Dilation and curettage (D&C) is a simple but significant operation used in obstetrics and gynaecology. Fractional D&C allows for thorough sampling of the endocervix and, later, the uterus. This work develops and tests a new fractional D&C training simulator that visualises the intrauterine procedure in real time while quantitatively measuring technical abilities. The fractional D&C training simulator, which consists of measuring gear and visual software, can depict the trajectory and force of the curette tip in the uterus in real time. The simulator also displays assessment indicators to reflect the degree of completion and the quality of surgical performance.  Seventy-five individuals with varying degrees of D&C experience, including 26 novices, 24 intermediates, and 25 experts, were recruited to conduct fractional D&C using the training simulator and were asked to complete a post-procedure questionnaire. All of the beginners’ evaluation indices were considerably lower than those of the experienced surgeons. The simulator was highly acclaimed as a training tool, and even experienced surgeons detected common sites of inadequate curettage.

The fractional D&C training simulator is useful for surgical training because it gives valuable visible force-position feedback and quantitative evaluation.

Reference: https://journals.lww.com/greenjournal/Abstract/2021/07000/A_Training_Simulator_for_Fractional_Dilation_and.15.aspx