Université Paris Descartes, Sorbone Paris Cité, Faculté de Médecine, Assistance Publique – Hôpitaux de Paris (AP- HP), Groupe Hospitalier Universitaire (GHU) Ouest, Centre Hospitalier Universitaire (CHU) Cochin, Department of Gynecology Obstetrics II and Reproductive Medicine (Professor Chapron), Paris, France.
Over the past decade minimally invasive techniques in gynecologic surgery have widely spread across the world. In the future surgery will likely continue the trend towards such minimally invasive techniques to perform the least invasive technique to provide maximal surgical outcome with minimal disruption of the patient’s life. Scientific advances that radically change clinical practice are coming at an accelerated speed. In the next years minimally invasive techniques will be improved by better preoperative imaging work up and intraoperative use of modern specifics devices to increase visibility and accessibility. In addition to surgical techniques improvement, invasive radiologic intervention and less invasive techniques such as hysteroscopic procedures and ablative techniques will lead to less invasive procedures, decreased costs and quicker patient recovery.
Furthermore new advances coming from assisted reproductive technologies, genetics, robotics, artificial intelligence, and molecular biology become helpful tools for both diagnosis and treatment. Such approaches would in the future help the practitioners to better select the surgical procedures. In addition to these advances, recent discoveries in basic science stem-cell therapies, suggest that, in the near future, advanced genetic therapies offer chance that genetic abnormalities or translational errors can be corrected and can cure diseases maybe reducing the need of invasive surgery.
Future trend in gynecological surgery will require compelling changes in training programs in order to assure furthers improvements in health care, quality control and patient safety.