Training Program - Laparo Medical Simulators

Cryptorchidectomy

Veterinary

Short description of the procedure:

Laparoscopic abdominal cryptorchidectomy in dogs is a minimally invasive surgical procedure aimed at removing an undescended testis located within the abdominal cavity. The scenario allows participants to practice the full operation in a safe, simulated environment, building the skills required to perform one of the key procedures in veterinary urology.

Training steps include locating the retained testis, suspending or elevating it, and safely sealing and dividing the spermatic vessels. The simulation offers both a guided scenario, with structured instructions, and a free-form scenario, enabling independent decision-making under realistic operative conditions.

The simulation accurately reproduces intra-abdominal anatomy, including the retained testis, spermatic cord, vascular pedicle, and surrounding tissues. This fidelity supports the acquisition of safe surgical technique and reinforces the principles of minimally invasive veterinary surgery.

Ovariectomy

Veterinary

Short description of the procedure:

Laparoscopic ovariectomy in female dogs is one of the most frequently performed minimally invasive procedures in veterinary surgery, typically carried out bilaterally as part of sterilization protocols. The virtual training scenario enables participants to follow the complete procedure step by step, from anatomical orientation within the abdominal cavity to the sealing and division of the ovarian pedicles and associated vascular structures.

Within the virtual training environment, students and veterinarians can choose between two scenarios: a guided scenario, where the trainee follows structured on-screen instructions, and a free-form scenario, which allows independent decision-making regarding instruments and port configurations. While both scenarios are performed using the three-port technique, the free-form mode enables greater flexibility, such as varying the sequence of actions or choosing to remove a single ovary instead of both.

The simulation reproduces essential anatomical features of the canine abdomen, including both ovaries, their pedicles, suspensory ligaments, vascular structures, and surrounding tissues. This level of detail reinforces the importance of precision and caution during dissection and vessel transection, accurately reflecting operative realities and supporting the acquisition of safe laparoscopic surgical practice.

Adnexectomy

Gynecology

Transcription

Training in the virtual adnexectomy procedure.

Short description of the procedure:

Adnexectomy is a gynecologic surgical procedure involving the removal of the uterine adnexa: the ovary and fallopian tube, either unilaterally or bilaterally. This procedure is performed in cases of adnexal pathology (such as cysts, tumors, or ovarian torsion), as well as prophylactically in women at high risk for ovarian cancer, including BRCA mutation carriers. The course covers three essential procedures in adnexal surgery: oophorectomy (removal of the ovary), salpingectomy (removal of the fallopian tube), and salpingo-oophorectomy (removal of the ovary and fallopian tube).

During the virtual scenarios training, the trainee develops skills in anatomical orientation within the pelvic cavity and the precise manipulation of laparoscopic instruments under conditions simulating a real surgical field. The virtual simulation focuses on key elements of surgical technique – from identifying and assessing pathological changes, through tissue dissection and resection, to achieving effective hemostasis. The exercises support the refinement of procedures in accordance with the principles of minimally invasive surgery, while accounting for the risk of injury to adjacent structures.

The simulation realistically replicates the anatomy, including key structures such as the ovary, fallopian tube, infundibulopelvic ligament with its vascular content, ovarian ligament, uterus, peritoneum, and adjacent organs – the urinary bladder and rectum. The presence of vascular structures and the close proximity of the ureter require the trainee to maintain a high level of precision and caution during dissection and transection of the adnexa, accurately reflecting operative realities and reinforcing the principles of safe surgical practice.

Sleeve Gastrectomy

Bariatrics

Transcription

Training in the sleeve gastrectomy procedure in virtual reality.

Short description of the procedure:

Sleeve gastrectomy is a bariatric surgical procedure designed to reduce the stomach volume to approximately 150 ml. It is performed in obese patients for whom other methods of weight management have proven insufficient. The procedure involves dissecting the stomach and then dividing it along the greater curvature with a stapler. The remaining part of the stomach is formed into a “sleeve” shape and is still adjacent to the duodenum which preserves the natural continuity of the gastrointestinal system.

During the virtual scenario training, participants acquire skills in identifying abdominal anatomical structures, orienting the operative field, and handling both traditional and electrosurgical laparoscopic instruments. They also learn the step-by-step course of the procedure and recognize the most common intraoperative complications. The virtual simulation focuses on gastric dissection and sleeve formation using a laparoscopic stapler.

The simulation realistically imitates the anatomy of the upper left abdomen, showing all crucial structures of this region, including the stomach, esophagus, diaphragm, and spleen.

Wedge Resection of the Lung

Thoracic surgery

Transcription

Training in wedge resection of the lung in virtual reality.

Short description of the procedure:

Wedge resection of the lung is a surgical procedure that involves removing a small, triangular piece of the lung containing the tumor and a small amount of surrounding healthy tissue to ensure resection margins. This procedure is often used in cases of early-stage lung cancer or other benign lesions when preserving as much lung function as possible is a priority.

During the virtual scenarios training, the participant develops skills in identifying thoracic cavity structures, managing the operative field, dissecting and handling laparoscopic stapler with which the part of the lung with lesion is excised.

The simulation accurately replictaes the anatomy of the thoracic cavity, displaying crucial structures such as lung lobes with their vascular system, the heart and the mediastinum.

Lobectomy

Thoracic surgery

Transcription

Training in lobectomy in virtual reality.

Short description of the procedure:

Lobectomy is a surgical removal of the lung lobe with the surrounding lymph nodes, most commonly performed for oncological indications. The procedure is typically carried out using a thoracoscopic approach, which is gaining popularity due to advantages such as reduced trauma to the chest wall, resulting in greater postoperative stability, and shorter recovery time.

