Proficiency for Advanced Laparoscopic Procedures in Gynecologic Residency Program: Do all Residents Need to be Trained?

Objectives: To assess the current state of laparoscopic gynecologic surgery in the Dutch residency program, the level of competence among graduated residents, and whether they still perform these procedures. Furthermore, their current attitudes toward the implementation of minimally invasive surgery into residency training were assessed.

Design: An online survey (Canadian Task Force Classification III) regarding the level of competence, performance, training, and interest for gynecologic laparoscopic procedures.

Training of hysteroscopic skills in residency program: the Dutch experience.

Study Objective: To evaluate whether hysteroscopy training in the Dutch gynecological residency program is judged as sufficient in daily practice, by assessment of the opinion on hysteroscopy training and current performance of hysteroscopic procedures. In addition, the extent of progress in comparison with that of the residency program of a decade ago is reviewed.

Design: Survey (Canadian Task Force Classification III).

Hysteroscopic sterilization using a virtual reality simulator: assessment of learning curve.

Study Objective: To assess the learning curve using a virtual reality simulator for hysteroscopic sterilization with the Essure method.

Design: Prospective multicenter study (Canadian Task Force classification II-2).

Setting: University and teaching hospital in the Netherlands.

Learning curve of hysteroscopic placement of tubal sterilization microinserts in 15 gynecologists in the Netherlands.

Objective: To evaluate the learning curve of hysteroscopic placement of tubal sterilization microinserts by gynecologists in the Netherlands.

Design: Prospective multicenter study (Canadian Task Force II-2).

Setting: Ten community (teaching) hospitals in the Netherlands.

An "intermediate curriculum" for advanced laparoscopic skills training with virtual reality simulation.

Study Objective: To estimate face and construct validity for a novel curriculum designed for intermediately skilled laparoscopic surgeons on a virtual reality simulator. It consists of 5 exercises that focus on training precision and coordination between both hands.

Design: Prospective study (Canadian Task Force II-2).

Ovarian metastasis in a transposed ovary 10 years after primary cervical cancer: the importance of histologic examination and review of literature.

Cases of cervical carcinoma metastasing to the transposed ovary are rarely reported in the literature. In this report, the authors present the case of a 53-year-old woman with a persisting, unsuspected cyst in the right transposed ovary, 10 years after treatment for adenosquamous carcinoma of the cervix. It is the first report describing a secondary ovarian malignancy originating from a cervical adenosquamous carcinoma in a transposed ovary.