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A A G LG L O B A LHysteroscopySummitAn Emerging Frontier inMinimally Invasive GynecologyJuly 27-28, 2018Toronto, Ontario, CanadaCHAIR: Linda D. BradleyCO-CHAIR: Aarathi Cholkeri-Singh, Luis A. PachecoHONORARY CHAIR: Franklin D. LofferFACULTY: Allan Adajar, Ted L. Anderson, Jose A. Carugno, Limen Feng, Kelli Flemming, Amy L. Garcia, Renu S. Gahlaut, Victoria Gerber,Keith B. Isaacson, Bruce S. Kahn, Nash S. Moawad, Malcolm G. Munro, Sung-Tack Oh, Elena Piskunova, Kelly H. Roy, Ari Sanders, ShobhaSikka, Sukbhir S. Singh, M. Jonathon Solnik, John A. Thiel, George A. Vilos, Li Yong, Xiang Xuethru basic to complex hysteroscopic procedures. The body of their work andphilosophy epitomizes the surgical dictum, “do as much as necessary and aslittle as possible.”Our goal is to provide you with the tools needed to perform diagnostic andtherapeutic hysteroscopy, understand hysteroscopic conundrums, and recognize and treat complications should they occur.The hysteroscope is the gynecologist’s stethoscope. How can we practicemodern gynecology without it? Diagnostic office hysteroscopy permits fullvisualization of the endometrial cavity, tubal ostia, endocervix and is criticalin diagnosing focal lesions that are missed with blind or non-directed endometrial sampling. Increasingly, operative hysteroscopy both in the office andambulatory center permit safe, effective, and minimally invasive surgery for anarray of intrauterine pathology.Listen, watch, and learn from the most experienced hysteroscopic experts.Cumulatively, they have more than 200 years of clinical experience.We are confident that this will be the most educational hysteroscopy conference that you have attended. It will be a dynamic compendium to improvethe hysteroscopic surgical care, improve patient outcomes, and enhance patientsafety. The conference will include a dazzling array of visual formats withnumerous high-quality videos, “pre-recorded” live telesurgical procedures, andample time for questions and answers.Each lecturer has been chosen for their hysteroscopic surgical experiencebut also for their ability to meticulously instruct participants step- by- stepLearning Objectives: At the conclusion of this course, the clinician will beable to: 1) Develop foundational knowledge of office and operative hysteroscopy in the treatment of simple to complex intrauterine pathology; 2) demonstrate how to treat intracavitary pathology including: endometrial polyps,intrauterine fibroids, mullerian anomalies, hysteroscopic sterilization, theremoval of foreign bodies, and treatment of endocervical lesions; 3) implementlearned skills to improve patient safety in the office and ambulatory surgicalcenter; and 4) describe the steps necessary to respond to complications ofhysteroscopy.1
Program OutlineFriday, July 27, 2018Friday, July 27, 2018Abstract PresentationsModerator:L.D. Bradley11:10Tubal Sterilization: Hysteroscopy vs Laparoscopy, Placement/Removalof Essure7:30Welcome and Introduction, Course OverviewL.D. Bradley11:35Questions/Answers7:40Hysteroscopic Removal of an IUD Fragment with a “Vacuum” TechniqueB.S.Kahn11:50Exhibit Hall7:45A Case of Diffuse Uterine Leiomyomatosis Who Had Successful PregnancyAfter Hysteroscopic Myomectomy (video)L. Feng12:20Lunch – Do You Have Hysteroscopy 20/20 Vision? A Visual Game TestingDiagnostic Skill of Hysteroscopic Images7:50Outpatient Hysteroscopy Outcomes Among Patients Who Have FailedTraditional Uterine Cavity AssessmentV. GerberSession 3 – Hysteroscopy in the Operating