During the virtual scenarios training, the participant develops skills in identifying thoracic cavity structures, managing the operative field, and handling both conventional and electrosurgical thoracoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on identifying the vessels and lymph nodes, performing precise dissection and resection of the lung tissue, vessels ligation, and excision and extraction of the lymph nodes.

The simulation accurately replicates the anatomy of the thoracic cavity displaying crucial structures such as the lung lobes with their vascular system, the heart and the mediastinum.

Right hemicolectomy

General surgery

Transcription

Training in right hemicolectomy in virtual reality.

Short description of the procedure:

Right hemicolectomy is a surgical resection of half of the colon performed most commonly for oncological indications. It begins with dissection and ligation of the vessels that provide vascularisation to the right part of the colon up to and including the hepatic flexure. Then the colon must be dissected from the abdominal wall and the diseased part must be excised and removed. The final step of the surgery is to restore the continuity of the gastrointestinal system by creating an ileocolic anastomosis.

During the virtual scenario trainings, participant acquires skills in identifying abdominal anatomical structures, operating field guiding, and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on the dissection, clipping, and cutting of the colic vessels. It also demonstrates the Toldt’s line dissection and closing the diseased section of the colon using laparoscopic stapler.

The simulation realistically imitates the abdominal anatomy, including critical structures such as the aorta, intestine, duodenum, liver, ureter, and colon here with the diseased section.

Thoracoscopic Repair of Esophageal Atresia

Pediatric surgery

Transcription

Training in thoracoscopic repair of esophageal atresia in virtual reality.

Short description of the procedure:

Thoracoscopic repair of esophageal atresia is an advanced pediatric surgical procedure aimed at correcting a congenital defect characterized by discontinuity of the esophagus, typically accompanied by a tracheoesophageal fistula. This operation is considered technically highly demanding due to the small size of the anatomical structures, limited operative field, and the need for extremely precise anastomosis of the esophageal ends. The use of a thoracoscopic approach significantly reduces the invasiveness of the procedure, translating into a lower risk of complications, reduced tissue trauma, and faster recovery. This is particularly important in critically ill neonates, in whom an open thoracotomy would impose a substantial physiological burden and increased perioperative risk.

During the virtual scenario training, the trainee develops skills in identifying mediastinal anatomical structures, precise instrument handling, and working within a limited operative field. The virtual simulation focuses on the dissection and division of the tracheoesophageal fistula, which constitutes a key step in this procedure.

The simulation realistically replicates the anatomy of the mediastinum, including the key structures relevant to thoracoscopic repair of esophageal atresia. The virtual operative field features the esophagus, trachea, main bronchi, aorta and azygos vein. Due to the close proximity of these structures and the confined operative field, the procedure demands a high level of precision and caution, particularly during the dissection and division of the tracheoesophageal fistula.

Pyloromyotomy

Pediatric surgery

Transcription

Training in pyloromyotomy in virtual reality.

Short description of the procedure:

Pyloromyotomy is a surgical procedure performed in neonates to correct hypertrophic pyloric stenosis, a common condition that leads to forceful, projectile vomiting, dehydration, and failure to thrive. The operation involves a longitudinal incision through the hypertrophied pyloric muscle down to, but not through, the mucosa. The procedure may be carried out using an open approach through a small abdominal incision or minimally invasively using laparoscopy. Surgery is undertaken promptly once the infant’s fluid and electrolyte balance has been stabilized, to prevent metabolic complications and growth retardation.

During virtual scenario training, the trainee develops skills in identifying abdominal structures, navigating the operative field, and using both conventional and laparoscopic energy instruments. The course provides a detailed understanding of the procedural steps and the most common intraoperative complications. The simulation focuses on incising and spreading the hypertrophic pyloric muscle to effectively relieve the obstruction and prevent future gastric outlet blockage.

The simulation accurately replicates the anatomy of the upper abdomen displaying all critical structures of this region, including stomach, duodenum, liver and diaphragm.

Repair of Inguinal Hernia (TAPP)

General surgery

Transcription

Training in inguinal hernia repair in virtual reality.

Short description of the procedure:

TAPP (trans-abdominal preperitoneal) is one of the techniques used for inguinal hernia repair – it requires transabdominal access, which allows hernia ring dissection, hernia reduction and mesh insertion which stabilizes the inguinal canal entrance. The laparoscopic approach to hernia curation is gaining popularity due to its advantages over the classic approach, such as lower recurrence rate and improved mesh stability.

During the virtual scenario trainings, the participant acquires skills such as identifying abdominal anatomical structures, operating field guiding and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on hernia ring dissection and peritoneal incision which allows further mesh placement.

The simulation realistically replicates the lower abdomen anatomy and the key structures involved in the procedure such as the median, medial and lateral umbilical folds with their vessels, the spermatic cord, and the pelvic bones.

Splenectomy

General surgery

Transcription

Training in splenectomy in virtual reality.

Short description of the procedure:

Splenectomy is a surgical procedure performed to remove the entire spleen. The laparoscopic approach is primarily used in hematological and oncological cases. The surgery involves dissection and ligation of the vascular pedicle of the spleen, followed by further dissection and removal of the organ.

During the virtual scenarios training, the participant acquires skills such as identifying abdominal anatomical structures, operating field guiding, and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on dissection and ligation of the splenic vessels,as well as dissection of the spleen itself.

The simulation realistically replicates the anatomy of the upper left abdomen, displaying all critical structures of this region, including stomach, pancreas, diaphragm, and spleen.

Gastric Bypass

Bariatrics

Transcription

Training in gastric bypass in virtual reality.

