Page 14 - Prospectus of MS in Minimal Access Surgery

(MODULES 7 : DISSECTION)

Principles and practice of electrosurgery: history, terminology, equipment, current
Content Cyrotherapy: principles, tissue effects, hazards, endoscopic delivery
characteristics, tissue effects, endoscopic delivery, hazards.

Lasers: principles, types, equipment, tissue effects, hazards, endoscopic delivery Ultrasound:
diagnostic and therapeutic: Principles, frequencies, energies, tissue effects, hazards, endoscopic
delivery.
Other modalities such as radio frequency ablation

OBJECTIVE :

On completion of this module the student should be able to:
• Explain the technical features of the various energy generating modes
• Understand the tissue effects, both local and systemic, and the differences and similarities of the various
modes of dissection.
• Be aware of the specific hazards associated with each mode and how to minimise the danger to the patient
and staff
• Understand the method of clinical delivery and the rationale for associated routines.

(MODULE 8: CLINICAL APPLICATION)

This module is concerned with the integration of clinical, theoretical and technical aspects of
endoscopic surgery for benign and malignant disease.
Study materials will include the use of materials from the Department video library, to illustrate
techniques and disease to include:
Content circulation, smoke generation, port site recurrence - causative theories and consequences.
?Pneumoperitoneum and abdominal tumours. The theoretical considerations of gas

Immunological changes and comparative tumour behaviours.
?Diagnostic laparoscopy for staging, liver ultrasound, biopsy, and in ascites
?Operative laparoscopy for colorectal resection, liver metastases, tumour ablation (hot and
cold) and palliative procedures
?endoscopy such as transanal endoscopic microsurgery or bladder and prostate
Rigid
surgery
?Flexible endoscopy including procedures such as colonic polypectomy, laser ablation and
photodynamic therapy
?Thoracoscopy for diagnosis, lung resection or oesophageal mobilisation
?Stenting procedures in the oesophagus, colon and biliary tract

OBJECTIVE :

On completion of this module the student should be able to:
?Discuss the benefits and disadvantages of the use of a variety of minimal access techniques for the
diagnosis and treatment of a range of tumours
?Differentiate the different issues associated with the various minimal access approaches to tumours
?the skills needed for different modalities of treatment and their own level of competence
Define