November Operation Releases

This past month, we’ve been very busy in the TS Labs! We’ve released 6 new operation simulations, and are constantly working on even more operation modules to allow you to better learn and rehearse your surgeries. With so many modules releases in the past month, we thought that it might be better to consolidate them into a single blog post. From new laparoscopic surgeries to breast surgeries, and more in between, we’re excited to be pushing the limits of surgical education with our training and rehearsal platform. You can learn more about the procedures below, or try them (for free, of course) in the Touch Surgery app.



This Touch Surgery operation demonstrates the procedure for performing a mastectomy. Mastectomy is the surgical removal of one or both breasts and is usually carried out to treat breast cancer. There are several different types of mastectomy depending on the areas that are removed. This operation was authored by Richard Sutton, a Consultant General Surgeon at the Royal United Hospital (RUH), Bath and breast cancer specialist.


Sentinel Lymph Node Biopsy

This Touch Surgery operation demonstrates how to perform a sentinel lymph node biopsy. A sentinel lymph node is defined as the first lymph node to which cancer cells are most likely to spread from a primary tumour. A sentinel lymph biopsy (SLNB) is a procedure in which the sentinel lymph node is identified, removed, and sent to pathology for examination to determine whether malignant cells are present. This is usually done at the same time the primary tumour is removed (mastectomy) as shown in this module. This procedure was also authored by Richard Sutton.


Dupuytren’s Cord Removal

This Touch Surgery procedure demonstrates how to perform a fasciectomy for a patient suffering from Dupuytren’s contracture. Dupuytren’s contracture is a condition that causes one or more fingers to bend into the palm of the hand. In patients with this condition, the palmar fascia thickens and shortens so that the tendons connected to the fingers cannot move freely. The ring finger and little finger are the most likely affected by this condition. If the condition worsens and interferes with the use of the hand, it may be possible to surgically remove the shortened connective tissue to release the tendons and allow the affected finger to straighten. This operation simulation was authored by David Floyd (MA. MB. Bchir, MSc, FRCS, FRCS), a consultant plastic surgeon and honorary senior lecturer at The Royal Free Hospital and University College London Hospitals.


Laparoscopic Appendectomy

This Touch Surgery operation simulates how to perform a laparoscopic appendectomy. Laparoscopic appendectomy is the surgical removal of the appendix via a minimally invasive technique. The use of laparoscopic surgery in the management of acute appendicitis (AA) was first described in 1983, with a continued increasing trend in its use. The literature describes decreased pain, earlier resumption of diet, and a decreased length of hospital stay. This operation was authored in collaboration with Rafael Grossmann (MD, FACS), an Attending Surgeon at Eastern Maine Medical Centre, a notable TED talk speaker, and the first surgeon to use Google Glass in an operating theatre.


Laparoscopic Cholecystectomy

This Touch Surgery operation simulation demonstrates how to perform a laparoscopic cholecystectomy. Laparoscopic cholecystectomy is the surgical removal of the gallbladder via a minimally invasive technique, and is usually performed as a day case. Dr. Vivek Bindal is a Robotic and Bariatric surgeon at Duke University Medical Center, as well as the Sir Ganga Ram Hospital in New Delhi, India.


Pulmonary Wedge Resection

For pulmonary wedge resections, video-assisted thoracic surgery (VATS) can be recommended for patients with clinical stage-one, non-small cell lung cancer.1 By using these minimally invasive techniques, which require just three port incisions, surgeons can reduce pain and overall postoperative complications.2 These VATS procedures have become standard operations, and advancements in instrumentation, such as surgical staplers has become available, thus making them more efficient and lowering the cost. This module was made possible by Ethicon, and features the ECHELON FLEX™ Powered ENDOPATH® Stapler.