Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy”

<table>(a) This “Holiotomy” is marked with dots on each side, which surgeons must suture through in placing three “figure of N’s” and then tie each with four square knots. Thus, twenty-four sutures are passed through a dot, and at least twenty-four knots are tied. (b) Close-up of completed holiotomies on the board.</table>

Minimally Invasive Surgery

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Figure 2

Figure 2: Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy” 

Figure 2 | Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy” 