BACKGROUND It is frequently suggested that minimally invasive surgery (MIS) is harder to acquire than conventional surgery. To test this hypothesis, residents' learning curves of both surgical skills are compared. METHODS Residents had to be assessed using a general global rating scale of the OSATS (Objective Structured Assessment of Technical Skills) for every procedure they performed as pri...

results the mean age of the patients was 14.73 ± 2.3 (range 13-16) years. the most common symptom was cyclic dysmenorrhea. the vaginal septum was resected safely in all of the patients. the symptoms including cyclic dysmenorrhea and hematometra resolved after 3 months. conclusions hysteroscopic resection of the vaginal septum is an available, feasible, convenient, and effective tool in the mana...

1553-4650/$ see http://dx.doi.org/1 The American Association of Gynecologic Laparoscopists (AAGL) publishes advisory statements on the state of minimally invasive gynecology to improve the overall quality of women’s gynecologic care. The AAGL follows a process to ensure that any conflicts of interest are disclosed and appropriately addressed and that relationships with manufacturers and other t...

INTRODUCTION This study aimed to develop a realistic and lifelike uterine model for the training of hysteroscopy skills. MATERIALS AND METHODS A lifelike "uterine" model was constructed using female pig bladder. The pig bladder was enclosed within a malleable mould, with both ureters blocked by pins. Both rigid and flexible hysteroscopes were used in this study. RESULTS Basic diagnostic hys...

This study aims to determine whether clinical evaluation of improved MyoSure hysteroscopic tissue removal system can remove type II submucosal myomas with safety and high success rate of the first operation.Fifty-three patients with type II submucosal myomas hospitalized in the Huzhou Maternity and Child Care Hospital were enrolled in this study. The submucosal myomas were with the diameter of ...

Hysteroscopic sterilisation with Essure requires confirmation of tubal occlusion by hysterosalpingogram or microinsert position by transvaginal sonography 3 months after placement before women can rely on the method for pregnancy prevention. A 39-year-old woman underwent hysteroscopic sterilisation via Essure, with successful bilateral tubal occlusion documented on hysterosalpingogram. She had ...

In this paper we present a method for simulating bleeding in a virtual reality hysteroscopic simulator for surgical training. The simulated bleeding is required to be visually appealing while at the same time instantaneously responsive to any feedback that the surgeon may be conducing to the virtual environment. In order to meet these real-time requirements, we have based the simulation on grap...

In the last decade, advancements have been made in hysteroscopic techniques, instrumentation and indications. Vaginoscopic hysteroscopy is performed without medication, cervical dilation and use of vaginal speculum or cervical tenaculum. To prevent complications during uterine access, both misoprostol and laminaria are equally effective for cervical priming. The use of normal saline to distend ...

Abnormal uterine bleeding (AUB) affects 30% of women at some time during their reproductive years and is one of the most common reasons a woman sees a gynecologist. Many women are turning to endometrial ablation to manage their AUB. This article reviews the data relating to the available endometrial ablation techniques performed with hysteroscopic sterilization, and focuses on data from patient...

BACKGROUND One of the most feared complications during hysteroscopic surgery is haemodilution by absorption of distension media. One facet of haemodilution, i.e. hyponatremia, can lead to respiratory distress, pulmonary oedema, as well as cardiovascular collapse. CASE PRESENTATION Here we report the swift recovery of a 45 year, female, Caucasian patient with acute hyponatremia (74 mEq/L) and ...