EFFECTIVE DAYS OF TRAINING IS ONLY 12 DAYS AS THERE ARE TWO SUNDAYS WHICH IS HOLIDAY IN THIS TWO WEEKS FELLOWSHIP IN MINIMAL ACCESS SURGERY COURSE. SO THIS TIME TABLE IS SHOWING MINUTE TO MINUTE TIME TABLE OF 12 DAYS
Surgeons and Gynecologists will be taken to operation theatre to see and assist in Live real operative cases in the operation theatre. The timing of that procedure is not mentioned in this timetable as it varies according to surgery time and availability of cases.
CLICK HERE TO SEE LOG BOOK OF SURGEONS / UROLOGISTS
CLICK HERE TO SEE LOG BOOK OF GYNECOLOGIST
DAY 1
08:30 am - 10:30 am: Registration of Participants
10:30 am - 10:45 am: Coffee Break
10:45 am - 12:00 pm: Lecture/PPT/Video Presentation
Introduction of Minimal Access Surgery (Presentation of past, present and future of minimal access surgery and introduction to Robotics, HALS, NOTES, TEM and SILS)
12:00 pm - 01:30 pm: Lab. Demonstration
Discussion of the importance of Ergonomics, Task Analysis & Engineering in Laparoscopy Surgery Lab. Demonstration of Instruments; (Part I). Access instruments, dissecting instruments, various graspers, and various scissors. Instruments used for closed and open laparoscopic access techniques, including Hasson's technique, Visiport, and safety trocars. How to access inside the abdominal cavity during laparoscopic surgery for general surgeons, pediatric surgeons, gynecologists, and urologists.
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Hands-On Practical
Laparoscopic hands-on training and exercises to increase depth perception by doing Terrible Triangle Drill and techniques of identifying various pathologies using laparoscope according to the guidelines of SAGES, EAES and WALS.
DAY 2
08:30 a.m.- 10:30 a.m: Practical
Top Gun Drill laparoscopic hands-on exercises to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands. Exercises will be Cobra rope drill as per the guidelines of WALS and SAGES.
10:30 am - 10:45 am: Coffee Break
Advantages and Disadvantages of Minimal Access Surgery. How to make case selection in minimal access surgery. Effect of pneumoperitoneum on the hemodynamics of the patient and how to manage those complications.
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Practical
Laparoscopic hands-on training and exercises to increase depth perception by doing Packing the Pole Drill.
DAY 3
08:30 a.m.- 10:30 a.m: Practical
Laparoscopic hands-on training and exercises to increase depth perception by doing Cobra Rope Drill, Tin Cup Drill, and Terrible Triangle Drill. The practice of diagnostic laparoscopy and hand-eye coordination for gynecologists, surgeons, and urologists for various minimal access surgeries in the laparoscopic lab with all set laparoscopic instruments (hands-on training) — techniques of identifying various pathologies using laparoscope according to the guidelines of SAGES, EAES and WALS.
10:30 am - 10:45 am: Coffee Break
Demonstration and discussion on all types of telescopes and stereoscope used in minimal access surgery, Principles of the camera, including three-chip 4K cameras.Different types of light sources entailing differences in functionality between Xenon and LED light sources and demonstration of types of light cables (fiber-optic and gel cables). Laparoscopic Insufflator & Quadro - manometric Principles of Microprocessor - Controlled Digital Insufflator.
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Practical
Lecture on laparoscopic suturing and knotting techniques followed by practice of extracorporeal Roeder’s, Meltzer’s & Mishra's knots for free structures, followed by the practice of laparoscopic extracorporeal knot for continuous structure over appendix and fallopian tube.
DAY 4
08:30 a.m.- 10:30 a.m: Practical
The practice of extracorporeal Roeder’s, Meltzer’s & Mishra's knots for continuous structures followed by practice of laparoscopic Extracorporeal Square knot and demonstration of surgeon's knot for myoma, fundoplication, Burch suspension, partial nephrectomy, rectal prolapse and vault closure in total laparoscopic hysterectomy.
10:30 am - 10:45 am: Coffee Break
Lecture and PowerPoint video presentation of various laparoscopic access techniques for surgeons, gynecologists, and urologists, including Veress Needle, Hasson's method, Scandinavian method, and Fielding method of access. Use of Visiport® and optical needle. Complications of access technique and how to manage those complications. Baseball Diamond Principle of Laparoscopic Secondary Ports Positioning, video presentation of exact points where one should put the ports during various laparoscopic procedures to achieve the best ergonomics for comfortable task performance.
1:30 p.m.- 2:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Practical
Hands-on practice of laparoscopic Extracorporeal Square Knot used for tissue under tension, like vault closure, partial neprectomy, fundoplication, gastric plication and myomectomy (hands-on training on tissues in operation theatre environment). Demonstration of Surgeons Knot.
