Remote hands-on training with a novel "video-game" simulator for teaching fetoscopic laser techniques for ablation of placental anastomoses in twin-to-twin syndrome

What's already known about this topic?Twin to twin syndrome (TTTS) is a serious complication of monochorionic twin pregnancyThe treatment of choice is fetoscopic laser ablation of placental anastamosesSimulation plays an important role in teaching this high-acuity procedureWhat does this study add?We report the development of a high-fidelity digital simulation system for teaching TTTS fetoscopic lasersRemote teaching has been demonstrated to work well with this systemThis simulator is robust, easy to store and assemble and relatively inexpensive.