DIAGNOSTIC AND THERAPEUTIC HYSTEROSCOPY COURSE

Description

Simbionix and VirtaMed have joined forces to provide OB/GYN surgeons with the most comprehensive training system available for diagnostic and therapeutic hysteroscopy. A study by Bajka et al [1] has shown that the HystSim™ simulator provides highly realistic and useful training for hysteroscopic surgery, with high acceptance ratings for both experienced and novice surgeons.

The VirtaMed HystSim™ is a virtual reality simulator for newly qualified surgeons. It offers training in diagnostic and therapeutic hysteroscopy. This program has been integrated into a specially developed curriculum at Zurich University Hospital. Following the latest principles in education and hands-on training, surgeons obtain all-embracing practical skills (“best practice“) to operate successfully in gynecology.

The main focus of the course is the training of important and frequent interventions. In a true-to-life environment using original instruments, surgeons can gather realistic hands-on-experience by working on various pathologies and encountering complications such as strong bleedings or perforation. The necessary basic skills are acquired without any risk for the patient, and even experienced gynecologists can perfect their competence on a variety of virtual patients with different pathologies which they might not have encountered yet during their career. The theoretical background is built into the HystSim™ to teach the correct practical approach. Objective performance feedback supports and completes the learning process in showing individually and targeted areas of improvement.

Two recent studies have shown that training on the HystSim™ in a realistic environment provides the ideal preparation for interventions on live patients, and that a substantial part of the personal learning curve can be completed on the simulator (Bajka et al. 2008, 2009). The graduates of this course cover an important part of their personal learning curve before taking this knowledge to the operating room. During this program the participants are the ones who determine their learning path and speed. Two trainees team up to work on the simulator, while experienced instructors accompany and guide them during the entire course.

PD Dr. Michael Bajka, MD (in the center), at the Diagnostic and Therapeutic Hysteroscopy Course, University Hospital Zurich, Switzerland

Objectives
  • To perform a safe and effective diagnostic hysteroscopy.
  • To perform ideal navigation with the angled optics (mainly 30°).
  • To control fluid for a clear view.
  • To handle the resectoscope ergonomically.
  • To practice safe and efficient resection of polyps and myomas with the loop.
  • To securely coagulate bleeders.
  • To practice elaborate operative strategies.
  • To handle problems and complications.
  • To perform rollerball endometrial ablation.
 Specialties
  • Gynecology.
Target Audience

The basic course is of greatest benefit for gynecologists in their first to third year of studies or for experienced gynecologists who want to gain first experience in the field of endoscopic surgery.

Assumptions

No previous procedural or technical knowledge is required.

Suggested Time Length

Course participants are required to complete the course within a time frame of 3-4 months.

Authors

This training program was designed by PD Dr. Michael Bajka, MD, University Hospital Zurich, Switzerland.