title: Evaluation of the HystSim™-virtual reality trainer: an essential additional tool to train hysteroscopic skills outside the operation theater.
abstract: Minimally invasive surgery is a major pillar of gynecological surgery. However, there are very few training opportunities outside the operation theater (OR) due to the cost and equipment requirements of organ simulators, virtual reality trainers (VRT) are promising tools to fill this gap.
  
  
  
  Experienced and inexperienced participants of a minimally invasive surgery course followed the standardized HystSim™-VRT training program.
  
  
  
  Performance of 39 Participants (15 inexperienced and 24 experienced) was evaluated in the standardized hysteroscopic program HystSim™. Tasks included three rounds of both a polyp and a myoma resection. Primary measurements were improvement in resection time, cumulative resection path length, and distention media use.
  
  
  
  The HystSim™-VRT is an effective tool to improve the psychomotor skills needed in hysteroscopic surgery for experienced and inexperienced surgeons prior to OR exposure. Additional organ models training is advisable for hysteroscopic haptic skills.
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany. felix.neis@med.uni-tuebingen.de.
authors.forename: Felix
authors.initials: F
authors.lastname: Neis
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
authors.forename: Sara
authors.initials: S
authors.lastname: Brucker
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
authors.forename: Melanie
authors.initials: M
authors.lastname: Henes
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
authors.forename: F Andrei
authors.initials: FA
authors.lastname: Taran
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
authors.forename: Sascha
authors.initials: S
authors.lastname: Hoffmann
authors.affiliation: Department of Obstetrics and Gynecology, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Wallwiener
authors.affiliation: Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
authors.forename: Birgitt
authors.initials: B
authors.lastname: Schönfisch
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University, Oldenburg, Germany.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ziegler
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University, Oldenburg, Germany.
authors.forename: Angelika
authors.initials: A
authors.lastname: Larbig
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University, Oldenburg, Germany.
authors.forename: Rudy Leon
authors.initials: RL
authors.lastname: De Wilde
mesh_terms: D002983:Clinical Competence; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000193:education*; D010535:Laparoscopy / Q000193:education*; D008297:Male; D000066908:Simulation Training; D014584:User-Computer Interface
keywords: Hysteroscopy; Simulation; Training; Virtual reality trainer