthcare Press, Bozeman MT. 2008. John Lenihan Jr., M.D. is at Tacoma Women’s Specialists and is Assistant Clinical Professor at University of Washington School of Medicine in Tacoma, Washington. This article is presented on behalf of the AAGL’s Special Interest Group on Robotics. Presented by the AAGL Advancing Minimally Invasive Gynecology Worldwide AAGL 2010 Educational Sponsors For nearly 40 years the AAGL’s commitment to education has been paramount to our mission of serving women by advancing the safest and most effective treatments for gynecologic conditions. We gratefully acknowledge the generous educational grants from the following corporations who partner with us in achieving this mission. Platinum Plus Platinum Gold Silver TM Bronze AS OF JULY 2010 NewsScope Perspective on Oncology Nerve-Sparing Radical Hysterectomy: Anatomical Surgical Demonstration or Real Patient Benefit? It is a well-known fact that radical hysterectomy for early-stage cervical cancer is associated with significant morbidity. This is primarily due to the trauma of pelvic Dr. Gilabertautonomic innervation. Estelles The greatest compromise stems from the impact on bladder and bowel function. Similarly, a large number of patients are young and sexually active, thus the sexual dysfunction implications must also be considered. Moreover, this spectrum of morbidity has been traditionally accepted by patients and physicians with the understanding that survival is the main goal of the oncological treatment. During the past two decades a substantial interest regarding the understanding of pelvic neuroanatomy has been generated among gynecological oncologists. The innovative concept of nerve-sparing radical hysterectomy has been implemented in many cancer centers and has been also considered an important factor in the new classification for radical hysterectomy recently described by Querleu and Morrow1. The preservation of parasympathetic splanchnic nerves in the paracervix was first described half century ago by the group of Kobayashi from Tokyo using a laparotomic approach2. Several Japanese authors demonstrated that the more lateral the paracervical excision, the greater nerve damage and more profound alteration of the function of the rectum and bladder3,4. A division through palpation of the neural and the vascular portions of the lateral parametrium permitted the preservation of the splanchnic nerves decreasing the urological and rectal dysfunction, without compromising the oncological results. Despite these advantages, nerve-sparing techniques were not adopted in Europe and America until the introduction of minimally invasive surgery. The introduction of advanced endoscopic equipment with improved visualization has facilitated the identification of 6 JUL - SEPT 2010 neural pathways and an increasing number of publications have described laparoscopic nerve-sparing radical hysterectomy5. Although the enthusiasm for performing nerve-sparing procedures; even in the setting of fertility preservation6, continues to expand, there remains a significant amount of criticism regarding the actual benefits of the procedure. This is particularly evidenced by recently published randomized data by Landoni et al.7 where there was no benefit found between class III (classical) radical hysterectomy and class II (modified radical) procedure. It should be emphasized that the extent of surgical radicality is a consequence of exact preoperative and intraoperative assessments of risk factors, and some groups propose critical nerve structures involved in bladder and rectal function, but also other critical structures in the retroperitoneum such as the hypogastric vessels and ureter. In select patients, particularly those patients with larger tumors (stage IB2-IIA); a nerve-sparing radical hysterectomy should be considered. Laparoscopic and robotic surgery provides excellent opportunities in this particular setting and surgeons should become proficient in the details of this important technique. References: 1. Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol 2008;9:297-303. 2. Kobayashi T. Abdominal radical hysterectomy with pelvic lymphadenectomy for cancer of the cervix (in Japanese). Tokyo: Nanzando; 1961. We must strive to assure that patients undergo the most appropriate procedure for their disease... 3. Sakamoto S, Takazawa K, An improved radical hysterectomy with fewer urological complications and with no loss of therapeutic results for cervical cancer. Ballieres Clin Obstet Gynaecol 1999;2: 953-62 4. Yabuki Y, Asamoto A, Hoshiba T, Nishimoto H, Kitamura S. Dissection of the cardinal ligament in radical hysterectomy for cervical cancer with emphasis on the lateral ligament. Am J Obstet Gynecol 1991; 164:7-14 5. Malzoni, M, Tinelli, R, Cosentino F,Perone C, Vicario V. Feasibility, morbidity, and safety of total laparoscopic radical hysterectomy with lymphadenec- that there is a place in high risk patients for even the type C radical hysterectomy1. Preservation of the more distal portion of the pelvic plexus is feasible and seems to have satisfactory results in bladder function recovery. According to Fuji´s description, the division of the anterior and posterior leaf of the vesicouterine ligament, after identification of anatomical landmarks such as the middle vesical vein allows the preservation of adequate urinary function8. We must strive to assure that patients undergo the most appropriate procedure for their disease and that thorough consideration of the associated risk factors be performed prior to planning the type of radical hysterectomy performed. One must always emphasize adequate surgical anatomical dissection, not only to identify the tomy: Our experience. J Minim Invasive Gynecol 2007:14;584–90 6. Martin A, Torrent A. Laparoscopic nerve-sparing radical trachelectomy: surgical technique and outcome. J Minim Invasive Gynecol 2010;17:37-41. 