Endoscopic Gynecology

Program Description:

During the past three decades, we have witnessed the rapid progress and improvement of technology in Laparascopy field. Furthermore, techniques and indications of surgery with endoscopy are evolving. The use of lightweight high-resolution cameras for gynecology laparoscopies has enhanced the ability to observe pelvis during complex surgical procedures. As endoscopic surgeries have increased during the past few years, it is essential to train specialists and set purposeful policies to train them in this field. After confirming the necessity of this course in the fellowship policy-making committee on September 8^th, 2010, a committee was formed to develop the fellowship curriculum. This committee developed the present curriculum and after passing legal procedures, it was delivered to the universities. We are looking forward to receive suggestions of experts and will use  them in reviewing the  next version of this curriculum. 

Definition

Endoscopic Gynecology surgery fellowship, including hysteroscopy and laparoscopy, is a clinical course which is derived from the specialized field of obstetrics and gynecology. Graduates of this course are expert in diagnostic and therapeutic endoscopic surgeries in gynecology, and provide better services and treatments for those suffering gynecologic diseases.

Objectives:

Expected Competencies at the End of the Program

General Competencies*

Specific Competencies and Skills

• At the end of the program learners will be competent in the following skills:

• Hysteroscopy level 1 includes diagnostic hysteroscopy, biopsy, removing the IUD and removing mild adhesions.
• Hysteroscopy level 2 includes removing polyps, removing pedunculated myomas, endometrial resection, removing uterine septum and tubal cannulation.
• Hysteroscopy level 3 includes myomectomy type 1 and 2, removing intrauterine adhesions (Asherman's syndrome) and endometrial ablation.
• Laparoscopy level 1 includes simple ovarian cyst aspiration, tubal ligation, diagnostic laparascopy, biopsy and ovarian cautery 
• Laparoscopy level 2 includes salpingectomy for ectopic pregnancy, salpingectomy, cystectomy, removing mild to moderate adhesions of endometriosis, pedunculated subserous myoma, salpingo-opherectomy and LAVH. 
• Laparoscopy level 3 includes hysterectomy, myomectomy (subserosal, intramural), removing intestinal adhesions, simple restoration of bowel and bladder, and fimbrioplasty.

Laparascopy level 4 includes restoration of connective tissue of pelvic floor defects, lymphadenectomy, endometriosis stage 4, microsurgery and anastomosis of the tube, pre-sacral neurectomy and restoration of the mullerian ducts anomalies