The history of surgical procedures reaches back to the Stone Age and pre-history eras. With humans discovering the benefits of handling primitive tools, they have long employed their budding talents to invent various surgical techniques, every time more sophisticated than the ones before. The Edwin Smith Papyrus, discovered by the American Egyptologist; Edwin Smith in 1862, and dating to the Egyptian Dynasties 16–17 of the Second Intermediate Period (3000–2500 BCE) may have been a manual of military surgery, as it describes 48 cases of injuries, wounds management and suturing.


Classically, the pioneers of surgery have been intimidated by three chief obstacles that plagued the medical field from its formative years, namely; pain, bleeding and infection. Nevertheless, ground-breaking leaps in these fields have transformed surgery from a risky `act` into a vast realm of medicine capable of treating many ailments and life-threatening conditions.


Throughout surgery's history, large incisions were inevitable for a successful procedure, as the exposure was a prerequisite for safe and successful operation. Yet the global challenge facing surgeons was how to alleviate their patients' sufferings while minimising the injury inflicted by the surgical procedure itself and hence evolved the rising dawn of minimal-access surgeries. Stated with conviction, surgical access to body cavities by alternative means other than having to cause a large cut has been an evolution barely waiting for its time, and nowadays it is quite the norm to perform many surgical operations by making much smaller incisions - The definitive concept of minimal-access surgery.


In today's Gynaecology, the benefits of minimal-access surgery are well-recorded and include decreased blood loss, perioperative complications, postoperative pain, in addition to shorter hospital stays and earlier recovery. Enormous advances in technology and the swift introduction of novel techniques have increased the ability to perform even the most complex gynaecological procedures less invasively. However, with the advanced technology and resources, a high degree of surgical expertise, technical skill and training pose as the most decisive factors for the success of this innovative and transformative field.


Minimal-Access Surgery by Dr Rajesh Devassy at the Dubai London Clinic and Speciality Hospital


Founded in 1987, the Dubai London Clinic and Speciality Hospital is recognised as one of the leading private healthcare providers in Dubai, with a long heritage of excellence in the provision of top-notch quality, accessible and patient-centred services within the UAE healthcare field.


True to its mission, the organisation has been keeping track with the global technological advancements and innovations that have propelled minimal-access surgery to progress and become more desirable, especially in the field of gynaecological surgery. The Dubai London Clinic and Speciality Hospital's interest in improving knowledge and updating on minimal-access surgical techniques and novel equipment culminates in establishing partnership with Dr. Rajesh Devassy's Centre of Excellence in Minimal-Access Surgery (European advanced minimal-access and oncology surgery and training centre in the Middle East) and the organisation of the bi-annual International Consensus Meeting on Advanced Gynaecological Minimal-Access Surgery (ICAGE); a live minimal-access and laparoscopic surgery workshop and symposium.


Proudly founded in 2010 by Dr Rajesh Devassy, this bi-annual event brings together the most outstanding speakers, renowned surgeons, and professionals in women's healthcare from across the world for the exchange and dissemination of ideas, cutting-edge innovation, and achievements related to laparoscopic and minimal-access surgical techniques.


ICAGE is designed to promote knowledge and understanding of the minimal-access approach to diagnosis and treatment, educate attendees in the art and science of minimally-invasive procedures, as well as present step-by-step advanced techniques for performing a wide range of minimal-access surgeries for gynaecological disorders. “ICAGE o?ers an exceptional agenda which covers the latest in laparoscopic and minimal-access gynaecological surgery, and helps to improve the skills of surgeons and give them the self-assurance and impetus to embrace, practise and master the art of minimal-access gynaecological surgery,” states Dr. Rajesh Devassy, advanced gynecological minimal-access surgeon and Director of Dr. Rajesh Devassy's Minimal-Access Centre of Excellence.


The ICAGE – 17 took place on the 8th of October at the Bvlgari Yacht Club in Dubai. This important event hosted a live telecast Laparoscopic Hysterectomy by Dr. Rajesh Devassy to the 28th European Society for Gynaecological Endoscopy annual congress in Thessaloniki, Greece. Tissue morcellation during minimal-access laparoscopic hysterectomy bears the risk of intra-abdominal dissemination of occult malignant cells from unsuspected cancer, or even benign parasitic tissue dispersal. During the surgery, Dr. Rajesh demonstrated how the inadvertent risk of tissue dissemination can be minimised by the use of special bags for laparoscopic in-bag morcellation.


In addition to its interactive didactic lectures and scientific presentations, the event also ran parallel sessions of hands-on training of the European Society for Gynaecological Endoscopy’s GESEA program which represents the only validated training method currently available for gynaecological minimal-access surgery in the world.


The Future of Gynaecological Surgery


Proving a reliable alternative for carrying out a spectrum of surgeries that have routinely necessitated an open approach, minimal-access surgery continues to transform the field of gynaecological surgery. It has now become the standard of care for the treatment of many gynaecological conditions, both benign and malignant. Minimal-access surgery represents a mounting objective of gynaecological surgeons throughout the world nowadays, and therefore, tutoring and training have become subjects of growing importance.


As advocates for the advancement of minimal-access gynaecological surgery, Dr. Rajesh Devassy and the Dubai London Clinic and Speciality Hospital are adamant on boosting the quality and safety of medical care for women through excellence in gynaecological practice, tutoring, and innovation. They rigorously strive to advance care standards and deliver evidence-based, compassionate gynaecological care of unwavering excellence.


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TThe 18th International Consensus Meeting, ICAGE 18