Hands-on Laparoscopic Suturing + Electrosurgery Workshop
December 1, 2021
UCSD Center for the Future of Surgery
8 am - 5 PM

Optional Hands-on Laparoscopic Suturing + Electrosurgery Workshop and Optional Hands-on Cadaveric Sessions have been approved to meet ABOG Improvement in Medical Practice (Part IV) MOC requirements

Faculty:
Malcolm Mackenzie, MD - Chair

Course Description:

This hands-on course is composed of two parts: a morning session devoted to suturing and knot-tying skill development, and an afternoon session devoted to skills application to the performance of a cuff closure and a myomectomy in a high fidelity simulation model. Each attendee works individually on a box trainer with monitor screen. Individual guidance is provided as needed to guide learners in their skills acquisition. This foundational course teaches a reliable, reproducible technique based on an understanding of the underlying geometric principles fundamental to the challenge of straight stick suturing and knot-tying. These principles are applied to progressive simulation from low fidelity to high fidelity, providing increasing challenge to the learner. The goal of this course is to provide surgeons with a reliable suturing and knot-tying skill that improves both surgical confidence to take on more complex cases and competence in the performance of the cases.

Course Objectives:

1) Apply learned fundamental geometric principles to the performance of laparoscopic suturing and knot-tying.
2) Demonstrate a reliable and reproducible technique for laparoscopic suturing and knot-tying in progressively more challenging simulation platforms.
3) With emphasis on defect closure, apply this technique in the performance of a myomectomy on a highest fidelity surgical simulation model

Agenda

8:00 am – 12:00 pm      Fundamentals, ergonomics, needle handling, knot tying

12:00 pm – 12:30 pm     Lunch Pail Session
                                       Electrosurgery Lecture – Principles + Surgical Procedures
 
12:30 pm – 1:00 pm       Hands-On Energy 

1:00 pm – 5:00 pm         Deliberate practice; cuff closure, Myomectomy

The workshop will use high fidelity surgical simulation models constructed to provide realistic training in all manner of minimally invasive procedures - "Real Tissue Models". These fabricated models or tissue "cassettes" mimic normal and abnormal abdominal and pelvic anatomy providing realistic feel (haptics) and response to all surgical energy modalities. These Real Tissue Models are hand-constructed from animal tissue harvested from USDA inspected meat processing centers.