Endosuturing Training for Gynaecologists: Instruments, Knots Tying

October 09, 2025

Introduction

Endosuturing is the backbone of every gynaec endoscopy surgery. It demands precision, control, and a deep understanding of anatomy. Whether performing a laparoscopic myomectomy, hysterectomy, or vault closure, your suturing skills define your surgical success.
At Saidham Gynaec Endoscopy Training Centre, under the guidance of Dr. Swapnil Mane, we train gynaecologists and surgeons to master the art of laparoscopic suturing through hands-on workshops, structured fellowship programs, and real-time mentorship.

Instruments Used in Endosuturing

Choosing the right instrument improves accuracy, ergonomics, and surgical outcomes. Below is the essential toolkit every laparoscopic surgeon must know in Endosuturing:

Instrument Purpose Pro Tip
Non-Touth Lap Needle Holder & Touth Lap Needle Holder Holding and rotating the needle during suturing Rotate using wrist, not shoulder; ensure needle stability for precise entry and exit
Graspers / Forceps For tissue traction and support during suturing Maintain 60°–90° triangulation for better visualization
Endoscopic Scissors For precise suture cutting and trimming Keep tips aligned for a clean cut
Sutures (Vicryl No.1 – 45cm, Polyglactin 910) For closure and tissue approximation Use absorbable sutures for internal layers; ensure minimal tissue reaction
Curved Needle (Reverse Cutting) For deep pelvic spaces and confined areas Choose curvature based on depth and site accessibility
Non-Touth Lap Needle Holder Laparoscopic instrument used in endosuturing Non-Touth Lap Needle Holder Laparoscopic instrument
Touth Lap Needle Holder Laparoscopic instrument used in Endosuturing Touth Lap Needle Holder Laparoscopic instrument
Vicryl No.1 suture (45cm) for laparoscopic training at Saidham Hospital Vicryl No.1 suture (45cm) for laparoscopic training

Instrument Insight

  • The Non-Touth and Touth Lap Needle Holders are vital for secure needle handling during laparoscopic suturing.
  • The Vicryl No.1 (45cm) absorbable suture ensures smooth handling, knot stability, and reduced tissue trauma making it ideal for training and live gynecologic procedures.

Knot-Tying Techniques in Laparoscopic Suturing

The heart of endosuturing lies in secure knot-tying. Every trainee should master both extracorporeal and intracorporeal techniques.

Common Types of Knots:

  • Extracorporeal Knot: Ideal for beginners; tied outside and pushed in.
  • Intracorporeal Knot: Tied entirely inside the abdomen; requires advanced coordination.
  • Surgeon’s Knot: Offers excellent tension control for thicker tissues.
  • Square Knot: Reliable and widely used for non-slip closure.
  • Roeder’s Knot: Often preferred in tubal and vault procedures.

Endosuturing Fellowship at Saidham Hospital

The Saidham Gynaec Endoscopy Training Centre offers a structured, MUHS-affiliated fellowship program designed for gynaecologists seeking surgical precision and confidence.

Program Highlights:

  • Hands-on simulation-based laparoscopic training
  • Live surgical exposure under Dr. Swapnil Mane
  • Stepwise suturing & knot-tying modules
  • Small batches for personalized mentoring
  • Access to 3D laparoscopic labs & pelvic trainers

This fellowship ensures that every participant gains real operative experience, skill confidence, and the ability to perform suturing independently.

Common Mistakes & Solutions

Mistake Effect Solution
Over-tightening Tissue necrosis or tearing Gentle tissue approximation only
Wrong port position Hand fatigue and poor needle control Maintain proper ergonomics and port alignment
Poor camera alignment Loss of depth perception Adjust eye–hand–instrument coordination
Skipping simulation practice Poor intraoperative control Daily 30-minute drills improve consistency

Why Doctors Choose Saidham for Training

  • 15+ years of surgical teaching experience
  • 1000+ doctors trained nationally and internationally
  • MUHS-recognized certification in Gynaec Endoscopy
  • Live case observation and interactive mentorship
  • Direct training from Dr. Swapnil Mane, leading Gynaec Onco-Surgeon & Laparoscopic Expert

Conclusion

Endosuturing is the most crucial skill in a laparoscopic surgeon’s journey it builds precision, confidence, and professional excellence.
​ At Saidham Gyanec Endoscopy Training Center, we transform your learning through hands-on Mentorship, with advanced endosuturing Instruments. Enroll today in the Endosuturing Fellowship Program and become a master in laparoscopic suturing where every stitch shapes surgical excellence.

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