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Virtual reality simulators in gynecological endoscopy: a surging new wave.

Mettler LL, Dewan P - JSLS (2009 Jul-Sep)

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany. endo-office@email.uni-kiel.de

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Virtual reality (VR) is a computer-based technology for training using simulators in various medical and surgical fields, and even in military, safety-critical industries like aviation, space navigation, and nuclear power... Increasing constraints on time and resources, and decreased patient availability for training the surgeons has resulted in the new innovative emphasis on surgery ex vivo training with the aim to optimize the education practically and creatively... VR trainers have resulted in fewer errors translating into better patient outcomes... Studies to substantiate and negate the possible advantages of one over the other have been conducted... Munz et al compared LapSim with the classic box trainer and found no significant difference between the two... Also, training of novices using MIST VR yielded similar results as with conventional training... Madan et al found no statistically significant difference in the groups trained only with MIST VR or box trainer (LTS2000) when trainees were asked whether a specific trainer helped their skills... Studies have demonstrated the beneficial affects of training novice laparoscopic surgeons using VR simulators, although there is no consensus regarding an optimal VR training curriculum... VR thread simulation training is currently being validated... Surgeons who received VR simulation training showed significantly greater improvement in performance in the operating room versus those who did not... Experienced laparoscopic surgeons performed the tasks significantly faster, with less error, more economy in movement and diathermy use, and with greater consistency in performance versus the inexperienced and novice laparoscopic surgeons after training on MIST VR... Psychomotor skill acquisition for those trained on MIST VR was significantly better than that in those trained in normal laparoscopic conditions... A self-assessment questionnaire by the gynecologists showed that however basic laparoscopy is sufficiently mastered during residency training, advanced laparoscopy is not... Analysis of the perceived proficiency in endoscopic techniques amongst the gynecology residents showed significant benefit from formal curriculum in minimally invasive surgery, but they do not feel competent performing certain advanced procedures upon graduation... The merits and demerits of the use of VR trainers in gynecological endoscopy training is largely assessed through indirect evidence using the above studies primarily drawn from general laparoscopic surgery.

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Hysteroscopic myomectomy skills assessment simulation module by LapSim Gyn.
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Related In: Results  -  Collection

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Figure 9: Hysteroscopic myomectomy skills assessment simulation module by LapSim Gyn.

Mentions: LapSimGyn is armed with the software for procedural tasks of laparoscopic salpingectomy for ectopic pregnancy removal,4,5 tubal occlusion, and laparoscopic suturing in a laparoscopic myomectomy (Figures 8, 9, 10, 11). Tubal sterilization by cauterization procedural module has also been developed.6


Virtual reality simulators in gynecological endoscopy: a surging new wave.

Mettler LL, Dewan P - JSLS (2009 Jul-Sep)

Hysteroscopic myomectomy skills assessment simulation module by LapSim Gyn.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3015958&req=5

Figure 9: Hysteroscopic myomectomy skills assessment simulation module by LapSim Gyn.
Mentions: LapSimGyn is armed with the software for procedural tasks of laparoscopic salpingectomy for ectopic pregnancy removal,4,5 tubal occlusion, and laparoscopic suturing in a laparoscopic myomectomy (Figures 8, 9, 10, 11). Tubal sterilization by cauterization procedural module has also been developed.6

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany. endo-office@email.uni-kiel.de

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Virtual reality (VR) is a computer-based technology for training using simulators in various medical and surgical fields, and even in military, safety-critical industries like aviation, space navigation, and nuclear power... Increasing constraints on time and resources, and decreased patient availability for training the surgeons has resulted in the new innovative emphasis on surgery ex vivo training with the aim to optimize the education practically and creatively... VR trainers have resulted in fewer errors translating into better patient outcomes... Studies to substantiate and negate the possible advantages of one over the other have been conducted... Munz et al compared LapSim with the classic box trainer and found no significant difference between the two... Also, training of novices using MIST VR yielded similar results as with conventional training... Madan et al found no statistically significant difference in the groups trained only with MIST VR or box trainer (LTS2000) when trainees were asked whether a specific trainer helped their skills... Studies have demonstrated the beneficial affects of training novice laparoscopic surgeons using VR simulators, although there is no consensus regarding an optimal VR training curriculum... VR thread simulation training is currently being validated... Surgeons who received VR simulation training showed significantly greater improvement in performance in the operating room versus those who did not... Experienced laparoscopic surgeons performed the tasks significantly faster, with less error, more economy in movement and diathermy use, and with greater consistency in performance versus the inexperienced and novice laparoscopic surgeons after training on MIST VR... Psychomotor skill acquisition for those trained on MIST VR was significantly better than that in those trained in normal laparoscopic conditions... A self-assessment questionnaire by the gynecologists showed that however basic laparoscopy is sufficiently mastered during residency training, advanced laparoscopy is not... Analysis of the perceived proficiency in endoscopic techniques amongst the gynecology residents showed significant benefit from formal curriculum in minimally invasive surgery, but they do not feel competent performing certain advanced procedures upon graduation... The merits and demerits of the use of VR trainers in gynecological endoscopy training is largely assessed through indirect evidence using the above studies primarily drawn from general laparoscopic surgery.

Show MeSH