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Aofog news letter

  1. 1. Official Letter of Asia & Oceania Federation of Obstetrics & Gynaecology Vol. 1 Issue 1 October, 2012 AOFOG Executive Board & Council Members Dear esteemed colleagues, President Prof. Yu-Shih Yang (Taiwan) It is indeed my great honor and pleasure to write a message for this inaugural issue of AOFOG Newsletter. NEWS President Elect Dr. Kurian Joseph (India) Vice-President Prof. Joo Hyun Nam (Korea) Immediate Past President Prof. Pak-Chung Ho (Hong Kong) Secretary-General Prof. Walfrido W. Sumpaico (Philippines) Deputy Secretary-General Dr. Rohana Haththotuwa (Sri Lanka) Treasurer Dr. Ravi Chandran (Malaysia) President's Message AOFOG was founded in April 1957 and now comprises of 26 member national societies. The Federation has set up an Executive Board and a number of Committees to be responsible for the governance of the affairs of the federation. Our main objectives are to promote the total health care in females throughout life and to promote the science and art of Obstetrics, Gynecology and Reproductive Biology particularly in Asia-Oceania region. In the past 55 years, AOFOG has contributed substantially in advancing the standard of Obstetrics and Gynecology and the result has been significant. This was attributed to the outstanding leadership of previous presidents and to the dedicated efforts of all of the Board and Council members. I deeply believe that our Federation will continue to keep on playing a vital role in promoting women's health in the coming years in the Asia-Oceania region. Professor Yu-Shih Yang President, AOFOG Editorial Dear Colleagues & Friends, Editor-in-Chief, JOGR Prof. Shiro Kozuma (Japan) Chairmen Dr. Fong Yoke Fai Dr. Shyam Desai Prof. Kazunori Ochiai Dr. Mario A. Bernardino Dr. Jaydeep Tank Prof. Masayasu Koyama Prof. V. Sivanesaratnam Prof. Suporn Koetsawang Dr. Leung Kwok Yin Dr. Narendra Malhotra In the past few years the vibrance of AOFOG is palpable and visible. This is all credited to our last 3 presidents and our enthusiastic Secretary General. AOFOG is now very active in almost all its member countries and also this year we have a special session in FIGO & other conferences like COGI & SAFOG. This is the first issue of the AOFOG bulletin which is going to be released at FIGO-ROME in the AOFOG Session. We look forwards to active contributions from all of you to make this news bulletin more colorful & more interactive. Happy reading. Dr Narendra Malhotra October, 2012 Rome Secretary's Message This special issue of the AOFOG Newsletter is simply that – SPECIAL! In what way, you may ask? Well, it is special because AOFOG has decided to share its vision and objectives beyond the borders of Asia and Oceania. We have encouraged the member nations and its members to collaborate with other international organizations and attend their meetings and collaborative projects. In this way, we get the opportunity to belong to the fraternity of women's health providers. Secondly, it will give the readership some insights into our special federation. Get to know who are our member nations, our officers, committee works, recent activities and special projects. Diverse though we may be in race, culture, religions and governance structures, we strive towards a common goal – to provide the best in women's health care. Lastly, the federation has 1 special goal at the moment – the education of its members. We bring time-honored practices with the emerging new knowledge to our academic activities. To all FIGO delegates, special greetings from your colleagues in the Asia-Oceania Federation! Join us in our AOFOG Session in FIGO 2012 Rome, 10th Oct at 1430 - 1700. Prof Walfrido W Sumpaico, MD Secretary General
  2. 2. AOFOG REGION & MEMBERS FIVE ZONES OF AOFOG MEMBER COUNTRIES Australia Royal Australian and New Zealand College of Obstetricians and Gynaecologists College House Bangladesh Obstetrical & Gynaecological Society of Bangladesh Cambodia Societe Cambodgienne de Gynecologie et d' obstetrique China Chinese Society of Gynaecology and Obstetrics Egypt The Egyptian Society of Gynaecology and Obstetrics Hong Kong India Nepal Nepal Society of Obstetricians and Gynaecologists New Zealand The Royal Australian & New Zealand College of Obstetricians and Gynaecologists Obstetrical & Gynaecological Society of Hongkong Pakistan Society of Obstetricians & Gynaecologists of Pakistan The Federation of Obstetrics & Gynaecological Societies of India Papua New Guinea PNG Society of Obstetrics and Gynaecology Indonesia Indonesian Society of Obstetrics & Gynecology Philippines Philippine Obstetrical & Gynaecological Society, (Foundation) Inc. Israel The Israel Society of Obstetrics & Gynaecology Saudi Arabia Saudi Obstetric & Gynaecological Society Japan Japan Society of Obstetrics & Gynaecology Singapore Obstetrical & Gynaecological Society of Singapore Korea The Korean Society of Obstetrics & Gynaecology Sri Lanka Sri Lanka College of Obstetricians & Gynaecologists Macau Macau Association of Obstetric and Gynaecology Taiwan Taiwan Association of Obstetrics & Gynaecology Malaysia Obstetrical & Gynaecological Society of Malaysia Thailand Mongolia Mongolian Federation of Obstetrics & Gynaecology The Royal Thai College of Obstetricians & Gynaecologists Myanmar Obstetrical & Gynaecological Society Myanmar Medical Association Vietnam Vietnam Gynaecology-Obstetrics and Family Planning Association (2)
  3. 3. BRIEF HISTORY OF AOFOG AIMS OF AOFOG 2012-2014 President's Aims AOFOG comprises 26 National Societies. It has a vast territory yet the difference of medical resources level among the countries is quite significant. How to assist developing countries to upgrade their medical scale and look after women's health will be our main objectives during my term of presidency. 1. Education and training is one of the most important issues. In the past, our Federation had a fairly good result from projects of Safe Motherhood, PPH Initiative, Prevention of Unsafe Abortion and its Complications and various workshops organized by individual committees. We should continue with this kind of works. 2. Application of Educational Fund to help our member countries is another important issue. Every year, any of the developing member countries is entitled to submit a project application along with the project plan and budget for an yearly subsidy of a maximum of USD 5,000. The project should be approved by the Executive Board prior to execution. In addition, in order to encourage each Committee chair to propose his/her training project, the Federation will provide USD 5,000 to each committee to initiate at least two workshops per year. The project should also be approved by the Executive Board and a full report should be submitted within 4 weeks of the activity. 3. The next issue is how to increase the resources of Educational Fund. In the last General Assembly held in Taipei on September 26, 2011, it had been proposed and approved to initiate an Educational Fund Raising Committee, chaired by Professor Tsung-Hsien Su to expand the Educational Fund resources. 4. The Federation should continue to recruit new country members to enhance the leading position of AOFOG in Asia-Oceania region. 5. It is essential to continue publishing handbooks or guidebooks to country members as reference materials and resources. It can be taken into consideration to translate the handbooks or guidebooks into language of the country required for easy comprehension. The Asia & Oceania Federation of Obstetrics & Gynaecology (AOFOG) was originally conceived in 1954, as the Asian Division of the International Federation of Gynaecology & Obstetrics (Geneva). Subsequently however, at the Inaugural Meeting in Tokyo in 1957, it was decided that it be established as the Asian Federation of Obstetrics & Gynaecology, an autonomous body which would seek affiliation, at a later stage, with the International Federation of Gynaecology & Obstetrics. Membership of the Federation is open to the national societies of Obstetrics & Gynaecology in each country of Asia. When more than one society exists in a given country, each claiming the right to represent that country itself, the societies must resolve this problem within the country itself, or else set up a coordination committee recognized by two or more societies of the country. In other words, no country can be represented by more than one national society. Click here to see the original (1957) Statutes proposed for the Federation. They are reproduced in full to underline the sense of regional cooperation evident among obstetricians and gynaecologists in this part of Asia in the fifties. The Secretariat was established in Manila, under the auspices of the Philippines Obstetrical & Gynaecological Society Inc with Dr Jose Villanueva as Secretary General. In 1959, Australia