Day 2: Postgraduate Course - Sunday November 10, 2019

SUTR-706: No Suture, No Surgery! Samurai “Goemon” Techniques to Master Laparoscopic Suturing


Sunday, November 10, 2019


7:00 am – 11:00 am


Rooms 223-224


Didactic / Simulation

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.




Nichole Mahnert, Akira Shirane


Andrea G. Aguirre, Tomonori Hada, Yoichiro Hamasaki, Fuyuki Ichikawa, Ryuji Kojima, Courtney S. Lim, Janelle K. Moulder, J. Biba Nijjar, Adeoti E. Oshinowo, Keisuke Oyama, Jasmine Pedroso, Shintaro Sakate, Mari Sawada, Lauren D. Schiff, Terumi Shirane

Course Description

This course provides an overview of multiple approaches to master laparoscopic suturing. We will review laparoscopic suturing fundamentals that include trocar placement, introduction of the needle into the abdomen, and needle handling. We will discuss the benefits of various approaches to efficiently and effectively perform an intracorporeal knot. The “Kurashiki” method will be highlighted, which simplifies laparoscopic suturing to make it successful, smooth, and fun. These principles will then be applied to individual scenarios for laparoscopic suturing, such as vaginal cuff closure, uterosacral suspension, myomectomy, and repair of vessel, ureter, bladder, and bowel injuries. Videos will be used to demonstrate techniques. Most importantly this course will include multiple opportunities for hands-on practice with laparoscopic and robotic platforms.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Apply and master various knot-tying techniques; 2) demonstrate suturing techniques on different tissues with precision; and 3) work with colleagues and trainees to apply tips and tricks to suture laparoscopically.

Course Outline

7:00Welcome, Introductions, and Course OverviewN. Mahnert, A. Shirane
7:05Trocar Placement and Needle LoadingN. Mahnert
    Dancing Needle and Perfect Thread Control
  • Hands-on and time trial
T. Hada
    Funky Surgeon Knot: Cuff Closure and McCall’s Culdeplasty
  • Hands-on, Tasks and Time Trial
T. Shirane
    Robotic Suturing
  • Hands-on, Tasks and Time Trial
A.G. Aguirre
    Cool! Pushing and Sliding Knot
  • Hands-on, Tasks and Time Trial
S. Sakate
    Repair and Reconstruction of Damaged Organs: Ureteral Anastomosis
  • Hands-on, Tasks and Time Trial
A. Shirane
    High Speed Continuous Suturing—Myomectomy and Cuff Closure
  • Hands-on, Tasks and Time Trial
F. Ichikawa
10:55Incorporate Daily Training into Your Busy Practice
Questions & Answers
All Faculty