We bet that you will learn, “Something Old and Something New” at the 39th Global Congress of Minimally Invasive Gynecology and AAGL Annual Meeting, November 8-12, 2010 at Caesars Palace in Las Vegas, Nevada.

Just this month, I received two letters. One note was from

a patient and the other from a physician. Both clearly demonstrate the immense impact that the AAGL has globally in educating physicians andproviding the state- of-the-art care for patients.

The fi rst letter was from a former patient of mine who had moved across the country and learned that she needed gynecologic surgery. She emailed me

to request a few names of colleagues that “I might know.” Quickly, I turned to the AAGL members list and knew that I could rely on the expertise of members that I see annually at our annual meetings to provide her with minimally invasive options. Her laparoscopic surgery was a success, thanks to an AAGL member who provided, “extraordinary expertise.”

The second grateful letter was from a physician, who has attended our annual meetings only for the past three years. Writing to thank the AAGL and implore me as Vice President and Scientifi c Program Chair to carry

the torch that educates physicians. She said, “Don’t be afraid to be controversial. Think bold, be imaginative, and teach us something old and something new for the 2010 program.”

As the Scientifi c Pro-gram Committee convened

As you may already know, this year’s AAGL International Meeting will be held in one of the hottest destinations in Europe – Dubrovnik, Croatia. If you have been following international travel news you know that Croatia, and especially Dubrovnik, have been attracting tourists from all over the

world. From Mediterranean cruise ships, which always include a stop in Dubrovnik, to world celebrities with their mega yachts anchored in front of the Old City harbor, facing one of the most beautiful medieval cities in the world – Dubrovnik is a city one always remembers.

Imagine pristine nature - white rocks ornate with dark green trees protruding from the translucent blue sea, dramatically close to a mountain range. Then imagine a totally preserved medieval city, originally built from white stone in 12th century, with its majestic walls and towers, proudly standing and welcoming visitors to this day. From 14th to 19th century, Dubrovnik ruled itself as a city-

state and rivaled Venice and other Mediterranean maritime republics. Since 1979, Dubrovnik has been one of UNESCO’s World Heritage Sites. Per some medical trivia – medical services in Dubrovnik were instituted in 1301 and the fi rst pharmacy (still working) has been opened in 1317. Today, the city of Dubrovnik is a bustling tourist hub, especially in the summer.

AAGL’s 4th International Meeting will be held in Dubrovnik from June 23-26, 2010. The meeting venue is at the newly opened Rixos Libertas 5-star hotel, just a short walk away from the Old City. All rooms are beach front and have spectacular views of the Adriatic Sea. The hotel has world-class conference amenities which will house all conference events. Top international faculty will teach at the 3-day course and special events and day trips will be planned for the attendees. For a complete list of courses and workshops, please go to the conference’s website at www.dubrovnikendoscopy2010.com.

Make your reservations as soon as possible. Summer airline tickets

JAN – MAR 2010JAN – MAR 2010VOL. 24 NO. 1VOL. 24 NO. 1

This Summer’s Destination – Dubrovnik!

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Something Old and Something New(Continued on page 13)

Dr. Pasic

Dr. Bradley

(Continued on page 7)

In This Issue

2 JAN - MAR 2010

NewsScope

Globalization in the New Decade In my presidential acceptance speech at the AAGL annual meeting last November, I articulated my vision for the immediate and long-range future of the organization. With globalization, concomitant with the increase in communication technology, we are continuing

our commitment to further our mission of advancing minimally invasive gynecology world-wide. To this end, the organization is increasing collaborative efforts with its affi liated societies in embarking upon new initiatives as well as continuing and expanding current projects.

The recent implementation of JMIG e-subscriptions, SurgeryU, and listserve are proving to be effective venues for sharing the most up-to-date information and knowledge and promoting education among practitioners throughout the world. The response has been gratifying. As a result, we are anticipating a sub-stantial increase in international member ship.

As indicated in the article by Dr. Stepanian on page 4, SurgeryU, our new media journal

has gone through many development changes that we know will impact the way that all of our members communicate with each other. This platform provides an interactive forum that allows our members to communicate in real-time no matter where they are in the world.

Another initiative in international partnerships is the Gynecological Endoscopy Surgical Modules as led by Ray Valle. These hands-on tutorials have been received with enthusiasm by our colleagues in their own operating rooms in major medical centers in Latin America.

In addition, our core curriculum committee, under the leadership of Ceana Nezhat, is embarking upon major projects to develop two assessment-based certifi cate programs in gynecologic laparoscopy and hysteroscopy. These programs will be designed to assist physicians in achieving professional competence in the intended learning outcomes, and in the process of so doing, their knowledge, skills, and competencies undergo continual assessment for safe and effective performance.

I am also pleased to report that the AAGL international meetings have historically proven

From the President

Dr. Liu

(Continued on page 7)

NewsScope [Library of Congress Cataloging in Publi-cation Data, Main entry under NewsScope, Vol. 24,

No. 1; (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.

PublisherAAGL

Advancing Minimally Invasive Gynecology Worldwide6757 Katella Avenue

Cypress, California 90630-5105 USA

Tel 714.503.6200, 800.554.2245Fax 714.503.6201, 714.503.6202

E-mail: newsscope@aagl.orgWebsite: www.aagl.org

Th e views and opinions expressed by the authors in this publication do not necessarily refl ect those of NewsScope, its editors, and/or the AAGL.

editorial staff

the aagl v ision

The AAGL vision is to serve women by advancing the safest and most effi cacious diagnostic and therapeutic techniques that provide less invasive treatments for gynecologic conditions through integration of clinical practice, research, innovation, and dialogue.

NewsScope

Linda Michels

Franklin D. Loffer, M.D.

Lynn Bell

Barbara Hodgson

Jennifer Sanchez

C.Y. Liu, M.D.

Linda D. Bradley, M.D.

Keith B. Isaacson, M.D.

Resad P. Pasic, M.D., Ph.D.

Errico Zupi, M.D.

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.

Franklin D. Loffer, M.D.

Linda Michels

Managing Editors

Editorial Staff

Art Director

President

Vice-President

Secretary-Treasurer

Immediate Past President

International Vice-President

Trustees

Executive Vice President,Medical Director

Executive Director

board of trustees

The AAGL offers many educational programs for its members. One of the more unique is our Mini-Fellowship Program. This learning experience has been designed for physicians who are unable to spend the one or two years necessary in

an AAGL/SRS affi liated Fellowship in Minimally Invasive Gynecologic Surgery.

Fourteen of the Fellowship sites welcome visitors to participate as an observer in their program along side of their preceptee. While this program does not include hands-on experience it does allow a chance to observe the patient selection; pre- and post-operative care; and, of course, the actual surgical procedure of well known gynecologic surgeons.

