Morocco is a developing country with a population of over 34 million today . The country has been seriously challenged by the scarcity of healthcare human resources over the past few decades, and there are currently less than 2000 Obstetrician-Gynecologists in total, leading to an unacceptable level of pregnancy and childbirth related deaths and morbidities. Our predecessors focused on adressing this issue but neglected the development of the fields of Gynecologic surgery and Fertility management.
As a young professor in the early nineties; I found this situation unacceptable. So I decided to resign and along with a small group of passionate colleagues we created the Moroccan Society of Gynecological Endoscopy (SMEGYN) and organized our first workshop with the support of our French colleagues, mainly Pr. Leon Boubli from Marseille and Pr. Jean-luc Mergui from Paris. The next step was to further develop Laparoscopic surgery, in collaboration with Pr Jean Bernard Dubuisson and the renowned team of Clermont-Ferrand.
Up until now, we organized 20 congresses, 11 courses of Hysteroscopic Surgery currently delivered by an exclusively Moroccan team, with over 400 participants in total, and 9 courses of Laparoscopic Surgery . Currently hysteroscopy is spreading throughout all the country. Regarding the technical aspects, diagnostic hysteroscopy is provided in an office setting by vaginal approach without anesthesia and the large majority of surgical procedures are scheduled in the OR, using a resectoscope. Short procedures are performed under general anesthesia and laryngeal mask or rachianesthesia for very long procedures such as large myomas or severe synechiae.