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Maestro AR Hysterectomy Module

Maestro AR for Hysterectomy  is an interactive educational tool developed in collaboration with Arnold P. Advincula, MD and Mireille Truong, MD, Columbia University Medical Center, exclusively available on the dV-Trainer®.

The hysterectomy module presents the user with an immersive 3D learning environment, combining footage from an actual case performed by Dr. Advincula with Mimic’s proven MSim™  simulation platform. Using the dV-Trainer, trainees manipulate virtual 3D robotic instruments to interact with anatomical regions within the augmented 3D surgical video footage.

Procedure steps

Maestro AR for Hysterectomy guides trainees through a complete robot assisted total laparoscopic hysterectomy procedure (RATLH).  The module is divided into the following steps:

1. Pelvic Survey

2. Desiccation and Transection of Fallopian Tube and Utero-Ovarian Ligament

3. Desiccation and Transection of Round Ligament

4. Incision and Separation of Broad Ligament

5. Skeletonization and Desiccation of Uterine Arteries and Vasculature

6. Creation of the Vesicouterine Reflection and Adhesiolysis

7. Transection of Uterine Vasculature

8. Colpotomy

9. Vaginal Cuff closure

Cognitive teaching

Audio narration from Dr. Advincula provides guidance through all steps of the procedure.  At periodic intervals, trainees must answer multiple choice questions and identify anatomical structures and surgical landmarks in order to proceed through the module.

Skills development

Designed to develop pyschomotor robotic skills, the Hysterectomy module includes embedded Camera Targeting, Energy Application and Dissection, Needle Driving and Cuff Closure exercises designed to match and improve techniques used in this procedure.

Training Assessment

As with all other Mimic simulation exercises, Maestro AR uses Mimic’s pioneering and industry standard MScore™ performance evaluation system.

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