Day 1: Postgraduate Course - Saturday November 9, 2019

SUTR-608: Laparoscopic Suturing


Saturday, November 9, 2019


12:30 pm – 4:30 pm


Rooms 223-224


Didactic and 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.




Masaaki Andou, Krisztina I. Bajzak


Keiko Ebisawa, Tomonori Hada, Mark R. Hoffman, Tae Joong Kim, Mari Kitade, Andre LaRoche, Karine J. Lortie, Neeraj Mehra, Yoshiaki Ota, Chandrew Rajakumar, Michael W.H. Suen, Mina Wesa, Neeta R. Warty

Course Description

This course provides an introduction to basic and advanced suturing techniques in a dry lab setting and is designed for participants wanting to learn and improve their laparoscopic suturing skills. This course will present a variety of techniques for needle loading and tissue reapproximation in the simulated setting of laparoscopic box trainers. In addition to suturing via simple interrupted and continuous running techniques, the participant will be exposed to cinch knot, sliding knot, imbricating layers, baseball stitch, and suturing devices, according to their preferences and skill level. Clinical applications for these different techniques will be presented.  Different suture materials, including barbed suture, will be reviewed. The aim of the course is to help participants perform both intra- and extracorporeal knot tying in a successful, consistent, and timely manner. Faculty will provide an interactive environment to meet the needs of the individual, critical to effective learning.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Efficiently load and drive a needle for tissue closure using laparoscopic intra- and extracorporeal knot tying; 2) perform efficient laparoscopic repairs of simulated tissue via interrupted and continuous running suturing techniques; and 3) acquire knowledge of the clinical applications of these suturing techniques.

Course Outline

12:30Welcome, Introductions, and Course OverviewM. Andou, K.I. Bajzak
12:35Fundamentals of Needle Loading, Tissue Reapproximation, and Suture ManagementT. Hada
    LAB I: Hands-On Tissue Reapproximation, Running Cuff Closure
  • Practice and Demonstrate Efficient Needle Loading and Tissue Reapproximation
All Faculty
    Techniques for Intracorporeal Knot Tying
  • Techniques for Successful, Consistent Intracorporeal Knot Tying
K.I. Bajzak
    LAB II: Hands-On Intracorporeal Knot Tying
  • Continue Practice of Running Cuff Closure
  • Practice and Demonstration of Efficient and Reliable Intracorporeal Knot Tying
All Faculty
    Techniques for Extracorporeal Knot Tying
  • Review Techniques for Successful, Consistent Extracorporeal Knot Tying
K.I. Bajzak
    LAB III: Hands-On Practice of Extracorporeal Knot Tying
  • Practice and Demonstration of Efficient and Reliable Extracorporeal Knot Tying
All Faculty
3:00Suture Selection, Cinch Knot, Sliding Knot, Imbricating Layers, Baseball Stitch, Suturing Devices, and Clinical ApplicationsM. Andou
    LAB IV: Hands-On Practice
  • Practice prior techniques as needed
  • Practice cinch knot, sliding knot
  • Practice imbricating layers, baseball stitch
  • Use of suturing devices
  • Use of barbed suture
M. Andou
4:15Questions and AnswersAll Faculty