RoomModerator:M.J. Solnik7:55Questions & AnswersAll Faculty1:05Resectoscopy vs. Hysteroscopic Morcellation: Using the Right ToolsL.D. BradleySession 1 - Preparing for Operative HysteroscopyModerator:A. Cholkeri-Singh1:30Endometrial Ablation: Current Devices But What If the Global Ablation DeviceDoesn’t Fit?N.S. Moawad8:00Remarks by Scientific Program ChairL.D. Bradley1:55Predictors of Endometrial Ablation FailureJ.A. Thiel8:05FIGO Classification System: The Cornerstone of Pre-Operative EvaluationM.G. Munro2:20Larger Than Expected: Techniques to Approach the Large FibroidN.S. Moawad8:30Evaluation of the Uterine Cavity Beyond HysteroscopyS.S. Singh2:45Questions/AnswersSession 2 – Hysteroscopy in the OfficeModerator: J.A.Carugno3:00Case Scenarios (5 office or OR cases x 10 min)8:55Diagnostic and Operative Office Hysteroscopy: Safe and Cost-Effective Set UpK.B. Isaacson9:20Uterine Access Made Simple: Vaginoscopy and Overcoming Cervical StenosisA.L. Garcia9:45Questions/AnswersFaculty Panel9:55Break - Visit Exhibits10:15You Want to Do What in the Office? Selecting Procedures WiselyT.L. Anderson10:45Best Practices: Anesthesia Options for Office Based ProceduresM.G. Munro3:50Questions/Answers4:00Adjourn2A.L. GarciaL.A. PachecoModerator:S.S. SinghFaculty:J.A. Carugno,K.B. Isaacson,K.H. Roy,A. CholkeriSingh,T. L. Anderson
Program OutlineSaturday, July 28, 2018Saturday, July 28, 2018Abstract PresentationsModerator:F.D. Loffer,X. XueSession 5: Elevating the ScienceVideo Abstracts (8-minute presentations with 4-minute Q&A)Moderator:M.G. Munro1:00Hydrodilation and Guidewires: Paving the Way for HysteroscopyA. Adajar7:30Welcome and Introduction, Course OverviewF.D. Loffer1:12Ultrasound-Guided Hysteroscopic Resection of Severe Intra-UterineAdhesions (video)K. FlemmingThe Usefulness of Routine Outpatient Diagnostic Flexible Mini-Hysteroscopyfor Sonographic and Hysterosalpingographic Intrauterine AbnormalitiesS-T. Oh7:351:24Hysteroscopic Removal of Intrauterine Devices in PregnancyA. Sanders7:40Office Hysteroscopy in Partial Uterine Scar Incompetence After CesareanSection for Pregnancy PlanningE. Piskunova1:36Hysteroscopic Repair of Cesarean Scar IsthmoceleA. Sanders7:45Should the All Endometrial Polyps Be Removed?X. Xue1:48Hysteroscopic MyomectomyS. Sikka7:50Hysteroscopic Resection of a Type 4 HysteromyomaL. Yong2:00Operative Hysteroscopy for Recurrent Pregnancy Loss7:55Questions & AnswersAll FacultySession 4: Advanced HysteroscopyModerator:N.S. Moawad8:10Complications: Oh, that NEVER happens to me!J.A. Carugno8:35Asherman’s Syndrome: Optimal Hysteroscopic ApproachesK.H. Roy9:00Improving Pregnancy Outcomes with HysteroscopyM.J. Solnik9:25Retained Products of Conception: D&C vs Hysteroscopic Morcellators vsResectoscopyL.A. Pacheco9:50Questions & AnswersFaculty Panel10:05Break10:25The Dysmorphic Uterus including Uterine SeptumG.A. Vilos10:50The Role of Hysteroscopy in the Diagnosis and Treatment of AdenomyosisK.B. Isaacson11:15Role of Hysteroscopy in High-Risk Patients for Endometrial Hyperplasia/Cancer T.L. Anderson11:40Questions/Answers11:50Exhibit Hall12:15Lunch Symposia: Hysteroscopic Findings and Treatment of IntracavitaryFibroids Following Uterine Fibroid EmbolizationFaculty PanelAt Conclusion of Session 5, Award for Overall Best Abstract Will be PresentedR.S. Gahlaut2:15Stump the Professor (3 submitted cases x 15 min)Moderator:L.A. PachecoFaculty:T.L. Anderson,L.D. Bradley,M.G. Munro,G.A. Vilos,3:00Video Festival: Tips and Tricks: Extreme Cases (5 cases x 10 min)Moderator: A.Cholkeri-SinghFaculty:J.A. Thiel,A.L. Garcia,S.S. Singh,L.A. Pacheco,M.J. Solnik3:50Best Abstract Award PresentationF.D. Loffer4:00Until We Meet Again-- Centers of Excellence and Physicians of Experience:Lessons Learned from Hysteroscopic Thought LeadersModerator: A.Cholkeri-SinghAll Faculty4:10Adjourn4:15Tribute to Dr. Franklin D. LofferL.D. BradleyCocktail reception to follow3
