BEST PRACTICES: Thought Leaders in VR Simulation Training

University of Michigan Mott Children’s Hospital Study

Find out how the University of Michigan proves the hypothesis: regular simulation training measurably improves patient outcomes.

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Procedure Modules

Beyond the Basics.

LapSim®’s suite of validated, fully customizable procedure modules provides a complete training solution for surgeons across multiple disciplines. With clearly defined learning objectives, procedural deconstruction capabilities and endless variations and challenges, LapSim®’s library of software modules provides surgeons with unparalleled access to skill practice essential to building surgical proficiency.


From clipping the cystic duct to removing the gall bladder, the Cholecystectomy Module simulates each critical step in this frequently performed laparoscopic procedure. With LapSim®’s scenario and skills-based customization, instructors can introduce complications and target specific skill development.

The Cholecystectomy Module also features the interactive SimPraxis software, designed to advance trainees’ cognitive proficiency and decision-making abilities as tactile skills are honed. All steps from dissection of the hepatocystic triangle to dissection and freeing of gallbladder from the cystic plate.


The Appendectomy Module is designed to introduce residents to one of the most frequently performed surgeries in hospital ORs. This scenario-based simulation module will continually challenge trainees’ procedural knowledge and decision-making skills with extensive pathology variations and complications.

The full procedure can now be made completly by free-hand, an unguided approach to the appendix. As of the LapSim® 2017 software update the Retro-Caecal Anatomy Case is also included.


In study after study, training on LapSim®’s Gynecology Module has been proven to provide significant improvement in trainees’ skills before they step foot in an operating room. Now available on the latest technology platform together with new graphics and fresh visual look. Together with amended tactile feedback and improved feeling of tissue handling the experience is improved. Including cutting edge simulations of four procedures: Tubal occlusion, Salpingectomy, Salpingostomy and Myoma suturing.


Simulating the critical steps of a laparoscopic hysterectomy procedure, the LapSim® Hysterectomy Module offers a comprehensive and customizable virtual training experience. With the integrated SimPraxis™ component, trainees must demonstrate both critical knowledge and hands-on proficiency.

SimPraxis™ is an integrated cognitive skills trainer, specifically designed for the Hysterectomy module that includes right and left uterine artery dissection, vaginal cuff opening, and suturing of the cuff after removal of the uterus.


Video-Assisted Thoracoscopic Surgery (VATS) Lobectomy procedure module for LapSim® was developed in collaboration with Drs. Katrine Jensen, Henrik Jessen Hansen, and René Horsleben Petersen at Department of Cardio-thoracic Surgery, Copenhagen University Hospital, Denmark.

The VATS module offers training on key steps in the removal of the upper right lung lobe, utilizing a three-port anterior approach. Key training elements are dissection of the hilum/vessels, identification of the vessels, use of the elastic vessel rubber loop, sequential stapling of the veins, arteries, bronchus and fissure , bleeding control and avoid critical structures, ex. the Phrenic nerve.


With LapSim® Inguinal Hernia you are able to train on the key steps of the procedure using the Totally Extraperitoneal (TEP) approach, where the hernia sac is returned into the abdominal cavity. The key steps are identification of different structures, dissection of adhesions, relating to the critical structures, as well as mobilization and reduction of the hernia sac and fixation of the mesh with a correct use of tacks or sealant.

The anatomical landmarks included in the Inguinal Hernia procedure are epigastric vessels, triangle of doom, triangle of pain, vas deferens, gonadal vessels and Cooper’s ligament. Read more here…



Building on the foundational elements of LapSim® Basic Skills, the Suturing & Anastomosis Module challenges learners with a progressively complex, stepwise approach to suturing and knot tying techniques. Fully customizable to meet individual trainee’s skills and training needs, the Suturing & Anastomosis Module includes ten successive exercises.

Our latest addition to our accessories range for LapSim® are new suturing handles, modified from Pajunk® handles to suite simulation training. They fit the LapSim® Haptic hardware, with screw coupling for fastening of the instruments and are compatible with LapSim® 2016 software or later.


The LapSim® Bariatrics Module features procedural deconstruction capabilities simulating various bariatric training tasks. Includes simulations of four training tasks: lap-band suturing, jejunal suturing, inspect and measure the bowel.


The LapSim® Nephrectomy Module features procedural deconstruction capabilities simulating the surgical removal of the kidney. Within the Nephrectomy Module are simulated three training tasks, including: kidney dissection, and kidney clipping.

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