Short description of the procedure:

Gastric bypass is an advanced technique of bariatric surgery. It involves reducing part of the stomach and creating a so-called pouch (a small-sized food reservoir, “small stomach”), then connecting it to the small intestine and reconstructing the continuity of the gastrointestinal tract.

During the virtual scenarios training, participant acquires abdominal anatomical structures identification, operating field guiding and both classic and electric laparoscopic tools skills. They also learn the exact steps of the procedure and the most common intraoperative complications. Virtual simulation focuses on stomach dissection and creation of the pouch by using laparoscopic stapler.

Simulation realistically imitates the upper left abdomen anatomy showing all crucial structures of this region including stomach, esophagus, diaphragm and spleen.

Sigmoidectomy

Bariatrics

Transcription

Training in sigmoidectomy in virtual reality.

Short description of the procedure:

Sigmoidectomy is a surgical resection of the sigmoid colon most commonly performed for oncological indications. There are a few different techniques for performing this procedure varying in the order of the steps but all involve lower mesenteric vessels and sigmoid dissection, followed by excision of the diseased segment.

During the virtual scenario trainings, the participant acquires skills such as identifying abdominal anatomical structures, operating field guiding and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on the dissection, clipping and cutting of the lower mesenteric vessels. It also allows sigmoid colon dissection and excision with a stapler.

The simulation realistically replicates the abdominal anatomy, including critical structures such as the aorta, intestines, duodenum, liver, ureter and the sigmoid colon here with the diseased section.

Ovarian Procedures

Gynecology

Transcription

Training in ovarian procedures in virtual reality.

Short description of the procedure:

Ovarian procedures are gynecologic surgical interventions aimed at removing pathological lesions such as cysts or solid tumor, while preserving the function of the ovary. These procedures may be performed using either a laparoscopic or open (conventional) approach, depending on the nature, size, and location of the lesion, as well as the patient’s overall health status. The procedures include, among others, ovarian cyst enucleation and resection of solid lesions suspected of malignancy. The goal of the procedure is to resect the lesion while preserving the functional integrity of the ovary, minimizing the risk of complications, and protecting its reproductive potential.

During the virtual scenarios training, the trainee develops skills in identifying pelvic anatomical structures, locating ovarian lesions, and precisely manipulating laparoscopic instruments within a confined operative field. The virtual simulation focuses on the key stages of the procedure – from lesion identification and dissection to removal while emphasizing proper hemostasis and maximal preservation of healthy ovarian tissue.

Course is conducted in a hybrid format – some stages are performed either on the physical module or in the virtual simulation, which increases the effectiveness and realism of the training. Additional information about the procedure is provided in the textual educational sections.

Hysterectomy

Gynecology

Transcription

Training in hysterectomy in virtual reality.

Short description of the procedure:

Hysterectomy is a surgical procedure involving the removal of the uterus, either entirely (including the cervix – total hysterectomy) or partially (leaving the cervix intact – supracervical hysterectomy). It is performed for the treatment of symptomatic uterine fibroids, atypical endometrial hyperplasia, chronic bleeding unresponsive to medical therapy, and malignancies of the uterine body or cervix. The type of procedure and the surgical approach – laparoscopic, vaginal, or abdominal – are selected individually based on the indication and the patient’s clinical condition.

During the virtual scenarios training, the trainee develops skills in identifying pelvic anatomical structures, performing precise tissue dissection and cutting, maintaining hemostasis, and safely handling laparoscopic instruments in a confined operative field. The simulation focuses on step-by-step execution of three distinct variants of the procedure: supracervical hysterectomy, total hysterectomy, and total hysterectomy salpingo-oophorectomy.

The simulation accurately replicates the anatomy of the female pelvis, including key structures relevant to hysterectomy such as the uterine body and cervix, adnexa (ovaries and fallopian tubes), round ligaments, broad ligaments, uterosacral ligaments, as well as the urinary bladder, rectum, and ureters. Giventhe close proximity of vascular structures and the ureters, the procedure requires particular caution during tissue dissection, ligation of the uterine vessels, and transection of the adnexa and cervix.

Prostatectomy

Urology

Transcription

Training in prostatectomy in virtual reality.

Short description of the procedure:

Prostatectomy is one of the most commonly performed urological procedures. The primary indication is prostate cancer, which is prevalent among older men. The surgery involves dissecting the prostate and seminal vesicles, securing the vascular supply, excising the specimen, and performing a vesicourethral anastomosis. The laparoscopic approach offers several advantages to patients, including the potential for nerve-sparing techniques to preserve erectile function, a lower risk of postoperative complications, and a shorter recovery time.

During the virtual scenarios training, the participant develops skills in identifying structures of the lesser pelvis, managing the operative field, and handling both conventional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on dissection of the prostate and seminal vesicles, as well as excision of the specimen.

The simulation accurately replicates the anatomy of the lesser pelvis, displaying the critical structures of the region, such as the urinary bladder, ureters, prostate, and urethra.

Nephrectomy

Urology

Transcription

Training in nephrectomy in virtual reality.

Short description of the procedure:

Nephrectomy is a surgical procedure involving the complete removal of a kidney, most commonly performed using a laparoscopic approach. The primary indications include renal tumors, suspected malignant lesions, and severe, irreversible damage to the kidney. The laparoscopic technique offers patients a faster recovery time and a reduced risk of postoperative complications.

During the virtual scenarios training, the participant develops skills in identifying abdominal structures, managing the operative field, and handling both conventional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on the dissection, ligation, and division of the ureter, as well as the renal and suprarenal vessels.

The simulation accurately replicates abdominal anatomy, displaying the crucial structures of the region such as the kidney, spleen and colon.

Cholecystectomy

General surgery

Transcription

Training in cholecystectomy in virtual reality.