7. Landoni F, Maneo A, Cormio G et al. Radical hysterectomy in stage IB-IIA cervical cancer: a prospective randomized study. Gynecol Oncol 2001;80:3-12 8. Fujii S, Takakura K, Matsumura N, Higuchi T, Yura S, Mandai M, Baba T. Precise anatomy of the vesicouterine ligament for radical hysterectomy. Gynecol Oncol 2007;104:186–91. Juan Gilabert-Estelles, M.D., Ph.D. is in the Department of Obstetrics and Gynecology, University Hospital La Fe, Valencia, European Gynecology Endoscopy School-Valencia (Spain). This article is presented on behalf of the AAGL’s Special Interest Group on Oncology NewsScope From the President (Continued from Page 2) the needs of the international community of minimally invasive gynecologists. Board members from Australia, Brazil and Italy along with Board members who have extensive experience lecturing world-wide were appointed to the committee. The group will identify he gaps in our outreach to international members and to strategize about how best to meet the current gaps and future needs for the next decade. The chair of the committee is Franklin D. Loffer and if you wish to communicate your understanding of the needs of international gynecologists, please email him at [email protected]. Essentials in Minimally Invasive Gynecology– An Assessment Based Certificate Program Along with the recognition that mastery of endoscopic surgical competency and proficiency is not easy, we become painfully aware of our lag behind general surgery. How disappointing to see that the most recent educational objectives of the Council on Resident Education in Obstetrics and Gynecology (CREOG) of ACOG still identify “laparoscopy, diagnostic and/or operative” as an “understand” objective rather than an “understand and perform” expectation.1 AAGL, as the primary endoscopic surgical society in the U.S and now worldwide, can no longer insulate itself in complacency. While continuing to provide postgraduate training courses for practicing gynecologists as well as for residents, and continuing to offer and even expand advanced fellowship training programs, we cannot remain in status quo. Hence, last March, an initiative was launched for an assessment-based certificate program, equivalent to general surgery’s “FLS” (Fundamentals of Laparoscopic Surgery) but specific to gynecology with inclusion of hysteroscopy. This significant undertaking currently involves 22 stakeholders from inside and outside AAGL and an additional 12 members who will be meeting prior to the Global Congress in Las Vegas to complete the next phase. The projected date of completion is June, 2011. SurgeryU The video journal SurgeryU is the world’s largest video library for gynecologic endoscopy, containing over 650 surgical videos. It has recently added a Professional Network System that enables live global interactive exchange of opinions and ideas among its members. With this new system, two highly successful interactive live telesurgery events have been hosted, both of which were streamlined to members in various countries. More live events have been scheduled, and advance notice to the members will be forthcoming. Additional current hostings include SurgeryU Collaboratives and JMIG Today. Interested members may go to www. SurgeryU.com for further events. Fellowship in Advanced Minimally Invasive Gynecologic Surgery Programs Currently 34 fellowship programs have received approval and continue under stringent monitoring by the Fellowship Board. Rigorous requirements and educational objectives have been established to ensure the competency of graduates of the programs. The number of candidates applying for the fellowship programs has increased by 19% from last year to the current count of 93 applicants for fellowship commencing July, 2011. The Fellowship Board is also actively exploring the possible establishment of international programs. Numerous other exciting developments continue which will be shared with you at our Annual Meeting in November. I hope you can join us at that time. References: 1. Council on Resident Education in Obstetrics and Gynecology. CREOG’s educational objectives, a core curriculum in obstetrics and gynecology. 9th ed. Washington, DC: American College of Obstetricians and Gynecologists; 2009. C.Y. Liu, M.D. is President of the AAGL and also serves on the faculty for the Fellowship in Minimally Invasive Gynecologic Surgery located at the Women’s Surgery Center in Chattanooga, Tennessee. Mankind and Technolog y in Per fect Harmony 6th AAGL International Congress on Minimally Invasive Gynecology in partnership with JSGOE in association with 12th APAGE Annual Congress December 9 (Fri.) - 11 (Sun.) 2011 Osaka International Convention Center (Grand Cube Osaka ) Osaka, Japan C O N G R E S S S E C R E T A R I A T Medical Supply Japan Co., Ltd. 2-18-6 Yushima, Bunkyo-ku, Tokyo 113-0034, Japan Tel: +81-3-5842-9771 Fax: +81-3-5842-9791 e-mail: [email protected] URL: http://www.aagl-apage-2011-osaka.com 8 JUL - SEPT 2010 Hosted by Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy ACCURACY & EASE at your fingertips PRECISE PLACEMENT AND CONTROL The next generation in the MiniArc® family of products, the MiniArc Precise Sling System is built on the success of the original MiniArc sling which is supported by more than 75,000 implants. MiniArc Precise is designed with a fixed needle to mesh connection to prevent mesh rotation and disengagement until the slider mechanism is depressed. The fixed connection provides precise placement and control, providing the confidence to deliver proper tensioning. amsminiarc.com ©2010 American Medical Systems, Inc. All rights reserved. 