and New Zealand joined as Associate Members of the Federation and when in 1979, these two countries were accepted as full members, the name was changed to Asia & Oceania Federation of Obstetrics & Gynaecology. The First Asian Congress of Obstetrics & Gynaecology was held in Tokyo, Japan, from 4-6 April 1957. Dr Hideo Yagi (Japan) was elected Chairman of the Federation and he held that post till the Second Congress held in Calcutta, India, on 23-26 January 1962. The Third Asian Congress of Obstetrics & Gynaecology was held in Manila, Philippines, from 1416 January 1965. Thereafter, the congresses were held every three years till 1977, after which the interval was two years. The Constitution now requires that the congresses be held at least every three years. From 1987, it became the practice to organise a seminar or workshop together with the congress. At the 13th General Assembly held in Tokyo in October 1979, it was decided that the Secretariat of the Federation should move to Singapore. A new Constitution, initiated in Bangkok, was also accepted . The combined position of the Secretary General-cum-Treasurer was split and the new Constitution provided for a Secretary General and a separate Treasurer. Professor S S Ratnam of Singapore was elected Secretary General and Professor Suporn Koetsawang from Thailand, Treasurer. Not long after the formation of the Federation, it became apparent that it had a positive and extensive role to play in assisting their members in the improvement of facilities in several countries in the region. This is because Fertility Management and Maternal & Child Health Care services are woefully inadequate in many countries in the third world; and infant, maternal and perinatal mortality is high in these developing countries. In many rural areas, where the bulk of the population live, there is only one physician per one hundred thousand people, compared with the norm of one per thousand population. The proportion of obstetricians and gynaecologists and related specialist support staff are proportionately fewer in number. Members of the medical profession, and especially those concerned with Obstetrics & Gynaecology, although adequately qualified professionally, are so weighed down in some countries by the enormity of their task and other constraints, that they are generally unable to follow up on international developments in technology and research findings as closely as they would desire. Most governments in the third world include Fertility Regulation in their Health and Maternal & Child Care programmes, but for a variety of reasons are unable to make available the comprehensive services that are desirable, nor provide the personnel involved with continuous education programmes to keep them abreast with current developments. Since the benefits of research and technological progress elude many members of the medical fraternity, not only those employed in the rural areas, but even those engaged in hospitals and medical care centres in the cities, one of the roles of the Federation is to develop machinery to provide medical and medical-related personnel information of current developments and research in this field. AOFOG, in response to requests from its affiliates in the region has become the coordinator for many projects; it hopes that its role in new activities is only an interim arrangement, until a more permanent solution for continually improving and upgrading these educational programmes in member countries is evolved. Among other things, the Federation also serves as catalyst and coordinator for its affiliates in member countries in identifying appropriate specialists worldwide in providing the necessary structure and financial support for them to participate at special national courses to meet the needs of its affiliates at their refresher/modernization courses in Fertility Management and Maternal & Child Health Care. AOFOG activities have, by example, generated greater participation by obstetricians and gynaecologists and medical scientists at other related international congresses held in the region and elsewhere. (3)
  4. 4. REPORT OF THE MATERNAL AND PERINATAL HEALTH COMMITTEE September 2011 till June 2012 The Committee has been active since its formation in September 2011 at Taiwan The Committee Chairperson Dr Shyam Desai had been given an extension of tenure until September 2013. The Committee comprised of Regional Coordinators : Dr Farouk Mosamed (Malaysia), Dr Malik Goonewardene (Srilanka), Dr Fujimori (Japan), Dr Henry Murray (Australia). Their purpose is to coordinate activities in their region ie Far East North Asia South Asia and Oceana regions. The other members of the Committee are listed below Dr Noroyono Wibowo (Indonesia) Dr Tony Tan (Singapore) Dr Victoria Torres (Phillipines) Dr Leung Takyeung (Hongkong) Dr Hema Divakar (India) Dr Rekha Kurien (India) Dr Jaideep Malhotra (India) Dr Parikshit Tank (India) Dr Thawanwong Ratanisri (Thailand) (3) Singapore Sept 2012, (4) Philippines November 2012 Workshops planned but not executed due to various reasons. It is likely that we will plan workshops in Bangladesh, Sri Lanka, Indonesia and Japan during the year 2013 INTERACTION BETWEEN MEMBERS FROM Dr. Shyam Desai COUNTRIES l has been facilitated by requests to have speakers on specific This topics for conferences etc l Suitable names have been suggested l A Joint consensus meeting with representatives from SAFOG Countries is planned in August this year with the coordination from Dr G Das Gawhati Assam to be sponsored by a UN agency l Dr Tony Tan is inviting Dr Shyam Desai and Dr Farouk Mosamedalongwith Prof Sumpaico to participate in a Coference on Maternal Health in Singapore 31st August and 1st September l Dr Victoria Torres Phillipines is inviting Dr Shyam Desai and Prof Fujimori Japan to a meeting in Manila Phillipines in November December 2012 PUBLICATIONS PLANNED FOR THE TENURE GDM, Anaemia in Developing countries, Perinatal Infections WORKSHOPS HELD SINCE SEPTEMBER 2011 (1) MUMBAI October 2011, (2) KATHMANDU March 2012, (3) ISLAMABAD April 2012 GUIDELINES ON MANAGEMENT OF MATERNAL HEALTH Committee members have been entrusted with this activity and will be bringing out Guidelines on specific topics in the coming year Forthcoming Workshops /participation in National Conference Dates Finalised (1) Trichy India July 2012, (2) Hyderabad India August 2012, AOFOG Endoscopy Committee Action Plan 2012 (Feb 2012) Chairperson: Dr Yoke-Fai Fong (Singapore) Members: Zaida Gamilla (Philippines), Rajesh Modi (India), Sunil Pillay (New Zealand), APAGE member (to be confirmed) AOFOG Endoscopy Committee Action Plan 2012 (June 2012) Workshops conducted under / supported by AOFOG Endoscopy Committee 1. Laparoscopy/ Hysteroscopy Workshop coorganised with Myanmar O&G Society, 19-20 May, Central Women's Hospital, Yangon. 2. FNU/RANZCOG educational laparoscopy Dr. Yoke-Fai Fong workshop, 25-27 June, Nadi, Fiji Forth Coming Workshops under / supported by AOFOG Endoscopy Committee 1. The Association of Minimal Access Surgeons of India, Coimbatore in India July 19 - 22 2. Get “Real” with hysteroscopy, 28 July, National University Hospital, Singapore. 3. Controversies & Complications in Gyn Endoscopy, 29-30 September 2012, Hotel Radisson, Nagpur Considerations 1. AOFOG too wide an area to be effectively covered within a workplan of 2 years. 2. Proactive Society in the host country is key to any successful programme 3. Trainees are our future; therefore priority should be given for their training Plans: 1. Dr Gamilla/Dr Fong to work out plans for laparoscopy / robotic surgery workshops and exchange programme between Singapore and Philippines 2. Dr Rajesh Modi (Chairman Elect of Endoscopy Committee of FOGSI) has planned a series of laparoscopy workshops throughout the year in India and has agreed to give a special rate for trainees coming for the workshops. 3. Liaison with Dr Sunil Pillay (RANZCOG) and Dr Kurian Joseph for laparoscopy workshop for upcoming AOFOG meeting in Fiji June 2012 4. Arranging with Olympus with regard to possibility of laparoscopy workshop in Sri Lanka. 5. Endoscopy meeting (ASEAN) in Singapore Marina Bay Sands end August. Registration fee can be as low as USD 100 for trainees. Not for profit meeting - OGSS will be happy to break even for the meeting. Assistance for publicity and delegates needed from AOFOG committee. Forth Coming Workshops under / supported by AOFOG Endoscopy Committee 1. The Association of Minimal Access Surgeons of India, Coimbatore in India July 19 - 22 2. Get “Real” with hysteroscopy, 28 July, National University Hospital, Singapore. 3. Controversies & Complications in Gyn Endoscopy, 29-30 September 2012, Hotel Radisson, Nagpur Forth Coming Congress/ Meeting under AOFOG umbrella 1. AOFOG- OGSS Regional Meeting 31 Aug-1 Sep 2012, Marina Bay Sands (4)