General InformationTarget AudienceThis activity meets the needs of gynecologists in practice and in training, aswell as other healthcare professionals in the field of gynecology.All persons who witness potential harassment, discrimination, or other harmful behavior during AAGL sponsored activities may report the incident andbe proactive in helping to mitigate or avoid that harm and to alert appropriateauthorities if someone is in imminent physical danger.AccreditationThis course is accredited by the Accreditation Council for Continuing MedicalEducation to provide continuing medical education for physicians.For more information or to view the policy please go to: GL-Anti-Harassment-Policy.pdfThe AAGL designates this live activity for a maximum of 17.50 AMA PRACategory 1 Credit(s) . Physicians should claim only the credit commensuratewith the extent of their participation in the activity.ACCME Content Validation StatementAll the recommendations involving clinical medicine in the program are basedon evidence that is accepted within the field of medicine as adequate justification for their indications and contraindications in the care of patients. Allscientific research referred to, reported, or used in the program in supportor justification of a patient care recommendation conforms to the generallyaccepted standards of experimental design, data collection and analysis.Conflict of InterestIt is the policy of the AAGL to ensure balance, independence, objective, andscientific rigor in all sponsored educational programs. All faculty participatingin continuing medical education activities are required to complete a conflictof interest disclosure form. This information will be printed in the syllabuswhich will be distributed at the workshop. In addition, all participating facultyare required to disclose to the audience any real or apparent conflict of interestrelated to the content of their presentations and must also disclose any discussions of unlabeled/unapproved uses of drugs ordevices.Location and LodgingThe Omni King Edward Hotel37 King St EToronto, ON M5C 1E9, CanadaRegistration FeePhysician in Practice:Anti-Harassment StatementAAGL encourages its members to interact with each other for the purposesof professional development and scholarly interc hange so that all membersmay learn, network, and enjoy the company of colleagues in a professionalatmosphere. Consequently, it is the policy of the AAGL to provide an environment free from all forms of discrimination, harassment, and retaliation to itsmembers and guests at all regional educational meetings or courses, the annualglobal congress (i.e. annual meeting), and AAGL-hosted social events (AAGLsponsored activities). Every individual associated with the AAGL has a duty tomaintain this environment free of harassment and intimidation.Any individual covered by this policy who believes that he or she has beensubjected to such an inappropriate incident has three (3) options for reporting:Resident/Fellow in Training:AAGL MembersNon-Members 450 USD 700 USD 200 USDRegister online at: https://toronto.aagl.org/Local Contact InformationAAGL6757 Katella Avenue, Cypress, CA 90630-5105Ph: (800) 554-2245 or (714) 503-6200Website: www.aagl.org E-mail: meetings@aagl.org1. By email or phone to: The Executive Director, Linda Michels, atlmichels@aagl.org or (714) 503-6200.2. By phone to (833) 995-AAGL (2245) during Regional andAAGL Annual Meetings.4
