Left in the Dark: Laparoscopic Cuff Closure for Left-Handed Learners

Abstract

<h3>Study Objective</h3> This video seeks to educate both learners and educators on techniques for left-handed laparoscopic vaginal cuff closure through three different port configurations. It also aims to highlight disparities between right and left-handed trainees in surgical training and mentorship. <h3>Design</h3> Narrated surgical video. <h3>Setting</h3> Two teaching hospitals (academic and community based). <h3>Patients or Participants</h3> Three patients undergoing total laparoscopic hysterectomy for various indications. <h3>Interventions</h3> Left-handed laparoscopic vaginal cuff closure through three different port configurations. <h3>Measurements and Main Results</h3> We illustrate several key points for educators and left-handed learners including: -Port placement options for the left-handed surgeon -Advantages and disadvantages of various port configurations -Recommended direction of suturing based on port placement -Techniques for assisting a left-handed surgeon -Direct comparison between right and left-handed suturing, demonstrating that they are mirror images of one another <h3>Conclusion</h3> Left-handed laparoscopic vaginal cuff closure can be effectively accomplished through any port configuration. Educators and left-handed learners should be familiar with port placement options, techniques for assisting a left-handed surgeon, and direction of suturing for left-handed cuff closure to optimize surgical education and minimize patient time under anesthesia.