[Providing of a virtual simulator perineal anatomy (Pelvic Mentor®) in learning pelvic perineology: results of a preliminary study].
BACKGROUND
Medical and surgical simulation is in high demand. It is widely used in North America as a method of education and training of medical students and surgical residents. Learning anatomy and vaginal surgery are based on palpation recognition of different structures. The absence of visual control of actions learners is a limiting factor for the reproducibility of surgical techniques prolapse and urinary incontinenence. However, this reproducibility is the only guarantee of success and safety of these minimally invasive surgeries.


METHODS
We evaluated the contribution of an educational module perineal anatomy using a system combining anatomic mannequin and a computerized 3D virtual simulator (Pelvic Mentor®, Simbionix) in the knowledge of pelvic-perineal anatomical structures for eight residents of obstetrics and gynecology hospitals in Paris.


RESULTS
The self-study training module has led to substantial improvements in internal rating with a proportion of structures recognized from 31.25 to 87.5 % (P<0.001) for the front compartment and 20 to 85 % (P<0.001) for the posterior compartment.


CONCLUSIONS
The preliminary results suggest that the 3D virtual simulator enhances and facilitates learning the anatomy of the pelvic floor.
Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, 78, avenue du Général-Leclerc, 94276 Le Kremlin-Bicêtre cedex, France; Service de gynécologie-obstétrique, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France. Electronic address: g_legendre@hotmail.com.
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Legendre
Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, 78, avenue du Général-Leclerc, 94276 Le Kremlin-Bicêtre cedex, France.
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Sahmoune Rachedi
Service de gynécologie-obstétrique, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France.
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Descamps
Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, 78, avenue du Général-Leclerc, 94276 Le Kremlin-Bicêtre cedex, France.
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Fernandez
D003198:Computer Simulation; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007396:Internship and Residency / Q000379:methods*; D007588:Job Satisfaction; D007858:Learning; D008348:Manikins; D009774:Obstetrics / Q000193:education*; D010388:Pelvis / Q000033:anatomy & histology*; D010502:Perineum / Q000033:anatomy & histology*; D010865:Pilot Projects; D013337:Students, Medical / Q000523:psychology; D014584:User-Computer Interface
Anatomie périnéale; Enseignement; Perineal anatomy; Simulateur virtuel; Simulation; Training; Virtual simulator