A recognized obstacle is the complexity of laparoscopic suturing. Similar to professional musicians, base skills, need to be practiced on a regular basis.

Poor suturing skills and intracorporeal knot tying may result in extended surgical time, complications, potential errors, and re-operation requirements, Despite advancement in surgical techniques and the availability of newer surgical tools, the complexity of laparoscopic suturing continues to be a barrier to greater adoption of MIS. The results of the study underscore the need for the development of proficiency in laparoscopic suturing, which may help improve patient outcomes and reduce healthcare costs.

It is not unrealistic to conclude that, on occasion, in advanced laparoscopic training courses, the lack of proficiency in suturing may represent a disruptive element in the group learning processes.

These are simple simulation devices available in the market that, at a realistic cost to enable to train at home, or even at the workplace.