Short description of the procedure:

Cholecystectomy is one of the primary and most commonly performed surgical procedures. Laparoscopic approach is a golden standard for this procedure. The surgery requires the closure of the vessels and ducts leading to gallbladder, its dissection from the liver and removal.

During the virtual scenario trainings, the participant acquires skills in identifying abdominal anatomical structures, operating field guiding and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on Calot’s triangle dissection, ducts clipping and learning the teamwork skills in the assist simulation.

The simulation realistically replicates the upper right abdomen anatomy showing all crucial structures of this region including liver, gallbladder and biliary ducts.

Pyeloplasty

Pediatric surgery

Transcription

Training in pyeloplasty in virtual reality.

Short description of the procedure:

Pyeloplasty is a procedure aimed at excising the obstructed segment of the ureter near the renal pelvis and restoringrecreate the continuity of the urinary tract by creating ureteropelvic anastomosis. In children, this procedure is most commonly performed to correct a congenital defect of the ureter that results in hydronephrosis. The laparoscopic approach offers the benefits of reduced scarring and shorter recovery time for patients.

During the virtual scenario trainings, the participant develops skills such as identifying abdominal anatomical structures, operating field guiding and dissecting, clipping and cutting skills. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on dissection of the renal hilum area and excision the obstructed segment of the urinary tract.

The simulation accurately replicates the abdominal anatomy, displaying the crucial structures of the region, including the kidney, spleen and colon.

Appendectomy

General surgery

Transcription

Training in appendectomy in virtual reality.

Short description of the procedure:

Appendectomy is one of the most commonly performed surgical procedures, with the laparoscopic approach considered the gold standard. In this procedure, the inflamed appendix is excised. During the surgery identification and clipping of the appendicular artery as well as ligation and excision of the appendix is required.

During the virtual scenario trainings, the participant acquires skills such as identifying abdominal anatomical structures, operating field guiding and dissecting, clipping and cutting skills. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on locating the appendix, dissection, clipping and cutting both the appendicular artery and the appendix itself.

The simulation realistically replicates the right hypogastric area including crucial structures such as colon, ileum, and appendix.

Nissen Fundoplication

General surgery

Transcription

Training in Nissen fundoplication in virtual reality.

Short description of the procedure:

Nissen fundoplication is a surgical method used to treat gastroesophageal reflux disease (GERD) and hiatal hernia. The procedure involves creating a plica made from the gastric wall which surrounds the gastric cardia and the distal part of the esophagus – this prevents regurgitation and helps maintain the stomach in its proper position.

During the virtual scenario trainings, the participant acquires skills such as identifying abdominal anatomical structures, operating field guiding and handling both traditional and electrosurgical laparoscopic instruments. They also learn the exact steps of the procedure and the most common intraoperative complications. The virtual simulation focuses on stomach dissection and vessel ligation in order to prevent bleeding.

The simulation realistically replicates the upper left abdomen anatomy displaying all crucial structures of this region including the stomach, esophagus, diaphragm, and spleen.

Myomectomy

Gynecology

Transcription

Training in myomectomy in virtual reality.

Short description of the procedure:

Myomectomy is an advanced gynecologic surgical procedure involving the removal of uterine fibroids while preserving the uterus. The surgery can be performed using an open (conventional) or minimally invasive approach — most commonly laparoscopically. Myomectomy is indicated in patients with symptomatic fibroids that may cause heavy menstrual bleeding, pelvic pain, infertility, or pressure on adjacent organs. The goal of the procedure is to excise pathological lesions, reconstruct the uterine tissue, and alleviate clinical symptoms that affect a woman’s quality of life.

During virtual scenarios training, the trainee develops skills in dissection, cutting, and achieving hemostasis. The simulation focuses on the identification and removal of both pedunculated and non-pedunculated fibroids. The exercises support refinement of precise laparoscopic instrument movements and evaluation of anatomical relationships. Thanks to the realistic operative environment, the participant can practice each step of the procedure while adhering to surgical safety principles and maintaining effective bleeding control.

The simulation realistically replicates the anatomy of the female pelvis, including key anatomical structures such as the uterus, ovaries, fallopian tubes, uterosacral ligaments, urinary bladder, and uterine vessels. It also reproduces pathological changes including a pedunculated fibroid and a non-pedunculated fibroid allowing for realistic practice in locating, dissecting, and excising these lesions while minimizing damage to surrounding tissue and reinforcing safe surgical techniques.

Ovariectomy

Veterinary

Short description of the procedure:

Laparoscopic ovariectomy in female dogs is a minimally invasive procedure that involves the removal of the ovaries together with their supporting structures. The physical training module has been designed to realistically reproduce this surgery using a durable plastic base, a corrugated silicone layer simulating intestinal loops, and a replaceable silicone component representing one ovary with its pedicle, ligament, and blood vessels, allowing the practice of a unilateral procedure.

During the training, participants practice the essential steps of ovariectomy: locating the ovary within the abdominal cavity, elevating or suspending it, and safely sealing and dividing the ovarian pedicle along with the proper ligament. The module supports two scenarios: the 2-port technique, with pedicle suspension on a hook, and the 3-port technique.

The simulation accurately reproduces the anatomical and technical aspects of ovariectomy. The layered structure of the module provides tactile feedback that mimics the resistance and elasticity of real tissues, while the vascular component highlights the importance of precision during vessel sealing and transection. This design allows trainees to refine laparoscopic skills in a safe and realistic training environment.

