scientific program • symposia - American Society for Reproductive ...

SCIENTIFIC PROGRAM • SYMPOSIA
Monday, October 17, 2011 11:15 am – 1:00 pm
Society of Reproductive Surgeons Live Telesurgery
SINGLE-PORT LAPAROSCOPY
Surgeon: Pedro Escobar, M.D.
Cleveland Clinic
Needs Assessment and Description
Single-port laparoscopy is the latest advance in the
evolution of minimally invasive gynecologic surgery.
However, most gynecologic surgeons are not familiar with
the indications, instrumentation and techniques. This session
will give them the opportunity to observe a live procedure
and decide if this new modality may have a place in their
surgical practice.
Learning Objectives
At the conclusion of this session, participants should be able
to:
1. Describe instrumentation for single-port surgery.
2. Review the evidence-based literature regarding singleport
surgery in gynecology.
3. Summarize the techniques for single-port surgery for
adnexal and/or uterine surgery.
Chapin Theatre
Moderators: Jeffrey M. Goldberg, M.D.
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ACGME COMPETENCY
Patient Care
Monday, October 17, 2011 11:15 am – 1:00 pm
Menopause Day Symposium
CULTURAL VARIATIONS IN THE MENOPAUSAL SYMPTOM
COMPLEX
Presented by the International Menopause Society and the Menopause
Special Interest Group
Nanette F. Santoro, M.D. (Chair)
University of Colorado Denver School of Medicine
Tobie de Villiers, M.B., Ch.B., M.Med.
University of Stellenbosch, South Africa
David Sturdee, M.B.B.S., M.D.
Solihull Hospital, United Kingdom
Ko-en Huang, M.D.
Chang Gung Memorial Hospital, Taiwan
Needs Assessment and Description
Although menopause is a universal experience for every
woman who lives long enough to experience ovarian
senescence, the cultural and ethnic underpinnings of
menopausal symptoms have not been systematically
studied. Therefore, clinicians may be at a loss to correctly
interpret or attribute symptoms to menopause based upon
a patient’s self-reported symptoms.
Ethnic background influences the reporting of menopausal
symptoms. Even within a given ethnic group, country
of origin has been shown to be related to self-reported
symptom prevalence. In a large, population-based cohort
of 16,000 women, ethnic background has been found to be
significantly related to symptom reporting, arguing against
a universally applicable menopausal symptom complex.
Cultural and social factors are related to the symptom
experience, as well. Women of low socioeconomic status
who have multiple life stressors are more likely to report more
severe symptoms.
There is a clearly defined lack of large, confirmed,
population-based data that specifically addresses the
cultural aspect of menopausal symptoms. Without this
critical information, clinicians are at a loss to provide
Room 230 A/B
TEST QUESTION:
After participating in this session, I will do the following in my
practice:
A. Perform single-port laparoscopy routinely as the literature
has shown it to be superior to conventional laparoscopy.
B. Do not perform single-port laparoscopy due to the
higher complication rates compared with conventional
laparoscopy.
C. Use angled or articulating laparoscopes to reduce
instrument crowding during single-port surgery.
D. Recommend single-port laparoscopy as a more costeffective
means of performing laparoscopy.
E. Preferentially train residents in single-port laparoscopy
since it has a shorter learning curve than conventional
laparoscopy.
F. Not applicable to my area of practice.
evidence-based counseling for their menopausal patients.
For example, although African-American women report
more frequent and more severe hot flashes than do
Caucasian women, estrogen may be less effective as a
treatment, or require larger doses. However, larger doses
of estrogen may magnify the increased breast cancer risk
and mortality rates that are sustained by African-American
women. Thus, taking race into account can inform hot flash
treatment in a way that minimizes risk and maximizes relief.
This symposium will assist clinicians in sorting out the existing
data to enable them to factor in the cultural and contextual
issues surrounding menopausal symptom therapy.
Learning Objectives
At the conclusion of this session, participants should be able
to:
1. Describe variations in vasomotor symptoms among
women of differing race/ethnicity.
2. Adjust symptom prevalence by modifying factors (e.g.,
BMI, acculturation).
3. Prioritize symptoms within their cultural context.
ACGME COMPETENCY
Medical Knowledge
Patient Care
TEST QUESTION:
Which of the following ethnic groups reports the most
frequent and severe vasomotor symptoms?
A. Japanese
B. Chinese
C. African-American
D. Caucasian
E. Asian Indian