  5. 5. for this program. In addition to our developing members basically, each committee chair can apply for the subsidy for education project for his/her committee, Two projects with total budget of USD: 5000 maximum per year. The subsidy from the Federation should be not more than 50% total expense; that is, the committee chair should raise the rest 50% expense of each education project. Before execution, the Tsung-Hsien Su education project needs approved by Executive Board. The details of program and a report after the workshop must be submitted before the money is released. 3) Budget The budget for each society or committee is USD: 5,000/year as mentioned above. For total yearly budget of total EF will be controlled by Treasurer and Executive Board. Whether the EF expense needs a limitation for yearly budget will be depended on the outcome after 1 year's administration of this policy. Continuously expansion of the education fund is important for sustainable development of this project. The President, Prof Yang proposed we might consider increasing the percentage of budget to 20% of the profit of annual meeting from the AOCOG as one of the resources of Educational Fund. Before we reactivate fund raising , we need to evaluate the outcomes of the policy change of education fund in 2012. There are two societies which have held the symposia so far, Nepal Society of Obstetricians and Gynecologists (NESOG), and Society of Obstetricians & Gynecologists of Pakistan (SOGP). Attachment1-4 to this report are the final report and details of the programs. As for the NESOG, the Secretary General Prof. Sumpaico suggested that the reimbursement for this came from the budget of Dr. Desai's committee. (see Attachment 1-4) There is an on-going organizing conjoin regional meeting in Singapore which will be held on August 31st _ September 1st. It will be hosted by Endoscopy Committee and Maternal & Perinatal Health Committee conjoined with Obstetrical & Gynaecological Society of Singapore (OGSS). The detail of plan is still processing for approval. The report of Education Fund Committee (FiJi, 2012) Chair: Tsung-Hsien Su (May, 31, 2012) Continuous education for our member countries is a main thrust for our federation. The last council meeting in Taipei decided to reactivate and expand the functions of Education Fund Committee(EDC). Up to now, there has been totaling USD 517,509.85 education fund collected; but has never been used. In the Action Plan Meeting in Manila, Jan. 13, 2012, it's decided to have a good use of education fund we have now. Rules on governance committee including: 1) Role of Education Fund Chairman (EDC), 2) How to spend, and 3) Budget were discussed. 1) Role of EF Chairman The role of EF Chairman was expected to have the functions included as followings: To streamline the application process and modify the current application form. To recommend to the Executive Board on how best to utilize the funds. To explore avenues to enhance the educational fund by getting more donations. He added that it is important to define the role of the Educational Fund Manager (EFM) so that it will be clear as to what is expected from EDC. All of these expectations are to run the EFC efficiently and coordinate with other officers, particular in financial management with treasurer. If the purpose reactivating the EFC is to broaden and efficiently run the functions to better serve our member countries, what functions of EFC expected are the key issue and should include a) to coordinate the application of education plan to facilitate the process b) to review the education program including the budget, education and scientific value as a reference for Executive Board's approval c) to campaign for fundraising to continuously expand the EF for sustainable management of EF d) to evaluate the outcome and report after execution of the education program. All of these duties are under the control of executive Board. Any education program should get the approval of Executive Board before execution. The finance of activities and budget should be under the supervision of the treasurer. 2) How to spend Two ways to spend the fund were suggested. First, National societies asking for it and, Second, Committees will be given a budget for a year. Education fund has totaling USD: 517,509.85 and has never been used – Draft will be completed by July, 2013 and published by next AOCOG meeting – Monogram will be published Survey 1 : Tumor registration in member countries • Study tumor registration system in member countries and develop common tool for easy-registration system provides us morbidity and mortality of gynecologic malignancies in Asian region. • Articles will be published in JOGR Survey 2 : Gynecologic Oncology Board certification in member countries • Study qualification criterion of a gyne-oncology board in member countries and develop common qualification of Gyn Oncologists in Asia. • Articles will be published in JOGR Action Plan Time Schedule Sept. 2012 July 2013 Oct. 2013 Oncology Committee Report 06/23/2012 Oncology Committee Chair Kazunori Ochiai Oncology Committee Members • Chair: Prof. Kazunori Ochiai • Members: Prof. Duk-Soo Bae (Korea), Prof. Chen (Singapore), Prof. Nao Suzuki (Japan) Prof. Rey de los Reyes (Phillipines) Kazunori Ochiai Seminar workshops • AOFOG Oncology Committee meeting and workshop 1. Japanese Society of Obstetrical and Gynecological Surgery, 29-30, Sept. 2012, Kyoto 2. Japanese Society of Gynecological Oncology , 18-21, July 2013 , Tokyo Practice guideline • Fertility Preservation in Cancer Treatment – Main object of cancer treatment is to save lives of cancer patients. Modalities of cancer treatment damage fertile function in man and women. Cancer is not only a disease of elderly but also of people who wants child bearing. Fertility preservation is an important issue for all oncologists. Committee Meeting Survey 1 Survey 2 Practice Guideline (5) Presentation Publication Draft Publication
  6. 6. We have several upcoming international conferences as follows: REPORT OF UROGYNECOLOGY COMMITTEE Chair: Masayasu Koyama. MD Japan I succeeded a chairperson of a committee from Professor TsungHsien Su (previous chair) last meeting in Taiwan. I appointed five urogynecologists, Arthur Tseng (Sigapore), Suvit Bunyavejchevin (Thailand), Lisa Teresa P Jabson (Philippines), Anowara Begum . (Bangladesh) and BidiImanSantoso (Indonesia) to be committee members. 1. The 14th annual meeting of Japan Society of Female Pelvic Floor Medicine (Osaka, Japan) July 28-29, 2012. 2. In succession to Prof. Su's planning, objectives of this committee are as follows: The 37th annual meeting of International Urogynecology Association (Brisbane, Australia)Sep 4-8, 2012. Lisa is involved in planning for the Asian regional project. 3. The XX FIGO World Congress (Rome, Italy) Oct 7-12, 2012. I am working in the Task Force for Urogynecology. 4. The 4th Pan Asian Urogynecology Association (PAUGA) meeting in Thailand (Nov 7-8, 2012). Suvit is working as congress chair. 5. The 23rd Asian and Oceanic Congress of Obstetrics and Gynaecology(Bangkok, Thailand)Oct 20-24, 2013. We are planning a one-day precongress seminar-workshop on urogynecology. 1. To grasp and analyze the current situation in Urogynecology in the different Asian and Oceania countries 2. To investigate the prevalence of a pelvic floor organ function disorders in each country. Fistula after birth injury is also serious problem in developing country. Bangladesh has a good training program for fistulas and we can help formulate a training program for urogynecologists. 