Today is Tuesday, Jul. 17, 2018

Department of


Woliver Lab

Edward Woliver Laboratory for Simulation and Education in Surgery

The Edward Woliver Laboratory for Simulation and Education in Surgery includes an array of simulation equipment designed to let surgical residents practice new skills in a safe, faculty-mentored environment outside the operating room. The lab has both low- and high-tech simulation equipment, including simple models to simulate suturing skin, bowel and blood vessels. It also includes sophisticated devices that incorporate haptics (sense of touch) and track a surgeon's performance during laparoscopic and endoscopic training.

The UC Department of Surgery participates in the Fundamentals of Laparoscopic Surgery (FLS) course to train and evaluate senior residents, fellows, and other community surgeons in the basic skills of minimally invasive surgery. The course is conducted in the Center for Surgical Innovation (CSI) facility. The FLS course is an education and skills training module developed by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the American College of Surgeons Division of Education and is rapidly becoming the standard of evaluating basic skills and knowledge for laparoscopy. The course is CME accredited.

The course has two components: (1) a cognitive part designed to teach the basics of laparoscopic surgery, and (2) a set of technical skills to master. It includes several sets of DVDs and a trainer box to allow practice of manual skills. The FLS course is designed to teach the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery and to assess cognitive knowledge and manual skills through a two-part, proctored exam. The cognitive component is a timed, multiple-choice exam administered via computer. The manual skills component is a timed, hands-on skills exam administered via the FLS Laparoscopic Trainer Box. FLS provides feedback on performance of both cognitive and technical abilities, and permits learning of minimally invasive techniques in a completely safe environment without putting patients at risk.

The course consists of modules covering Patient Positioning, Anesthesia, Pneumoperitoneum, Trocar Placement, Exiting the Abdomen, Current Laparoscopic Procedures, Diagnostic Laparoscopy, Biopsy, Surgical Injuries, Laparoscopic Suturing, Post-op Care, Closure Complications, and Data Analysis.

The Laparoscopic Trainer Box enables development of psychomotor skills and dexterity required during the performance of basic laparoscopic surgery. It is a portable unit that can be used in the environment of choice. The Trainer Box includes a set of accessories used to simulate specific surgical techniques. The Manual Skills Set test includes Peg Transfer, Precision cutting, Placement and securing of ligating loop, Simple suture with intracorporeal knot, and Simple suture with extracorporeal knot.