Day 1: Postgraduate Course - Saturday November 9, 2019

SUTR-607: You Can Do It! Fundamentals of Laparoscopic Suturing


Saturday, November 9, 2019


7:00 am – 11:00 am


Rooms 223-224


Didactic / Simulation Lab

The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. This course has been approved to meet ABOG Improvement in Medical Practice requirements until 12/31/2020.




Thomas G. Lang, Deirdre Lum


Uchenna C. Acholonu, Deborah Arden, Amanda Ecker, Joseph L. Hudgens, Ambareen Jan, Megan Loring, Michelle Louie, Hana Mikdachi, Adeoti E. Oshinowo, Nima R. Patel, Carolyn E. Selmer, Ja Hyun Shin, Mallory A. Stuparich

Course Description

This course will provide an introduction to basic and advanced laparoscopic suturing techniques in a dry lab setting and is designed for participants who desire to expand their laparoscopic suturing skills. Using laparoscopic box trainers, this course will present a variety of techniques from different port configurations. Essential techniques for needle loading, tissue reapproximation, and extracorporeal and intracorporeal knot tying will be presented by faculty, with a clinical focus on techniques relevant to vaginal cuff closure, myomectomy, cystotomy and enterotomy repair, and vaginal vault suspension. In addition, various applications of different suture materials, as well as alternative suturing devices and technologies utilized in gynecologic laparoscopy, will be reviewed. Material will be presented using a systematic approach, with an emphasis on meeting course objectives. Faculty will provide an interactive environment to meet the needs of individual participants. This course is designed to facilitate the practical and immediate application of suturing techniques and skills in the gynecologist’s surgical practice.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Reproduce efficient techniques for laparoscopic tissue reapproximation, suture management, and running closures; 2) perform efficient intracorporeal and extracorporeal knot tying, recognize the common mistakes encountered and identify how to correct them; and 3) compare and identify potential benefits of barbed suturing technologies and devices used in laparoscopy and review the clinical applications for vaginal cuff closure, myomectomy, cystotomy and enterotomy repair, and vaginal vault suspension.

Course Outline

7:00Welcome, Introductions, and Course OverviewT.G. Lang, D. Lum
7:05Pre-TestAll Faculty
7:20Fundamentals of Needle Loading and Tissue ReapproximationD. Lum
7:35LAB I: Drills for Needle Loading and Tissue Reapproximation
7:50Techniques for Intracorporeal Knot TyingT.G. Lang
8:05LAB II: Intracorporeal Knot Tying
9:10Extracorporeal Knot Tying, Advanced Skills, and Common MistakesD. Lum
9:25LAB III: Extracorporeal Knot Tying, Advanced Skills, and Troubleshooting
10:00Alternative Suture Options and Clinical ApplicationsT.G. Lang
10:15LAB IV: Alternative Suturing Options and Vaginal Cuff Model