3. Based on investigation, we draw up educational programs in Urogynecology and devise an urogynecological clinical guideline along the current status of Asian Oceania area. Masayasu Koyama We hope that these regional meetings of the Asian Urogynecologists can strengthen the relationship and coordination for improving the care of urogynecology for Asian women in the future. EDITOR OF AOFOG JOURNAL Journal of Obstetrics and Gynaecology Research (JOGR) is the official journal of AOFOG. The journal started to be published as Asia-Oceania Journal of Obstetrics and Gynaecology about 30 years ago. The journal aimed to become an international scientific one as well as the AOFOG official journal, and changed its name15 years ago. When the name was changed into the present one, the annual number of submission to the journal was only 100. At present, JOGR has almost 1000 submissions and 220 published articles yearly in monthly issues, a recent impact factor of 0.869 and nearly 250 daily online accesses from all over the world. JOGR is becoming one of prestigious journals in the field of Obstetrics and Gynecology. The journal welcomes submissions from researchers worldwide on clinical and experimental investigation in all area of Obstetrics and Gynecology, including perinatology, oncology, reproductive endocrinology and infertility, urogynecology and women's health care. The article Prof. Shiro Kozuma categories include original articles, case reports, reviews, and letters to the editor. The acceptance criteria for all papers are the Editor-in-Chief, JOGR quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer reviewed by anonymous reviewers and the Editor. Peer reviews provides a kind of quality certification for published papers, which means that published authors can be proud of their achievement, and that readers can have confidence that what they read has been deemed to be acceptable. Although JOGR has been developed as a scientific journal in the field of Obstetrics and Gynecology, the function as the official journal of AOFOG is unsatisfactory in the present status. The official journal of societies generally introduces their activities and exhibits their products to readers. We are planning to insert valuable information into JOGR related to AOFOG activities done by a number of committee such as Maternal and Perinatal Health Care Committee, Oncology Committee, Reproductive Endocrinology Committee, Population Dynamics Committee, Endoscopy Committee Ultrasound Committee, Urogynecology Committee, Fellowship Selection Committee. I appreciate the support that JOGR continues to garner from AOFOG members, with an increasing number of submissions of high scientific quality. (6)
  7. 7. CHAIRMAN'S PLANS 8. Report to AOFOG by USG Committee in May 2012 Committee Dr. KY Leung (Chairman) (HK) Prof. Angelita R. Teotico (Philippines) Prof. Toshiyuki Hata (Japan) Prof. Jaideep Malhotra (India) Prof. Azen Salim (Indonesia) Prof. P K. Shah (India) . Prof. HS Won (Korea) Prof. Apichart Chittacharoen (Thailand) Prof. Ming Chen (Taiwan) USG workshop in AOCOG 2013 Thailand B. Guidelines 1. Minimal requirements for routine mid trimester scan (Prof. Ming Chen, Dr.KY Leung, Prof. Azen Salim). Send a survey to USG committee members and ask their current practice on minimal requirements (in Dr. KY Leung (HK) progress) 2. Use the local chart. Send a survey to ask members country on the normogram of fetal biometry (CRL, BPD, FL, AC, EFW) they are using (Prof. Toshiyuki Hata). Compile the normograms which are used by various countries, and compare them (in progress). Activities A. (i) Meetings held 1. Workshop in Philippines on Jan 12, 2012 (Prof. AR Teotico, PSUOG): done, >200 participants, with positive balance, speakers: Prof. Jaideep and Narendra Malhotra 2. Workshop in Palembang, Indonesia with Indonesia Fetal Medicine Annual Meeting in March in 2012 (Prof. A Salim), AOFOG speaker: Dr. KY Leung 3. Workshop at Jeddah Saudi Arabia on 18th Mar 2012 organized by Dr Hashem Arab, a very interactive meeting. 4. Workshop in BANGLADESH DHAKKA organized by OGSB ON 27 April 2012, 500 delegates, a very interactive meeting, AOFOG speakers: Prof. Jaideep and Narendra Malhotra. C. Textbook 1. FOGSI advanced ultrasound textbook (Prof. Narendra Malhotra and Prof. PK Shah): our committee has showed support. Dr. KY Leung has contributed one chapter. 2. One basic ultrasound textbook with normogram and images (2013, Prof. AR Teotico, Prof. Jaideep Malhotra, and Prof. Toshiyuki Hata) (in progress). D. Academic exchange 1. Fetal echo program in Korea in'12 (Prof. HS Won): 2 week, dates (? Nov) A. (ii) Future meetings 1. Workshop in Fiji in June 2012, attendance: Dr. KY Leung 2. Workshop in HK on 11-12 Aug, 2012 (Dr. KY Leung), co-organize with AFSUMB, HK Society for Ultrasound in Medicine, HK Society Paed Cardiologists, AOFOG speaker: Prof. PK Shah 3. Workshop in India (Prof. Jaideep Malhotra and Prof. PK Shah): BCGIP on 15 Nov 2012, AOFOG speaker: Dr. KY Leung 4. Workshop in Beijing with ISUOG and CMA (Dr.KY Leung) on 17 and 18 Nov 2012, AOFOG speakers: Prof. T Hata and Prof. HS Won. 5. Workshop in Taiwan on fetal therapy and prenatal diagnostic invasive procedures (Prof. Ming Chen) in 2012/13 6. Workshop in Agra, India in Mar 2013 along with SAFOG (Prof. Jaideep Malhotra) 7. USG course at Ahemdabad on 8-10 March 2013 with Prof. Phillip Jeanty (Prof. Jaideep Malhotra) E. Electronic resources on web - In the future, develop ultrasound resources on web to support low resources countries with technological support from AOFOG. - distributed free trainee membership program of ISUOG (International Society of Ultrasound in O&G) to members of USG committee: two year, online resources including white journal, talks (Dr. KY Leung, and other interested committee members). F. Budget from education fund: 1. 2012 - Dhakka, Bangladesh in Apr: maximum US $1,000. - Delhi, India on 15 Nov: maximum US $2,000. - Beijing, China on 17-18 Nov: maximum US$2,000. 2. 2013 (tentatively)- India, March 4 or 8-10 India: maximum US$2,000. Prepared by Dr. KY Leung, Chair, USG Committee CME PROGRAM ON HIGH RISK PREGNANCY AT DHAKA, BANGLADESH The Obstetrical & Gynaecological Society of Bangladesh (OGSB) & Asia & Oceania Federation of Obstetrics & Gynaecology (AOFOG) jointly organized CME program on High Risk Pregnancy on 12th May 2012 which was held at Milon Hall of BSMMU. The inaugural session began at 8:30 am. Welcome address was delivered by Prof. Nasima Begum, Secretary General-OGSB. Prof. T A Chowdhury, Past President-OGSB was present as Chief Guest. Dr. Narendra Malhotra, Chairman-Newsletter, Publication and YGAA of AOFOG was present as Special Guest. The 1st session started at around 09:00 am with the chairmanship of Prof. Kohinoor Begum, 2nd & 3rd sessions were chaired by Prof. AKM Anowar-ul-Azim & Prof. Shahla Khatun. Speakers were Dr. Narendra Malhotra & Dr. Jaideep Malhotra from India. Local speakers were Prof. TA Chowdhury, Prof. Rahima Begum, Prof. Parveen Fatima, Prof. Firoza Begum & Prof. Ferdousi Islam. Two panels discussion were conducted by Dr. Narendra Malhotra & Dr. Jaideep Malhotra. Panelists were Prof. TA Chowdhury, Prof. Latifa Shamsuddin, Prof. Shamsun Nahar Hena, Dr. Nazneen Kabir & Prof. Iffat Ara, Prof. Sayeba Akhter, Prof. M.Anwar Hussain,Prof. Laila Arjumand Banu, Prof. Saleha Begum Chowdhury, Prof. Maliha Rashid & Prof. Farhana dewan. There were lively question & answer remaining amongst all and valuable comments were given by them. Four hundred and twenty two participants from all over the country attended the program. The session ended with vote of thanks to the organizers with special thanks to Treasurer-OGSB, Prof. Parveen Fatima for coordinating the program. (7)
  8. 8. AOCOG 2011 : AOFOG TAIWAN CONFERENCE General Comments The XXII Asian and Oceanic Congress of Obstetrics and Gynecology (AOCOG 2011), hosted by the Taiwan Association of Obstetrics and Gynecology (TAOG), was held in, Taipei, Taiwan, from September 23 to 27, 2011. Having “New Frontiers in Women's Health”, as the theme of the Congress, AOCOG 2011 invited up to 202 experts from different domains to share their exper tise and experience on how to solve women's medical problems. Symposia, lectures and presentations (including oral and poster) were held to discuss various aspects of women's health issues. The Congress had successfully created a platform for expects to exchange ideas, share newly developed findings, and to explore endless possibilities in women's health. Attendance The XXII Asian and Oceanic Congress of Obstetrics and Gynecology (AOCOG 2011) has an u n e x p e c t e d attendance of 1,359 participants from 42 countries. Detailed country list of delegates, please see Appendix I. Splendid Scientific Program This 5-day conference took place at Taipei International Convention Center (TICC) with a total of 476 abstracts presented at President's Lecture, FIGO President's Lecture, 2 Memorial Lectures, 12 Plenary Lectures (12 Speakers), 43 Parallel Symposia (171 Speakers), 9 Oral Presentations (47 Presenters), 3 Special Sessions (15 Speakers), and poster presentations (227 Presenters). Fascinating Social Events Except the splendid scientific program, the organizing committee arranged many fascinating social events, including opening ceremony, welcome reception, President's night and Banquet, in hopes of providing all the delegates an unforgettable memory for experiencing local AOFOG COUNCIL (8) f o o d , performance, and culture as well as enjoying their stay in Taiwan. Fabulous Exhibition During the AOCOG 2011, the exhibition was held in Area A, Taipei World Trade Center (TWTC) concurrently. 29 companies and organizations (with a total booth number of 57) displayed their newly developed products and equipment. The complete l i s t o f exhibitors is provided in Appendix II. Through this congress, we believe that not only did it level up the academic standard, promote friendly relationship among member countries, exchange of advanced knowledge and cutting-edge information, but also give training opportunities for gynecologists from the developing countries in the area.