Videos are a wonderful teaching tool, but attendance at a mini-fellowship is a real-time experience where nuances of surgery become apparent with the opportunity to interact with the surgeon.

Licensure and professional liability coverage are not required. The length of the mini-fellowship can be tailored to the needs of the observer. These programs are limited to AAGL members and further information can be found by logging in as a member at www.aagl.org and clicking on “Mini-Fellowships.”

Franklin D. Loff er, M.D. is the Executive Vice President/Medical Director of the AAGL

Mini-Fellowships – An AAGL Benefi t Meant for You

Focus on AAGL

Dr. Loffer

3JAN - MAR 2010

NewsScope

1. Bonatti H, Hoeller E, Kirchmayr W, Muhlmann G, Zitt M, Aigner F, Weiss H, Klaus A. Ventral Hernia Repair in Bariatric Surgery. Obesity Surgery 2004; 14: 655-658

2. Elashry OM, Nakada SY, Wolf JS Jr, Figenshau RS, McDougall EM, Clayman RV. Comparative clinical study of port-closure techniques following laparoscopic surgery. J Am Coll Surg 1996; 183: 335-344.

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CALL FOR ENTRIES FOR

THE 2010 SPOTLIGHT AWARDS SM!

Honoring advancements in OB/GYN surgical education

for information go to to www.coopersurgical.com/spotlight.

See last years winning videos on our YouTube Channel at

www.youtube.com/coopersurgical

4 JAN - MAR 2010

NewsScope

Many of you have noticed exciting new

dev e lopments on SurgeryU, as we fur- ther enhance profes-sional interaction and collaboration among ourmembership, expand the video-library, and

advance the experiences of our members. A highlight of these developments is a

Professional Networking System, unique to SurgeryU, that allows effective and enriching interaction among our members. Members of AAGL may now form a profi le with information on their interests and practice, and select a Special Interest Group. In addition to other functions, this profi le permits you to keep your individual experiences at SurgeryU organized via quick access to materials and information you have recently accessed.

In order to enhance subject-specifi c interaction, we have initiated seven Collaboratives that include our newly formed Special Interest Groups (SIG’s): Oncology, Reproductive Surgery, Robotics and Urogynecology. In addition there are Collaboratives for Residents, Fellows, and Allied Healthcare Professionals. Subjects discussed in these groups will provide the groundwork for selected live events on SurgeryU.

The launching of SurgeryUTube has created yet another opportunity for exchange on surgical experience. Here you can post your surgical work directly to SurgeryU and engage in online conversations. Some of the videos posted to SurgeryUTube will be selected for the Permanent Library of SurgeryU. I am pleased to announce that Dr. Alan Johns, Associate Editor, has taken on the role of moderator for the SurgeryUTube section. Dr. Johns served as editor for the original video library of AAGL and his experience is extremely valuable to us.

Further expansion and advancement in functionality has taken place in the Permanent Library of SurgeryU. We now have started the process of the placement of an additional 300 videos selected for both SurgeryUTube and the Permanent Library of SurgeryU. Submission to our Permanent Library is now open to members and can be done through direct placement of the video material and text that accompanies it. Materials will then undergo a review

process led by Dr. Suketu Mansuria, whose experience as the active chair of the video review committee of the AAGL will contribute signifi cantly to his work as SurgeryU’s Associate Editor and moderator for the “Members Submissions” section of SurgeryU.

Our collaboration with the Journal of Minimally Invasive Gynecologic Surgery deserves special attention. In partnership with Dr. Stephen Corson, JMIG Editor-in-Chief, we will select one article per issue that has made a signifi cant contribution to the science and practice of MIGS and post it on JMIG Today. This project allows us to bring together the authors or original research from various parts of the world for a united discussion.

Another exciting development is the new collaboration of SurgeryU and the Master

Class Series of Ob.Gyn.News. Led by Dr. Charles Miller, since its initiation, this series will feature individual SurgeryU videos of surgeries performed by the authors of Ob.Gyn.News’ Master Class for viewing by the Master Class visitors. Our members will have immediate access to the corresponding Master Class articles from Ob.Gyn.News. This mutually benefi cial endeavor commences SurgeryU’s collab-oration with online resources outside of

the AAGL membership scope and introduces more people interested in learning about MIGS to the vast educational opportunities available to them.

My last, yet very special, acknowl-edgement is to the outstanding and devoted AAGL SurgeryU Web Design and Advancement team, led by Mr. Roman Bojorquez. Through this team’s commitment to excellence, careful attention to detail, and respectful appreciation of the nuances of our membership and profession, SurgeryU is able to provide you with a system that allows vast capabilities for rewarding collaboration and interaction that promote interest, respect, and

advancement in the world of minimally invasive gynecological surgery.

In addition to all of the new features listed in this article, we plan to stream live surgeries soon with our fi rst one featuring pelvic fl oor reconstructive surgery by Dr. John Miklos and Dr. Rob Moore. We will inform you of your opportunity to view upcoming surgeries in the monthly AAGL E-Bulletins.

We invite you to participate and share your experience with us and with each other.

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.

Post a Message, Share a Video – Get Involved in Our Online Community

SurgeryU

Dr. Stepanian

5JAN - MAR 2010

NewsScope

COVIDIEN, COVIDIEN with logo and positive results for life are U.S. and/or internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company. © 2010 Covidien. R0009619 Rev. 2010/03

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6 JAN - MAR 2010

NewsScope

Conservative Surgery for Women with Low-Risk, Early-Stage Cervical Cancer

Cervical cancer is the most common cause of death from gynecologic cancer worldwide. For women with early stage disease undergoing surgical management, the treatment consists

of a radical hysterectomyand pelvic lymph node dissection. Although radical hysterectomy results in excellent local tumor control, it is also associated with signifi cant morbidity. Much of this morbidity is due to removal of the parametrium, which contains autonomic nerve fi bers associated with bladder, bowel and sexual function.

Radical trachelectomy, offers a conservative approach for women with early stage disease who wish to retain fertility. Multiple studies have reported that radical trachelectomy is feasible and with equivalent disease-free and overall survival rates when compared to radical hysterectomy.1-4 In addition, it has been shown that in 60% of radical trachelectomy specimens, there is no residual disease.2

However, like radical hysterectomy, radical trachelectomy involves removal of the parametrium and the associated complications.