Cryptorchidectomy

Veterinary

Short description of the procedure:

Laparoscopic abdominal cryptorchidectomy is performed to remove an undescended testis located within the abdominal cavity. The physical training module is designed to simulate this procedure through a durable plastic base, a corrugated silicone layer representing the intestines, and a replaceable silicone component that mimics the retained testis with the spermatic cord and vascular structures.

During the training, participants rehearse all key steps: identifying the undescended testis within the abdominal cavity, elevating or suspending it, and safely sealing and dividing the spermatic cord and blood vessels. The module supports practice of both 2-port and 3-port techniques, enabling skill development in limited-port procedures as well as two-handed instrument manipulation.

The simulation accurately reproduces the anatomical and technical aspects of cryptorchidectomy. The layered construction provides tactile feedback that mimics the resistance and elasticity of living tissues, while the vascular component highlights the importance of precision during vessel sealing and transection. This allows trainees to build confidence and refine their laparoscopic skills in a safe, controlled, realistic training environment.

Gastric Bypass

Bariatrics

Transcription

Training in the gastric bypass procedure on the physical module.

Short description of the procedure:

Gastric bypass is an advanced technique of bariatric surgery. It involves reducing part of the stomach and creating a so-called pouch (a small-sized food reservoir, “small stomach”), then connecting it to the small intestine and reconstructing the continuity of the gastrointestinal tract.

During the physical module training participant acquires and enhances laparoscopic suturing skills. The physical module allows performing the ileogastric anastomosis suturing, oversewing the stapler line and esophageal hiatus plastic surgery.

Simulation of the surgery performed on the physical module imitates the stomach after pouch creation and esophageal hiatus with part of the diaphragm and allowing participants to experience realistic tissue properties. They can feel the resistance, elasticity and tension of the structures and observe how they respond when manipulated with instruments.

Ureter Anastomosis

Urology

Transcription

Training in ureteral anastomosis on the physical module.

Short description of the procedure:

Ureteral anastomosis is a surgical procedure most commonly performed in response to intraoperative ureteral injury sustained during other abdominal or pelvic interventions. The procedure involves spatulation (longitudinal incision) of both ureteral ends, followed by their precise suturing to enable anatomical and watertight restoration of upper urinary tract continuity.

During training with the physical module, the participant acquires and develops skills in laparoscopic cutting and suturing. The module enables practice in performing ureteral spatulation and creating an ureteral anastomosis.

The simulation of the surgery performed on the physical module accurately replicates the anatomy of the ureter providing a realistic experience of tissue properties.articipants can feel the resistance, elasticity and tension of the structures and observe how they respond to instrument manipulation.

Hemicolectomy

Colorectal surgery

Transcription

Training in hemicolectomy on the physical module.

Short description of the procedure:

Hemicolectomy is a surgical resection of the half of colon performed most commonly for oncological indications. It begins with the dissection and ligation of the vessels that provide vascularisation to the right part of the colon up and including the hepatic flexure. Then the colon must be dissected from the abdominal wall and the diseased part must be excised and removed. The final step of the surgery is to recreate the continuity of the gastrointestinal tract by creating an ileocolic anastomosis.

During the physical module training, participant acquires and refines their laparoscopic suturing skills and techniques for closing the ileocolic anastomosis. The physical module allows performing the final step of the hemicolectomy, which involves closing the ileocolic anastomosis.

The simulation of the surgery performed on the physical module imitates the ileocolic anastomosis prior to tomia closure and provides a realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures, and observe how they respond when touched with the tools.

Adult Pyeloplasty

Urology

Transcription

Training in ureteral anastomosis on the physical module.

Short description of the procedure:

Pyeloplasty is a procedure performed to correct an obstruction that may occur between the renal pelvis and the ureter. It involves excision of the obstructed segment and creation of an ureteropelvis anastomosis in order to restorecreate the continuity of the urinary tract. The laparoscopic approach reduces the frequency of complications, results in smaller scars, and offers patients a shorter recovery time.

During the physical module training participant acquires and enhances cutting and laparoscopic suturing skills. The physical module enables practice in excising the obstructed segment and performing ureteropelvic anastomosis suturing.

The simulation of the surgery performed on the physical module accurately replicates the anatomy of the renal pelvis and ureter, providing a realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures and observe how they respond to instrument manipulation.

Pyloromyotomy

Pediatric surgery

Transcription

Training in pyloromyotomy on the physical module.

Short description of the procedure:

Pyloromyotomy is a surgical procedure performed in neonates to correct hypertrophic pyloric stenosis, a common condition that leads to forceful, projectile vomiting, dehydration, and failure to thrive. The operation involves a longitudinal incision through the hypertrophied pyloric muscle down to, but not through, the mucosa. The procedure may be carried out using an open approach through a small abdominal incision or minimally invasively using laparoscopy. Surgery is performed promptly once the infant’s fluid and electrolyte balance has been stabilized to prevent metabolic complications and growth retardation.

During the physical module training participant acquires and enhances cutting with specific knife and dissection skills.

The simulation of the surgery performed on the physical module accurately replicates the stenotic pylorus, providing a realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures and observe how they respond to instrument manipulation, closely mirroring real intraoperative conditions.

Repair of Inguinal Hernia (TEP)

General surgery

Transcription

Training in inguinal hernia repair using the TAPP method on the physical module.

Short description of the procedure:

TAPP is one of the techniques used for inguinal hernia repair – it requires transabdominal access which allows hernia ring dissection and mesh insertion which stabilizes the inguinal canal entrance. The laparoscopic approach to hernia repair is gaining popularity due to its advantages over classic approach, such as lower recurrence rate and improved mesh stability.

During the physical module training participant acquires and enhances their cutting and laparoscopic suturing skills, learns how to insert, position and suture the mesh that stabilizes the inguinal canal entrance.

