Double Opposing Zplasty with VY Advancement of the perineum: Long-term results of a new technique as an alternative to Fenton's operation for narrowing and splitting of the skin at the posterior vaginal fourchette.

Objective: To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton's procedure.

Study Design: A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec.

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.