Surgical simulator for hysteroscopy: a case study of visualization in surgical training

Computer-based surgical simulation promises to provide a broader scope of clinical training through the introduction of anatomic variation, simulation of untoward events, and collection of performance data. We present a haptically-enabled surgical simulator for the most common techniques in diagnostic and operative hysteroscopy-cervical dilation, endometrial resection and ablation, and lesion excision. Engineering tradeoffs in developing a real-time, haptic-rate simulator are discussed.