The role of simulation in surgical skills training in gynaecological endoscopy.

Minimal-access surgery has revolutionised diagnosis and management in many surgical specialties, including gynaecology. It is well known that the surgical skill set required to carry out endoscopic surgery is essentially different from open surgery, creating a longer learning curve. Fewer opportunities exist for trainees as a result of reduced working hours and also the use of less invasive procedures, such as endometrial ablation procedures, Mirena(®) intrauterine system, and methotrexate in treating ectopic pregnancies.