Hysteroscopic resection on virtual reality simulator: What do we measure?

Panel, P.; Neveu, M.-E.; Villain, Cédric; Debras, Florian; Fernandez, H.; Debras, Elodie

doi:10.1016/j.jogoh.2018.02.005

Cited by 8 publications

(16 citation statements)

References 30 publications

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“…Timebased metrics (total execution time and cervical canal passage time) showed the biggest change, gradually decreasing both in mean and standard deviation. These findings correlate with previous studies in other domains of hysterscopic training, in which total procedure time demonstrated significant difference between novices and expert clinicians [8]. The results also indicated another important metric to effectively assess a subject's performance: cumulative force.…”

Section: Discussionsupporting

confidence: 88%

“…Contrarily to previous studies in VR hysteroscopic simulation with the same number of trials and non-expert participants [6], [8], a plateau effect was not observed for the most number of statistically significant metrics. Mean and standard deviation of statistically significant metrics decreased with each trial without a significant change of slope.…”

Section: Discussionmentioning

confidence: 62%

“…Time-based metrics are one of the most common metrics. Generally, the total time of performing a certain task or an entire experiment is measured, such as total execution time [6], [7] or phase execution time [8].…”

Section: Related Workmentioning

confidence: 99%

“…Research on VR surgical training for hysteroscopy revolves mainly around works that describe validation experiments on either of two commercial simulators: GynoS™(Virtamed, Switzerland) and HystMentor™(3D Systems, U.S.) [8], [13], [14]. The training program of these platforms includes exercises on diagnostic and operative hysteroscopy: polypectomy, myoma resection, septoplasty.…”

Section: Related Workmentioning

confidence: 99%

“…Thus, the established metrics still can be improved for more precise assessment. Panel et al conducted a comparative analysis of overall and subset scores for novice and expert users when performing four types of hysteroscopic intervention in HystMentor™: polypectomy, myomectomy, rollerball endometrial ablation and septum resection [8]. The overall multi-metric scores were statistically different between the mentioned groups for three out of four exercises.…”

Section: Related Workmentioning

confidence: 99%

See 4 more Smart Citations

A Virtual Reality Surgical Training System for Office Hysteroscopy with Haptic Feedback: A Feasibility Study

Поляков

Niu

Vree

et al. 2020

Virtual Reality and Augmented Reality

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Hysteroscopy is a widely used gynaecological procedure to evaluate and treat cervical and intra-uterine pathology. In the last few decades, technical refinements in the optics technology, surgical accessories and the reduction of the outer diameter of the instrument have made it possible to perform many hysteroscopic procedures, including some operative procedures, in the office setting and without any anesthesia. Mini-hysteroscopic procedures in the office setting are associated with less pain, lower complication rate and faster recovery compared hysteroscopic procedures in day surgery under general anesthesia. The main challenge for the clinician in performing office hysteroscopy is to pass the narrow cervical canal. Inaccurate motion or excessively applied force can lead to a cervical or uterine perforation. This study introduces a novel VR training platform for office hysteroscopy. The presented system was tested in the laboratory setting to prove the feasibility of using VR simulation for office hysteroscopy training. Conducted experiments demonstrated the potential of the system to transfer the essential skills and confirmed the set of proposed metrics for effective assessment.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 62%

Section: Related Workmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

See 3 more Smart Citations

A Virtual Reality Surgical Training System for Office Hysteroscopy with Haptic Feedback: A Feasibility Study

Поляков

Niu

Vree

et al. 2020

Virtual Reality and Augmented Reality

View full text Add to dashboard Cite

show abstract

Empirical Evaluation of a 3D Virtual Simulator of Hysteroscopy Using Leap Motion for Gestural Interfacing

et al. 2020

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EndoTrainer: a novel hybrid training platform for endoscopic surgery

Hernansanz

Rovira

Basomba³

et al. 2023

Int J CARS

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Purpose Endoscopy implies high demanding procedures, and their practice requires structured formation curricula supported by adequate training platforms. Physical platforms are the most standardised solution for surgical training, but over the last few years, virtual platforms have been progressively introduced. This research work presents a new hybrid, physic-virtual, endoscopic training platform that exploits the benefits of the two kind of platforms combining realistic tools and phantoms together with the capacity of measuring all relevant parameters along the execution of the exercises and of providing an objective assessment performance. Methods The developed platform, EndoTrainer, has been designed to train and assess surgical skills in hysteroscopy and cystoscopy following a structured curricula. The initial development and validation is focused on hysteroscopic exercises proposed in the Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Certification Programme from The Academy and European Society for Gynaecological Endoscopy (ESGE) and analyses the obtained results of an extensive study with 80 gynaecologists executing 30 trials of the standard 30 degree endoscope navigation exercise. Results The experiments demonstrate the benefits of the presented hybrid platform. Multi-variable statistical analysis points out that all subjects have obtained statistically significant improvement in all relevant parameters: shorter and safer trajectories, improved 30-degree endoscope navigation, accurate positioning over the targets and reduction of the execution time. Conclusion This paper presents a new hybrid approach for training, and evaluating whether it provides an objectivable improvement of camera navigation endoscopic basic skills. The obtained results demonstrate the initial hypothesis: all subjects have improved their camera handling and navigation skills.

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Hysteroscopic resection on virtual reality simulator: What do we measure?

Cited by 8 publications

References 30 publications

A Virtual Reality Surgical Training System for Office Hysteroscopy with Haptic Feedback: A Feasibility Study

A Virtual Reality Surgical Training System for Office Hysteroscopy with Haptic Feedback: A Feasibility Study

Empirical Evaluation of a 3D Virtual Simulator of Hysteroscopy Using Leap Motion for Gestural Interfacing

EndoTrainer: a novel hybrid training platform for endoscopic surgery

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