Apport d’un simulateur d’hystéroscopie virtuelle dans l’apprentissage de la résection hystéroscopique de fibrome

Conclusion L’utilisation d’un simulateur de réalité virtuelle pourrait avoir un intérêt dans l’apprentissage de la résection hystéroscopique chez de jeunes opérateurs. Objectives Uterine myomas are a frequent pathology affecting 20% of women of reproductive age. Myomas induce abnormal uterine bleeding, pelvic pain and increase the risk of infertility and obstetrical complications. Symptomatic sub-mucosal myomas are classically treated by hysteroscopic resection. Simulation is a method of education and training. It could improve quality and security of cares. The aim of this study is to assess the interest of a hysteroscopic simulator for the resection of myoma by novice surgeons. Methods Twenty medical students were recruited, in a prospective study, in august 2014. The virtual-reality simulator VirtaMed HystSim™ (VirtaMed AG, Zurich, Switzerland) was used to perform the hysteroscopic training. All students received a short demonstration of myoma resection. The practice consists of a submucous myoma type 0 resection. The procedure and the evaluation were performed before and after a specific training in hysteroscopic resection of sixty minutes long. The main outcome criteria were time for the resection before and after training. The second criteria were fluid quantity used, number of contact between optic and uterine cavity and uterine perforation. Results Twenty students aged from 22 to 24years were included. The time for the procedure was significantly...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research