601357-01A (08/10) NewsScope Affiliated Societies Spotlight Sociedad Argentina de Cirugía Laparoscópica (SACiL) Sociedad Argentina de Cirugía Laparoscópica (SACIL) was founded only 17 years ago but has grown to become a major medical organization in Argentina. As outlined by President Rodriquez they recognized the evolution that has occurred from laparoscopy to the broader vision of minimally invasive surgery and expanded their objectives accordingly. SACil’s role in education is exemplary. Their teaching programs were recognized by the government and they have been entrusted to credential surgeons according to their level of expertise. They have held local and major regional and international meetings. The AAGL is very pleased to count SACiL as an Affiliated Society and to have them host the 7th AAGL International meeting in Buenos Aires. Franklin D. Loffer, M.D. Executive Vice President/ Medical Director, AAGL The Sociedad Argentina de Cirugía L a p a r o s c ó p i c a wa s founded on March 26, 1994 in Buenos Aires, with a real national spirit. About one hunDr. Rodriguez dred physicians from all around the country gathered together at that time as founding members to create this society. As expressed in the inaugural document, the aims of our Society remain valid even today, and they are: 1. To promote the development and application of laparoscopic approach in all fields of surgery. 2. To participate in the study of new ways of applying the technique. 3. To ensure the pursuit of excellence through continuous training of the physicians specialized in that matter. 4. To search for consensus on surgical techniques, indications and technical scopes of the procedure. 5. To provide interaction between other specialties that use laparoscopy as a surgical approach. 6. To unify criteria for Certification in Laparoscopic Surgery in different surgical specialties and different levels of complexity. After seventeen years from the Society´s founding, and according to the evolution of laparoscopic surgery and medicine in general, it became necessary to incorporate new objectives: • To promote the relationship between other national and international medical societies involved in the widespread diffusion of laparoscopic surgery in all fields: scientific, medical, educational, ethical and professional. • To provide the incorporation of surgical techniques grouped under the concept of minimally invasive procedures. • To create forum discussions in order to share useful experience and data to establish universal procedural protocols endorsed by the International Medical Society. At present we have a list of 400 members. The head office settled in Buenos Aires, and we have both a scientific and administrative secretary. We have a web page (www.sacil. org.ar) and a medical outreach magazine is published on a regular basis distributed free-of-charge for our members. We have the authorization, as a Scientific Authority, to grant Certificates of Accreditation in Laparoscopic Surgery with three levels of complexity, acknowledged by the National Ministry of Health and other institutions in our country. Theoretical and practical “hands on” courses are given to professionals throughout the year providing them different levels of training in the discipline and we offer legal advice in lawsuits when needed. We welcome all members of the AAGL to join us when we host the 7th AAGL International Congress on Minimally Invasive Gynecology in partnership with SACil, April 25-28, 2012 in Buenos Aires. Dr. José Luis Rodriguez M.D. is President of the the Sociedad Argentina de Cirugía Laparoscópica. You Will Be the Winner (Continued from Page 1) geries broadcast that highlights traditional straight-stick laparoscopic myomectomy compared to robotic myomectomy. We can’t forget that vaginal hysterectomy is the original minimally invasive procedure. Witness its re-emergence and rebirth this year with exceptional vaginal surgery telesurgery and lectures that remind us not to abandon this technique. The Annual Meeting will convene the best laparoscopic/hysteroscopic/ urogynecologic surgeons who will update attendees on new energy systems, morcellators, outcome data, and discuss methods to minimize and recognize complications. New this year, is an excellent postgraduate session on the fundamentals in laparoscopy for those physicians who are transitioning their surgical practice. Across the educational spectrum experience, ultrasound lectures as never given before, case-based presentations on uterine fibroid therapies, and a new postgraduate course on Medicine Matters (sexuality, hormone therapy, and pre-operative evaluation). Finally, our keynote speaker, Dr. Michael Roizen, well-known author of numerous books and has frequent appearances on Oprah Winfrey’s television program, now co-authors with Dr. Mehmet Oz, will address us on the topic of self care. This will be a keynote address not to miss. Register early, bring a colleague, and be prepared to experience the 39th Global Congress as you have never experienced it before. Something old and something new awaits you. I know that this is a winner!! See you in Las Vegas, November 8-12, 2010. “Last year people won more than one billion dollars playing poker. And casinos made twenty-seven billion just by being around those people.” –Samantha Bee Linda D. Bradley, M.D., is the Vice President of the AAGL and the Scientific Program Chair for the 39th AAGL Global Congress on Minimally Invasive Gynecology. She is also Vice Chair of Ob/Gyn and Women’s Health Institute and Director, Center for