It remains unclear if parametrial resection is necessary in women with early stage cervical cancer. Several retrospective studies have shown that <1% of patients with early cervical cancer with favorable pathologic characteristics have parametrial involvement on radical hysterectomy specimens.5-7 Parametrial involvement has been shown to be associated with larger tumor size, advanced grade, lymphovascular space invasion, greater depth of invasion and positive pelvic lymph nodes.7,8

In patients with cervical cancer, lymph node involvement is a major indication for adjuvant treatment and an important predictor of long-term survival. All surgically treated patients therefore undergo a complete pelvic lymphadenectomy. However, the majority of patients with early stage disease do not have lymph node metastases and lymphatic mapping

with sentinel lymph node (SLN) biopsy has been evaluated as a potential replacement for complete pelvic lymph node dissection. In a meta-analysis of 16 lymphatic mapping studies, Frumovitz et al. reported lymphatic mapping and SLN biopsy to have an overall sensitivity of 91% and negative predictive value of 97%.9

Two recent studies have reported on performing less radical surgery in women with early stage disease. For women desiring fertility, Rob et al. noted that a large cone or simple trachelectomy with laparoscopic pelvic lymph node dissection is safe and feasible with a high pregnancy rate in women with stage IA2 or IB1 cervical carcinoma.10 In addition, Pluta et al found that simple hysterectomy with pelvic lymph node dissection is safe and feasible in women with early stage cervical cancer who do not desire future fertility.11

Based on this data, M.D. Anderson Cancer Center is currently conducting a prospective, international, multi-institutional cohort study evaluating the safety and feasibility of performing conservative surgery in women with stage IA2-IB1 cervical cancer with favorable pathologic characteristics. Patients desiring future fertility will undergo a cone and laparoscopic, robotic or open pelvic lymph node dissection only. Patients not desiring future fertility will undergo laparoscopic, robotic or open simple hysterectomy and pelvic lymph node dissection. The cervix cancer recurrence rate at 2 years in these women will be determined. Pelvic lymph node involvement and treatment-associated morbidity in these patients undergoing conservative surgery will be compared with historical data from patients treated with radical hysterectomy. While we anticipate a great majority of patients in both groups undergoing minimally invasive procedures, we eagerly await the results of this trial.

If interested in joining the trial, please contact Dr. Kathleen Schmeler (Principal Investigator) at kschmele@mdanderson.org or 713-745-3518.

Th is article is presented on behalf of the Special Interest Group on Oncology.

Michael J. Worley Jr., M.D.Department of Obstetrics and Gynecology, New York Presbyterian Hospital - Cornell University Medical Center, New York, New YorkKathleen M. Schmeler M.D. and Pedro T. Ramirez, M.D. are from the Department of Gynecologic Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas

References1. Hertel H, Kohler C, Grund D, et al. Radical vaginal

trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: prospective multicenter study of 100 patients with early cervical cancer. Gynecol Oncol. 2006 Nov;103(2):506-11.

2. Plante M, Renaud MC, Francois H, Roy M. Vaginal radical trachelectomy: an oncologically safe fertility-preserving surgery. An updated series of 72 cases and review of the literature. Gynecol Oncol. 2004 Sep;94(3):614-23.

3. Shepherd JH, Spencer C, Herod J, Ind TE. Radical vaginal trachelectomy as a fertility-sparing procedure in women with early-stage cervical cancer-cumulative pregnancy rate in a series of 123 women. Bjog. 2006 Jun;113(6):719-24.

4. Abu-Rustum NR, Sonoda Y. Fertility-sparing radical abdominal trachelectomy for cervical carcinoma. Gynecol Oncol. 2007 Feb;104(2 Suppl 1):56-9.

5. Kinney WK, Hodge DO, Egorshin EV, Ballard DJ, Podratz KC. Identifi cation of a low-risk subset of patients with stage IB invasive squamous cancer of the cervix possibly suited to less radical surgical treatment. Gynecol Oncol. 1995 Apr;57(1):3-6.

6. Covens A, Rosen B, Murphy J, Laframboise S, DePetrillo AD, Lickrish G, et al. How important is removal of the parametrium at surgery for carcinoma of the cervix? Gynecol Oncol. 2002 Jan;84(1):145-9.

7. Wright JD, Grigsby PW, Brooks R, et al. Utility of parametrectomy for early stage cervical cancer treated with radical hysterectomy. Cancer. 2007 Sep 15;110(6):1281-6.

8. Stegeman M, Louwen M, van der Velden J, et al. The incidence of parametrial tumor involvement in select patients with early cervix cancer is too low to justify parametrectomy. Gynecol Oncol. 2007 May;105(2):475-80.

9. Frumovitz M, Ramirez PT, Levenback C. Lymphatic mapping and sentinel node detection in gynecologic malignancies of the lower genital tract. Curr Oncol Rep. 2005 Nov;7(6):435-43.

10. Rob L, Charvat M, Robova H, et al. Less radical fertility-sparing surgery than radical trachelectomy in early cervical cancer. Int J Gynecol Cancer. 2007 Jan-Feb;17(1):304-10.

11. Pluta M, Rob L, Charvat M, Chmel R, Halaska M Jr, Skapa P, Robova H. Less radical surgery than radical hysterectomy in early stage cervical cancer: a pilot study. Gynecol Oncol. 2009 May;113(2):181-4.

Perspective on Oncology

Dr. Worley, Jr.

7JAN - MAR 2010

NewsScope

New ProductsRestorelle® DirectFix A & PAt the 2009 AAGL Annual Meeting, Mpathy Medical introduced Restorelle® DirectFix A & P which are the ideal surgical solutions for pelvic fl oor restoration where a minimally invasive direct fi xation approach is preferred for either the anterior and posterior compartments, respectively. Restorelle® DirectFix is constructed with the physiologically compatible material, Smartmesh® Technology, which delivers near-zero erosion rates, optimal tissue incorporation, and collagen growth. A novel direct fi xation technology is available that secures the lightweight mesh while addressing all classes of defects and providing strong apical support.

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Remove a 3cm submucosal fi broid in 10 minutes or less with the MyoSureTM Tissue Removal System.The MyoSure™ Tissue Removal System features a 6.25 mm operating profi le, 1.4 grams/minute cutting rate, and intuitive connections for quick case set-up to provide gynecologists and their patients with better control, confi dence, and care.

Visit www.myosure.com for more information.

during the past few months, her words “something old and something new” have echoed throughout the plan ning stages. I wager that you won’t be disappointed this year!

Arrive early for the Pre-Congress course. We think we have loaded the jackpot!! What card will you choose? Robotic surgery, single-port laparoscopy, hysteroscopy, pelvic anatomy with cadaver, practice enhancement, hysteroscopic simulator, or laparoscopic suturing? You will be a winner with any of these courses.

During the post graduate congress and meeting, we have allotted more time for discussion and demonstration of one of gynecology’s oldest surgical procedure, truly the fi rst NOTES procedure—vaginal hysterectomy. We do not want it to become a relic, but rather resurface as a skill set that all gynecologists must retain. Live telesurgery will demonstrate vaginal morcellation techniques and cystoscopy. The winner will be the patient who benefi ts from incision-less surgery.

