Educational quality of laparoscopic hysterectomy videos for advanced endometriosis: institutional archives versus YouTube and MedTube

Objective This study aimed to evaluate the educational quality of laparoscopic hysterectomy videos for advanced endometriosis (ASRM stage III − IV) and to compare them across different digital platforms.

In this observational comparative study, laparoscopic hysterectomy videos were selected from YouTube, MedTube, and our institutional video archive during the period from September to November 2025. Videos were assessed using the nine-item LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) scoring system. Each video was independently evaluated by six reviewers, including three senior surgeons and three residents. Data were analyzed using the Kruskal–Wallis test and linear mixed-effects models.

A total of 60 laparoscopic hysterectomy videos were analyzed, with 20 videos from each platform. Median LAP-VEGaS scores were significantly higher for institutional archive videos [14.0 (13.0–15.0)] compared with YouTube and MedTube (p < 0.001). Multivariate analysis using a linear mixed-effects model showed that the institutional platform (β = +2.13, p < 0.001) and senior surgeon evaluators (β = +0.28, p = 0.038) were independently associated with higher educational quality. MedTube (β = −0.22, p = 0.676) and endometriosis stage IV (β = −0.81, p = 0.101) were not significantly associated with LAP-VEGaS scores. Videos from the institutional archive achieved the highest scores, particularly for Educational Value (Criterion 9) and Image Quality (Criterion 8).

The educational quality of laparoscopic hysterectomy videos is more closely related to academic and institutional context than platform type. Structured, academically curated video archives may play an important role in supporting standardized surgical training for complex procedures. Similar content being viewed by others

The authors thank all the participants in this study. Financial disclosure The authors declared that this study has received no financial support. Human rights The study protocol conforms to the ethical guidelines of the 1975 Declaration of Helsinki as reflected in a priori approval by the institution’s human research committee. Funding None. Author information Authors and Affiliations Corresponding author Ethics declarations Ethics approval and consent to participate This study protocol was approved by the Selçuk University Faculty of Medicine Ethics Committee with a protocol number of 2025/653 and conducted in accordance with the Declaration of Helsinki and Good Clinical Practices. The requirement for informed consent to participate was waived by the Selçuk University Faculty of Medicine Ethics Committee (Protocol No: 2025/653) due to the retrospective nature of the study and the use of publicly available and anonymized video materials. Consent for publication Not applicable. Competing interests The authors declare no competing interests. Additional information Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. About this article Cite this article Bertizlioglu, M., Sert, Z.S., Aktaş, G. et al. Educational quality of laparoscopic hysterectomy videos for advanced endometriosis: institutional archives versus YouTube and MedTube. BMC Med Educ (2026). https://doi.org/10.1186/s12909-026-09328-y Received: Accepted: Published: DOI: https://doi.org/10.1186/s12909-026-09328-y