Menstrual Disorders, Fibroids & Hysteroscopic Services at the Cleveland Clinic in Cleveland, Ohio. JUL - SEPT 2010 11 NewsScope SurgeryU SurgeryU Rolls Out Live Surgical Events It has been a busy summer at SurgeryU as we moved our focus to our new Surgical Events Series. The first streaming surgery was initiated on June 23rd from Dr. Stepanian the XXIII International Congress “New Technologies for Diagnosis and Treatment of Gynecologic Diseases,” held in Moscow, Russia. This meeting was endorsed by the Russian Federal Government and included essentially all fields of gynecologic surgery. We captured and streamed a number of precise surgical procedures by a cadre of wonderfully adept gynecologic surgeons. I would like to thank Professor Leila Adamyan for opening her operating room and her congress to us. The first surgery from the USA took place on July 13th and included pelvic floor reconstructive procedures, including the newest vaginal approaches as performed by Dr. John Miklos and Dr. Robert Moore. It was amazing to see the technical ability and wonderful skill exhibited by Drs. Miklos and Moore as they worked with their surgical team to complete these very complex procedures. We thank both of these physicians for their dedication to the AAGL and for sharing their surgical skills with all of us. Next, SurgeryU “traveled” to Northside Hospital and featured a surgery by Dr. Ceana Nezhat and his team. Dr. Nezhat titled his surgical presentation: “Conservative Management of Severe Endometriosis and Presacral Neurectomy with or without the Robot? – That is the Question.” Dr. Nezhat presented laparoscopic and robotic approaches to the treatment of endometriosis. Thank you, Dr. Nezhat for once again showing AAGL members how to simplify their complex surgical cases. All three live events resulted in large audience participation with over 81countries represented overall. In addition to watching the surgery, attendees are able to post questions for the surgeons to answer live which 12 JUL - SEPT 2010 resulted in some very interesting and dynamic exchanges. If you missed any of the live events, we are pleased to inform you starting October 1st they will be available free to AAGL members, just go to Surgeryu.com and click on the tab entitled: Live Events. More Live Surgeries Planned On September 25th, we plan to be in Chicago to capture two office surgeries performed by Dr. Charles Miller and Dr. Aarathi Cholkeri-Singh from the workshop: Adding Office Hysteroscopy to Your Practice. The cases will include the use Live Events of hysteroscopy to remove a polyp and to perform an offi ce sterilization. This workshop will conclude our series of one day hysteroscopy workshops that provided lectures, live surgical demonstrations and hands-on labs. The response from our members has been excellent and more courses are being considered for 2011. October also promises to be a full month with live procedures from Europe where we will feature the surgical skill and innovation of Dr. Arnaud Wattiez from Strausbourg, France and Dr. Mario Malzoni from Avellino, Italy. Dr. Wattiez is the current President of the European Society of Gynecologic Endoscopy (ESGE) and the Course Director of IRCAD-EITS. Dr. Wattiez is a well known mentor and instructor to surgeons in minimally invasive surgery and we look forward to his presentation of a pelvic reconstructive surgery by high definition. If you have not had a chance to visit IRCAD, you will not want to miss this exciting event from the premier teaching center in Europe. Dr. Mario Malzoni will present from the Malzoni Medical Center where he will demonstrate one of the following complex cases: Pelvic LymphadenectomyRadical Hysterectomy (TypeC1) or Deep Endometriosis with Bowel Resection. Dr. Malzoni is also known as mentor and teacher and has developed advanced surgical techniques to manage some of our most complex cases. We know that you will be inspired by Dr. Malzoni’s surgical technique. In addition to the above, SurgeryU will be active at the AAGL 39th Global Congress, Novenmber 8-12, 2010 where we plan to highlight the live surgery performed by Dr. Keckstein from Nikolaigasse, Vienna. Dr. Keckstein plans to present the following: Laparoscopy: Endometriosis with Cul-deSac Obliteration. This surgery will also be shown by HD and will be streamed live for those members that are unable to join us in Las Vegas. As we have in the past, E-bulletins will be sent to remind all of you to tune in to watch these exciting events. Professional Network System In the last issue of News Scope, I described our new Professional Network System that includes a number of Special Interest Groups. We are pleased to inform you that interest has been growing and the members from the SIG’s and others have been posting questions and sharing videos. We encourage you to get engaged with the group of your choice. It’s easy and informative and can be accessed through the SurgeryU Social tab on the homepage. Assia A. Stepanian, M.D. is Editor-in-Chief of SurgeryU and on the Advisory Committee of the AAGL. Dr. Stepanian is in private practice at the Center for Women’s Care & Reproductive Surgery in Atlanta, Georgia. Visit our booth #508 39th Global Congress of Minimally Invasive Gynecology November 9–12 NEW HALO PKS™ CUTTING FORCEPS HAND ACTIVATION FOR LAPAROSCOPY & OPEN LED indicates the device is selected on the generator. Features the same great Tip Design with Serrated Jaws for secure tissue grasping, coagulation, dissection and retraction. Rotation Wheel provides finger-tip control for up to 330˚ of distal tip rotation. Easy-to-access hand Blue Activation Coagulation Button eliminates the need for a foot pedal and puts control