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Fundamentals of Laparoscopic Suturing and Knot Tying with Clinical Applications

Produced & Presented By

This course is free for all AAGL Members to complete online. If you are not currently a member of the AAGL and would like to access our online CME, you can become a member by clicking here.

Please scroll down to read the course description, learning objectives, faculty disclosures and maximum number of CME credit available for this course.

Release Date:  March 31, 2017
Expiration Date:  March 31, 2018
Estimated time of Completion: 60 minutes

This one-hour online activity is designed for academic faculty, practicing physicians, fellows and residents who want to improve their understanding of laparoscopic suturing, laparoscopic knot tying, and the fundaments of depth perception in laparoscopy. The fundamental concepts of triangulation, monocular cues, needle loading, tissue approximation, extracorporeal knot tying, and intra-corporeal knot tying will be reviewed. Clinical demonstrations of these concepts and techniques will also be presented.

Learning Objectives
At the conclusion of this activity, the participant will be able to: 1) Describe various monocular cues that aid in depth perception at the time of laparoscopic suturing; 2) describe the critical elements of needle loading and tissue approximation; 3) identify the common mistakes made with intra-corporeal knot tying and how they can be overcome; and 4) identify clinical applications of various suturing techniques.

Target Audience
This educational activity is developed to meet the needs of residents, fellows and new minimally invasive specialists in the field of gynecology.

The AAGL is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAGL designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), AAGL requires resolution of all conflicts of interest to ensure CME activities are free of commercial bias.

Planner Disclosures
The following members of AAGL have been involved in the educational planning of this workshop (listed in alphabetical order by last name).

Art Arellano, Professional Education Manager, AAGL*

Linda J. Bell*

R. Edward Betcher*

Amber Bradshaw-Whitear
Speakers Bureau: Myriad Genetics Lab

Sarah L. Cohen*

Erica Dun*

Dené M. Glamuzina*

Joseph L. Hudgens
Speakers Bureau: Applied Medical
Contracted Research: Gynesonics

Franklin D. Loffer, Medical Director, AAGL*

Suketu Mansuria
Speakers Bureau: Medtronic

Linda Michels, Executive Director, AAGL*

Karen C. Wang*

Johnny Yi*


Faculty Disclosures

The following have agreed to provide verbal disclosure of their relationships prior to their presentations. They have also agreed to support their presentations and clinical recommendations with the “best available evidence” from medical literature (in alphabetical order by last name).

Joseph L. Hudgens
Speakers Bureau: Applied Medical
Contracted Research: Gynesonics


Content Reviewer

Johnny Yi*

Asterisk (*) denotes no financial relationships to disclose.

This CME activity was produced by AAGL and the information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by AAGL. In no event will AAGL be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Click here to view AAGL’s Policy on Enduring Materials

How to Obtain AMA PRA Category 1 Credit(s)

  1. Log into your AAGL membership account or enter your personal details
  2. Watch the webcast
  3. Take the CME posttest (each question must be answered correctly).
  4. Select the number of CME hours for which you are applying for this activity. You will receive your personalized CME certificate by email.

Technical Requirements

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All CME webcast activities feature audio and you must have a sound card and speakers or headphones to listen to the audio portion of the program.


The streaming video portion of the webcast requires Adobe Flash, Version 9.0 or later. You can download and install Adobe Flash Player by visiting

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Video Main Menu

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Fundamentals of Laparoscopic Suturing: Introduction & Overview, Monocular Cues in Laparoscopy, Triangulation in Laparoscopy (14.57 min)
Watch w/CME
Fundamentals of Laparoscopic Suturing: Systematic Approach: Needle Loading and Tissue Approximation (11.38 min)
Watch w/CME
Fundamentals of Laparoscopic Suturing: Systematic Approach: Knot Tying (9.20 min)
Watch w/CME
Fundamentals of Laparoscopic Suturing: Clinical Applications (17.57 min)
Watch w/CME

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About Our Faculty

Dr. Barbara Levy

Vice President for Health Policy
American College of Obstetricians & Gynecologists
Washington, D.C.

Dr. Rosanne Kho

Head of the Division of Urogynecology
Columbia University Medical Hospital
New York, NY

Dr. John Gebhart

Professor/Fellowship Program Director Mayo Clinic
Rochester, MN

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