Details
Transforming skills with all-hands-on training!
19 hrs all hands-on all-the-time, supervised deliberate practice
17 hours CME and ABOG MOC IV Simulation Credit
Who
This course is designed for MIS surgeons who want to transform their surgical skill and confidence by developing the ability to reliably suture and tie knots laparoscopically.
Course Goals
To build surgical skill and confidence
To understand essential geometric concepts fundamental to laparoscopic suturing and knot tying
To develop facility and flexibility in laparoscopic suturing and knot-tying with a variety of techniques, equipment and approaches to progressively more complex surgical simulation challenges
To have performed on Real Tissue Models: myomectomy (focusing on defect closure) and/or TLH and/or Sacrocolpopexy (focusing on procedure steps, cuff closure and resuspension suturing)
Deliberate supervised practice
Course Schedule/Curriculum
Saturday, April 26th, 2025
8:00am—12:00pm Hands on Dry Lab - Introduction of goals, station assignment, equipment check, warm-up exercises to establish favorable ergonomics. Introduce geometric fundamentals of laparoscopic suturing, knot-tying and knot mechanics. Skills will include needle introduction, needle handling and loading, manipulation and driving , suturing and intracorporeal knot-tying (flat knot) with and without needle. Contralateral and ipsilateral approaches introduced.
1:00 pm - 5:00 pm - Hands on Dry Lab: Mastery of skills – Review of knot tying fundamentals with further practice through simulation task assignment. Introduction of cinch knot mechanics with applications to intracorporeal and extracorporeal knot -tying., loop ligature and barbed suture. Ipsilateral suturing will be reinforced and practiced through task-based assignment.
Sunday April 27th, 2025
8:00am - 12:00 pm— Ipsilateral and contralateral suturing and knot-tying will be reinforced and practiced with emphasis on ipsilateral operating. Repetitive supervised practice will constitute the focus of this morning with application of skills to progressively more challenging simulations. Single-port suturing and knot-tying may be requested.
1:00 pm - 5:00 pm — Real Tissue Model Lab: Myomectomy, TLH and sacrospinous suspension will be performed on highest fidelity Real Tissue Models. Emphasis will be on the application of suturing and knot-tying skill to these highly realistic surgical simulations. Each model will also have other minor procedural tasks eg. ovarian cystectomy, tubal re-anastomosis.
Lunchpail lectures 12:00-1:00 on Saturday and/or Sunday will be determined by attendee preference.
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