Presidents Message

President’s Message – BIARGS

Welcome to BIARGS: the British and Irish Association of Robotic Gynae Surgeons: the professional body of robotic gynaecologists, theatre nurses and first assistants.

BIARGS is an influential professional society of innovative specialists across all fields of surgical gynaecology who are keen to further the successful and safe implementation of robotic surgery for the benefit of women and the health of society as a whole. Robotics has the potential to enable not only more precise and accurate therapies, but to allow a many more women to benefit from these advances in minimally invasive therapy. However, added complexity demands thorough training and good governance to achieve competence and excellence in clinical practice.

BIARGS is a recognised specialist society of the RCOG and is closely allied to SERGS, its pan-European partner. Nearly twenty years since the first robotic hysterectomy was performed in the UK, these are still relatively early days in robotic surgery, with different and improved robotic systems coming onto the market. BIARGS members have established the use of robotic surgery as best practice in the management of endometrial cancer, and have demonstrated the enhanced recovery, safety, and efficacy in performing hysterectomy for benign disease, myomectomy and resection of endometriosis. BIARGS members are the leaders in the teaching and rolling out of high efficiency high throughput operating lists, embracing the best of technology and teamwork. Research into the application and possible benefits of robotics is ongoing in some of the most complex subjects including ovarian cancer, pelvic organ prolapse, and theatre staff ergonomics and health, as well as into surgery for high-risk patients with medical co-morbidities including obesity and frailty.

BIARGS members have been instrumental in setting standards in clinical governance and in the training of surgeons and first assistants, and have publicly shared early audit and research data to influence further developments and clinical applications. These standards will continue to be reviewed and updated as the evidence base continues to evolve and improve over time. Thanks to BIARGS the use of robotics has been recognised and included into the RCOG 2024 Advanced Training Curriculum for specialist trainees, both in subspecialty training and also with development of the Special Interest Training Module in RAS. BIARGS continues to work closely with the RCOG on the future of surgical training. BIARGS holds regular
webinars and training courses including dedicated robotic Training The Trainers courses and for theatre staff.

I myself, was an early adopter of robotics and was a founder member of BIARGS, but like most newcomers, I too was sceptical in the beginning. Embrace the future now. Be a part of what is new and exciting in gynaecological surgery and join BIARGS today.

Simon Butler-Manuel
President, BIARGS