The simulation of the surgery performed on the physical module allows the participants to perform the final steps of the surgery including peritoneal incision mesh insertion, and suturing. It provides a realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures, and observe how they respond when manipulated with instruments.

Prostatectomy

Urology

Transcription

Training in prostatectomy on the physical module.

Short description of the procedure:

Prostatectomy is one of the most commonly performed urological procedures. The primary indication is prostate cancer, which is prevalent among older men. The surgery involves dissecting the prostate and seminal vesicles, securing the vascular supply, excising the specimen, and performing a vesicourethral anastomosis. The laparoscopic approach offers several advantages to patients, including the potential for nerve-sparing techniques to preserve erectile function, a lower risk of postoperative complications, and a shorter recovery time.

During the physical module training participant acquires and enhances laparoscopic suturing skills. The physical module allows for practice in managing the Santorini plexus and performing urethral-vesical anastomosis suturing.

The simulation of the surgery performed on the physical module imitates the prostate, urinary bladder and urethra anatomy and allows for the realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures and observe how they respond to instrument manipulation.

Pyeloplasty

Pediatric surgery

Transcription

Training in pyeloplasty on the physical module.

Short description of the procedure:

Pyeloplasty is a procedure performed to correct an obstruction that may occur between the renal pelvis and the ureter. It involves excision of the obstructed segment and creation of an ureteropelvis anastomosis in order to restorecreate the continuity of the urinary tract. The laparoscopic approach reduces the frequency of complications, results in smaller scars, and offers patients a shorter recovery time.

During the physical module training participant acquires and enhances cutting and laparoscopic suturing skills. The physical module enables practice in excising the obstructed segment and performing ureteropelvic anastomosis suturing.

The simulation of the surgery performed on the physical module accurately replicates the anatomy of the renal pelvis and ureter, providing a realistic experience of tissue properties – participants can feel the resistance, elasticity and tension of the structures and observe how they respond to instrument manipulation.

Nephron-Sparing Surgery (NSS)

Urology

Transcription

Physical training for nephron-sparing surgery.

Short description of the procedure:

Nephron-Sparing Surgery (NSS), also known as partial nephrectomy, is a surgical procedure aimed at removing renal tumors while preserving the rest of the kidney. This technique is primarily used for small, localized renal tumors and is considered when it is essential to maintain the patient’s renal function.

During the physical module training participant acquires and enhances sharp dissection skills and laparoscopic suturing, they also train working under pressure – closing the renal vessels with bulldog clips simulate “warm ischemia” time which should not exceed 20 min.

The simulation of the surgery performed on the physical module accurately replicates the anatomy of the kidney and its vascular system, the ureter, aorta, and vena cava. It provides a realistic experience of tissue properties — participants can feel the resistance, elasticity, and tension of the structures and observe how they respond to instrument manipulations.

Cholecystectomy

General surgery

Transcription

Training in cholecystectomy on the physical module.

Short description of the procedure:

Cholecystectomy is one of the primary and most commonly performed surgical procedures. Laparoscopic approach is a golden standard for this procedure. Surgery requires the closure of the vessels and ducts leading to gallbladder, its dissection from the liver and removal.

During the physical module training participant acquires and enhances laparoscopic skills in soft tissues dissection, ducts clipping and cutting. The physical module allows performing the entire cholecystectomy, starting from entering the right upper abdomen and finishing with dissected specimen removal.

The procedure simulation on a physical model accurately replicates the anatomy of the gallbladder, its vascular supply, and the course of the biliary tract. It provides a realistic experience of tissue handling – the trainee can perceive the resistance, elasticity, and tension of the structures, as well as observe their response to instrument manipulation. This allows for refinement of surgical technique in conditions closely resembling the actual operative field.

Ovarian Solid Tumor Removal

Gynecology

Transcription

Training in ovarian solid tumor removal procedure on the physical module.

Short description of the procedure:

Ovarian procedures are gynecologic surgical interventions aimed at removing pathological lesions such as solid tumors, while preserving the function of the ovary. These procedures may be performed using either a laparoscopic or open (conventional) approach, depending on the nature, size, and location of the lesion, as well as the patient’s overall health status. The procedure includes resection of solid lesions suspected of malignancy. The primary goal is to remove the pathological tissue while preserving healthy ovarian tissue, minimizing the risk of complications, and maintaining reproductive potential.

During the physical module training, the trainee acquires and refines manual skills essential for minimally invasive surgery, including precise tissue cutting, dissection, and effective operation within a limited surgical field. The physical model allows for the practice of key procedural steps such as incising ovarian tissue, dissecting solid masses, while preserving the continuity of surrounding structures and suturing the remaining healthy tissue.

The procedure simulation performed on a physical model replicates the anatomy of the ovary, including pathological lesion – solid tumor. The physical module provides a realistic tissue-handling experience, allowing the trainee to perceive resistance, elasticity, and tension of the structures, as well as observe their response to instrument manipulation. This enables precise practice of cutting and dissection techniques under conditions closely resembling real surgical settings.

Appendectomy

General surgery

Transcription

Training in appendectomy on the physical module.

Short description of the procedure:

Appendectomy is one of the most commonly performed surgical procedures, with the laparoscopic approach considered the gold standard. In this procedure the inflamed appendix is excised. During the surgery identification and clipping of the appendicular artery as well as ligation and excision of the appendix is required.

During the physical module training, participant acquires and enhances laparoscopic dissecting, clipping and cutting skills both in fibrous tissue and vessels. The physical module allows performing the entire appendectomy, starting from entering the right lower abdomen and finishing with excised specimen removal.

