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0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Pre Post SECURE NON-SECURE Impact of the Olympus/ BSGE + Immersion Training Programme on laparoscopic suturing skills; a prospective cohort study K. Madhvani, Poole Hospital/ Blizard Institute, Barts and the London School of Medicine and Dentistry, QMUL Z .Hasafa, Royal Cornwall Endometriosis Centre Objective: To assess the change in laparoscopic suturing skills in candidates of an intensive laparoscopic training programme. Design: Prospective cohort study. Setting: 24 Candidates in the Olympus & BSGE ST5+ Immersion Training Programme 2018. Methods: The European Academy of Gynaecological Endoscopy validated Suturing and Knot Tying Training and Testing Method (SUTT1) was used to evaluate candidates' laparoscopic suturing skills. Candidates were asked to perform five stitches and an intra-corporeal knot and the beginning and the end of the training programme. Examiners were independent of the programme faculty. The online scoring platform for the European Academy of Gynaecological Surgery was used to calculate the overall score for each participant considering their previous psychomotor training. Individual components assessed within the overall score were: time to complete the task, number of correct sutures placed, knot security, precision and no trauma which was scored in three categories; “no trauma”, “some trauma” and “excessive trauma”. Comparisons of the overall score and each of the five components (time, number of correct sutures, knot security, precision and “no trauma”) were performed using the non-parametric tests for paired samples. Results: Three candidates completed the assessment successfully before the programme and all candidates completed it after the programme (p<0.000). The median number of sutures improved from 1/5 to 4/5 after the programme (p<0.000). The number candidates who were able to place a secure knot laparoscopically improved from 11 to 20 (p<0.000). Precision improved from a median score of 4/10 to 8/10 after the programme (p<0.01). Eight candidates "no trauma" score improved, six worsened and nine of the candidates' no trauma score did not change. Conclusion: Laparoscopic suturing skills in all candidates significantly improved after participation in the Olympus & BSGE ST5+ Immersion Training Programme and this is a useful programme to allow participants to develop the laparoscopic skills required to deliver laparoscopic hysterectomy. Number of correct stitches Time to complete SUTT 1 Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.000 Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.000 Knot security Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.011 Precision Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.000 0% 20% 40% 60% 80% 100% Post Pre Insufficient Fair Excellent Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.000 0% 20% 40% 60% 80% 100% Post Pre EXCESSIVE TRAUMA SOME TRAUMA LEAST TRAUMA Wilcoxon Signed Rank Test (Non parametric paired sample) H0= The median of differences between the 2 samples is 0 P = 0.648 No trauma score Overall performance