right in the surgeon’s hand. The Cut Blade Trigger is ergonomically positioned to provide easier access with one hand and to minimize fatigue. Optional Latch Slide provides consistent grasp on tissue to reduce hand fatigue. © 2010 Gyrus ACMI. All rights reserved. ™ and ® Trademarks and Registered Trademark, respectively, of Olympus and Gyrus ACMI, Inc. or their affiliated entities in the U.S. and/or other countries of the world. AD345-0810 NewsScope Summary of AMA Annual Meeting 2010 The AMA met in Chicago for the Annual Meeting 2010 (June 12-June 16). The following summarizes the developments. As many of you are aware, there has been Dr. Gimpelson some concern about the dirction of the AMA recently. The House of Delegates (HOD) let the Board of Trustees know about their concerns by some of the resolutions passed as well as the election of a number of officers and council members. I believe the AMA will be more sensitive to the feelings of most physicians throughout the country in the future. One of the most significant resolutions was on Health Care Standards, which asks the AMA to: 1. Support the ability of non-governmental organizations to evaluate appropriate medical diagnosis or therapy or current or new diagnostic or therapeutic tests, proce- dures, medications or other procedures that improve the quality of patient care; 2. Support the position that any practice guidelines, parameters, best practices models, or similar set of principles or clinical recommendations, whether developed or issued by government or non-government organizations, including those that result from any comparative effectiveness research or evidence-based medicine system, do not, and should expressly state that they do not, establish standard of care of create specific requirements for physicians that restrict the exercise of their clinical judgment; 3. Urge any organization, whether governmental or non-governmental, promulgating any practice guidelines, parameters, best practices models, or similar set of principles or clinical recommendations, to include a statement that they are guidelines only; and 4. Urge any organization, whether governmental or non-governmental, promulgating any practice guidelines, parameters, best practices models, or similar set of principles or clinical recommendations, to set and make publicly available a regular schedule for review and update and to include the level of evidence supporting the guidelines. (Res. 205). Other significant resolutions most relevant to the AAGL members will be covered in the next issue of NewsScope. I want to thank Marcy Zwelling, M.D. and Ginnie Yee from the California Medical Association; Peter Levine, M.D. and Toya Sledd from the AMA Orthopedics Section Council; Allan Jensen, M.D. from the Baltimore City/MedChi staff, and Camran Nezhat, M.D. from the Society of Laparoendoscopic Surgeons for kindly providing the information for me to put this summary together. Richard J. Gimpelson, M.D. is a former AAGL President, Advisor and is the AAGL delegate to the AMA. He is also in private practice in Chesterfield, Missouri. (Continued on page 14) 14 JUL - SEPT 2010 NewsScope A Report from Another Successful International Meeting Four years ago, AAGL embarked on a new journey organizing international meetings around the globe. The purpose was to bring AAGL to those members Dr. Pasic who could not attend our annual meetings held during the month of November in the United States. To show dedication to our members and international Affiliated Societies, so far we have organized very successful meetings in Palermo, Italy; Sao Paolo, Brazil; Brisbane, Australia and most recently in Dubrovnik, Croatia. As the Scientific Program Chair, I am happy to report that at the Dubrovnik meeting we had over 400 registered participants from all over the world. The four-day program was packed with postgraduate courses, live telesurgeries, eloquent and persuasive yet heated debates, and many lectures. The spirit of AAGL was fully expressed in the warm camaraderie, as well as professional exchanges in one of the most beautiful settings – the city of Dubrovnik. Our Croatian hosts did an excellent job in making everyone feel welcome – a special letter from Dr. Miroslav Kopjar, Congress Chair and President of the Croatian Endoscopic Society, is included below. Finally, I strongly encourage you to plan to attend AAGL’s 5th International Meeting in Istanbul, Turkey in April 2011. More information about this meeting will follow soon. Resad Paya Pasic, M.D., Ph.D. serves on the AAGL Board as the Immediate Past-President and is Professor and Director of the Section of Operative Gynecologic Endoscopy at the University of Louisville School of Medicine in Louisville, Kentucky. Dear colleagues and friends, It was an honor for me to be the President of AAGL’s 4th International Congress on Minimally Dr. Kopjar Invasive Gynecology and 3rd Croatian Congress on Minimally Invasive Gynecological Surgery in June 2010. After years of hard work, the local Scientific Committee and I feel rewarded receiving many messages from different participants praising the scientific content, as well as the venue and social programs of our Congress. All contributions – from speakers, organizers, sponsors and participants – were fundamental in achieving the outstanding success of this congress. We feel confident that the event met everybody’s expectations and hope that you share our enthusiasm for the results. We had over 400 participants coming from 35 countries and 5 continents. We received an impressive number of abstracts, and the Scientific Committee did an excellent job reviewing and selecting the best of them. This Congress took place in the