DAY 5
08:30 a.m.- 10:30 a.m: Practical
The practice of laparoscopic Surgeons knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty, Burch suspension, partial nephrectomy (hands-on training on tissues in operation theatre environment).
10:30 am - 10:45 am: Coffee Break
Laparoscopic Dissection Techniques (Presentation and discussion of principles behind monopolar, bipolar, harmonic scalpel, Ligasure, Plasma-Sect, and Argon beamer and Laser for gynecological, surgical and urological procedures. Various Complications of energy sources, including insulation failure, direct and capacitative coupling, and how to prevent them. Practical demonstration of working of all types of energy sources, including entailing principles of Active Electrode Monitoring System (AEMS).
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 5:00 p.m: Practical
Hands-on practice of laparoscopic Surgeon and Tumble Square knot and laparoscopic Intracorporeal Surgeon's knot used for bowel anastomosis on harvested tissue.
DAY 6
08:30 a.m.- 10:30 a.m: Practical
Laparoscopic hands-on exercises with energy sources on tissues in operation theatre setup over harmonic, Ligasure, Enseal, Thunderbeat, etc.
10:30 am - 10:45 am: Coffee Break
FOR SURGEONS: Lecture and a video demonstration of laparoscopic appendicectomy technique (Presentation of various ways of performing laparoscopic appendicectomy including two-port appendicectomy, stapler appendicectomy, and retrocecal appendicectomy).
FOR GYNAECOLOGISTS: Lecture and a video demonstration of Laparoscopic Tubal Surgery including tubal recanalization, ectopic pregnancy, salpingectomy, and salpingo-oophorectomy.
01:30 p.m.- 02:30 p.m: Lunch
2:30 p.m.- 5:00 p.m: Practical
Hands-on training on Intracorporeal Surgeons and Tumble Square knot with Choreographic movements without swording of instruments. Demonstration of Dundee Jamming Knot.
DAY 7
08:30 a.m.- 10:30 a.m: Practical
Hands-on practice of laparoscopic Dundee Jamming knot, Aberdeen Termination and laparoscopic Intracorporeal Continuos Suturing on harvested tissue.
10:30 am - 10:45 am: Coffee Break
FOR SURGEONS: Lecture and video demonstration on laparoscopic cholecystectomy technique (Presentation of various ways of performing laparoscopic cholecystectomy including two-port cholecystectomy & SILS cholecystectomy.
FOR GYNAECOLOGISTS: PowerPoint presentation and video demonstration and Discussion of principles of Laparoscopic Ovarian Surgery (Presentation of laparoscopic oophorectomy, Ovarian Cystectomy including laparoscopic resection of Endometrioma).
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Practical
Hands-on practice of continuous suturing side to side and end to end bowel anastomosis and fallopian tube anastomosis. Baseball suturing and reverse suturing.
DAY 8
08:30 a.m.- 10:30 a.m: Practical
Hands-on practice of laparoscopic Dundee Jamming knot, Aberdeen Termination and laparoscopic Intracorporeal Continuos Suturing on harvested tissue.
10:30 am - 10:45 am: Coffee Break
FOR SURGEONS: PowerPoint Presentation and video demonstration of Trans Abdominal Peritoneal (TAPP) repair of inguinal hernia. PowerPoint presentation of various ways of performing Inguinal Hernia Repair including hernia surgery with and without tackers and staplers using various suturing techniques
FOR UROLOGISTS: PowerPoint presentation and video demonstration of various ways of performing varicocelectomy and Orchiopexy.
FOR GYNAECOLOGISTS: PowerPoint presentation and video demonstration of various ways of performing laparoscopic Assisted Vaginal hysterectomy including vaginal part of LAVH using suturing technique and using Ligasure and harmonic waves.
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 p.m: Practical
Practical: Hands-on practice of laparoscopic Surgeons Knot, Tumble Square knot and laparoscopic Intracorporeal Dundee Jamming knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty (hands-on training on tissues in operation theatre environment).
DAY 9
Wet Lab Day
• During the Lecture of Gynecologists, Surgeons, will perform Surgery in Laparoscopic Skill Lab on live tissue
• During the Lecture of Surgeons, Gynecologists, will perform Hands On surgery in Laparoscopic Skill Lab on live tissue
No Coffee Break During Animal Dissection
For Surgeon Live Animal Surgery of:
Laparoscopic Diagnostic Laparoscopy
Laparoscopic Cholecystectomy
Laparoscopic Appendicectomy
Laparoscopic Hernia Repair
Laparoscopic Nephrectomy
Laparoscopic Varicocelectomy
Laparoscopic Duodenal Perforation
For Gynecologist Live Animal Surgery of:
Laparoscopic Diagnosis
Laparoscopic Salpingectomy
Laparoscopic Oophorectomy
Laparoscopic Hysterectomy
Laparoscopic Tubal Sterilization
Laparoscopic Tubal Recanalization
11:00 a.m.- 01:00 p.m: Lecture/PPT/Video Presentation
FOR SURGEONS: PowerPoint Presentation and video demonstration of Totally Extra Peritoneal (TEP) repair of inguinal hernia. PowerPoint presentation of various ways of performing Inguinal Hernia Repair including hernia surgery with and without tackers and staplers using various suturing techniques
FOR UROLOGISTS: PowerPoint presentation and video demonstration of various ways of performing varicocelectomy.
