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37th Global Congress of Minimally Invasive Gynecology Oct 28 - Nov 1, 2008 Paris Las Vegas Hotel Las Vegas, Nevada Honoring the Memory of our Founder, Jordan M. Phillips, M.D. FINAL Program Scientifi c Program Chair Resad P. Pasic, M.D., Ph.D. Sponsored by the AAGL Honorary Chair Advancing Minimally Invasive Gynecology Worldwide Brian M. Cohen, M.B. Ch.B., M.D. AAGL President Charles E. Miller, M.D. This Page Intentionally Left Blank Welcome! Welcome to the AAGL in Las Vegas! It is my pleasure to welcome you to The 37th Global Congress of Minimally Invasive Gynecology and AAGL Annual Meeting. This year’s World Congress of Minimally Invasive Gynecology is dedicated to our founder, Dr. Jordan M. Phillips, who passed away in July. His contribution to the medical field was extraordinary, and his legacy lives on through the AAGL. Be sure to join us for the special tribute presentation for Jordan taking place on Wednesday at the Opening Session. As evidence of his legacy, AAGL has assembled the largest number of international experts in our field. The Paris Las Vegas Hotel is a perfect venue for our annual meeting with ample conference rooms and vast halls, all under one roof, capable of hosting the couple of thousand AAGL and industry attendees. Lights, Camera, Action! Our groundbreaking General Session, entitled: Film, Video, and Medicine: From the Modern Era to Tomorrow, will trace the development and future of film and its partnership with medicine. You will be able to see some of the first medical films ever made and they will leave you with a lasting impression. It is a true privilege to be reminded how far we have come in the surgical treatment of our patients. Dr. Brian Cohen, this year’s Honorary Program Chair, will share with us the wealth of his endoscopy and life experience so plan to attend the Honorary Luncheon to recognize his accomplishments and contributions to our field of practice. AAGL Packs Scientific Agenda AAGL will offer two full days of post-graduate courses, with intensive hands-on training. To accommodate demand, there will be four hands-on laparoscopic suturing courses and a hands-on hysteroscopy course, all on pelvic trainers. In response to AAGL member requests, we will feature three hands-on cadaver courses—in anatomic dissection, gyn-oncology and uro-gynecology and a postgraduate course in cosmetic procedures in the office. In addition, the program will feature 11 video sessions, eight surgical tutorials and three debates on: robotic surgery; hysterectomy v. ablation for treatment of bleeding; and intramural fibroids and infertility. For the first time, AAGL will offer two live telesurgery sessions on Friday, October 31, and on Saturday, November 1. Throughout the meeting AAGL members will present high quality scientific studies, videos and posters that were meticulously selected from the several hundred abstracts we received. Back again by popular demand are the surgical tutorials, allowing attendees to interact with premier endoscopic surgeons in a classroom setting. Debates and panels will critically examine controversies and innovations regarding robotic surgery, myomas, uterine artery embolization, the role of pelvic mesh for pelvic floor reconstruction, infertility and endometriosis, to name just a few topics of interest. A special clinical researchers’ forum and session for Allied Healthcare Professionals have also been organized. As always, the AAGL annual meeting offers a variety of scientific activities and we look forward to a fruitful exchange of knowledge and ideas for the ultimate benefit of our patients worldwide. Resad “Paya” Pasic, M.D., Ph.D. Scientific Program Chair 1 Table of Contents Welcome . 1 Honorary Luncheon — Business Meeting/Honorary Address . .42 Table of Contents . .2 Plenary Sessions 7, 8, & 9. 44 2008 Board of Trustees/Honorary Chairs/Former AAGL Presidents . 4 Expert Panel 2 — Vaginal Surgery – The Best Natural Orifice . 45 Congress Committees . 6 Surgical Tutorial 3 — 3D Robotic Surgery . 45 Overview. 8 Video Sessions 3 — Endometriosis . 45 Congress Block Program . 9 Open Communications 1 — Endoscopic Techniques. 46 Hotel Floor Plan . 10 Open Communications 2 — Hysteroscopy and Endometrial Ablation. 46 Industry Sponsored Breakfasts/ Open Communications 3 — Urogynecology . .47 Industry Sponsored Symposia/Surgical Tutorials. 