Overseas Experience in Training Laparoscopic Specialists in Obstetrics and Gynecology
in Asia Pacific Countries
Conjoint Professor, Department of Obstetrics and Gynecology,
The University of New South Wales, Sydney, Australia1, MIG Advisory Chairman, St. Paulfs Hospital, Causeway Bay, Hong Kong2
With advancing technologies and applications of laparoscopy, nearly all open abdominal gynaecological surgery can be replaced by laparoscopic surgery. However, in many countries in Asia Pacific, apart from surgery for adnexal mass, open abdominal surgery for hysterectomy, myomectomy and endometriosis are still common. In the old time, surgeons who were equipped with vaginal and abdominal surgical skills, often perform laparoscopic surgery after a short course of workshop training, followed by continuous self-learning and self-practicing. Without a formal training program, it is a painstaking task, sometimes with serious complications. The learning curve also varies from individual to individual. No wonder when serious complications occur, many senior doctors gave up laparoscopic surgery. Today many young doctors are getting more training in laparoscopic surgery during their OG resident training, for them, more and more laparoscopic gynecologic surgery are performed, and they replace open abdominal surgery. Despite there are many training programs in various hospital and centres, these trainings are neither adequate nor comprehensive to avoid complications. The accreditation process of laparoscopic surgery varies from country to country. In this presentation, the speaker will share his experience of training laparoscopic specialists in many Asia Pacific countries including Australia, Hong Kong, Singapore, Vietnam and China where he had provided laparoscopy training to doctors in these countries over 20 years. He has identified that motivations of doctors, patientsf demand and technological advances are factors influencing the popularity of laparoscopic surgery in these countries. Furthermore, the government, professional institute and the country economy will impact greatly on the training and application of laparoscopy.