historical city of Dubrovnik, one of the most beautiful cites in the Mediterranean, and part of the UNESCO’s World Heritage Sites. I wish to thank you very much for believing in us and for participating in our congress. I hope to see you all at another congress or perhaps on holiday in Dubrovnik. It was a privilege to have you here and, on behalf of the entire Congress Organizing Committee, I wish you much success in your work. Miroslav Kopjar M.D., Ph.D. is Associate Professor at the University of Zagreb, Croatia. New Products Halt Fibroid System Halt Medical has developed a medical device for treating uterine fibroids using Radiofrequency Volumetric Thermal Ablation (RFVTA) in a minimally invasive procedure performed by the OBGYN surgeon in the outpatient setting. The Halt Fibroid System is approved in Europe (limited to investigational use in the US). Information about the Halt Fibroid Study and a list of clinical sites in the US and Latin America may be found at www.clinicaltrials.gov, study number NCT00874029. Taut® ADAPt® – An entirely new approach to universal instrument access Teleflex’s Taut ADAPt line, now available with the innovative new floating magnetic seal, provides surgeons a comprehensive offering of completely bladeless laparoscopic access ports. The Taut ADAPt universal seal is an entirely new approach to universal instrument access, designed to accommodate a wide variety of instrument sizes. Using a unique magnetic seal system, the ADAPt universal port eliminates seals that are easily torn and lubricants that can smudge cameras. The result is a robust seal, minimal drag, and effortless instrument exchanges. And unlike metal or plastic blades, the ADAPt tip dissects through tissue in an asymmetrical pattern, maintaining muscle integrity and allowing the port to be held tightly in place without threads or barbs. Combined with the ADAPt tip, the universal seal gives clinicians completely bladeless access, a superior sealing system and a clear economic advantage. 16 JUL - SEPT 2010 Poster Will Have a New Meaning at the 39th AAGL Congress no more tubes • no more paper • the same valuable information in an interactive format A t this year’s Annual Meeting in Las Vegas all posters will display on flat screen monitors. Each monitor will have a dedicated lap top from which the viewer can browse the 14 categories of posters and select the ones they want to view on 42” plasma screens. The authors will be able to create their virtual poster using a PowerPoint format supplied by the AAGL. It will even allow a short video clip! The advantages to this new virtual poster are authors will not have to carry their abstract tubes with them to the meeting; there will be no expense in creating the poster; and the author will always have electronic access to their AAGL poster for use at other meetings. AAGL 5th INTERNATIONAL CONGRESS ON MINIMALLY INVASIVE GYNECOLOGY in conjunction with TURKISH SOCIET Y OF GYNECOLOGICAL ENDOSCOPY (TSGE) IV. ANNUAL SCIENTIFIC MEETING LET’S SCOPE WHERE THE CONTINENTS MEET! April 6 -10, 2011 - Swissôtel the Bosphorus, Istanbul, TURKEY www.tsge2011.org NewsScope Welcome New Members June 12, 2010 - September 16, 2010 Alexandre Tadeu Abdalla, M.D. Rony Tanios Abdallah, M.D Ifrah Abdillahi Abdi, M.D. Uchenna C. Acholonu, Jr., M.D. Faris K. Ahmad, M.D. Grewal Ajanamjot (Jan), M.D. Asia Al shaikh, M.D. Iman Mohammad Alamoudi, M.D. Rabia Ali, M.D. Sheikha Sultan Aljabri, FRCS Karen Allsup, M.D. Zain A. Al-Safi, M.D. Antonio Alves, M.D. Fataneh Amidi, M.D. Stacy Renee Ammerman, D.O. Sarah Amo, M.D. Kwame Okyere Amponsah, M.D. Lilian Aragao, M.D. Patxi Ariztoy, M.D. Rohit Arora, M.D. Albert Asante, M.D. Cheryl D. Ashe Eric Ashkin, M.D. Pandelis Athanasias, M.D. Sarah Aultman, M.D. Thomas Richard Aust, M.D. Karam Babik, M.D. Stephen J. Bacak, D.O., MPH Melissa M. Baer, M.D. Madhu Bagaria Amelia P. Bailey, M.D. Lakshmi Bangalore Vatsan Sri, M.D. Raymond Barbour, M.D. Katie Barker, M.D. Christopher Barton, M.D. James Patrick Beirne, M.D. Jimmy Belotte, M.D. Eliza A. Bennett, M.D. Raina Best, M.D. Kivanc Bilici, M.D. Julianne Rebecca Biroschak, M.D. Marie K. Blossom, M.D. Harry Wade Boatwright, M.D. Edgar William Boggs, M.D. Elizabeth Wingard Boggs, M.D. James Thomas Bohmer, M.D., Cornelia Bormann, M.D. Ananda Boyer, M.D. Jill Joanne Boysen, DO Riva Branch, M.D. Ryan Brannon, M.D. Rachel Michele Brightwell, M.D. Andrea Jo Brooks, M.D. Courtney Riley Brooks, M.D. Elizabeth Rouene Brown, M.D. Jessica Buck, M.D. Elizabeth Anne Buescher, M.D. Sharon Byun, M.D. Vicenzo Cacciapuoti, M.D. Eray Caliskan, M.D. Nicholas V. Campanella, M.D. Laurie Campbell, R.N. Neil Campbell, M.D. Ilona Marie Carlos, M.D. Jennifer R. Case, M.D. Rachel Casey , M.D. Leonardo Nicholas Catalano, M.D. Michelle Catenacci, M.D. Pablo Cespedes, M.D. Tansel Cetinkaya, M.D. Giselle Terry-Ann Chandler, M.D. Cherry Yin-Yi Chang, M.D. Jocelyn Chapman, M.D. Antonio Chavez, D.O. Marisa Chavez, M.D. Hsi-Pin Chen, M.D. Victor Chen Youguo Chen, M.D. Nicholas Chill Lesley Chin-Ormsby, BSc, MBBS Sahar Chitgar, M.D. Melindy Ciulla, M.D. Theresa Conyac, M.D. Christine F. Cooper, M.D. Neil J Correia, M.D. Elaine F. Craig, M.D. Stephanie Cross MD Kelly Frances Cummings, M.D. Stephanie B. Cummings, M.D. Yi Dai, M.D. Fabrizio Damiani, M.D. Emad Darwish, M.D. Donato Dellino, M.D. Diana D. DeVall, M.D. Heather Diamond, M.D. Claudio Diaz-Socarras, M.D. Erbil Dogan, M.D. Christina E. Dolhaniuk, M.D. Omar Felipe Duenas, M.D. Dennise Claudette Durkee, M.D. Wendy M. Dwyer Albano, M.D. Kellie Wilson Edwards, M.D. Khaled A. El Setohy, M.D. Margarett Conklin Ellison, M.D. David Engle, M.D. Ibrahim Esinler, M.D. Eduardo Estrella, M.D. Rahmouna Leila Farez, M.D. Muhammad