title: The European Academy laparoscopic "Suturing Training and Testing'' (SUTT) significantly improves surgeons' performance.
abstract: The efficiency of suturing training and testing (SUTT) model by laparoscopy was evaluated, measuring the suturingskill acquisition of trainee gynecologists at the beginning and at the end of a teaching course. During a workshop organized by the European Academy of Gynecological Surgery (EAGS), 25 participants with three different experience levels in laparoscopy (minor, intermediate and major) performed the 4 exercises of the SUTT model (Ex 1: both hands stitching and continuous suturing, Ex 2: right hand stitching and intracorporeal knotting, Ex 3: left hand stitching and intracorporeal knotting, Ex 4: dominant hand stitching, tissue approximation and intracorporeal knotting). The time needed to perform the exercises is recorded for each trainee and group and statistical analysis used to note the differences. Overall, all trainees achieved significant improvement in suturing time (p < 0.005) as measured before and after completion of the training. Similar significantly improved suturing time differences (p < 0.005) were noted among the groups of trainees with different laparoscopic experience. In conclusion a short well-guided training course, using the SUTT model, improves significantly surgeon's laparoscopic suturing ability, independently of the level of experience in laparoscopic surgery.
  
  
  BACKGROUND
  Endoscopy, laparoscopic suturing, psychomotor skills, surgery, teaching, training suturing model.
authors.affiliation: Department of Obstetrics and Gynecology , Middle East Institute of Health, Bsalim, Lebanon.
authors.forename: Z
authors.initials: Z
authors.lastname: Sleiman
authors.affiliation: Department of Obstetrics and Gynecology, Aretaeio hospital Andrea Avraamidi 55-57, Strovolos 2024, Cyprus.
authors.forename: V
authors.initials: V
authors.lastname: Tanos
authors.affiliation: European Academy for Gynecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Y
authors.initials: Y
authors.lastname: Van Belle
authors.affiliation: Department of Obstetrics and Gynecology, CUF Porto Hospital Estrada da Circunvalação 14341, 4100-180 Porto, Portugal.
authors.forename: J L
authors.initials: JL
authors.lastname: Carvalho
authors.affiliation: European Academy for Gynecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: R
authors.initials: R
authors.lastname: Campo
keywords: Endoscopy; laparoscopic suturing; psychomotor skills; surgery teaching; training suturing model