The simulation of the surgery performed on the physical module replicates the anatomy of the appendix and provides a realistic experience of tissue properties – participants may feel the resistance, elasticity and tension of the structures and observe how they respond when touched with the tools.

Vaginal Cuff Repair

Gynecology

Transcription

Training in vaginal cuff suturing on the physical module.

Short description of the procedure:

Hysterectomy is a surgical procedure involving the removal of the uterus, either entirely (including the cervix – total hysterectomy) or partially (leaving the cervix intact – supracervical hysterectomy). It is performed for the treatment of symptomatic uterine fibroids, atypical endometrial hyperplasia, chronic bleeding unresponsive to medical therapy, and malignancies of the uterine body or cervix. The type of procedure and surgical approach – laparoscopic, vaginal, or abdominal – are selected individually based on the indication and the patient’s clinical condition.

During physical module training, the trainee develops and refines skills in intracorporeal suturing – specifically, placement of a continuous suture within a confined operative field and precise manipulation of laparoscopic instruments. The physical model allows for practice of the key steps involved in vaginal cuff closure during total hysterectomy from correct needle insertion, through guiding the continuous suture, to controlling suture tension and ensuring stable tissue approximation.

The procedure simulation performed on a physical model replicates the vaginal cuff remaining after total hysterectomy. Using the model for the vaginal cuff closure stage provides a realistic experience of working with tissue – the trainee can feel the resistance, elasticity, and tension of the structures and observe their responses to instrument manipulation.

Nissen Fundoplication

Bariatrics

Transcription

Training in Nissen fundoplication on the physical module.

Short description of the procedure:

Nephron-Sparing Surgery (NSS), also known as partial nephrectomy, is a surgical procedure aimed at removing renal tumors while preserving the rest of the kidney. This technique is primarily used for small, localized renal tumors and is considered when it is essential to maintain the patient’s renal function.

During the physical module training participant acquires and enhances sharp dissection skills and laparoscopic suturing, they also train working under pressure – closing the renal vessels with bulldog clips simulate “warm ischemia” time which should not exceed 20 min.

The simulation of the surgery performed on the physical module accurately replicates the anatomy of the kidney and its vascular system, the ureter, aorta, and vena cava. It provides a realistic experience of tissue properties — participants can feel the resistance, elasticity, and tension of the structures and observe how they respond to instrument manipulations.

Ovarian Endometrioma

Gynecology

Transcription

Training in ovarian endometrioma on the physical module.

Short description of the procedure:

Ovarian endometrioma excision is a procedure performed mostly in the chocolate cyst cases which is an ovary endometrial lesion creating an encysted fluid reservoir. Surgical intervention is aimed at reducing pain symptoms, improving fertility, and minimizing the risk of disease recurrence through precise resection of pathological lesions.

During the physical module training, the trainee acquires and refines skills in surgical treatment of endometriotic lesions located in the ovaries. The physical module enables the performance of ovarian endometrioma excision, while adhering to the principles of organ-sparing surgery. This allows for the development of dissection, cutting, and surgical suturing skills.

The procedure simulation, performed on a physical model, replicates an ovarian endometrioma. The simulation module recreates the anatomy of an ovary and a cyst. The trainee can experience realistic tissue handling with palpable resistance, elasticity, and tension of individual structures, as well as their response to instrument manipulation closely mirroring real intraoperative conditions.

Endometrial lesions

Gynecology

Transcription

Training in endometrial lesions on the physical module.

Short description of the procedure:

Laparoscopic treatment of endometriosis is a primary therapeutic approach in advanced or symptomatic forms of the disease, in which endometrial cells are located ectopically outside the uterine cavity. The lesions are most commonly found within the pelvic peritoneum, ovaries, uterosacral ligaments, and the rectovaginal septum. Surgical intervention is aimed at reducing pain symptoms, improving fertility, and minimizing the risk of disease recurrence through precise identification and resection of all pathological lesions.

During the physical module training, the trainee acquires and refines skills in recognizing and surgically treating endometriotic lesions located on the peritoneum and ovaries. The training provides an opportunity to practice identifying endometriotic foci in typical anatomical locations and to master techniques for their excision. The physical module enables the performance of peritoneal lesion resection as well as removal of ovarian endometriomas, while adhering to the principles of organ-sparing surgery. This allows for the development of dissection, cutting, and surgical suturing skills.

The procedure simulation, performed on a physical model, replicates peritoneal endometriotic lesions and an ovarian endometrioma. The simulation module recreates the anatomy of pelvic organs, including the peritoneum and ovary. The trainee can experience realistic tissue handling with palpable resistance, elasticity, and tension of individual structures, as well as their response to instrument manipulation closely mirroring real intraoperative conditions.

Myomectomy

Gynecology

Transcription

Training in myomectomy on the physical module.

Short description of the procedure:

Myomectomy is an advanced gynecologic surgical procedure involving the removal of uterine fibroids while preserving the uterus. The surgery can be performed through an open (conventional) approach or minimally invasive approach — most commonly laparoscopically. Myomectomy is indicated in patients with symptomatic fibroids that may cause heavy menstrual bleeding, pelvic pain, infertility, or pressure on adjacent organs. The goal of the procedure is to excise pathological lesions, reconstruct the uterine tissue, and alleviate clinical symptoms that impact a woman’s quality of life.

During physical module training, the trainee acquires and refines skills in tissue dissection, cutting, and surgical suturing. The physical model enables the performance of non-pedunculated uterine fibroid removal, covering the key steps of incision, dissection, and suturing of the myometrial bed following enucleation. The exercises support the development of precise laparoscopic instrument handling, including safe and controlled manipulation in a confined operative field, as well as the application of suturing and dissection techniques in a realistic training environment.