Twenty years have passed since the world’s fi rst laparoscopic hysterectomy.

The annual meeting will convene the best laparoscopic surgeons who will update attendees on newer energy systems, morcellators, and evaluate outcomes and complications. Additionally, we have dedicated a course on the fundamentals in laparoscopy for those physicians who are transitioning their surgical practice.

As surgeons, outcomes can be improved by imaging of the pelvis. A review of emerging technology including saline infusion sonography, rectal and transvaginal ultrasound to evaluate pelvic and cul de sac endometriosis, and 2D and 3D ultrasound. All winners!!

Other highlights will include: pelvic organ prolapse, single port laparoscopy, and offi ce hysteroscopic procedures. Place your bet on telesurgery, where every procedure performed will be a winner.

Newer features to the annual meeting will be an enhanced poster session, a new section entitled, “Medicine Matters” which will review hormone replacement, sexual dysfunction, peri-operative evaluation, and pelvic pain. Additionally, what can we offer patients when the laparoscope is not enough?

As you may have noticed by the cover photo, this year’s meeting will be held at the newly renovated Caesars Palace Hotel. The hotel offers high-end amenities, fi rst class restaurants, and fabulous entertainment. All of our members will be winners when they stay at this amazing property.

Please bring a new poker, roulette, or black-jack partner to join in the fun! My bet to the AAGL offi ce is that we can easily increase attendance and new members by 10% this year. I have a special prize for the individual who brings at least 10 new members to the annual meeting.

Can’t wait to see you in Las Vegas and don’t say that I didn’t warn you …

The safest way to double your money is to fold it over once and put it in your pocket. ~Kin Hubbard

Linda D. Bradley, M.D., is the Vice President of the AAGL and the Scientifi c Program Chair for the 39th AAGLGlobal Congress of 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.

Something Old and Something New (Continued from Page 1)

to be fertile ground for networking and partnering with colleagues around the world. This year’s meeting is no exception. It will be held in Dubrovnik, Croatia, June 23-26, 2010. Beginning in 2011, the AAGL will present two international meetings per year – the fi rst will be held in Izmir, Turkey,

April 5 – 9, 2011, and the second in Asia, the date and location of which is yet to be determined.

AAGL is making signifi cant strides toward its commitment to advancing minimally invasive gynecological surgery worldwide. Exciting times are ahead, and

we look forward to our joint participation this coming year!

C.Y. Liu, M.D., is the current 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.

Globalization in the New Decade (Continued from Page 2)

8 JAN - MAR 2010

NewsScope

Reference: GYNECARE THERMACHOICE® III [instructions for use]. Somerville, NJ: Ethicon, Inc; 2009.

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For complete contraindications, warnings, precautions, and adverse reactions, see Instructions for Use.

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INDICATIONS: The GYNECARE THERMACHOICE® III UBT System is a thermal balloon ablation device intended to ablate the endometrial lining of the uterus in premenopausal women with menorrhagia (excessive uterine bleeding) due to benign causes for whom childbearing is complete. CONTRAINDICATIONS: The device is contraindicated for use in a patient: who is pregnant or who wants to become pregnant in the future; with known or suspected endometrial carcinoma (uterine cancer) or premalignant change of the endometrium, such as unresolved adenomatous hyperplasia; with any anatomic or pathologic condition in which weakness of the myometrium could exist, such as history of previous classical cesarean sections or transmural myomectomy; with active genital or urinary tract infection at the time of procedure (eg, cervicitis, vaginitis, endometritis, salpingitis, or cystitis); with an intrauterine device (IUD) currently in place. ADVERSE EVENTS include: rupture of the uterus; thermal injury to adjacent tissue; heated liquid escaping into the vascular spaces and/or cervix, vagina, fallopian tubes, and abdominal cavity; electrical burn; hemorrhage; infection or sepsis; perforation; post-ablation-tubal sterilization syndrome; complications leading to serious injury or death; complications with pregnancy (Note: pregnancy following ablation is dangerous to both the mother and the fetus); vesico-uterine fistula formation; cramping/pelvic pain; nausea and vomiting; endometritis and risks associated with hysteroscopy. WARNINGS: Failure to follow all instructions or to heed any warnings or precautions could result in serious patient injury. If uterine perforation is present, and the procedure is not terminated, thermal injury to adjacent tissue may occur if the heater is activated. Endometrial ablation is not a sterilization procedure. Patients who have previously undergone tubal ligation are at increased risk of developing post-ablation-tubal sterilization syndrome which can require hysterectomy. Endometrial ablation procedures using the GYNECARE THERMACHOICE® III UBT System should be performed only by medical professionals who have experience in performing procedures within the uterine cavity, such as IUD insertion or dilation and curettage (D&C), and who have adequate training and familiarity with GYNECARE THERMACHOICE® III UBT System. PRECAUTIONS: Never use other components with the GYNECARE THERMACHOICE® III UBT System. Refer to package insert for complete product information including warnings, precautions, and adverse reactions. RX Only.

9JAN - MAR 2010

NewsScope

Roadmap to RoboticsAs each year goes by, the pace of technological change in surgery continues to increase and impact the various facets of our specialty. One area centers on the use of robotics in minimally

invasive gynecologic surgery. Although ten years ago, the word robot was rarely spoken in surgery, today it is very much a part of our surgical discussions. In fact, our very own American College of Obstetrics & Gynecology released a Technology Assessment on robot-assisted surgery in the fall of 20091.

The daVinci Surgical System (Intuitive Surgical, Sunnyvale, CA), which was introduced in 1999, is the only commercially available robotic surgical system approved for human use by the FDA. Use in gynecologic surgery was cleared by the FDA in April 2005 and since that time vigorous discussion has grown around the use of robotics, especially within the AAGL. The AAGL EndoExchange (Listserv) is one forum which has highlighted the various strong opinions, both for and against, the use of robotics in minimally invasive gynecologic surgery. Opinion however does not answer the many questions that surround the use of this technology in gynecology. In response to this increasing interest, the Robotics Special Interest Group (SIG) was established at the 38th Global Congress of the AAGL in Orlando, Florida.

Close to forty individuals of varying backgrounds were in attendance at the fi rst meeting. Various topics were addressed, one of which was credentialing

and privileging. Although the current gynecologic literature does a nice job of characterizing learning curves which range from 20 to 75 cases, the journey of applying robotics to one’s practice begins with credentialing and privileging, and that roadmap remains unclear2,3,4. Although the FDA mandates that any new surgeon undergo a basic systems lab training on a porcine model, institutions vary not only on how many cases a surgeon must have proctored but also on how many cases are needed to maintain those privileges once granted. The Robotics SIG will attempt to address this issue by establishing recommended national guidelines as one of its fi rst goals.

