Bassil Alfred, Rubod Chrystèle, Borghesi Yves, Kerbage Yohan, Schreiber Elie Servan, Azaïs Henri, Garabedian Charles
CHRU Lille, Department of Gynaecology and Obstetrics, F-59000 Lille, France.
CHRU Lille, Department of Gynaecology and Obstetrics, F-59000 Lille, France; University of Lille North of France, F-59000 Lille, France.
Eur J Obstet Gynecol Reprod Biol. 2017 Apr;211:42-47. doi: 10.1016/j.ejogrb.2017.01.058. Epub 2017 Feb 1.
Hysteroscopy is one of the most common gynaecological procedure. Training for diagnostic and operative hysteroscopy can be achieved through numerous previously described models like animal models or virtual reality simulation. We present our novel combined model associating virtual reality and bovine uteruses and bladders.
End year residents in obstetrics and gynaecology attended a full day workshop. The workshop was divided in theoretical courses from senior surgeons and hands-on training in operative hysteroscopy and virtual reality Essure procedures using the EssureSim™ and Pelvicsim™ simulators with multiple scenarios. Theoretical and operative knowledge was evaluated before and after the workshop and General Points Averages (GPAs) were calculated and compared using a Student's T test.
GPAs were significantly higher after the workshop was completed. The biggest difference was observed in operative knowledge (0,28 GPA before workshop versus 0,55 after workshop, p<0,05). All of the 25 residents having completed the workshop applauded the realism an efficiency of this type of training. The force feedback allowed by the cattle uteruses gives the residents the possibility to manage thickness of resection as in real time surgery. Furthermore, the two-horned bovine uteruses allowed to reproduce septa resection in conditions close to human surgery CONCLUSION: Teaching operative and diagnostic hysteroscopy is essential. Managing this training through a full day workshop using a combined animal model and virtual reality simulation is an efficient model not described before.
宫腔镜检查是最常见的妇科手术之一。诊断性和手术性宫腔镜检查的培训可以通过许多先前描述的模型来实现，如动物模型或虚拟现实模拟。我们展示了我们将虚拟现实与牛子宫和膀胱相结合的新型模型。
妇产科的年终住院医师参加了为期一天的研讨会。该研讨会分为资深外科医生的理论课程以及使用EssureSim™和Pelvicsim™模拟器在多种场景下进行手术宫腔镜检查和虚拟现实Essure手术的实践培训。在研讨会前后评估理论和实践知识，并使用学生t检验计算和比较平均绩点（GPA）。
研讨会结束后GPA显著更高。在实践知识方面观察到最大差异（研讨会前GPA为0.28，研讨会后为0.55，p<0.05）。所有完成研讨会的25名住院医师都对这种培训的真实性和效率表示赞赏。牛子宫提供的力反馈使住院医师能够像在实际手术中一样实时控制切除厚度。此外，双角牛子宫允许在接近人类手术的条件下进行纵隔切除。结论：手术和诊断性宫腔镜检查教学至关重要。通过使用动物模型和虚拟现实模拟相结合的全天研讨会来管理这种培训是一种前所未有的有效模式。