The procedure simulation is conducted on a physical model representing the uterus with a non-pedunculated fibroid. The model replicates the physical properties of tissue, allowing the trainee to perceive resistance, elasticity, and tension of the structures, and to observe their response to instrument manipulation. This enables realistic practice of fibroid resection under conditions closely resembling those of an actual surgical field.

Ovarian Cyst Removal

Gynecology

Transcription

Training in ovarian cyst removal on the physical module.

Short description of the procedure:

Ovarian procedures are gynecologic surgical interventions aimed at removing pathological lesions such as cysts, while preserving the function of the ovary. These procedures may be performed using either a laparoscopic or open (conventional) approach, depending on the nature, size, and location of the lesion, as well as the patient’s overall health status. The primary goal is to remove the cyst while preserving healthy ovarian tissue, minimizing the risk of complications, and maintaining reproductive potential.

During the physical module training, the trainee acquires and refines manual skills essential for minimally invasive surgery, including precise tissue cutting, dissection, and effective operation within a limited surgical field. The physical model allows for the practice of key procedural steps such as incising ovarian tissue, dissecting the cyst, while preserving the continuity of surrounding structures and suturing the remaining healthy tissue.

The procedure simulation performed on a physical model replicates the anatomy of the ovary, including pathological lesion – cyst. The physical module provides a realistic tissue-handling experience, allowing the trainee to perceive resistance, elasticity, and tension of the structures, as well as observe their response to instrument manipulation. This enables precise practice of cutting and dissection techniques under conditions closely resembling real surgical settings.

Tension

Transcription

Training on the physical module – tension.

Short description of the procedure:

9 diverse exercises in a single module designed to improve the handling of flexible objects within the limited space of laparoscopic surgery. The module helps users understand various types of tension that occur during tissue and instrument manipulation.

Dissection 3 in 1

Transcription

Training on the physical training module – 3-in-1 dissection.

Short description of the procedure:

The Dissection 3-in-1 module combines three different exercises:

Vessel dissection – using a replaceable pad that simulates blood vessels and surrounding tissues, it allows for training in the precise and careful separation of delicate structures.
Tissue dissection – with a replaceable pad simulating various types of tissue, it enables the identification and separation of elements such as nodules or adhesions.
Vessel clipping – a rtificial vessels filled with blood-mimicking fluid allow users to practice applying clips and precisely cutting the vessels.

Suturing

Transcription

Suturing training on the physical training module.

Short description of the procedure:

23 exercises in one module, enabling the learning of laparoscopic suturing at various levels of advancement. The set also includes spare components such as silicone pads, drains, and suturing accessories.

The module consists of two levels:

Basic (11 exercises) – ideal for beginners, includes a base, interchangeable training elements, and durable Velcro fasteners.

Advanced (12 exercises) – an overlay that increases difficulty, allowing for the refinement of suturing techniques even within a limited operative field.

Dexterity

Transcription

Dexterity training on the physical training module.

Short description of the procedure:

5 exercises in one module that revolutionize practical laparoscopic training. The module consists of a base with built-in magnets and ABS plastic components. The set also includes silicone balls, cones, and a flap to increase the difficulty level. Designed to develop basic skills in grasping and manipulating instruments – the foundation for further training of advanced techniques and procedures. Exercises include, among others, transferring balls and moving cones.

Cutting Circles

Transcription

Circle-cutting training on the physical training module.

Short description of the procedure:

The module includes 5 sheets of delicate material printed with circle patterns, enabling precise cutting technique training. It serves as excellent preparation for FLS and E-BLUS exam tasks. Ideal for developing accuracy, instrument control, and working within a limited operative field.

LAPARO TRAINING PROGRAM

HYBRID TRAINING

EDUCATIONAL SEGMENTS

APPROVED BY EXPERTS

148

115

28

VIRTUAL REALITY TRAINING

66

43

23

DISCOVER VIRTUAL PROCEDURES FROM LAPARO

Cryptorchidectomy

Ovariectomy

Adnexectomy

Sleeve Gastrectomy

Wedge Resection of the Lung

Lobectomy

Right hemicolectomy

Thoracoscopic Repair of Esophageal Atresia

Pyloromyotomy

Repair of Inguinal Hernia (TAPP)

Splenectomy

Gastric Bypass

Sigmoidectomy

Ovarian Procedures

Hysterectomy

Prostatectomy

Nephrectomy

Cholecystectomy

Pyeloplasty

Appendectomy

Nissen Fundoplication

Myomectomy

TRAINING ON PHYSICAL MODULES

82

46

27

Physical procedural training modules

Ovariectomy

Cryptorchidectomy

Gastric Bypass

Ureter Anastomosis

Hemicolectomy

Adult Pyeloplasty

Pyloromyotomy

Repair of Inguinal Hernia (TEP)

Prostatectomy

Pyeloplasty

Nephron-Sparing Surgery (NSS)

Cholecystectomy

Ovarian Solid Tumor Removal

Appendectomy

Vaginal Cuff Repair

Nissen Fundoplication

Ovarian Endometrioma

Endometrial lesions

Myomectomy

Ovarian Cyst Removal

Learning Path

Tension

Dissection 3 in 1

Suturing

Dexterity

Cutting Circles

Let's stayin touch

Cryptorchidectomy

Ovariectomy

Adnexectomy

Sleeve Gastrectomy

Wedge Resection of the Lung

Lobectomy

Right hemicolectomy

Thoracoscopic Repair of Esophageal Atresia

Pyloromyotomy

Repair of Inguinal Hernia (TAPP)

Splenectomy

Gastric Bypass

Sigmoidectomy

Ovarian Procedures

HYBRID
TRAINING

Let's stay
in touch