DISCUSSION
bleeding, anxiety, mistakes, tremor, OkrainecBased, decreases postoperative pain, trauma
BLEEDING
Laparoscopic surgery was a surgical advance and proved to be beneficial because the laparoscopic access reduces surgical trauma and shortens the surgery time as it does not require laparotomy and subsequent suturing of the abdominal wall. It also decreases postoperative pain, patient hospitalization time and prompt recovery of the patient with early return to their work and physical activities.It is proven and validated that realistic simulation can be transferred to the operating room, saving the patient from learning. As a foresight of the future, it is evident that each teaching hospital and medical school could have a surgical skills laboratory in its methodological context of teaching, continuing education and researchThe training assists the acquisition of skills for undergraduate, medical residency and graduate students. It is not justified to use patients on the so-called learning curve, until the surgeon acquires the skill, experience and proficiency. The initial skill must be acquired in experimental surgery laboratories and in simulatorsIn the theoretical-practical class, there is a lack of concern in the execution of tasks, with the possibility of making mistakes and repeating the training until they get it right, thus minimizing the psychological impact, stress, insecurity, anxiety about the risk of error and iatrogenics in a situation of hospital practiceWith the emergence of laparoscopic surgery, the need and the challenge of training surgeons to acquire the necessary skills to practice efficiently and safely emergedFarquharson et al.Works that related the gender of the participant with the final result of the course were found in the literature in other studies. In the research by Moura Junior et al.We found in the work of Farquharson et al.Buckley et al.Orzech et al.Choy & OkrainecBased on the evaluation of the students in our course, the importance of suture training in surgical training was observed, which is in agreement with the authors Buckley et al.The effectiveness of a concise two-day course of laparoscopic suturing was demonstrated by Palter et al.In our study of a total of 56 students, although 57% did not present any training with endosuture, all of them showed satisfactory results, in agreement with the results indicated by Palter et al.Regarding the evaluation of the course, other works with this analysis were found in their results. In Moura Junior et al.Our study had some limitations that make the simulation white box experience not entirely identical to the real surgical procedure. The lack of bleeding, which can occur during the surgical procedure, and the lack of camera tremor are situations that are not reproducible in a simulation course. The texture of silicone, although it resembles the tissue of human viscera, is in fact not identical. However, even with these limitations, our training contributed to the training and knowledge of surgical techniques for the physicians who participated in the course and with our findings, we can add that courses using black box are of great value in the training of the surgeon.