12 Video Session 4 — Oncology . 48 TUESDAY, OCTOBER 28, 2008 FRIDAY, OCTOBER 31, 2008 Pre-Congress Practice Development Courses Day-at-a-Glance . 51 Registration 6:45 am - 7:00 pm. 14 Industry Sponsored Breakfasts . .53 PC-A Laparoscopic Suturing Skills Using Pelvic Trainers. 14 Women Surgeons’ Breakfast . 53 PC-B Didactic: Pelvic Anatomy. 14 Announcement of Best Scientific Posters . 53 PC-C Adding Value to Your Practice . .15 Telesurgery Session — Side-by-Side Sacral Colpopexy Telesurgies – PC-D Laparoscopic Suturing Skills Using Pelvic Trainers. 17 Robotic Sacral Colpopexy/Laparoscopic Sacral Colpopexy . 53 PC-E Lab: Pelvic Anatomy Using Unembalmed Cadavers. 17 Special Interest Session — Pelvic Health: Alternatives and Patient Options – PC-F Cosmetic Procedures in the Office . 17 Know the Answers! . 54 Welcome Reception 6:30 pm - 9:00 pm . 18 Plenary Sessions 10, 11 & 12 . 55 Open Communications 4 — Oncology . .56 WEDNESDAY, OCTOBER 29, 2008 Surgical Tutorial 4 — Laparoscopic Hysterectomy . .56 State-of-the-Art Postgraduate Courses Video Session 5 – Hysteroscopy and Endometrial Ablation . 56 Morning Courses 7:45 am - 11:45 am Plenary Sessions 13 & 14 . .57 PG-1 Electrosurgical Hemostasis and Vessel Sealing During Minimally Video Session 6 — Hysterectomy and Fibroids. 57 Invasive Gynecologic Surgery. 20 Surgical Crossfire Debate 2 — To Robot or Not To Robot. 58 PG-2 Laparoscopic Hysterectomy – Expanded Indications and Surgical Tutorial 5 — Pelvic Sidewall and Cul-de-Sac Dissection . .58 Applications. 20 Video Session 7 — Endometriosis II. 58 PG-3 Strategies to Unravel the Frozen Pelvis . .20 Oral Poster Presentations . 58 PG-4 The Gamut of Hysteroscopy from the Office to the O.R. 21 Fellowship in Gynecologic Endoscopy Luncheon & Graduation . 60 PG-5 Slings and Things for Genuine Urinary Stress Open Communications 5 — Hysterectomy . 61 Incontinence (GUSI). 21 Video Session 8 — Infertility, Endometriosis & Urogynecology . 61 PG-6 Minimally Invasive Approaches to Myomas . 22 Surgical Crossfire Debate 3 — Should Intramural Fibroids Be Removed PG-7 Pearls of Laparoscopy . 22 in Infertile Patients? . 62 PG-8 Hands-On Cadaver Course for Gynecologic Oncology . .22 Surgical Tutorial 6 — Hysteroscopic Surgery . 62 PG-17 Laparoscopic Suturing Skills Using Pelvic Trainers . 23 Video Session 9 — Endoscopic Techniques II . .62 Meet the Professors Roundtable Luncheon - 12:00 noon - 1:00 pm . 25 Open Communications 6 — Hysteroscopy . .63 Afternoon Courses 1:15 pm - 5:15 pm Open Communications 7 — Myoma Surgery . .63 PG-9 Hands-On Hysteroscopy, Hysteroscopic Sterilization and Open Communications 8 — Hysterectomy and Advanced Laparoscopy . .64 Endometrial Ablation . 26 Open Communications 9 — Endoscopic Instruments and Techniques . .65 PG-10 Hands-On Cadaver Course on Sling Placement for Open Communications 10 — Endometriosis . .65 Treatment of GUSI . .26 Video Session 10 — Urogynecology . .66 PG-11 Minimally Invasive Approach in Gynecologic Oncology . 26 PG-12 Laparoscopic Treatment of Endometriosis . 27 SATURDAY, NOVEMBER 1, 2008 PG-13 Pelvic Floor – Anatomy, Function, Reconstruction and Day-at-a-Glance . 69 Use of Mesh Kits in Vaginal Reconstructive Surgery . .28 Special Interest Session — So You Want to Participate in Clinical Research Trials? . 70 PG-14 Management of Laparoscopic Complications: Intra- Open Communications 11 — Hysteroscopy II . 71 and Post-Op . 28 Open Communications 12 — Advances in MIG . 71 PG-15 Laparoscopic Management of Adnexal Masses . .28 Open Communications 13 — Teaching, Training and Learning Endoscopy . 72 PG-16 Robotic Surgery in Gynecology . .29 Affiliated Society Session — SOBENGE . 73 PG-18 Laparoscopic Suturing Skills Using Pelvic Trainers . 29 Surgical Tutorial 7 — Laparoscopic Excision of Endometriosis . 73 Opening Session/Tribute to Jordan M. Phillips, M.D. .32 Video Session 11 — Hysterectomy / Endoscopic Techniques . 73 Award Presentations . 32 Affiliated Society Session — SIAEGI . 74 Presidential Address. 34 Surgical Tutorial 8 — Core Surgical Strategies During Laparoscopic Surgery . 74 Opening Reception . .34 Announcement of Silent Auction Winners . 76 Telesurgery Sessions — LSH/TLH/Laparoscopic Radical Hysterectomy. 76 THURSDAY, OCTOBER 30, 2008 Farewell Reception . 76 Day-at-a-Glance . 36 Industry Sponsored Breakfasts . ..