Fatum, M.D. Shantal Feltham Kimberly Ferrante, M.D. Loren Fickies, M.D. Hilaire W. Fisher, M.D. Rocco Jason Florio Erika Danielle Fowler, M.D. Marengo Francesca, M.D. Barbara Frank, M.D. Clarissa Frasca, M.D. Melissa Kristen Frey, M.D. Emily Yasuko Fukuchi, M.D., MPH Naoto Furukawa, M.D. Elizabeth Gagliardi, M.D. Ran Gao, M.D. Kristen Garcia, M.D., MS Hector R. Garcia Zamarripa, M.D. Sheila V. Garnica, M.D. Neda Ghaffari, M.D. Sarah E. Gill, M.D. Nayera R.A. Giurguis, M.D. Sarah J. Glaze, M.D. Alexandra Goldman, M.D. Natalya Goltyapina, D.O. Josenice Gomes, M.D. Sandra Marcela Gomez Ramos, M.D. Berenice Anita Goorah, M.D. Luis Gordillo, M.D. Kristine Graettinger, M.D. Beate Gray, M.D. Jennifer D. Green, M.D. Irene Grias, D.O. Tjalina Hamerlynck, M.D. Yubin Han, M.D. Leslie Haney, M.D. Monica Hannon, M.D. Namiko Hashimoto, M.D., Ph.D. Lynne Haygood-Kane, D.O. John Dawson Haynes, M.D. Nayel Ahmed Helmy, M.D. Ariel Holley, M.D. Alexander Hrynewych, M.D. Ziad R. Hubayter, M.D., MPH, MBA Angeline Hubbard Braidi Rose Huecker, M.D. K. Joseph Hurt, M.D., Ph.D. Jana D. Illston, M.D. Heesun Im, M.D. Rotimi A.K. Jaiyesimi, M.D. Randa Jaafar Jalloul, M.D. Sharon Jamie, M.D. Julienne Janse, M.D. Reginald A. Jenkins, M.D. Jani R. Jensen, M.D. Cristian Jesam, M.D. Mei Ji, M.D. Hangmei Jin, M.D. Darlyne Ann Johnson, M.D. Lisa Johnston, M.D. Howard Jones, M.D. Hema Jonnalagadda, M.D. Hyun-jae Jung, M.D. Cruz W. Justin, M.D. Woo Dae Kang, M.D. Mustafa Kara, M.D. Fethiye Sinem Karipcin, M.D. Deborah Karp, M.D. William H. Katz, M.D. Mary Kenney, R.N. Tarek Khalife, M.D. Sepideh Khalilian, M.D. Nidhi Khosla, M.D. Kareem H. Khozaim, M.D. Iwaho Kikuchi, M.D. Esra Bulgan Kilicdag, M.D. Seok- Mo Kim, M.D. Woo Young Kim, M.D. Woo-Chul Kim, M.D. Jason Anthony Knight, M.D. George D. Kofinas, M.D. Swapna Kollikonda, M.D. Surii Ashok Kommareddi, M.D. Sahel Kooroshnia, M.D. Pamela Kothari, M.D. Barbara Kotnyek, M.D. Paraskevas Kotsonis, M.D. Nathan Kow, M.D. Colleen M. Krajewski, M.D. Natalie L.D. Kroll, D.O. Jenna Suzanne Kubat, M.D. William M.A. Kuteesa, MBBS Huseyin Tayfun Kutlu, M.D. Hyeeun Eun Kwon, M.D. Duanduan La, M.D. Phong Lai, D.O. Darren Lazare Chang Jae Lee, M.D. Matthew Lee, M.D. San Hui Lee, M.D. Seungho Lee, M.D. Monica Lee-Griffith, M.D. Erin Elizabeth Lehman, M.D. Li Lei, M.D. Michelle M. Lentell, M.D. Belinda Leung, M.D. Tressa I. Levenson, M.D. Andrew William Li, M.D. Jian Li , M.D. Li Li, M.D. Lijun Li, M.D. Peiling Li, M.D. Xiaoyan Li, M.D. Alina Libster, M.D. Li Lin, M.D. Kaijiang Liu, M.D. Yue Liu, M.D. Ryan Livengood, M.D. Jesus Rodolfo Lizardo, M.D. Allison Loeffler, M.D. Brenda J. Lofton, M.D. Quinisha Kayon Logan, M.D. Ricardo Luba, M.D Deirdre Lum, M.D. Gang Ma, M.D. Mendy Mack, M.D. Gerard Mage, M.D. Brianne Marie Mahoney, M.D. Jillian Shane Main, M.D. Ioannis Malandrenis, M.D. Flavio Malcher Peta Maley, M.D. Jeffrey Bryan Manley, M.D., MBA Amr Adel Mansy, M.D. Danielle Marshall Freya Elena Marshall, M.D. Maria Jose Martinez-Serrano, M.D. Maria A. Martinez-Zamora, M.D. Kristen A. Matteson, M.D. Fleming Mattox Leanne McCarthy, M.D. Laura J. McClellan, M.D. Joseph Bennett McGehee, M.D. Meghan McGowan, M.D. Luke McGuinn, M.D. Brandi Sha McLeod, M.D. Gabriel Medrano, M.D. Tapan A. Mehta, M.D. Ruth Lily Meird, M.D. Dilaury Mejia, M.D. Emad Mounir Mikhail, M.D. Ryan D Miller, D.O. Gretchen K. Mitchell, M.D. (Continued on page 19) 18 JUL - SEPT 2010 NewsScope Welcome New Members (Continued from Page 18) Yuichiro Miyamoto, M.D. Gradie Moore, M.D. David Joseph Morgan, M.D. Dorcas C. Morgan, M.D., FACOG Anwar Moria, M.D. Travis John Morrell, M.D. Jody Morris Pascal Mourtialon, M.D. Tyler Muffly, M.D. Seong Taek Mun, M.D. Michelle W. Murphy, M.D. Robert Wendell Naumann, M.D. Faride Navari, M.D. Bih Tabah Ndofor, M.D. Vicki Sue-Mei Ng, M.D. Ada N. Njoku-Animashaun, M.D. Jose Nores, M.D. Susan Oakley, M.D. Gbolahan Oladele Obajimi, M.D., FWACS Juno Obedin-Maliver, M.D., MPH Elizabeth E. Ocampo, M.D. Lawrence Neil Odom, M.D. Babatunde N. Ogunkinle, M.D., FWACS Eunkyeong Oh, M.D. Catriona Marie O’Kane, M.D. Blake Carter Osmundsen, M.D., MCR Hirofumi Otsuka, M.D. Svetlana Oussoltseva Aral Ozbal, M.D. Edmond Pack, M.D. Jiheum Paek, M.D. Michele Y. Pangilinan, M.D. Thomas Papathemelis, M.D. Amy Elizabeth Paris, M.D. Hwang Shin Park, M.D. Jung Woo Park, M.D. Sang Min Park M.D. Shahina Parveen, M.D. Sauhang Baldev Patel, M.D. Abraham Peedicayil, M.D. Raquel Pelayo, M.D. Lynell Aurora Perez-Colon, M.D. Jed Perkerewicz, M.D. Lindsay Perkins, M.D. Donald Clifton Phillibert, Jr., M.D. Jennifer T. Phung, M.D. Veronica Maria Pimentel, M.D. Antara Pothuloori, M.D. Soma Pradhan, M.D. Christian Preti, M.D. Jameca Rene Price, M.D. Sarah Pringle, CNP Ruxandra Radu-Radulescu, M.D. Mitra Rafati, M.D. Jessica Sue Rasmussen, M.D. Clare J.M. Reade, M.D. Chanda L. Reese, M.D. Ilana Ressler, M.D. Courtney Paige Rhoades, DO, MBA Giovanni Riano, M.D. Hampton B. Richards, M.D. Scott Robert Riddell, M.D. Kristin Ann Riley, M.D. Nicole Rink, M.D. Helen Jane Robson, M.D., FRCSC Zoe Rodriguez, M.D. Maricela Rodriguez-Gutierrez, M.D. Hyun Jin Roh, M.D. Juan Carlos Ruiz, Jr., M.D. Azra Sadikovic, M.D. Raj (Prithwiraj) Saha, M.D. Charbel Georges Salamon, M.D. Karen A. Salazar Valdes, M.D. Sheri-Lee Samson, M.D. Geam Karlo Assis Santana, M.D. Meera Saraswathinair, M.D. Kirsten Sasaki, M.D. Fahimeh Sasan, D.O. Kadir Savan, M.D. Gamal H. Sayed, M.D. Anibal Scarella, M.D. Lars Schouenborg, M.D. Valerie Schulte, D.O. Monica Sehgal, M.D. Jana L. Seitz, M.D. John B. Seradj, M.D. Chirag A. Shah, M.D., MPH Alexander Shapiro, M.D. Gregory S. Shelton, M.D. Airong Shen, M.D. Sheila Sheth, M.D. Yulin Shi, M.D. Oscar C. Shimange, M.D. Wilson Eustaquio Silva Junior, M.D. Andre