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There was a significant difference found in all three measures of performance in the three groups (time to completion p = 0.014, mean blinded OSATS score p = 0.007, mean blinded ALS score p = 0.02. Participants with previous laparoscopic suturing had significantly faster times to completion and higher skills scores when compared to residents (time 5.1 ± 1.4 min vs 9.0 ± 4.8 min, p = 0.005; OSATS 19.7 ± 2.8 vs 13.0 ± 5.8, p = 0.00398, ALS 27.4 ± 4.0 vs 18.9 ± 8.5, p = 0.0151). Conclusions A transanal endoscopic purse string simulator w
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