The idea of bringing forth this journal is to fulfil the need of meaningful research articles in the field of minimally invasive surgery.

As the surgical trends now weighs heavily toward smaller incision, it is imperative to bring out this journal updating the readers about the latest trends.

Minimal access surgery with its obvious benefits of low morbidity, faster recovery, and early return to routine normal activity is now well established. Gone are the days when it was a struggle to find a reputed place. We can still recall instances when in early 90s, how patients used to make sure that a complete surgery to be conducted only by the open route. The initial era was strucked by lack of comprehensive good equipment coupled with lack of awareness amongst patients. Increased complication rate in the early era was another hindrance to its fast propagation. As the learning curve settled and patients found the early recovery more attractive, hence, minimal invasive surgery grew by leaps and bounds. Its progress in gynecology was more as the concept of early resumption of routine normal activities appealed more to females as they had to manage home as well as workplace. Worldwide, in different continents at same time stalwarts developed techniques which were unique and highly acceptable. The Total Laparoscopic Hysterectomy in 1989, by Harry Reich, USA, heralded the dawn of a “New Era”. The most commonly done gynecology surgery could now be done by 5 mm keyhole incision. As the technique grew in safety and standardization, the ridicule attached to it died off. We, the ones, who started in early nineties, are happy to pass the baton to younger colleagues to carry forth this unique modality of gynae surgery. At the same time, vaginal surgery, which is virtually a “natural orifice”, “no stitch” surgery also, was revisited, the aim being to obviate the use of Big Incision/Open Abdominal surgery. Endeavor is to finish the surgery either purely laparoscopically or assisted with minilap or vaginal route.

As we have practiced and nurtured this modality for over 25 years, we have found continuous advancements in our journey. “Single Port Surgery” and “Robotic Surgery” have emerged very strongly in well equipped center, is becoming the main route of Laparoscopic Surgery. Robotics with its unique capability of reducing hand tremor, surgeon fatigue and enhanced precision is fast taking place of straight stick laparoscopy. It has the capability of transferring an average surgeon to a Laparoscopic wizard. With the paucity of gifted surgeons, major hospitals are resorting to Robotic Armamentarium.

Parallely, progressing single port surgery found great favor with cosmoses conscious patients. Over and above the cosmoses angle single port gave unique advantages in gallbladder removal and bariatric surgery and simpler less complex gynae procedures. It also has found several indications. So, in the coming issues, we shall focus on articles concerning this modality of single port surgery.

In this issue, we are bringing out several interesting case reports and original articles by well renowned authors. Myoma bed closure is always an enigma so we bring forth an original article on it. Laparoscopic management of ovarian masses and laparoscopy and hysteroscopy for infertile couples has been discussed in two separate original papers. Ectopic pregnancy in an isthomocele and ovarian ectopic pregnancy after tubal ligation have separate case reports. Several interesting case reports and original and review articles will follow in the next issue of our new Journal.

These are exciting times, when your work and ideas can be shared and discussed with medical society around the world. As a health professional, you all belong to a large and diverse community of clinicians and teachers. There is a plethora of medical literature which you are engaged with - researching, writing, teaching, delivering, debating, and conversing. It is good to record your conversations with medical literature so that your work becomes your scholarship. So let's engage in the medical conversation. Publication in a peer-reviewed indexed medical journey is still considered to be the ultimate scholarly achievement. It will be our endeavor to have this journal indexed with worthwhile indexing agencies very soon. The journal invites authors to submit scholarly and practical articles related to medical research and allied sciences.

Now is the right time...drop the inertia and start writing. This journal is your palette...fill it with all your colors. Beginnings are always difficult...but, well begun is half done!!!

So, looking forward to it.

Regards

Nutan Jain

Indian Editor

International Journal of Gynecological Endoscopy