Kavrochorianos Spyridon, Triantafyllidou Olga, Chasiakou Stamatia, Panagodimou Evangelia, Christopoulos Panagiotis, Kalampokas Theodoros, Kalampokas Emmanouil, Balafoutas Dimitrios, Karampas Grigorios, Vlahos Nikolaos
Third Department of Obstetrics and Gynecology, Elena Venizelou General and Maternity Hospital, Athens, GRC.
Second Department of Obstetrics and Gynecology, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2025 Jul 17;17(7):e88205. doi: 10.7759/cureus.88205. eCollection 2025 Jul.
Hysteroscopy is the gold standard technique for the evaluation and treatment of intrauterine pathology related to infertility, abnormal bleeding, and recurrent miscarriages. Hysteroscopy training is a fundamental part of training in gynecology. We report an innovative live-patient hysteroscopy training curriculum developed by the Second Department of Obstetrics and Gynecology of ''Aretaieion'' University Hospital of Athens, Greece.
The program includes a two-day course integrating both theory and hands-on sessions. The theoretical component encompasses pelvic anatomy, instrument-related physics, recognition of uterine pathology, indications of hysteroscopy, patient preparation, use of ultrasound, management of complications, and post-surgery care, promoting a deeper comprehension of limitations and applications of hysteroscopy. On the first day of practical training, trainees use hysteroscopic instruments in small groups in a dry lab under the supervision of experienced tutors. On the second day, they move on to live-patient cases for diagnostic and surgical hysteroscopy. Participants are exposed to a wide spectrum of surgical interventions ranging from simple diagnostic hysteroscopy to more advanced procedures such as International Federation of Gynecology and Obstetrics (FIGO) type 2 myomectomy or intrauterine adhesion management.
Post-course evaluation via a questionnaire has served as a valuable aid in the continuous improvement of the training program, in line with the ever-evolving field of hysteroscopic surgery. The overall satisfaction of the participants according to the self-reported 5-point verbal numeric rating scale (VNRS-5) was very high (mean score 4.8).
Our program addresses the lack of sufficient hysteroscopy training and offers an alternative to simulation-based training. Its curriculum is pioneering, combining theoretical as well as hands-on training with one-to-one tutoring in live patients, facilitating gynecologists to incorporate hysteroscopic procedures with more confidence into their surgical practice.
宫腔镜检查是评估和治疗与不孕症、异常出血及反复流产相关的子宫内病变的金标准技术。宫腔镜检查培训是妇科培训的重要组成部分。我们报告了由希腊雅典“阿雷泰厄翁”大学医院妇产科第二科室开发的一项创新的活体患者宫腔镜检查培训课程。
该项目包括一个为期两天的课程，融合了理论和实践操作环节。理论部分涵盖盆腔解剖、器械相关物理学、子宫病变的识别、宫腔镜检查的适应症、患者准备、超声的使用、并发症的处理及术后护理，促进对宫腔镜检查的局限性和应用有更深入的理解。在实践培训的第一天，学员们在经验丰富的导师监督下，于模拟实验室分组使用宫腔镜器械。第二天，他们转向活体患者病例进行诊断性和手术性宫腔镜检查。参与者接触到广泛的手术干预，从简单的诊断性宫腔镜检查到更先进的手术，如国际妇产科联合会（FIGO）2型子宫肌瘤切除术或子宫内粘连处理。
通过问卷调查进行的课程后评估有助于培训项目的持续改进，这与不断发展的宫腔镜手术领域相一致。根据自我报告的5分言语数字评定量表（VNRS - 5），参与者的总体满意度非常高（平均得分4.8）。
我们的项目解决了宫腔镜检查培训不足的问题，并提供了一种基于模拟培训的替代方案。其课程具有开创性，将理论及实践培训与对活体患者的一对一辅导相结合，有助于妇科医生更自信地将宫腔镜手术纳入其手术实践中。