Luiz Silveira, M.D. Abdulrahman Khalil Sinno, M.D. Eloise Skelton, M.D. Aimee L. Smith, M.D. Sarah Smith, M.D. Jennifer Sock, M.D. Kenan Sofuoglu, M.D. Serena Solfrini, M.D. Min Jong Song, M.D. Yong Jung Song, M.S. Seo Sonyoung, M.D. Michael Craig Sott, M.D. Anita J. Spirek, M.D. Laura Sproat, M.D. Divya Sridharan, M.D. David Starks, M.D. William Michael Stevens, M.D. David Stewart, M.D. Kimberly Stockmaster, M.D. Dale Stovall, M.D. Margaret Elena Sullivan, M.D. Zhihua Sun, M.D. Figen Sungar, M.D. Ajay Swaminathan, M.D. Carolyn Weaver Swenson, M.D. Shawna Swinigan, PA-C Alyssa Ta, M.D. Shiqiao Tan, M.D. Cindy Tang, M.D. Alison Tate, M.D. Kristal Taylor, M.D. Nickoloz Tchankoshvili, M.D. Jennifer Thome, M.D. Levent Toksoz, M.D. Mary Catherine Tolcher, M.D. Chelsey Rose Topping, M.D. Tarek Toubia, M.D. Pantelis Trompoukis, M.D. Yen Ngoc Truong, M.D., MPH Hsiao-Wen Tsai, M.D. Elena Tunitsky-Bitton, M.D. Emily Hope Turney, M.D. Judy R. Ungerleider, M.D. Juan Fernando Usta Chica, M.D. Zaida Vargas, M.D. Amanda Burton Vaughan, D.O. Silvania C. Vieira Archangelo, M.D. Michelle Wallenstein, M.D. Anne Wang, M.D. Haibo Wang, M.D. Shijun Wang, M.D. Wuliang Wang, M.D. Zhiwen Wang, M.D. Meredith M. Warden, M.D., MPH Blair Washington, M.D., MHA Tiffany Weathers, M.D. Bing Wei, M.D. Helene Simone Weibel, M.D. Laura Weins, M.D. Danica Ashley Wilking, M.D. Jennifer Willette, M.D. Makeba Williams, M.D. Lauren Michaud Winn, M.D. Budi Wiweko, M.D. HaRyun Won, M.D. Anya E. Wong, R.N. Ashley Woodward, M.D. Pei-Ju Emily Wu, M.D. Guangwu Xiong, M.D. Azadah Yacoub, M.D. Yuanqing Yao, M.D. Sujata Yavagal, M.D. Tajnoos Yazdany, M.D. Jung In Yeom, M.D. Grace Yeung, M.D., HBSc. Jongsook Yoon, M.D. Carey Michele York-Best, M.D. Ying Yue, M.D. Shawn Yunayev, M.D. Fikry Milad Ywakim, M.D. Martino Maria Zacche, M.D. Jesse L. Zarmon Xia Zhao, M.D. Sen Zhong, M.D. Lan Zhu, M.D. Paula Zozzaro Smith, D.O. The AAGL’s Role in Education (Continued from Page 14) this program has grown its graduates are now populating teaching centers and thus training more gynecologists in minimally invasive approaches to surgery. In addition to the Fellowship, the AAGL’s Annual Meeting and its journal, The Journal of Minimally Invasive Gynecology, now contain evidence-based reviews and randomized studies which have shown the benefits and limitations of many new procedures. But as many of our members know it has been an uphill climb to see the teaching of minimally invasive procedures brought into the main stream of gynecological training. But this is changing. The Liaison Committee in Obstetrics and Gynecology (LCOG) at its September meeting voted to include the AAGL as a member. The LCOG is an advisory body to the leadership of the Ob-Gyn discipline. As an umbrella organization its membership represents major organizations within the Ob-Gyn community and three government agencies. The AAGL requested that we be considered for membership in the LCOG and we are gratified that they have agreed to include us along with the other leaders in our specialty. Franklin D. Loffer, M.D. is the Executive Vice President/ Medical Director of the AAGL JUL - SEPT 2010 19 NewsScope PERIODICALS 6757 Katella Avenue Cypress, California 90630-5105 Tel 714.503.6200 Fax 714.503.6201 E-mail [email protected] • Web site www.aagl.org ad ev as l ace t L a rs Pa sV eg esa Ca CYPRESS, CA a , N U.S. POSTAGE PAID 39th AAGL Global Congress of Minimally Invasive Gynecology November 8-12, 2010 Register Now! Courses are filling quickly. www.aagl.org Education Calendar The following educational meetings are sponsored by, in affiliation with, or endorsed by the AAGL. October 22-24, 2010 International Pelvic Pain Society 18th Annual Scientific Meeting on Chronic Pelvic Pain Scientific Program Chair: Frank Tu The Palmer House Chicago, Illinois January 21-24, 2011 7th Annual Optimizing Minimally Access Gynecology Scientific Program Chairs: Viviane Connor and Stephen Zimberg Ritz Carlton Fort Lauderdale, Florida March 12-13, 2011 20th Annual Comprehensive Workshop on Minimally Invasive Gynecology for Residents & Fellows Scientific Program Chair: Resad P. Pasic Gaylord Texan Resort • Dallas, Texas May 20-21, 2011 13th Annual Advanced Workshop on Gynecologic Laparoscopic Anatomy & Surgery on Unembalmed Cadavers Scientific Program Chair: Resad P. Pasic University of Louisville • Louisville, Kentucky April 6-10, 2011 5th AAGL International Congress on Minimally Invasive Gynecology in partnership with the Turkish Society of Gynecological Endoscopy Scientific Program Chair: Fatih Sendag Istanbul, Turkey December 7-9, 2011 6th AAGL International Meeting in partnership with the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy and in association with the 12th APAGE Annual Scientific Meeting Scientific Program Chair: Mitsuru Shiota Osaka, Japan April 25-28, 2012 7th AAGL International Congress on Minimally Invasive Gynecology in partnership with the Argentine Society of Laparoscopic Surgery (SACiL) Scientific Program Chair: Rafael Valle Buenos Aires, Argentina AAGL Annual Meetings November 8-12, 2010 39th AAGL Global Congress of Minimally Invasive Gynecology Scientific Program Chair: Linda D. Bradley Caesars Palace • Las Vegas, Nevada November 6-10, 2011 40th AAGL Global Congress of Minimally Invasive Gynecology Scientific Program Chair: Keith B. Isaacson The Westin Diplomat • Hollywood, Florida November 10-14, 2013 42nd AAGL Global Congress of Minimally Invasive Gynecology Gaylord National Resort & Convention Center on the Potomoc National Harbor, Maryland November 5-9, 2012 41st AAGL Global Congress of Minimally Invasive Gynecology Caesars Palace • Las Vegas, Nevada
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