Laparoscopic Suturing Program - IUGA - 2012 Brisbane, Australia

IUGA Pre-congress Workshop
Laparoscopic Suturing for the
Beginner
IUGA 2012
4 th September 2012
Course Convenor:
Dr Michael Wynn-Williams
MBChB, FRANZCOG
IUGA Pre-Congress Laparoscopic Suturing Workshop 2012 – M.R. Wynn-Williams

Faculty
Dr Michael Wynn-Williams Au
Dr Mark Slack UK
Dr Salwan Al-Salihi Au
A/Prof Anusch Yazdani Au
Dr Anna Bashford Au
Dr Simon McDowell Au
Aims & Objectives
� Master the essential skills for the laparoscopic
application of extra and intra corporeal suturing in a
dry lab setting.
� Learn the different laparoscopic approaches to
suturing in the anterior and posterior compartments.
� When to and when not to use laparoscopic suturing
in the management of complications of Pelvic floor
surgery ie the bladder, ureter, vagina, bowel and
blood vessel injuries..
IUGA Pre-Congress Laparoscopic Suturing Workshop 2012 – M.R. Wynn-Williams

Program
Welcome
Introduction to Laparoscopic Suturing (Michael Wynn-Williams) (15 Min)
Dry Lab Workshop
Exercise 1 (70 min) 20 candidates
Aim - To be able to place a laparoscopic suture and tie off with an extracorporeal
knot.
Exercise - The technique of placing and tying an extracorporeal knot has been
broken down into individual steps to be learnt and will be brought together at the
end with completion of the entire task. Each task will be completed in 10 minutes.
Each task will be presented on the video screen.
Task 1
Rope passing – using a needle holder and grasper, pass the provided
piece of rope from one instrument to another for its entire length. Try this
now with suture material.
Task 2
Needle Setup - Load a suture for introduction into the suturing port –
discuss needle and needle holder design
Task 3
Needle Loading - Grasp, manipulate and load suture into the neutral and
backload positions
Task 4
Drive needle through tissue
Task 5
Weston Knot - Perform a Weston Knot with the white rope provided
Task 6
Roeder Knot - Perform a Modified Roeder Knot with the white rope
provided
Task 7
IUGA Pre-Congress Laparoscopic Suturing Workshop 2012 – M.R. Wynn-Williams

Tie two extracorporeal knots around suturing rack using Endoknot
provided
Final Task
Compete to perform the fastest extracorporeal knot placement with the
group
Morning Tea (20 min) groups then swap exercises
Lectures & Video Presentations (15 min each)
Laparoscopic Suturing techniques in Posterior Compartment - Dr Salwan Al-
Salihi
Management of Surgical Complications with Laparoscopic Suturing – Video
Presentation – Dr Michael Wynn-Williams
Exercise 2 (70 min) 20 candidates
Aim - To be able to place a laparoscopic suture in the bowel and tie with an
intracorporeal knot.
Exercise - The technique of placing and tying an intracorporeal knot has been
broken down into individual steps to be learnt and will be brought together at the
end with completion of the entire task. Each task will be completed in 10 minutes.
Each task will be presented on the video screen.
Task 1
Rope passing – using a needle holder and grasper, pass the provided
piece of rope from one instrument to another for its entire length. Try this
now with suture material.
Task 2
Discuss –ergonomics of laparoscopic suturing and port placement
Task 3
Needle Setup - Load a suture for introduction into the suturing port
IUGA Pre-Congress Laparoscopic Suturing Workshop 2012 – M.R. Wynn-Williams

Task 3
Needle Loading - Grasp, manipulate and load suture into the neutral and
backload positions
Task 4
Drive needle through tissue and reload needle
Task 5
Tie intracorporeal knot
Task 6
Suture defect in simulated bowel with interrupted intracorporeal knots
Task 7
Compete to perform the neatest and fastest repair with the group
Laparoscopic Suturing Olympics
Close and bus back to Brisbane Convention Center
IUGA Pre-Congress Laparoscopic Suturing Workshop 2012 – M.R. Wynn-Williams