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

Table 1

Numbers of gynecological surgeries (𝑛=99).

Type of surgery	2 mo. before course	Months—2 to 3 after the course	Statistic (paired 𝑡)	Significance
Total laparoscopic hysterectomy**	0.98	1.99	𝑡=−5.66	𝑃<.001
Total vaginal hysterectomy**	1.92	2.13	𝑡=−1.10	𝑃=.275
Laparoscopic assisted vaginal hysterectomy**	1.72	1.67	𝑡=0.21	𝑃=.835
Laparoscopic sacrocolpopexy**	0.12	0.13	𝑡=−0.26	𝑃=.798
Total abdominal hysterectomy	2.49	2.03	𝑡=1.72	𝑃=.089
Laparoscopic supracervical hysterectomy	1.21	0.79	𝑡=2.84	𝑃=.005
Endometrial ablation	3.99	3.15	𝑡=2.80	𝑃=.006
Suburethral vaginal sling	1.71	1.7	𝑡=.061	𝑃=.951

** Minimally invasive procedures taught in the course.