  9. 9. SECRETARY'S REPORT OF AOFOG ACTIVITIES Asia and Oceania Federation of Obstetrics & Gynecology Council Meeting 2012, Lautoka, Fiji, 23 June 2012 Report of the Secretary General - Professor Walfrido W. Sumpaico This report covers the period September 2011-June 2012: Educational ActivitiesA. Mumbai, India – I attended the Mumbai O&G Society Meeting last October 15-16, 2011 and I delivered a lecture on MgS04 for Fetal Neurirst stepsoprotection and the MYRaval Oration on Contemporary Cesarean Section. B. Delhi, India – I attended a FOGSI subspecialty meeting on PREVENTING PREGNANCY WASTAGE in Delhi last October 28-29, 2011 where I joined the workshop on CTG and delivered a lecture on the Immunology of Pregnancy. C. Bangkok, Thailand – I attended the COGI/BCGIP/AOFOG meeting last November 24-26, 2011 where I lectured on Obesity in Pregnancy, Early Detection of Pre-Eclampsia and Progesterone in Miscarriages. D. Makati City, Philippines - Action Plan Meeting, Peninsula Hotel, (13 Jan 2012). This meeting is a FIRST where all the Executive Board and the Committee Chairs were in attendance. Mainly discussed were 2 items – (a) Governance Issues and (2) Educational Fund Concerns. All committee chairs presented their programs and their objectives to achieve them. An ultrasound workshop (AOFOG-PSUOG) was held on the eve of the meeting at the Quezon City Sports Club which drew ~200 delegates. A net income of USD 3470 was given to AOFOG. E. Jeddah, Saudi Arabia - AOFOG took its first steps into Arabian soil last March 19-22, 2012 when some members of the Executive Board helped organize this meeting. (Dr. Kurian Joseph, reporting) F. Kobe, Japan – I attended the 64th Annual Congress of the JSOG and was awarded HONORARY MEMBERSHIP to the society. There was a FIGO Forum during the meeting which makes we ask – perhaps AOFOG every meeting. G. Guangzhou, China – I was invited to the initial multi-center research meeting on Thyroid Diseases in Pregnancy during a seminarworkshop last April 6-8, 2012. Follow-up meetings are to be held every quarter. I was fortunate to meet Prof Alex Stagnaro-Green, the lead author of the 2011 ATA Guidelines on Thyroid diseases in Pregnancy and the Puerperium. H. San Diego, USA – I attended the 2012 ACOG ASM where I presented a poster on ROMA versus RMI among Asian Women. This ASM AOFOG Session FIGO 2012 Rome Wednesday 10 October 2012 15h30 - 17h00 Room Iustina (I) Hall 10. I. opened my eyes on the possibility of endowments / lecturerships (report to follow). Present at this meeting were Profs Konishi, Kimura, Sakurage and Sherwood. Kuching, Malaysia – I attended the 10th RCOG International Congress hosted by the OGSM last June 5-8, 2012. Dr Ravi Chandran chaired the Scientific Committee for this meeting. Prof W W Sumpaico AOFOG PROGRAMS for Development. A. Push on with the Gulf and the Arabian connection - (Dr Kurian) B. YGA Alumni Association – (Dr Rohana Haththotuwa) C. Governance Amendments – (Dr Ravi Chandran) a. Subfederation Alliances (SAFOG, RANZCOG, MASEAN, PANARABIC, NORTH ASIA) b. Nominations of Officers D. Educational Fund Concerns – Which projects to fund? Steps to take in asking for funding? Contents of the proposal? Proper Disbursement of Receipts? Project Evaluation Report? – (Drs Ravi, Rupert, Digby, Reddie) E. JOGR Concerns – New Editorial Board (Dr Shiro) F. FIGO Matters: FIGO 2012 / FIGO Executive Board Meetings G. AOCOG 2013 - Thanks to the RTCOG for the trust in making me the International Scientific Committee Chair. Initial proposal is to RETAIN it as a 4-DAY event with a full 3-day congress and a 1-day precongress workshop on AOFOG's subspecialties. – (Prof Somboon) H. Endowments and Lectureships – (Appendix 1) Endowments / Lectureships / Scholarships We created the Endowment and Lectureship Program to address the anticipated decline in industry support and the need to further our educational and scientific independence. If a donor is interested in creating an endowment (permanent naming rights), the College holds the gift in perpetuity. The gift is invested, and only a portion of the average annual investment return is used. To guard against the eroding consequences of inflation, the remaining investment return is added to the principal. The goal is to ensure that the principal maintains its value over time. Theme: "From Cape Town to Rome - what has AOFOG done?" Moderators: Yu Shih Yang, MD (Taiwan) - AOFOG President Yuji Murata, MD (Japan) - AOFOG Past President Introduction to the Session (5 minutes) Lectures / Speakers (15 minutes each) 1. Shyam Desai, MD (India) - The 5 P's Protocol in South Asia 2. Walfrido W Sumpaico, MD (Philippines) - ROMA vs RMI for Ovarian Cancer in Asian Women 3. Pak Chung Ho ( HongKong) - The Clinical Use of Misoprostrol in Gynecology 4. Young-Tak Kim (Korea) - Laparoscogpy (Multiple Port / Single Port / Robotic) in Asia 5. Tadashi Kimura (Japan) - Statins in Pre-Eclampsia Q & A Session (10 minutes) (9)
  10. 10. THE SAUDI ARABIAN MEETING The AOFOG was happy to associate with the Saudi Obs & Gyn Society to hold their 21st Annual Scientific meeting at Jeddah on the 19th - 22nd March at the Intercontinental Hotel, Jeddah on the theme “ Challenges in Womens Health” AOFOG was represented by the President Dr Yu Shih, Past President Prof PC Ho, Sec Gen Prof WW Sumpaico, Pres Elect, Dr Kurian Joseph, Dep Sec Gen Dr Rohana H. and the Committee Chair Dr Narendra Malhotra. The organization of the meeting was under Prof Hassan Salih Jamal Chairman and Dr Hisham Arab – Sec Gen, The other leading organizers were Prof Hassan Abdul Jabbar, Dr Ahmed Kurdi, Dr Marouf M, Dr Ahmed Al Bader and Dr Lamia Madani. The meeting was to have been inaugurated by His Royal Highness Prince Mishaal bin Majed bin Abdulaziz Al Saud Governor of Jeddah. In his absence the General Director of King Abdulaziz University, His Excellency Prof. Osama Al Tayeb to inaugurated the ceremony. Our President Dr Yu Shih addressed the gathering. There were about 450 participants with the men and women sitting apart in the local custom. There was a good scientific program where all the AOFOG attendees delivered lectures. In addition there were lectures by Dr Jaideep Malhotra and Dr Rekha Kurian. The lectures were well received. Several presentations were from the local Saudis and a few from surrounding Arab countries like Egypt, Jordan and Dubai. The AOFOG faculty judged the presentations of the junior members at the meeting as part of a competition. The presentations were of high caliber and had been well researched. There was a pre congress Ultrasound workshop where Dr Narendra and Jaideep were the faculty. This being our first visit to the area it was an experience to savor the local customs, the Dr A Kurian Joseph style of presentations and the great hospitality. Saudi Arabia was a place of extremes – well-developed large hospitals to small Bedouin campsites with limited healthcare facilities. Using the opportunity the AOFOG exec board held a meeting with the board members of the Saudi Obs & Gyn Society on the 21st March. Saudi Board members who attended our meeting were Prof. Hassan Jamal, Dr Hesham Arab, Dr. Maarof Mohiudeen, Dr. Ahmed Kurdi, Dr. Ahmed AlBadr, Dr. Samaa Nazer, and Dr Lamiaa Almadani. The discussions were centered on how AOFOG could help the Saudi Society develop their skills and on what they could do in the AOFOG. There were several interesting points brought up. The AOFOG also explored the possibility of enhancing its presence in the Arab world by attending other local meetings like the Middle East Society meeting to be held next year in Medina. I would like to place on record the hard work and untiring efforts of Dr Hisham and his team in making our visit a memorable one. (10)