ChairsScientific Program ChairLinda D. Bradley, M.D.Professor of SurgeryVice Chairman of Obstetrics,Gynecology and Women’s HealthInstituteCleveland ClinicCleveland, OhioScientific Program Co-ChairLuis Alonso Pacheco, M.D.GynecologistCentro GutenbergMalaga, SpainScientific Program Co-ChairAarathi Cholkeri-Singh, M.D.Associate Director, Minimally InvasiveGynecologic SurgeryAdvocate Lutheran General HospitalNaperville, IllinoisHonorary ChairFranklin D. Loffer, M.D.Medical Director, AAGLParadise Valley, ArizonaFacultyTed L. Anderson, MD, PhD, FACOG, FACSDirector, Division of Gynecology Department ofObstetrics and GynecologyVanderbilt University Medical CenterNashville, TennesseeAllan Adam Adajar, MDPresidentIllinois Institute of Gynecology &Advanced Pelvic SurgeryChicago, IllinoisJose A. Carugno, MD, FACOGMinimally Invasive Gynecology/Robotic UnitDirectorUniversity of MiamiMiami, FloridaLimin Feng, MDDirector, Department of Obstetrics andGynecology Beijing Tiantan Hospital,Captical Medical UniversityBeijing, ChinaAmy L. Garcia, MDOwner and Medical DirectorCenter for Women’s SurgeryAlbuquerque, New MexicoRenu S. Gahlaut, MS, FICOGDirectorGahlaut Health Care Private LimitedKanpur, Uttar Pradesh, IndiaVictoria Gerber, Bachelor of Science (Hons.),Doctorate of Medicine Candidate 2019Medical StudentUniversity of OttawaOttawa, Ontario, CanadaKeith B. Isaacson, MDDirector of Minimally Invasive Gynecologic Surgeryand InfertilityNewton Wellesley HospitalBoston, MassachusettsBruce S. Kahn, MDPhysicianScripps ClinicSan Diego, CaliforniaNash S. Moawad, MD, MSHead of Minimally Invasive Gynecologic SurgeryUniversity of FloridaGainesville, FloridaMalcolm G. Munro, MD, FRCS, FACOGClinical ProfessorUniversity of California, Los AngelesLos Angeles, CaliforniaSung-Tack Oh, MD, PhDProfessorDepartment of Obstetrics and GynecologyChonnam University HospitalGwangju, South KoreaElena Piskunova, MDHead, Gynecology DepartmentCosmetology & Plastic Surgery CenterEkaterinburg, RussiaKelly H. Roy, MDGynecologistArizona Gynecology ConsultantsPhoenix, ArizonaAri Sanders, MD, BScFellowMount Sinai Hospital, University of TorontoToronto, ON, CanadaShobha Sikka, MD, FACOG, FPMRSAssistant Clinical ProfessorGeorge Washington UniversityCenter for Advanced Gynecology & UrogynecologyChevy Chase, MarylandSukbhir S. Singh, MD, FRCSC, FACOGVice-Chair, GynecologyThe Ottawa HospitalOttawa ON, Canada5M. Jonathon Solnik, MD, FACOG, FACSHead of Gynaecology andMinimally Invasive SurgeryMount Sinai HospitalToronto, ON, CanadaJohn A. Thiel, MSc, MD, FRCSCClinical Professor and the Unified Headof Obstetrics and GynecologyUniversity of SaskatchewanSaskatoon, SK, CanadaGeorge A. Vilos,BSc, MD, FRCSC, FACOG, FSOGCProfessor of Obstetrics and GynecologySchulich School of Medicine & DentistryWestern UniversityLondon, ON, CanadaXiang Xue, MDChairman, Department of Obstetricsand GynecologySecond Affiliated Hospital of Xi’an Jiao TongUniversityLi YongDoctoral CandidateChangzhou Maternal and Child Health CareHospital affiliated to Nanjing Medical UniversityDeputy Director, Department of GynecologyChangzhou, China
Sung-Tack Oh, MD, PhD Professor Department of Obstetrics and Gynecology Chonnam University Hospital Gwangju, South Korea Elena Piskunova, MD Head, Gynecology Department Cosmetology & Plastic Surgery Center Ekaterinburg, Russia Kelly H. Roy, MD Gynecologist Arizona Gynecology Consultants Phoenix, Arizona Ari Sanders
