PSGE Background History

The benefits of gynecologic endoscopic surgery in terms of short hospital stay, faster recovery, rapid return to normal activities and better cosmetic results have been well established in developed countries. For this reason, residency training centers in Obstetrics and Gynecology in these countries include basic hysteroscopy and laparoscopy. Some medical centers in the United States and Europe even include into the residency training curricula in Obstetrics and Gynecology operative endoscopy up to Level II. Unfortunately, in the Philippines the benefits of gynecologic endoscopic surgeries have not been well recognized and accepted by most gynecologists. Hence, most patients in the country remain unaware of these technologies and their benefits. Subsequently, the gynecologists do not feel the need to learn gynecologic endoscopy to benefit their patients in the nor demand the hospital administrators o equip the centers with the required machines.

Laparoscopy was first introduced in the Philippines in 1972 through the United States Agency for International Development (USAID) and the Johns Hopkins University Program for International Education in Reproductive Health (JHPIEGO). The goal was to provide an ambulatory laparoscopic tubal sterilization service. Since that time, laparoscopy was limited to diagnostic procedures and tubal sterilization. The introduction of the video camera system, modern insufflations techniques and instrumentation in the early 1990s has revolutionized the practice of laparoscopic surgery. The first operative laparoscopic procedure in the Philippines utilizing these modern techniques was laparoscopic salpingectomy for ectopic pregnancy performed in Makati Medical Center in 1991. This was followed a few months later by the performance of total laparoscopic hysteroscopy at the United Doctors Medical Center. The Philipppine Society of Laparoscopic Surgeons, composed of general surgeons and gynecologists, was established in mid 1991. Under this Society, several workshops on laparoscopy were held all over the country. Hysteroscopy was first introduced in the Philippines in 1994 and the first formal training center in hysteroscopy was established at the Manila Central University. Gynecologic endoscopy, hysteroscopy and laparoscopy, was first incorporated in the curriculum of the Fellowship Training in Reproductive Endocrinology and Infertility at the University of the Philippines-Philippine General Hospital in 1994. Since that time very few medical centers in the Philippines, accredited for service and residency training by the Philippine Board of Obstetrics and Gynecology (PBOG), have access to hysteroscopy and laparoscopy. Based on the data collected from the Philippine Obstetrical and Gynecological Society (POGS) in 2005, only 25% of these PBOG- accredited hospitals have access to hysteroscopy and laparoscopy.

The recognition of gynecologic endoscopy as an academic science was done in 2002 with the establishment of the Committee on Gynecologic Endoscopy through then POGS President Dr. Corazon T. Lim, with Dr. Regta L. Pichay as chair. Under this committee, several workshops under the POGS were held in Metro Manila and nearby provinces in Luzon. Recognizing the need to actively promote the practice of gynecologic endoscopy among gynecologists all over the country this committee was later formed into a society, the Philippine Society for Gynecologic Endoscopy (PSGE). The PSGE is composed of eleven incorporators and is registered with the Securities and Exchange Commission. The PSGE had its first general assembly and meeting on July 10, 2004, with Dr. Delfin A. Tan as founding President. The founding Officers, Board Members and founding members took their oath under then POGS President, Dr. Rosendo R. Roque. Since that time, the PSGE has conducted a total of five seminar workshops in gynecologic endoscopy.

Currently, the PSGE has already affiliated with international societies in gynecologic endoscopy, namely, the Asia Pacific Association of Gynecologic Endoscopists (APAGE) and the American Association of Gynecologic Laparoscopic (AAGL).