VirtaMed GynoS™ Hysteroscopy Module descriptions
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VirtaMed GynoS™ hysteroscopy Module descriptions VirtaMed AG | Rütistr. 12, 8952 Zurich | Switzerland | info@virtamed.com | www.virtamed.com | Phone: +41 44 500 9690

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Essential skills module First steps in diagnostic and operative hysteroscopy Module description The HystSim™ essential skills module is a complete curriculum designed for structured integration of hysteroscopy training in OB/GYN residency programs. It contains eight different skills exercises with custombuilt feedback scores and reports, using an original diagnostic hysteroscope with working channel, providing ideal preparation for the operating room. Exercises in a safe and realistic virtual environment provide a relaxed setting outside of the operating room to facilitate essential skills...

Cases descriptions Case 1: Access normal cavity ▪ This uterine cavity has a regular shape ▪ No pathologies present Case 2: Distention anteverted cavity ▪ Anteverted access ▪ Small polyp blocks the entrance in the cervical canal ▪ Challenging change of angles during the access phase Case 3: Retroverted cavity ▪ Retroverted uterus ▪ The light pole needs to be turned 180° up to gain entry in the fundus Case 4: Navigation ▪ Regularly shaped uterus contains a 1cm type I myoma close to the left tubal ostium Case 5: Biopsy ▪ Uterine cavity with four suspicious looking spots in different locations...

Hysteroscopy module Safely train on complete procedures Module description Hysteroscopy is the endoscopic treatment through the cervix with a scope and camera. It is indicated for the resection of submucous myoma and for the resection of lesions such as synechiae or septa. Removing polyps under direct vision prevents adverse events such as missing the polyp during a blind curettage. Thus, hysteroscopy is the gold standard for many diagnostic and therapeutic interventions in case of abnormal uterine bleeding, menstrual pain or even infertility. The VirtaMed hysteroscopy module contains 32...

hysteroscopic resection is possible. The module offers 8 virtual patients with varying types of submucosal fibroids (type 0) in different positions and with different levels of difficulties. Performance review provides feedback on amount and quality of the removed fibroids, economy (procedure time, camera path), and safety measures. Learning objectives ▪ To establish uterine distension and clear viewing conditions. ▪ To confirm the correctly placed hysteroscope by identifying the right and the left tubal orifice. ▪ To inspect the uterine cavity completely by directing the camera efficiently...

Vi rtaMed” Diagnostics easy 4 ■ Bicorne uterus with asymmetric tubal angles ■ Small pedunculated polyp in front of the right fallopian tube at the anterior wall ■ Little bleeding Diagnostic medium 1 ■ Arcuate uterus, symmetric tubal angles ■ Medium-sized myoma in the fundus/anterior wall close to the left fallopian tube ■ Fluffy tissue, little bleeding Diagnostic medium 2 ■ Bicorne uterus, asymmetric tubal angles ■ Medium-sized myoma in the right part of the uterus ■ Fluffy tissue, little bleeding Diagnostic medium 3 ■ Normal cavity, deep symmetric tubal angles ■ Larger myoma blocking the...

Polypectomy easy 1 ■ Arcuate uterus ■ Small polyp on the right posterior wall ■ Few fluffy tissue parts Polypectomy easy 2 ■ Arcuate uterus ■ Pedunculated polyp with a narrow, elongated stalk located on the back/posterior wall left ■ Fluffy tissue texture Polypectomy easy 3 ■ Normally shaped uterus ■ Medium-sized polyp in front of the left fallopian tube Polypectomy easy 4 ■ Bicorne uterus, asymmetric tubal angles ■ Small polyp blocking the right fallopian tube, attached to the anterior wall ■ Some floating tissue parts Polypectomy medium 1 ■ Normally shaped uterus ■ Pedunculated polyp of...

Myomectomy cases Myomectomy medium 1 ▪ Normally shaped uterus ▪ Myoma centered in the uterus ▪ Tissue a little bit fluffy Myomectomy medium 2 ▪ Spheric cavity with asymmetric tubal angles, parous woman, little bleeding ▪ Small myoma close to the right fallopian tube at the fundus Myomectomy medium 3 ▪ Bicorne uterus, asymmetric tubal angles ▪ Medium-sized myoma in the right part of the uterus ▪ Fluffy tissue, little bleeding Myomectomy medium 4 ▪ Normal cavity, deep symmetric tubal angles ▪ Larger myoma blocking the right fallopian tube ▪ Floating tissue, fluffy, little bleeding Myomectomy...

Endometrium ablation cases Endometrium ablation medium 1 ■ Normally shaped uterus ■ No bleeding ■ Easy access Endometrium ablation medium 2 ■ Bicornuate uterus ■ No bleeding ■ Little bit fluffy tissue Endometrium ablation medium 3 ■ Arcuate uterus with symmetric deep tubal angles ■ No bleeding ■ Floating tissue parts, very fluffy Endometrium ablation medium 4 ■ Spheric cavity, multiparous woman ■ Very narrow, tight uterus ■ Some fluffy tissue parts

Multiple polyps, multiple myoma, synechiae and septum Module description The advanced hysteroscopy module includes various patients with advanced gynecologic pathologies and is intended for experienced physicians who already have basic skills in diagnostic and therapeutic hysteroscopy. The trainee acquires advanced hysteroscopy skills and prepares for more difficult interventions such as multiple polyps and myomas of type I and II. Additional cases with uterine adhesions and a septum, challenge the trainees and provide better preparation for the operation room. A comprehensive performance...

Advanced hysteroscopy cases Multiple polyps ■ Visualize the entire cavity while navigating in a secure manner ■ You will encounter multiple polyps ■ Remove all polyps at the base Multiple myoma type I & II ■ Multiple myoma blocking the access ■ Resect until you reach the endometrium ■ Turn off the inflow to expel intramural tissue ■ Carefully resect intramural part Uterine synechiae ■ Visualize the uterine synechiae in the uterine cavity ■ Identify and resect the adhesions with the needle electrode ■ Establish a fully extendable cavity Uterine septum ■ Identify and resect the septum with...