Although the literature surrounding robotics in gynecology has grown over the last 5 years, well designed prospective randomized controlled trials are still lacking 5,6. Feasibility and short term outcomes data are well established for many of the gynecologic applications however long term outcomes data such as 5-year cancer survival rates in oncology and fertility outcomes in reproductive surgery remain absent. Answers to many of these questions are often inhibited by small patient numbers and incomplete data collection. As a result, a secondary goal established at the inaugural meeting of the Robotics SIG was to create a national registry or data bank in order to track outcomes and complications, and improve the current state of the evidence for use of this technology in gynecology.

The goals of establishing credentialing and privileging guidelines and developing a national registry are not easy tasks. However the AAGL, given its longstanding history with surgical technology, is the

rightful place to begin this process. The collaborative efforts of individuals within the Robotics SIG will pave the way to answering many of the questions that lie before us and provide us with a framework to better understand the appropriate use of robotics in gynecology from an evidence-based perspective. Individuals interested in participating in the Robotics SIG should contact the AAGL offi ce.

Th is article is presented on behalf of the Special Interest Group on Robotics.

Arnold P. Advincula, M.D., FACOG, FACSis Professor of Obstetrics & Gynecology at the University of Central Florida College of MedicineDirector. He is a Preceptor in the AAGL/SRS Fellowship in Minimally Invasive Gynecologic Surgery and Medical Director, Gynecologic Robotics at Global Robotics Institute at the Florida Hospital

– Celebration Health in Celebration, Florida.

References1. ACOG Technology Assessment in Obstetrics

and Gynecology: Robot-Assisted Surgery. Number 6, November 2009.

2. Lenihan JP, Kovanda C, Seshadri-Kreaden U. What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol 2008; 15:589-594.

3. Pitter MC, Anderson P, Blissett A, Pemberton N. Robotic-assisted gynecological surgery- establishing training criteria, minimizing operative time, and blood loss. Int J Med Robot 2008; 4:114-120.

4. Payne TN, Dauterive FR. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol 2008; 15:286-291.

5. Visco AG, Advincula AP. Robotic gynecologic surgery. Obstet Gynecol 2008; 112:1369-1384.

6. Advincula AP, Wang K. Evolving role and current state of robotics in minimally invasive gynecologic surgery. J Minim Invasive Gynecol 2009; 16:291-301.

Perspective on Robotics

Dr. Advincula

The AAGL sponsors 4 Special Interest Groups which you can join for free. Each SIG has an executive committee to coordinate the activities of its members.

Go to www.aagl.org/committees/SIG or send an email to the addresses below to fi nd out more about each of the groups.

Oncology: oncology-SIG@aagl.org • Reproductive Medicine: reproductive-SIG@aagl.org

Robotics: robotics-SIG@aagl.org • Urogynecology: urogynecology-SIG@aagl.org

10 JAN - MAR 2010

NewsScope

Two AAGL Affi liated Societies Hold Their First Meetings

International Perspective

FELLOWO SW HIP in

GY

GGNYY

ENN

CE

AffliliawithAAGLandSRS

FELLOWSHIP IN MINIMALLY INVASIVEGYNECOLOGIC SURGERYAffi liated with the AAGL Advancing Minimally Invasive Gynecology Worldwide and

Th e Society of Reproductive Surgeons (an affi liate society of the American Society for Reproductive Medicine)

6757 Katella Avenue, Cypress, California 90630-5105 • www.aagl.org

Fellowship year July 1, 2011 to June 30, 2012

Applications now available. Deadline: July 1, 2010

Th e Fellowship in Minimally Invasive Gynecologic Surgery, an affi liate of the AAGL and the Society of Reproductive Surgeons of ASRM, is sponsoring fellowships in advanced gynecologic endoscopy. Th ese fellowships were created with the goal of producing a standardized training program. Th e Fellowship provides an opportunity for gynecologists who have completed their residency to acquire additional skills in minimally invasive gynecologic surgery.

Th is Fellowship also aims to further research in the fi eld of minimally invasive gynecology. Fellows are required to complete a scholarly contribution to be presented at the annual meetings of the AAGL and ASRM. Th e Fellowship actively encourages applications from postgraduate physicians aspiring to develop their surgical skills in minimally invasive gynecology.

Important Dates of the Fellowship:

• Deadline to submit your application for the

2011-2012 Fellowship year: July 1, 2010

• Interviews with applicants: To be determined by

each site. To be scheduled no later than September 2010.

• Submission of Rank List: October 8, 2010

• Notifi cation of match results: October 29, 2010

FELLOWSHIP in

GYN

ECOLOGIC ENDOSCOPY

Affliliated withAAGL and SRS

Yaoundé, Cameroon. The African Society of Gyneacological Endoscopy held their fi rst meeting in Yaoundé, Cameroon from March 8 through 11, 2010. President Professor Jean Marie Kasia opened the meeting which was attended by members from throughout Africa. By coincidence the opening coincided with the recognition of International Women’s Day. The meeting

was supported by government ministries who demonstrated their support for bringing the best possible care to the women of Cameroon. This is especially commendable when one recognizes the huge burden that the problems of maternal mortality, HIV, and malaria bring to their country.

Franklin D. Loffer, Jean Marie Kasia, Liselotte Mettler and Bruno Van Herendael

Resad Paya Pasic, Rosanne M. Kho, Salah Moghraby, Haifa Alturki, Regina Montero and Franklin D. Loffer

Riyadh, Saudi Arabia. The Saudi National Guard Minimally Invasive Gynecological Group sponsored this meeting which was held in Riyadh, Saudi Arabia from February 20 through 24, 2010. Salah Moghraby, M.D. invited endoscopic leaders from other major teaching centers in the country to participate as faculty.

Lectures were also accompanied by live case demonstrations and an extensive laboratory which included both live and inanimate models. This program has laid a good foundation for the development of a society which would encompass all of the country.

11JAN - MAR 2010

NewsScope

Elevate is a total transvaginal, comprehensive and standardized prolapse repair system to treat apical, anterior and posterior defects. Providing tactile feedback and minimal blind needle passes to ensure you hit your target.

To learn more about the Elevate prolapse repair systems or for training opportunities available call 1.800.328.3881 or visit www.amselevate.com

Bullseye!

