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AAGL 2014 CERTIFICATES: AAGL will send attendees of our recent Global Congress in Vancouver a certificate of participation via email in early December.
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    MEMBER UPDATE #5: AAGL Response to FDA Guidance on Use of Power Morcellation during Tissue Extraction for Uterine Fibroids

    Cypress, CA - Franklin D. Loffer, M.D., FACOG, Medical Director of the AAGL, released the following statement on behalf of the AAGL. It addresses the US Food and Drug Administration’s (FDA) Immediately-In-Effect guidance regarding power morcellators:  

    “The AAGL continues to sympathize deeply with those individuals who have been impacted by leiomyosarcoma and firmly stands behind our mission of serving women globally by advancing the safest and most efficacious diagnostic and therapeutic techniques that afford less invasive treatments for gynecologic conditions.

    The AAGL supports the FDA’s recommendation for a boxed warning to provide enhanced informed consent, however, we are concerned with the summarization of contraindications in all peri- and post-menopausal women and we agree with the American College of Obstetrics and Gynecologists that additional clarification “regarding certain language within the contraindication that could be confusing to patients and physicians” is needed. Specifically, the following information needs to be clarified: a specific definition of peri-menopausal women; the role of power morcellation in the large group of reproductive-aged women who undergo myomectomy for fertility-sparing surgery; use of power morcellation in patients with non-fibroid uteri who may have refractory uterine bleeding, prolapse or adenomyosis; guidance regarding the use of containment bags; and guidance regarding the role of non-power morcellation (use of a manual cold knife scalpel in vaginal or mini-laparotomy tissue extraction).

    At the 43rd AAGL Global Congress on Minimally Invasive Gynecology last week, the AAGL presented additional data concerning the prevalence of leiomyosarcoma at the time of morcellation, the outcomes associated with morcellation, and the comparative risk-to-benefit ratio when compared with laparotomy. The current international data are remarkably consistent and show a lower prevalence rate than the 1:350 rate reported by the FDA. There is also evidence that risk can be stratified by age and we will continue to provide data and consultation to the FDA. AAGL also believes that contained morcellation requires further exploration. 

    As demonstrated at a live presentation of different routes of morcellation, placing the tissue to be extracted into endobags appears to minimize the risk of dispersing tissue throughout the peritoneal cavity.

    Going forward, the AAGL is committed to establishing a universal data registry for uterine cancers. Additionally, collaboration with medical device manufacturers is needed to ensure progressive advancement in technology, thereby providing patients with the safest, least invasive treatments possible.

    In summary, abandoning power morcellation technology for many patients undergoing minimally invasive myomectomy, supracervical hysterectomy, or hysterectomy for a large uterus will be a setback in the care of patients with gynecologic conditions.

    With meticulous adherence to preoperative patient selection guidelines and informed consent, the AAGL believes appropriately performed power morcellation outweighs the risk of laparotomy in low-risk patients and is an option to be carefully considered by patients and their gynecologists.”

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    WATCH THE REPLAY: Stainless Steel Surgeon – Live from AAGL 2014

    On November 20, 2014, AAGL/SurgeryU presented “Stainless Steel Surgeon – Live at the 43rd AAGL Global Congress on Minimally Gynecology.”  This live, interactive session featured three cadaveric demonstrations of vaginal, laparoscopic, and robot-assisted hysterectomy, and was presented before a live audience at the Vancouver Convention Center. We are pleased to present this session for on-demand viewing here on ( READ MORE )

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    AAGL Announces the Award Winners for the 2014 AAGL Global Congress

     AAGL is pleased to announce the following winning papers and videos that will be honored at the 2014 AAGL Global Congress in Vancouver:


    Golden Laparoscope Award
    Best Surgical Video
    Click Here to Watch Video
    Click Here to Read Abstract

    “Obturator Neuralgia a Rare Complication of TVT Sling: Complete Resolution after Laparoscopic TVT Removal”