  11. 11. REPORT OF THE YGAAs 2012 Initially I wish to thank the Secretary General Prof Sumpaico & the other members of the Executive Board for giving me the opportunity to take on the task of YGAAs. Young Gynaecologists awards were commenced in 1991 & it was renamed as S S Ratnam YGA in 2001 in honour of Late Emeritus Prof Ratnam who was the Secretary General for 21 years. Initially the YGA were given only to the 16 developing countries but later in 2002 it Dr. Rohana Haththotuwa was awarded to the developed countries and the expenses were looked after by the country itself. As this project has now been going on for more than 20 years we have more than 300 YGAAs in the Asia Oceania region. Most of these YGAAs are holding high positions and have contributed very much Nationally & Internationally and become leaders, and AOFOG is proud that they were able to identify these young Gynaecologists early and recognize them and give them a boost to their carriers. The Executive Board realized the wealth of knowledge, talent, and potential available in these YGAAS who are distributed over the Asia Oceania region but unfortunately most of them have lost contact with the AOFOG. So as an initial step to get the YGAAS together, and obtain their services for educational & other activities of the AOFOG, we drafted an information sheet to collect data from the YGAAs. The information requested included , personal details, contact details, positions held, achievements, contributions to the society and to the country and how they could assist the AOFOG in academic activities. (A copy is attached). We sent personal letters to each YGA requesting them to complete the sheet and send. In those whom we did not have the emails we have requested the respective O&G societies to send us their addresses. We have not received replies from India, Indonesia, Malaysia, Mongolia, Myanmar, Nepal, Papua New Guinea, and Sri Lanka regarding the email addresses of their YGAAs We have 328 YGAAS, we were able to send e mails to 226 YGAAS and up to 31st May we have received replies from 52 YGAAs. 174 are yet to reply. We have received a very positive feedback from those who have replied expressing their happiness for the AOFOG taking an interest in the YGAAs and expressed their willingness to participate in the AOFOG activities. We have sent reminders to those who have not replied. Once we get the replies we will have a data bank of the YGAAs and then we will be able to form an Alumni of the YGAAs. Then as suggested by the Executive Board we could plan out various activities in various countries, arrange a session in the local congresses, plan out a session in the next AOCOG congress and work out exchange programmes & so on. Then in association with the publication committee we could have the YGAA news letter where YGAAS contribute and create a Face book for YGAAs. Finally I wish to thank Prof Sumpaico for all the advice & encouragement given & Ms Rita of the AOFOG secretariat for all the hard work done to collect the data from the YGAAs & I wish to request the assistance of the Executive Board & the council for the success of this YGAA programme. FIJI MEETING OF AOFOG The AOFOG Council held its 2012 Council meeting in Lautoka Fiji, at the First Landing Beach Resort from 22-23 June 2012. The Council meeting was hosted by RANZCOG, who had elected to hold the meeting in the Pacific as an opportunity to strengthen networks and collaboration between the Asian O&G Societies and the Pacific O&G Societies, namely the newly formed Fiji Obstetrics and Gynaecology and the Papua New Guinea O&G Society. Whilst in Fiji, AOFOG Councillors also participated in the RANZCOG/Fiji National University 2012 Educational Forum in Obstetrics and Gynaecologist, comprising a one-day seminar and an exciting and unique clinical workshop program at the Lautoka Hospital. The Educational Forum had been specially timed to coincide with the visit of the AOFOG Council to Fiji, so as to include and benefit from the expertise of a number of internationally renowned O&G specialists on the AOFOG Council in the seminar and workshop program, and a number of suggestions for collaborative support were discussed. The input from the AOFOG Council was well acknowledged by the Dean and staff of the Fiji National University College of Medicine, Nursing and Health Sciences, as a boost to the educational event overall. We are optimistically looking forward to continuing partnerships and collaborative activities in training and education in Obstetrics and Gynaecology in our Asia Oceania region. (11) Dr Rey de Los Reyes, (President Philippine Society of O&G), Dr Kelera Sakumeli, Dr Alec Ekeroma (Presdient PSRH), Dr James Fong, Dr Rupert Sherwood (President RANZCOG), Dr Swaran Naidu (President FOGS), the Honourable Ratu Epeli Nailatikau President of Fiji, Dr Vasitia Cati, Dr Amanda Noovao-Hill, Dr Kenneth Clark, Dr Yu-Shih Yang (President AOFOG), Dr PK Shah (AOFOG Councillor India)
  12. 12. AOFOG COUNCIL MEMBERS (Year 2011-2013 Directory) as of July 2012 Professor Yu-Shih Yang President Taiwan Email: Dr. Kurian Joseph President Elect India Email: Professor Pak-Chung Ho Immediate Past President Hong Kong Email: Professor Joo-Hyun Nam Vice-President KOREA Email: Dr. Ravi Chandran Treasurer MALAYSIA Email: Professor W W Sumpaico Secretary-General PHILIPPINES Email:; Dr. Rohana Haththotuwa Deputy Secretary-General Sri Lanka Professor Shiro Kozuma Chairman, Journal Committee JAPAN Email: A/Professor Yoke Fai Fong Chairman, Endoscopy Committee Singapore Dr. Shyam Desai Chairman, Maternal & Perinatal Health Care Committee INDIA Professor Kazunori Ochiai Chairman, Oncology Committee JAPAN E-mail; Dr. Mario Bernardino Chairman, Population Dynamics Committee PHILIPPINES Dr. Leung Kwok Yin Chairman, Ultrasound Committee Hong Kong Email : Professor Suporn Koetsawang Chairman, Fellowship Selection Committee THAILAND Dr. Rupert Sherwood Council Member (Australia) Australia Email: Email : Email : Email: Dr. Jaydeep Tank Chairman, Reproductive Endocrinology Committee INDIA A/Professor Masayasu Koyama Chairman, Urogynecology Committee JAPAN Email :; E-mail: / Professor V Sivanesaratnam Chairman, Advisory Committee MALAYSIA E-mail: / Dr. Narendra Malhotra Chairman, Newsletter, Publication and YGAA India. Professor Tsung-Hsien Su Chairman, AOFOG Educational Fund Taiwan Email: Email: Professor Kohinoor Begum Council Member Bangladesh Email: Professor Koum Kanal Council Member Cambodia Email : Professor Zeyi Cao Council Member China Email : Professor M B Sammour Council Member EGYPT Email : EFCF A/Prof Dr. Ernest NG Council Member Hong Kong Email : Dr. P K. Shah . Council Member Mumbai Email : / Dr. Noroyono Wibowo Council Member INDONESIA Email:; Professor Eliezer Shalev Council Member Israel Prof. Tadashi Kimura MD Council Member JAPAN Dr. Wong Keong Council Member (Macau) Macau (S.A.R.) Dr. HJ Mohamad Farouk Abdullah Council Member (Malaysia) E-mail : Professor Young-Tak Kim, M.D. Council Member (Korea) Korea Email: Email: Email: Dr. Purevsuren Genden Council Member Mongolia, email: Professor Win Win Mya Council Member Myanmar Email: Dr. Ashma Rana Council Member NEPAL Email: / Dr Digby Ngan Kee Council Member New Zealand Email: Professor Lubna Hassan Council Member (Pakistan) Email : Dr. Rey H. de los Reyes, MD Dr Ligo Augerea Council Member (Papua New Guinea) Council Member (Philippines) Email: Email : Dr. Ananda Ranatunga Council Member (Sri Lanka) Email: A/Professor Ching-Hung Hsieh, Council Member (Taiwan) Email : (12) Dr. Somboon Kunathikom Council Member (Thailand) Email: Email: Email Email: Dr Hesham Arab Council Member (Saudi Arabia) Email: Professor Nguyen Duc Vy Council Member (Vietnam) Email: ;