Anterior & Posterior Prolapse Repair Systems

12 JAN - MAR 2010

NewsScope

1Payne T, Dauterive F. A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice. The Journal of Minimally Invasive Gynecology. May/June 2008; 15:3:286-291.2Statement from Dr. Arnold Advincula (University of Michigan, Ann Arbor, MI), PN 87111843Gehrig PA et al. Gynecologic Oncology. 2008 (108): S2-S31. Abstract. 4Statement from Dr. John Boggess (University of North Carolina at Chapel Hill), PN 871391

The presentations described are for general information only and are not intended to substitute for formal medical training or certification. Independent surgeons, who are not Intuitive Surgical employees, provide procedure descriptions. Intuitive Surgical trains only on the use of its

products and is not responsible for surgical credentialing or for training in surgical procedure or technique. As a result, Intuitive is not responsible for procedural content. While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery,

individual results may vary. ©2010 Intuitive Surgical, Inc. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, and EndoWrist are trademarks or registered trademarks of Intuitive Surgical, Inc. PN 870561 Rev. B 2/10

Contact Intuitive Surgical to learn more about da Vinci Surgery:Inside U.S.: +1 888 409 4774 or Outside U.S.: +41 21 821 20 00

To see a gynecologic da Vinci Surgery online, visit:www.or-live.com/vbc/davinci

Compared to conventional laparoscopy, the unsurpassed visualization, dexterity and control of the da Vinci Surgical System allows surgeons to:

• Treat more pathology minimally invasively, including patients with: • Pelvic adhesive disease1,2

• Large uteri1,2

• High BMI3

• Early stage gynecologic cancer

• Reduce conversions1 and minimize total abdominal hysterectomy (TAH)1,2

• Control the camera and all three operative arms for the ultimate in surgical autonomy and efficiency

• Translate open surgical technique to minimally invasive surgery

Treat Complex Pathology Minimally Invasively

13JAN - MAR 2010

NewsScope

The Mexican Federation of Gynecological EndoscopyThe Mexican Federation of Gynecological

Endoscopy (FEMEG) is not the usual structure for an endoscopic society.

Its success is built on the fact that Mexico is a large country where strong local societ-ies existed and were working separately to teach endoscopy. Bringing all local societ-ies together has allowed each area some autonomy while still taking advantage of a country wide approach to teaching.

The success of FEMEG’s organizational model is certainly something other coun-tries and regions might wish to consider utilizing. Nothing breeds success better than strong local groups supported by a unifying organization.

Franklin D. Loffer, M.D.Executive Vice President/

Medical Director, AAGL

The FEMEG (Mexi-can Fede ra t i on o f Gynecological Endo-scopy) is a Society that was founded in 1998 in order to gather as one inst i tut ion all the societies and professional bodies of

Gynecological Endoscopy of the country basically to join forces and experience to get the capacity to begin activities that lead to have a Mexican School in this area.

Those associations, regional professional bodies and state professional bodies meet all the nation and some of them have been worked since 1982.

The FEMEG holds multiple courses every year in all regions of the country, and each year we hold the National Congress. Invited

to this Congress each year are international professors many of whom are affi liated with the AAGL and include most of the past presidents of the AAGL. We also try to integrate the Central American countries in our Congress as well as teaching courses in Central America to increase training in gynecologocial endoscopy procedures.

Currently we are organizing the XII International Congress of the Mexican Federation of Gynecological Endoscopy and the II Central American reunion of Gynecological Endoscopy and Reproduction that will be held May 1-4, 2010 in Guanajuato City, Mexico.

Currently we have approximately 450 members belonging to these associations:• Professional Body of Gynecological

Endoscopy, Guanajuato State • Mexican Association of Gynecological

Endoscopy and Microsurgery• Veracruz State Association of

Gynecological Endoscopy• Sonora State Gynecological Endoscopy

Association• Oaxaca State Gynecological Endoscopy

Association • Puebla State Gynecological

Endoscopy Professional Body• Jalisco State Gynecological Endoscopy

Association• Yucatan State Gynecological Endoscopy

Association• Tijuana State Gynecological Endoscopy

Association• Nuevo Leon State Gynecological

Endoscopy Association• Xalapenian Gynecological Endoscopy

and Reproductive Medicine Association • Morelos State Endoscopy Professional

Body

The FEMEG main purpose is teach and unify criteria about endoscopic and gynecological issues in our country.

Dr. Jose Francisco Reyna Asomoza is President of the Mexican Federation of Gynecological Endoscopy.

Offi cers of the Mexican Federation of Gynecological Endoscopy

President: Dr. Jose Francisco Reyna Asomoza

Secretary: Dr. Claude Alan Paire-Serrier

Treasurer: Dr. Antonio Saldivar Neal

Secretary of Internal Affairs: Dr. Fernando Rio de la Rosa

Secretary of Commercial Affairs:Dr. Carlos Salazar Lopez Ortiz

Secretary of International Affairs:Dr. Yves Leroy Murisou

Secretary of Media and Diffusion:Dr. Lionel Leroy Lopez

Affiliated Societies Spotlight

to Europe are already being sold and upgrades may be hard to fi nd. You can fl y to Dubrovnik direct from all major European cities; however, please note that you will have more options if you fl y through the Croatian capital of Zagreb, which has several daily fl ights to Dubrovnik. For those of you coming from the United States and

other far away places, you may wish to spend at least a week in Croatia and visit some of its other tourist attractions – more than 1,000 islands, many historic sites dating from the Romans to modern history, and others. For more information, you can contact the conference’s travel

agency O-tours at ivana.sabanovic-uzelac@

otours.hr or log on the conference site www.dubrovnikendoscopy2010.com

AAGL and our Croatian hosts look forward to seeing you in Dubrovnik. Cheers.

Resad P. Pasic, M.D., Ph.D. is the Immediate Past President of the AAGL. Dr. Pasic is also Professor and Director of the Section of Operative Gynecologic Endoscopy, Department of Ob/Gyn & Women’s Health at the University of Louisville School of Medicine in Louisville, Kentucky.

Dr. Asomoza

This Summer’s Destination – Dubrovnik! (Continued from Page 1)

14 JAN - MAR 2010

NewsScope

Dr. Nutan Jain Receives the “Masters Award”Recently during the 7th National Congress of IMAGES (Indian Society of Minimal Access & Gynaecological Endoscopic Urogynaecological Surgery) held at Kochi, India on November 27-28, 2009, Dr. Nutan Jain was awarded the “MASTERS AWARD” for her pioneering efforts in the fi eld of Laparoscopic Surgery. Dr Jain is an endoscopic surgeon of world repute and is in private practice in Muzaffarnagar, a small city of northern India, close to New Delhi.

In his presentation of the award, Harry Reich stated “Nutan Jain has been a

star during the development of advanced laparoscopic surgery. Her passion for laparoscopic surgery helped in it’s development and assimilation around the world.”

Dr. Jain, a long-time member of the AAGL, is the author of several medical books and is often asked to conduct training courses on suturing. Along with her husband, Dr. Mukesh Jain, an eminent orthopedic surgeon, Dr. Jain developed and practices at a specialized hospital in Muzaffarnagar, India.

