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Related Experiment Video

Updated: Jan 27, 2026

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Comparing Proficiency of Laparoscopic Vaginal Cuff Suturing After Training with Two Simulators.

Emily G Lin1, Megan A Runge1, David Aaby2

  • 1Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. (Drs. Lin, Runge, Marshall, Traylor, Tsai, Chaudhari, Milad).

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 26, 2026
PubMed
Summary

A gynecology-specific laparoscopic trainer (EMIGS) and the standard trainer (FLS) showed no significant difference in preparing students for a vaginal cuff surgery task after 2.5 hours of training.

Keywords:
EducationEssentials in Minimally Invasive Gynecologic Surgery (EMIGS)Fundamentals of Laparoscopic Surgery (FLS)Simulation training

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Gynecologic Surgery

Background:

  • Laparoscopic surgical skills are crucial for gynecologic procedures.
  • Standardized training is essential for premedical and medical students entering surgery.
  • Evaluating novel training tools is vital for improving surgical education.

Purpose of the Study:

  • To compare the effectiveness of the Essentials in Minimally Invasive Gynecologic Surgery (EMIGS) simulator versus the Fundamentals of Laparoscopic Surgery (FLS) simulator.
  • To determine if a gynecology-specific trainer better prepares students for a laparoscopic vaginal cuff task.

Main Methods:

  • A masked, block-randomized controlled trial involving 49 premedical and preclinical medical students.
  • Students trained for 2.5 hours on either the EMIGS or FLS simulator.
  • Performance on a laparoscopic vaginal cuff suturing task was assessed pre- and post-training using the modified Global Operative Assessment of Laparoscopic Skills (GOALS) rubric.

Main Results:

  • The mean improvement in GOALS scores was 6.50 for EMIGS and 4.07 for FLS (P = .34).
  • The EMIGS group showed greater improvement in six of eight individual GOALS domains, though not statistically significant.
  • Demographic characteristics were similar between the EMIGS and FLS groups.

Conclusions:

  • Neither the EMIGS nor the FLS simulator demonstrated superior performance enhancement for the vaginal cuff suturing task after a single training session.
  • Further research may be needed to explore longer training durations or different skill assessments.