Desempe？o de los procedimientos laparoscópicos en ginecología: adquisición y mantenimiento de la idoneidad

the advancement of new surgical techniques in medical specialties has become minimally invasive gynecologic surgery into a modern surgical technique. there are a number of advantages to the patient with laparoscopic surgery versus an open procedure, obtaining in most cases mayor benefits than traditional surgery techniques. the purpose of this study was to describe which are the best aspects and techniques for developing and maintaining skills in gynecologic laparoscopic surgery and identify the factors affecting learning curves. a lot of factors are involved: like institutional policies and the characteristics of the surgeon such as attitude and capacity for acquiring new skills. prior laparoscopic training has been shown to facilitate the process of learning, reduces complication rates and operative time. the type of training the surgeon has received is not significantly related to this learning curve. maintaining consistency is challenging: however, assessing laparoscopic learning can also examine surgical competence. consequently the implementation should be monitored by quantitative methods in order to provide both numerical and graphical representation of the learning process. the learning curves combined with the advantages of feedback using the rating scales open the possibility to design high-quality training curricula in advanced laparoscopy. it is clear that academic programs must be updated: this leads to an increasing demand for evidence and proficiency-based education, training and assessment of gynecologic laparoscopic skills. we need a feasible, structured and objective statistical system for assessment of both technical and procedural skills.