01:30 p.m.- 02:30 p.m: Lunch
02:30 pm – 05:00 pm: Lecture/PPT/Video Presentation
FOR GYNAECOLOGISTS: PowerPoint presentation and video demonstration of various ways of performing Total Laparoscopic Hysterectomy and Supracervical Hysterectomy.
DAY 10
Wet Lab Day
• During the Lecture of Gynecologists, Surgeons, will perform Surgery in Laparoscopic Skill Lab on live tissue
• During the Lecture of Surgeons, Gynecologists, will perform Hands On surgery in Laparoscopic Skill Lab on live tissue
No Coffee Break During Animal Dissection
Hands-On Practice for the surgeon on Live Anesthetized Animal
Laparoscopic Diagnostic Laparoscopy
Laparoscopic Cholecystectomy
Laparoscopic Appendicectomy
Laparoscopic Hernia Repair
Laparoscopic Nephrectomy
Laparoscopic Varicocelectomy
Laparoscopic Duodenal Perforation
Practical Hands-on surgery for gynecologist anesthetized animal
Laparoscopic Tubal Sterilization
Laparoscopic Tubal Recanalisation
Laparoscopic Salpingostomy
Laparoscopic Salpingo-oophorectomy
Laparoscopic Ovarian Drilling
Laparoscopic Total Hysterectomy
Laparoscopic Pelvic Lymphadenectomy
11:30 a.m – 01:30 pm: Lecture/PPT/Video Presentation
For Surgeons: Repair of Ventral Hernia Surgery (PowerPoint presentation)
For urologist: Retroperitoneoscopy (PowerPoint presentation on various ways of performing retroperitoneoscopic surgery for nephrectomy and retroperitoneoscopic ureterolithotomy).
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 05:00 pm: Lecture/PPT/Video Presentation
For Gynaecologists: PowerPoint presentation and video demonstration on Performing Laparoscopic Myomectomy, Its complications, and Management
DAY 11
Wet Lab Day
• During the Lecture of Gynecologists, Surgeons, will perform Surgery in Laparoscopic Skill Lab on live tissue
• During the Lecture of Surgeons, Gynecologists, will perform Hands On surgery in Laparoscopic Skill Lab on live tissue
No Coffee Break During Animal Dissection
Hands-On Practice for the surgeon on Live Anesthetized Animal
Laparoscopic Diagnostic Laparoscopy
Laparoscopic Cholecystectomy
Laparoscopic Appendicectomy
Laparoscopic Hernia Repair
Laparoscopic Nephrectomy
Laparoscopic Varicocelectomy
Laparoscopic Duodenal Perforation
Practical Hands-on surgery for gynecologist anesthetized animal
Laparoscopic Tubal Sterilization
Laparoscopic Tubal Recanalisation
Laparoscopic Salpingostomy
Laparoscopic Salpingo-oophorectomy
Laparoscopic Ovarian Drilling
Laparoscopic Total Hysterectomy
Laparoscopic Pelvic Lymphadenectomy
11:30 a.m – 01:30 pm: Lecture/PPT/Video Presentation
For Surgeons: Repair of Duodenal Perforation Surgery (PowerPoint presentation)
01:30 p.m.- 02:30 p.m: Lunch
02:30 p.m.- 04:00 pm: Lecture/PPT/Video Presentation
For Gynaecologists: PowerPoint presentation and video demonstration on Hysteroscopy.
04:00 pm to 05:00 pm.
Exam of Fellowship (Multiple Choice question)
DAY 12
Last Day of Fellowship08:30 a.m.- 10:30 a.m.
Discussion of F.MAS qualifying mid-session & final examination papers Completion of the LOGBOOK and doubts resolving session.
10:30 am - 10:45 am: Coffee Break
Mistakes and Errors in Minimal Access Surgery (Presentation of commonly encountered laparoscopic complications in minimal access surgery and various ways of dealing with these problems)
Practical of Diagnostic Hysteroscopy for Gynecologist and Ventral Hernia repair for Surgeon
01:30 p.m. - 05:00 pm: Lecture/PPT/Video Presentation
Certification ceremony and farewell lunch for the Fellowship Batch (All the fellowship and diploma course trainee doctors to attend). A shuttle bus will be arranged for the participants to go to a nearby hotel. Candidates will be awarded mementos and fellowship certificates in Minimal Access Surgery. Trophies will be given to the toppers amongst the surgeons and the gynecologists in the written exam conducted by the WALS for the award of F. MAS.