  13. 13. PRESIDENTS OF AOFOG COUNTRY REPRESENTATIVES Country Australia & New Zealand Cambodia China Bangladesh Egypt President Dr. Rupert Sherwood Email Address Professor Koum Kanal Dr. Jinghe Lang Professor Kohinoor Begum Professor Nabil A. Darwish Hongkong India Dr. Kwok-Yin Leung Dr. P Shah .K. Indonesia Dr. Noroyono Wibowo Israel Japan Korea Macau Malaysia Professor Moshe Ben Ami Professor Kazunori Ochiai Dr. Sun Haneg Kim Dr. Wong Keong Dr. Suresh Kumarasamy; Mongolia Dr. Purevsuren Genden Myanmar Prof Win Win Mya Nepal Professor Ashama Rana Pakistan Papua New Guinea Philippines Saudi Arabia Singapore Sri Lanka Taiwan Thailand Vietnam Professor Lubna Hassan Dr. Ligo Augerea Dr. Rey H. de los Reyes Dr. Hassan Jamal Dr. Fong Yoke Fai Dr. Ananda Ranatunga A/Prof Ching-Hung Hsieh Prof Somboon Kunathikom Prof Dr Nguyen Viet Tien (13) National Society email address;;;;
  14. 14. AOFOG AT ROME FIGO were generated and sensitivities were calculated at 75% specificity. Results: At 75% specificity, sensitivities of the markers/algorithms were 68.4% for CA125, 80.7% for HE4, 80.7% for ROMA, and 78.9% for RMI. Substituting HE4 for CA125 in RMI gave 82.5% sensitivity and substituting ROMA for CA125 in RMI gave 78.9% sensitivity at 75% Prof W W Sumpaico specificity. Conclusions: HE4 and ROMA demonstrated better sensitivity at 75% specificity than CA125 and RMI for distinguishing between a benign and malignant pelvic mass. Substituting HE4 for CA125 in the RMI gave better sensitivity at 75% specificity than using CA125. Using ROMA in place of CA125 in RMI improved the AUC from 0.84 to 0.88; however it did not improve the sensitivity at 75% specificity. AOFOG Session – From Cape Town to Rome – what has AOFOG done? 10 October, 2012; 14h30 – 17h00, Room Iustina (I) Hall 10 Comparison of ROMA to RMI for Ovarian Carcinoma in Asia Introduction: Several studies have shown the benefit of using HE4 either alone or in combination with CA125 to determine the risk of malignancy in women with a pelvic mass. This study validates the use of HE4 in an Asian population and compares the ROMA algorithm (CA125 and HE4) to RMI (CA125 and imaging). Methods: 414 women with an adnexal mass scheduled to have surgery were enrolled in the study. Blood was drawn before surgery, frozen and stored, and then sent to a single testing laboratory for CA125, HE4 and FSH testing. Histopatholgical slides were sent to a central pathology laboratory for review. Clinical information on the patients and surgical outcomes were collected. Ultrasound data was available for 328 of the 414 women for the RMI analysis. ROC curves INNOVATIONS OF MINIMALLY INVASIVE SURGERY IN GYNECOLOGIC ONCOLOGY Minimally invasive surgery (MIS) is one of the newest and most exciting areas of development in procedural medicine. This field shows tremendous potential to increase therapeutic benefit while minimizing some of the painful or dangerous side effects of surgical interventions. MIS has strong historic ties to the field of gynecology and has come a long way as technology and techniques have improved. Operative laparoscopy has developed as the appearance of minimally invasive surgery in the field of gynecology. Operative laparoscopy was initiated in the 1970s, and now, that has become an essential part of surgical treatment for gynecologic diseases, including gynecologic cancers. Fortunately, advances in equipment and techniques now allow more complex surgical procedures to be performed through tiny abdominal incisions. Additionally, robot-assisted surgery with the daVinci® Surgical System may be the most effective, least invasive treatment option. Two recent advanced laparoscopic approaches, robotic assisted laparoscopy and laparoendoscopic single-site (LESS) surgery are reviewed here. In 2005, the da Vinci robotic assistance device was approved by the Food and Drug Administration for use in gynecologic procedures. Many researchers have demonstrated the feasibility of robotic radical hysterectomy in cervical cancer and the robot assisted staging surgery in endometrial cancer. Lowe et al. also reported the experience of multiinstitution consortium which consists of five gynecologic oncologists in distinct geographical regions of the United States for radical hysterectomy using the da Vinci robotic platform. Through the analysis of 42 patients who underwent a type II or III robotic radical hysterectomy, the authors concluded that robot assisted laparoscopic type II/III radical hysterectomy is associated with a shortened hospital stay, few operative complications, acceptable lymph node yields, and acceptable operative times. Gehrig et al. conducted a comparative study to examine which is the optimal minimally invasive surgical approach between conventional laparoscopy and robot for obese patients with endometrial cancer. Robotic surgery has many advantages, such as 3-dimensional view, the wrist like motion of the robotic arm and ergonomically comfortable position for the surgeon. These advantages offer significant technical ease in performing complicated surgical procedures, including suturing and tying of knots by the surgeon. Although there are several advantages of robotic surgery, it still has disadvantages. The principal weak point is the high cost of robotic surgery, which prevents robotic surgery from spreading worldwide. Other disadvantages included absence of tactile feedback of robotic arms, requirement of larger ports for robotic surgery compared to conventional laparoscopic staging surgery. Nevertheless, it is safe to assume that in the next few decades most surgeries will be performed with the help of computer-enhanced and robotic technology. Innovation in technology and techniques continues more minimal approach to be attained than traditional laparoscopic surgery; LESS surgery is one of those innovative techniques. In 2005, Ghezzi et al. presented a novel technique for the treatment of tubal pregnancy; one trocar salpingectomy. During recent years, this technique is adopted to various operations for adnexal and uterine surgery and initial reports on this novel technique have been published. Several gynecologists also demonstrated the feasibility of LESS surgery. However, this surgery results in hand collisions out of the abdomen and clashing of instruments within the abdomen. Now, various devices designed to overcome the technical challenges for LESS surgery have been developed and introduced in gynecology. Despite novel devices, clashing of laparoscopic instruments and limited vision of in-line view are potential disadvantages of LESS surgery. These weaknesses which cause longer operative times and longer learning curves might be major obstacles for the popularity of LESS surgery. Therefore, increased efforts to develop surgical instruments which can overcome these technical problems should continue. If technical advances are achieved in laparoscopic instruments, including the robotic system, more complicated procedures in gynecologic oncology, such as radical hysterectomy and comprehensive endometrial cancer staging surgery might be conducted with laparoendoscopic single-site surgery in the near future. In conclusion, robotic surgery is considered a jump over the technical barriers of MIS, and contributes to widespread adoption of MIS. However, the economic feasibility of robotic surgery still remains as another obstacle to be solved. On the other hand, despite its demonstrated feasibility in gynecology and newly introduced devices, there are several matters that need to be solved, such as demonstrating superiority of the LESS surgery compared with conventional laparoscopic approach, and relieving technical difficulties. It is expected that these two innovative approaches; robotic surgery and LESS surgery take the lead in the evolution of MIS in gynecologic oncology. (14)
