ESGE-2015 in Budapest

Медведев Михаил Владимирович // 22 Ноября 2015

Dear friends, I want to make a tiny photo report and my comments about the past, perhaps, one of the most interesting gynecological congresses of the European Society of Gynecological Endoscopy (ESGE), which was held this year in Budapest in October 7-10.

The first thing that pleased - it is a large group of gynecologists from Ukraine who took the time and opportunity to visit the event. The photo below is only part of the group. As with previous years, 70% of the group comprise the same people ...

In general, the congress pleased by pretty good organization, a lot of interesting lectures and live surgery.

If we talk about the current trends in the gynecologic surgery, I will focus on a couple of things:

  • Single-port laparoscopy seems to be turning into a narrow niche for fans. There was only one section devoted to the SILS and NOTES. When one of the speakers has reported that the first one-port hysterectomy he did 11 hours, I truly was jelous, cause our anesthesiologists wouldn't stand this impressive length of surgery!
  • Robotic surgery continues to grow. But it seems that it is not in "benign" gynecological surgery/
  • Power morcellation made even more waves. In the United States, as well as with prosthetic mesh in vaginal surgery, it seems to have started serious struggle with laparoscopic myomectomy and consequently with supracervical hysterectomy. Actively promoted the device that will protect morcellation. The reason - many times worse prognosis if sarcoma of the uterus was morcellated.
  • To facilitate sacrocolpopexy, so called pectopexy was designed. There is a tendency to simplify laparoscopic prolapse surgery.
  • Even more versatile tools. There were instruments that combine grasping, scissors, bipolar and ultrosound energy.
  • More toward disposability. A large number of single-use scissors, trocars, needles and even morcellators (with motor and battery).

Did I see something completely new in the Congress? I don't think so. But immersion in the atmosphere and some of the newly acquired knowledge in the form of nuance made the trip useful. Even more exciting and helpful was communication with my colleagues from the other Ukrainian cities.

I presented  poster devoted to uterine leiomyoma pathogenesis in the Congress. I totally agree with the current requirements to submit and publish the results of scientific research abroad. 

Another highlight of the congress was our passage of a European unified exam on laparoscopy and hysteroscopy. Few colleagues and I decided to do so. The exam is very approved in the EU, but so far does not give anything in Ukraine. The first step for the exam was testing online at, which made it possible to receive the following certificate - pass the exam.

Itself exam consisted of testing under the strict supervision of the mentors. The second part of the exam was practical skills that quite seriously evaluated psychomotor skills in laparoscopy, hysteroscopy, laparoscopic suturing. It should be said that our two Ukrainian pair have worked among the best. The result was the diploma "Bachelor endoscopy". Also, my results were recorded in the database on the website: Thus, a single European register of gynecologists-endoscopists with very detailed information on the level of practical and theoretical training. I hope that in Ukraine we ever become such as "transparent" for our patients and they will clearly understand "who is who".

If you have any questions - ask for the discussion in the comments.

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