Vaginal hysterectomy and training

Vaginal hysterectomy and training: response to Melendez

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Dear Editor, Dr Melendez points out a key dilemma in current surgical training in gynecology; namely, where should we focus our limited resources and efforts in order to get the best results for our trainees and, ultimately, for their patients [1]? The same dilemma faces practicing gynecology surgeons; namely, what does it take to maintain the skills involved in performing minimally invasive hysterectomy?

Laparoscopic hysterectomy could be applicable for most patients and the existence of simulation laboratories in most training programs makes it an understandable argument to suggest that our efforts should be focused on teaching this technique rather than others.

One of the most difficult aspects of learning laparoscopic skills is the counterintuitive nature of the physical maneuvers required for mastery of this technique.

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“…Dear Editor, Dr Melendez points out a key dilemma in current surgical training in gynecology; namely, where should we focus our limited resources and efforts in order to get the best results for our trainees and, ultimately, for their patients [1]? The same dilemma faces practicing gynecology surgeons; namely, what does it take to maintain the skills involved in performing minimally invasive hysterectomy?…”