
Gender inequity in receiving minimal access surgery
As highlighted in FIGO’s recent statement on disparities in patients' access to benign gynaecological surgery, women around the globe tend to receive lower-quality health care than men. When it comes to accessing surgical procedures, the gap is even greater.
The newly published recommendations, prepared by FIGO’s Committee on Urogynaecology and Pelvic Floor Disorders, provides evidence-based data and guidelines for obstetricians-gynaecologists treating women with stress urinary incontinence or planning on performing midurethral slings.
Doctors from Bangladesh, India, Nepal, Pakistan and Sri Lanka joined the virtual training under the leadership of Dr Rohana Hathatouwa, SAFOG President.
FIGO has published a new statement on disparities in patients’ access to benign gynaecological surgery as a Special Communication in the International Journal of Gynecology and Obstetrics (IJGO).
In 2014, the Obstetrical and Gynaecological Society of Malaysia (OGSM) launched an Intensive Course in Obstetric Emergencies (ICOE) – OGSM conducted and supervised a simulation-based course 52 times in 11 countries from 2014 to 2019. During that period, the OGSM trained 1,297 doctors and 136 trainers in the Asia-Oceania region.
When women have access to less invasive gynecological surgery techniques, they not only obtain the advantages of the minimal access techniques, but they also have positive knock-on effects to their clinical, family and work environment. Patients recover faster and better than when they undergo open surgery (laparotomy), are more able to perform their normal working duties, and also resume their family roles more quickly and efficiently.
There have been numerous studies demonstrating the benefits of minimally invasive gynecologic surgical techniques, with some of those being:
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FIGO calls for global policies to reduce inequality in patients’ access to safe, indicated and high-quality gynaecological surgery: the right patient, the right surgery, by the right surgeon and at the right time.
Elective surgery is designed to improve the quality of life and optimise clinical outcomes in patients who have a surgical management indication for non-urgent conditions. The public health crisis associated with the SARS-CoV-2 pandemic forced physicians and health care systems to postpone such scheduled surgeries to ensure both the availability of resources and patient safety for those affected by COVID-19.
There is no doubt that the COVID-19 pandemic will impact every aspect of lives around the globe, and nowhere more acutely than in the medical field. Elective surgery, reflecting a very broad range of surgical practices, consumes assets from health systems and expends important resources that could be needed in the treatment of COVID-19 patients who require highly complex medical support.
The Challenge:
Worldwide, a vast number of benign gynecologic surgical procedures continue to be performed via laparotomy despite the overwhelming benefits that high quality evidence has shown to be associated with minimal access surgery. For example, hysterectomy is one of the most common operations performed in women worldwide.