  15. 15. COUNTRY EVENTS ENDORSED BY AOFOG Country Japan, Tokyo India, Calcutta Philippines, Manila Singapore Indonesia, Jakarta Malaysia, Kuala Lumpur Singapore Thailand, Bangkok Japan, Tokyo Australia, Melbourne Korea, Seoul Taiwan, Taipei Sri Lanka, Colombo Thailand, Bangkok Hong Kong Taiwan, Taipei Singapore Thailand, Bangkok New Zealand, Queenstown Malaysia, Kuala Lumpur Philippines, Manila Singapore Indonesia, Bali Thailand, Bangkok Malaysia, Kuala Lumpur Philippines, Cebu Singapore Chennai, india India, Bangalore Ulaanbataar, Mongolia Seoul, South Korea Congress I Asian Congress of Obstetrics & Gynaecology II Asian Congress of Obstetrics & Gynaecology III Asian Congress of Obstetrics & Gynaecology IV Asian Congress of Obstetrics & Gynaecology V Asian Congress of Obstetrics & Gynaecology VI Asian Congress of Obstetrics & Gynaecology 1st Inter-Congress, Asian Federation of Obstetrics & Gynaecology VII Asian Congress of Obstetrics & Gynaecology 13th General Assembly VIII Asia & Oceania Congress of Obstetrics & Gynaecology IX Asia & Oceania Congress of Obstetrics & Gynaecology Post-Congress Seminar on Uterine Cervical Cancer & Infertility X Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Seminar on Practical Aspects of Fertility Management XI Asia & Oceania Congress of Obstetrics & Gynaecology XII Asia & Oceania Congress of Obstetrics & Gynaecology Post-Congress Workshop XIII Asia & Oceania Congress of Obstetrics & Gynaecology Post-Congress Seminar Pre-Congress Workshop on Cervical Neoplasia: Diagnosis & Management XIV Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Workshop on Ultrasound XV Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Seminar XVI Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Seminar XVII Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Seminar XVIII Asia & Oceania Congress of Obstetrics & Gynaecology Pre-Congress Seminar XIX Asia & Oceania Congress of Obstetrics & Gynaecology Pre/Post-Congress Seminar XX Asia & Oceania Congress of Obstetrics & Gynaecology Pre/Post-Congress Seminar XXI Asia & Oceania Congress of Obstetrics & Gynaecology XXII Asia & Oceania Congress of Obstetrics & Gynaecology Tokyo, Japan Auckland, New Zealand Taipei, Taiwan Year 1957, April 4-6 1962, Jan. 23-26 1965, April 14-16 1968, Nov. 15-20 1971, October 1974, July 1976, April 27-30 1977, Nov. 20-25 1979, October 1981, Oct. 25-30 1983, Sept. 4-9 1983, Sept. 11-12 1985, Sept. 5-10 1987, Dec. 1-4 1987, Dec. 6-11 1989, Dec. 3-8 1989, Dec. 10-12 1991, Feb. 10-15 1991, Feb. 18-22 1993, Nov. 11-12 1993, Nov. 14-19 1995, Oct. 12-13 1995, Oct. 15-20 1998, June 11-12 1998, June 14-19 2000, July 6-8 2000, July 9-14 2002, Sept 2-3 2002, Sept. 5-10 2005, Sept 27-28 2005, October 2007 2007, Sept 21-25 2009 2009 2011 AOFOG TIME TABLE OF EVENTS Event Date Place Website Contact Person Email Annual Clinical Meeting 2-5 Oct., 2012 Chiang Mai Asso. Prof. Kamthorn Pruksananonda The 2nd Global Congress 25-28 Oct., 2012 of Maternal and Infant Health (GMIH) Shanghai, China gmih/2012/Default.aspx Ms Nitza Cohen World Congress-BCGIP , Asia 15-18 Nov., 2012 NCR Delhi, India Dr. Narendra Malhotra drnarendra@ RANZCOG 2013 Annual Scientific Meeting 8-12 Sept, 2013 Sydney, Australia Ms Kylie Grose 5th BCGIP-COGI 31 Oct-3 Nov.,13 Shanghai, China Prof. Zeev Shoham (15)
  16. 16. Welcome to Bangkok The 23rd Asian & Oceanic Congress of Obstetrics & Gynaecology Centara Grand & Bangkok Convention Centre at Central World 20-24 October, 2013 Bangkok, Thailand About Thailand Thailand is unmatched with a plethora of complementary destinations. As such, a wide selection of tours in Thailand and neighboring countries will be offered to convention delegates for selection before and after the Congress. Detailed itineraries and prices will be submitted at a later stage. The tours will be designed with delegates in mind providing them with interesting attractions, learning experiences, and memorable discoveries. AOCOG 2013 The Royal Thai College of Obstetricians & Gynaecologists is proud to host The 23rd Asian and Oceanic Congress of Obstetrics and Gynaecology (23rd AOCOG 2013) in Bangkok, Thailand from the 20th – 24th October 2013. AOCOG 2013 is being organized under the auspices of The Asia and Oceania Federation of Obstetrics and Gynaecology and aims to promote the continued advances in science and art of obstetrics, gynaecology and reproductive biology and the total healthcare of the female population. Themed “Challenges in Women’s Healthcare”, the conference shall focus on the most pressing issues in our field, discuss the latest research and studies and unveil the most recent breakthroughs and innovations. Conference Venue Centara Grand & Bangkok Convention Centre at CentralWorld is located within the central business district. The 5-star Centara Grand provides a fresh perspective on Thai hospitality and service. Access to Centara Grand at CentralWorld is easily available by car, coach and Bangkok Transit System-BTS, Sky Train which links to the MRT Sub Way network. Rajdamri Road and Rama 1 Road provide convenient access to other areas in the city centre and the inbound and outbound expressway. Centara Grand & Bangkok Convention Centre at Central World 999/99 Rama 1 Road, Patumwan, Bangkok 10220, Thailand T: +66 (2) 1001234, F: +66 (2) 1001235, E: Preliminary Topics Regional Women’s Healthcare Situation and Service l Cancer l Maternal Mortality Cervical l Safety Patient l Training Maternal-Fetal Medicine l Prenatal Diagnosis and Screening l Advances in Perinatal Ultrasound l Therapy Fetal Reproductive Medicine l Infertility l Contraception l Menopause Gynaecological Oncology l Screening Cancer l Challenges in Cancer Treatment General Gynaecology l Fibroids l Endometriosis l PCOS General Obstetrics l Risk Pregnancies l Labor and Delivery, High Preterm l Pregnancy Induced Hypertension l Postpartum Hemorrhage l Cesarean Section Endoscopic Surgery l Advances in Hysteroscopic Surgery l Technologies in Laparoscopic Surgery New l Robotic Surgery Urogynaecology l Prolapse Genital l Incontinence, Urinary l Overactive Bladder Reproductive Health l Adolescent Problems l AIDSHIV Infection l Abortion Unsafe l Domestic Violence Contact Us Please do not hesitate to contact the Organizers if you require any additional information or assistance. Please address all correspondence to: AOCOG 2013 Secretariat Office c/o Kenes Asia (Thailand) Limited PICO Building, 10 Soi Lasalle 56, Sukhumwit, Bangna, Bangkok, 10260 THAILAND Tel: +66 2 748 7881, Fax: +66 2 748 7880, E-mail: This is for private circulation for AOFOG members only. Edited by Dr. Narendra Malhotra, Chairman Publication Committee of AOFOG. Designed & Printed at Agra by Prabandhan for AOFOG