Member News

Remembering...Dr. W. Dow Edgerton, 85, of Davenport, Iowa, died Sunday, December 13, 2009 in Davenport, Iowa. Dow was a local community and medical leader in Iowa. He was also an early member of the AAGL Board of Trustees serving from 1977 to 1978. He was a quiet but thoughtful board member who helped build the foundation for what the AAGL is today.

Dr. Nutan Jain, M.S. (Obs. & Gynae.), F.I.C.O.G., F.I.C.M.C.H.

The University of LouisvilleLouisville, Kentucky

May 21-22, 2010Experience Excellence in EducationCombining lectures from the foremost experts in laparoscopic surgery with 8 hours of mentored dissection limited to 3 participants for each cadaver, this advanced course will provide you an unparalleled opportunity to advance your skills. All taught and supervised by a distinguished faculty. Questions are encouraged. This year, to accommodate demand, cadaver dissection sessions are open to observation.

Twelfth Annual Advanced Workshop on Gynecologic Laparoscopic Anatomy & Surgery onUnembalmed Female Cadavers

Registration InformationAAGL Advancing Minimally Invasive Gynecology Worldwide6757 Katella Ave., Cypress, CA 90630 USA PH: 800-554-2245 or 714-503-6200FAX: 714-503-6201E-mail: generalmail@aagl.org Web Site: www.aagl.org

AccreditationThe AAGL is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AAGL designates this educational activity for a 16 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Participants must sign in daily to receive CME credits.

15JAN - MAR 2010

NewsScope

Welcome New MembersDecember 7, 2009 - March 12, 2010

Mohamed S. Abdel Raheem, M.D., Mohamed Y. Abdel Rahman, M.D.Sharan Abdul-Rahman, M.D.Olufunke Omodele Abiose, M.D.Herny O. Adekola, M.D.Amanda Marie Aiken, M.D.Ioannis Alagkiozidis, M.D.Omrou Alchyib, M.D.Michael A. Amaro, M.D.Kristi Rose Anderson, M.D., MPHNatasha Andreadis, MBBSRanjana Arora, M.D.Rebecca Banaski, D.O.Erika Banks, M.D.Gihan Bareh, M.D.Brian Patrick Barrow, M.D.Nancy Elizabeth Bass, M.D., FACOGNagaLakshmi Battala, M.D.Shannon Becker, M.D.Kristopher Bedi, D.O.Kelli Beingesser, M.D.Ronald G. Benson, M.D.Siobhan Bertolino, Siobhan, M.D.Heinrich Friedrich Betz, M.D., FRANZCOGAlison Blevins, M.D.Mahendra Atmaram Borse, M.D.Nadia C. Branco, M.D.Graeme M. Brassard, M.D.William Brazer, M.D.Julia Brock, M.D.Dustin Mark Brown, M.D.Eduardo Malvin Bueno Lacuna, Jr., M.D.Sheila Caddy, M.D.Rafael Camacho Mafl a, M.D.Gabriella Camponetti, M.D.Francis Joseph Cardinale, M.D.Grace Cavallaro, M.D.Paula Lankford Cavens, M.D.Sangheon Cha, M.D.Chae Ji Chae, M.D.Christine Cimo Hemphill, M.D.Elizabeth Gail Cole, M.D.Noe Copley-Woods, M.D., FACOGJulie Corsini, M.D.Brenda Coutinho, M.D.Philip A. Crooke, M.D.Maria Curzi, M.D.Ariadne Daniel, M.D.Sharon de Edwards, M.D.Francesco Del Gaudio, M.D.Christina DeLuca, M.D.Danielle Demarzo, M.D.Maria DiMeglio, M.D.Katy Michelle Doroshow, D.O.Caitlin M. Dunne, M.D.Eyup Hakan Duran, M.D., FACOG

Scott E. Edards, M.D., FACOGAutumn Lynn Edenfi eld, M.D.Tracey Lyn Einem, M.D.Stephanie JoAnn Evans, M.D.Soorena Fatehchehr, M.D.Maeve Walton Felle, M.D.Gretchen M. Fermann, M.D.Edmond G. Feuille, Jr., M.D.Kathryn Fick, M.D.Tamara Natasha Finger, M.D.Toby Mariah Fitzgerald, D.O.Donovan Foster, M.D.Samuel D. Fox, M.D.Michael Galloway, D.O.Jacqueline M. Garrard, M.D.Ahmed Geumei, FRCSCGeoffrey Blaise Gillen, M.D.Brianne Crystal Gober, M.D.Erik Gonzalez, M.D.Jason Goodman, M.D.Sarah M. Gore, D.O.Emma Louise Grabinski, M.D.Heather Grant, M.D.Stephen John Griffi n, M.D.Daniel Richmond Grow, M.D.Camille Gunderson, M.D.Maria F. Guttierrez-Yach, M.D.Michael Stephen Guy, M.D.Caroline Haakenson, M.D.Mohamad Hamdi, MBBChTamara Grisales Hartshorn, M.D.Samar Saadat Hassouneh, M.D.Sheila Lynn Hill, M.D., FACOGRafi k Hodeib, D.O.Kristin J Holoch, M.D.Kathryn Cleaver Humm, M.D.Rahim Janmohamed, M.D.Peter Clegg Jeppson, M.D.Lisa Margaret Jukes, M.D.Fatemeh Kanjouri, M.D.H. Lynne Kennedy, RN, RNFA, MSNLiana Khachatryan, M.D.Zaraq Khan, M.DLarissa Elizabeth Khatain, M.D.Stephanie King, M.D.Michael S. Kirwin, M.D.Steven L. Koch, M.D.Gloria Korta, M.D.Anandi Kotak, M.D., MS, MPHElias Kovoor, MRCOGJeannette Lager, M.D.Judith Ann Lamberti, M.D.Carmen Lawrence, B.S., R.N.Timothy Alan Leach, M.D.Christy M. Lee, M.D.Jill H. Lee, M.D.Claudia Nuria Leiva, M.D.Brian Allan Levine, M.D., M.S.

