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Event Date: Wed - 6 Aug, 2014
Event Time: 9:00 am
Location: World Laparoscopy Hospital, Gurgaon
Institute: WLH
Today the doctors learnt the Laparoscopic extracorporeal Square knot. This knot is very useful to approximate the tissues in locations where the space is limited and deep like in pelvic cavity, gastroesophageal junction etc. This knot can be used to suture the vaginal vault or to approximate the right and left crus in Laparoscopic Fundoplication. This knot can also be used to approximate the serosal layer in Laparoscopic myomectomy.
The length of the suture should be minimum 90 cms and Clark knot pusher is used. The needle is made Endoski and is introduced in the abdomen through 10 mm port. The bite is taken and 20 cms of the suture length is feeded inside. The needle is pulled out. Half knot is tied and Clark's knot pusher is applied. The needle end of the suture is held tight and straight and the knot is pushed past the sutured tissue. This is called Past Pointing. Another half knot is tied and pushed. If the first knot is loose the second knot will tighten the first. Similarly third half knot is tied and pushed. After knotting the suture is cut. The Square knot is a must learn knot only disadvantage is that for every knot one suture length is consumed. Along with knotting doctors also learnt how to use the Needle holder and Align the needle.
The access techniques, the closed access technique with Verees Needle and open access technique with the Hasson's canulla both are safe if performed properly. Over the entire safety margin is slightly more in favour of the open access technique.
The port placement determines the outcome of the Laparoscopic surgery and correct port placement makes the surgery safe and easy. In Base Ball Diamond principal of port placement the most crucial step in performing laparoscopic surgery comfortably is correct positioning of the working ports. Today Dr R K Mishra demonstrated the Base ball diamond principle of port position. This principle applies to the contra lateral ports and it fulfils the three important requirements of the laparoscopic surgery viz.
1. The laparoscopic instrument should work like type 1 lever.
2. Half of the length of the instrument should be outside and half should be inside.
3. The manipulation angle between the working instruments should be sixty degree and the azimuth angle should be 30 degrees on either side.
The doctors also learnt about the ipsilateral port position and learnt the aerial gradient, motion parallax and motion gradient and its effect on the task performance. The intracorporeal suturing becomes difficult with ipsilateral ports. The doctors were also given demonstration on creating ports opposite the telescope and formation of the mirror image which should be avoided at every cost in the laparoscopic surgery.
World Laparoscopy Hospital: A Hub of Contemporary Learning with Daily 8-Hour Hands-On Laparoscopic Training
In the realm of medical education and training, there are institutions that stand out as pioneers, constantly pushing the boundaries of what is possible. One such institution is the World Laparoscopy Hospital, where a contemporary event unfolds every day, featuring a remarkable 8-hour hands-on laparoscopic training program.
A Daily Revolution in Learning
At the heart of the World Laparoscopy Hospital's mission is the commitment to train the next generation of surgeons and medical professionals in the art and science of Minimal Access Surgery. What makes this institution truly exceptional is its daily 8-hour hands-on laparoscopic training program.
The Laparoscopic Revolution
Laparoscopic surgery, often referred to as minimally invasive surgery, has revolutionized the field of surgery in recent decades. Instead of large incisions, this technique involves making tiny keyhole-like openings through which a camera and surgical instruments are inserted. This results in significantly reduced patient trauma, shorter recovery times, and less post-operative pain.
The Daily Experience at World Laparoscopy Hospital
Every day at World Laparoscopy Hospital is a contemporary event in the world of medical education. Here's a glimpse into what a typical day looks like for those fortunate enough to train at this prestigious institution:
1. Intensive Training: The 8-hour hands-on laparoscopic training is an immersive experience where trainees work side by side with experienced surgeons. This hands-on approach ensures that students gain practical skills and confidence in performing laparoscopic procedures.
2. State-of-the-Art Facilities: The hospital boasts state-of-the-art facilities, equipped with the latest laparoscopic instruments and technology. Trainees have access to the same tools and equipment used in modern surgical practices around the world.
3. Expert Faculty: The training is conducted under the guidance of expert faculty members who are pioneers in the field of Minimal Access Surgery. Their wealth of knowledge and experience provides students with invaluable insights and mentorship.
4. Customized Curriculum: The training program is tailored to the specific needs and experience levels of each student. Whether you are a novice or an experienced surgeon looking to refine your skills, there is a program to suit your requirements.
5. Global Reach: World Laparoscopy Hospital attracts medical professionals from all corners of the world. This diverse group of trainees fosters cross-cultural exchanges and collaborations, enriching the learning experience.
6. Research Opportunities: Beyond the hands-on training, the hospital also serves as a hub for research and innovation in the field of Minimal Access Surgery. Trainees have the opportunity to participate in cutting-edge research projects.
Impact Beyond the Classroom
The impact of the daily 8-hour hands-on laparoscopic training at World Laparoscopy Hospital extends far beyond the classroom. Graduates of this program return to their respective countries armed with advanced skills, contributing to the global dissemination of minimally invasive surgical techniques. Patients around the world benefit from the reduced invasiveness, faster recoveries, and improved outcomes that these skilled professionals bring to their practice.
In conclusion, World Laparoscopy Hospital's commitment to daily 8-hour hands-on laparoscopic training is a testament to its dedication to excellence in medical education. By offering a world-class learning environment and fostering a culture of innovation, this institution is shaping the future of surgery, one trainee at a time. It is not just an institution; it is a beacon of hope for patients and a driving force in advancing the field of surgery.
