The development of the laparoscopic perimetrium suturation training method

Holding a needle and suturing, fundamental techniques, in laparoscopic surgery are difficult for beginners to learn, including residents. There are various training methods, but no ultimate training method is used. We developed a training instrument for total laparoscopic myomectomy (TLM) based on the measurement results of the ranges of the distance and angle of 2 points measured with the forceps during the performance of TLM. We established the training method using baseball sutures for the perimetrium and calculated the time required in laparoscopic operations. The training provided a realistic simulation of manipulation and the results indicates this training method is effective.