Wayne Lin, M.D., MPHFiona Lindo, M.D., M.P.H.Lin Lu, M.D.Zhonghuan Ma, M.D.Aliaa Makkiya, M.B.Ch.BVijaya L Mandalapu, M.D.Michal Mara, M.D., Ph.D.Maria Consuelo Martinez Real, M.D.Nahid Mazarei, M.D.Mohammad Shahada Mbadda, M.DMichelle Lynn McCann, M.D.James William McCarrick III, M.D., Ph.DJodi D. McCartney, M.D.Leslie C. McLemore, M.D.Gulden Menderes, M.D.Mark Messing, M.D.Andrew Wayne Moore, M.D.Renee C. Morales, M.D.Petre Motiu, M.D.Kate Musello, M.D., Ph.D.Marisa Nadas, M.D.Akemi Nakanishi, M.D.Devin D. Namaky, M.D.Denise Nebgen, M.D.Wilfredo Alexis Negron, M.D.Lisa A. Norfl eet, M.D., MBAFrank A. Nwankwo, M.D.Babatunde Niyi Ogunkinle, M.D., FWACSXavier G. Ortiz, M.D.Alexandra M. Ortiz Oramas, M.D.Yoshiaki Ota, M.D, Ph.DAndrea Page, BSc. M.D.Concepcion Pantig, M.D.Bansari G. Patel, M.D.Melissa Pendergrass, MB BCh BaOLaToya Jeaneen Perry, M.D.Stephanie Anne Pierson, M.D.Leon Nicholas Plowright, M.DHeidi Anne Pomfret, M.D.Linda Price, M.D.Hayley Solomon Quant, M.D.Amy K. Richardson, M.D.Julia Riftine, M.D.Moises Rivera-Ruiz, M.D.Richard D. Rubin, M.D.Juliette Yael Sacks, M.D.Cristina Sanchez, M.D.Ruben Santiago, M.D., FACOGGbekeloluuia Leye Sanu, M.D.Claudia Scarpeta Renza, M.D.Jaime Danielle Schachar, M.D.Jennifer Schaefer, M.D.Micheal L. Selby, M.D.Neha Rajesh Shah, M.D.Fadel Shammout, M.D.Kerry Shea, D.O.

Ja Hyun Shin, M.D.Rupal Shroff, M.D.Khawaja Asim Siddique, M.DGonzalo Siu, M.D.Danielle Smith, M.D., PhDAdriana Spellman, M.D.Karen Splinter, M.D.Kate Stampler, M.D.Ursula A. Steadman, M.D.Toni A. Stern, M.D., MSShakonda LaShawn Strayhorn, M.D.Jill Marie Sutton, M.D.Linda M. Swart, M.D.Monte Rajul Swarup, M.D.Rajender Krishan Syal, M.D.Susan C. Sykes, M.D.Anita P. Tamirisa, D.O.Bardawil Tarek, M.D.Jacqueline Tetreault, M.D.Chad Thomas, M.D.Olga Thorne, M.D.Susan Tien , M.D., M.P.HApril Tillery, M.D.Takako Tobiume, M.D.Hayssam Tohme, M.D.Danielle Kristine Tomevi, M.D.Leonard Tremblay, M.D.Enrica Tse, M.D.Mehmet Ozhan Turan, M.D., Ph.DRashna Kersi Umrigar, M.DRafael Francisco Unda Rivera, M.D.Dennis D. Utley, M.D., FACOGCharles Van Duyne, M.D.Daniel Velez Sanchez, M.D.Clare F. Ventre, M.D.Domagoj Vidosavljevic, M.D. , M.Sc.Emily Von Bargen, DOCorey Wagner, M.D.Rana Raif Wakim, D.O.Anita Weisberger, M.D.Valerie J. Wells, M.D.Allison M. Westcott, M.D.Gary G. Wharton, M.D., FACOG, FACSDevorah Wieder, M.D., MPHKathleen J. Wilder, M.D., M.H.S.Douglas Wilson, M.D.Sheila I. With, M.D.Kathy Eileen Wolf, M.D., FACOGDabao Xu, M.D.Jie Xu, M.D.Fadi Bassam Yahya, M.D.Gazi Yildirim, M.D.James Yip, M.D.Samuel Yunez, M.D.Anna S. Zabrecky, M.D.Kristen Zeligs, M.D.Haiyan Zhang, M.D.

PERIODICALS

U.S. POSTAGE PAID

CYPRESS, CA

6757 Katella AvenueCypress, California 90630-5105Tel 714.503.6200 Fax 714.503.6201E-mail newsscope@aagl.org • Web site www.aagl.org

NewsScope

The following educational meetings are sponsored by, in affi liation with, or endorsed by the AAGL.

April 10, 2010Hysteroscopy Workshop

Scientifi c Program Chair, Keith IsaacsonNewton-Wellesley Hospital

Boston, Massachusetts

April 11-13, 2010World Robotic Gynecology Congress II

Scientifi c Program Chair: Arnold P. AdvinculaDisney’s Yacht & Boat Club Resort

Orlando, Florida

April 17-18, 201019th Annual Comprehensive Workshop

on Minimally Invasive Gynecology for Residents & Fellows

Scientifi c Program Chair: Grace M. JanikHyatt Regency McCormick Place

Chicago, Illinois

May 2-5, 2010International Society of Emerging

Technologies and Treatment in Women’s HealthScientifi c Program Chair: Togas Tulandi

Hyatt RegencyMontreal, QC Canada

May 5-8, 201012th International Meeting on Gynaecological Surgery

Scientifi c Chair: Mario MalzoniCentro Direzionale Auditorium Collina Liguorini

Avellino, Italy

May 14-16, 2010Laparoscopic Complications: Prevention

and If Things Go Wrong, What Next?Scientifi c Program Chair: George A. Pistofi dis

Meagron Athens International Conference CentreAthens, Greece

May 21-22, 201012th Annual Advanced Workshop

on Gynecologic Laparoscopic Anatomy & Surgery on Unembalmed Cadavers

Scientifi c Program Chair: Resad P. PasicUniversity of Louisville • Louisville, Kentucky

June 23-26, 2010IV AAGL International Congress

on Minimally Invasive Gynecologyin conjunction with the Croatian Medical Association and Croatian Society of Gynaecological Endoscopy

Scientifi c Program Chair: Miroslav KopjarHotel “Libertas” Dubrovnik • Dubrovnik, Croatia

April 5-9, 2011Vth AAGL International Congress on Minimally

Invasive Gynecology in conjunction with the Turkish Society of Gynecological Endoscopy

Scientifi c Program Chair: Fatih SendagBornova, Izmir, Turkey

Education Calendar

November 8-12, 201039th AAGL Global Congress of Minimally Invasive Gynecology

Scientifi c Program Chair: Linda D. BradleyCaesars Palace • Las Vegas, Nevada

November 6-10, 201140th AAGL Global Congress of Minimally Invasive Gynecology

Scientifi c Program Chair: Keith B. IsaacsonThe Westin Diplomat • Hollywood, Florida

November 5-9, 201241st AAGL Global Congress of Minimally Invasive Gynecology

Caesars Palace • Las Vegas, Nevada

April 15, 2010Call for Abstracts Deadline for full consideration.www.aagl.org

AAGL Annual Meetings

39th AAGL Global

Congress of

Minimally Invasive

GynecologyNovember 8-12, 2010

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