    John R. Miklos, MD
    Robert D. Moore, DO
    Orawee Chinthakanan, MD
    International Urogynecology Associates
    Alpharetta, Georgia



    Golden Hysteroscope Award
    Best Paper on Hysteroscopy
    Click Here to Read Abstract

    “Quality of Life after Hysteroscopic Myomectomy: A Prospective Observational Study”

    Dhiraj Uchil, MD
    Tushna Vandrevala, MD
    University Hospital Lewisham
    London, United Kingdom


    IRCAD Award
    Excellence in Education
    Click Here to Read Abstract

    “A Randomized Controlled Trial Comparing Traditional with Simulation Resident Surgical Laparoscopic Salpingectomy Training”

    Nima R. Patel, MD, MS
    Drexel University School of Medicine
    Philadelphia, Pennsylvania

    Gretchen Makai, MD
    Nancy Sloan, PhD
    Christiana Care Health System
    Newark, Delaware

    Carl Della Badia, DO
    Drexel University School of Medicine
    Philadelphia, Pennsylvania



    Jerome J. Hoffman Award
    Best Abstract by a Resident or Fellow
    Click Here to Read Abstract

    “Impact of a Minimally-Invasive Gynecologic Surgery Department on Rates of Laparoscopic Hysterectomy: 2004 to 2012″

    Megan Loring, MD
    Stephanie N. Morris, MD
    Keith B. Isaacson, MD
    MIGS Department
    Newton-Wellesley Hospital
    Newton, Massachusetts


    Mahnert Jay M. Cooper Award
    Best Paper on Minimally Invasive Gynecology by a Fellow
    Click Here to Read Abstract

    “Unexpected Uterine Sarcoma and Other Gynecologic Malgnancies Diagnosed after Hysterectomy Performed for Benign Indications”

    Nichole Mahnert, MD
    Daniel Morgan, MD
    Carolyn Johnston, MD
    Sawsan As-Sanie, MD, MPH
    University of Michigan
    Ann Arbor, Michigan



    Robert B. Hunt Award
    Best Paper Published in JMIG 
    Click Here to Read Abstract

    “Feasibility and Optimal Dosage of Indocyanine Green Fluorescence for Sentinel Lymph Node Detection Using Robotic Single-Site Instrumentation: Preclinical Study”

    Kimberly L. Levinson, MD, MPH
    Haider Mahdi, MD
    Pedro Escobar, MD
    Division of Gynecologic Oncology
    Cleveland Clinic,
    Cleveland, Ohio

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    NEW: Check Out the Abstract Supplement for the 43rd AAGL Global Congress on Minimally Invasive Gynecology

    AAGL is pleased to announce the digital release of the 2014 JMIG Abstract Supplement for the 43rd AAGL Global Congress on Minimally Invasive Gynecology.  The Abstract Supplement consists of 260 pages, containing more than 700 abstracts that will be presented at this year’s Global Congress. You can download the Abstract Supplement by visiting 

    Still Haven’t Registered For the 43rd AAGL Global Congress?  Space is still available to attend our PG courses, surgical tutorials, oral and video presentations, and more.  Click here to register online for this year’s AAGL Global Congress.

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    WATCH THE REPLAY: A Comprehensive Review of Tissue Extraction With Live Demonstrations

    This live AAGL/SurgeryU broadcast took place on September 28, 2014 and reviewed the most recent data and allowed esteemed faculty to present their thoughts on the misuse, overuse and underuse of methods to extract tissue safely.

    This broadcast took place at NYU Langone Medical Center auditorium and included vaginal, mini-laparotomy, laparoscopic and contained laparoscopic morcellation demonstrations,  and also provided a forum for questions to be taken from the observers as well as physicians worldwide via our online interactive chat.

    ( READ MORE )

AAGL – Advancing Minimally Invasive Gynecology Worldwide
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AAGL would like to thank Karl Storz Endoscopy America for its generous support of many of our member services.