Description
of the modules Of Combined D.MAS + F.MAS COURSE
Module 1 of Diploma course begins
with participation in Fellowship in Minimal Access Surgery course for
first two week meet the guidelines established in the "SAGES Framework for
Post-Residency Surgical Education and Training" and are endorsed by the
Society of American Gastrointestinal Endoscopic Surgeons
(SAGES).
Day 1
10:00am - 12:00pm
Introduction of Minimal Access
Surgery (Presentation of Past Present and Future of Minimal Access
Surgery, Introduction of Robotics, HALS, NOTES and
TEM)
12:00pm - 02:30pm
Instrument Design Part I:
Demonstration and Discussion of principles of Laparoscopic Port
Instruments, Laparoscopic Dissecting instruments, Various Graspers
how to use, Scissors. Instruments used for closed and open
Laparoscopic Access technique. How to access inside abdominal cavity
during laparoscopic surgery for Surgeons, Gynaecologists and
Urologists
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Instrument Design Part II:
Principles of Laparoscopic Reusable dissecting Instruments,
Non-electrical for Surgeons, Gynaecologists and Urologists.
Principles of Port Closure Instruments and various Uterine
Manipulators.
Day 2
09:00am - 12:00pm
Batch A : TopGun Drill Laparoscopic
Hands On Exercises to increase bimanual dissection techniques using
scissors in one hand and grasper in another hand. Ambidexterity will
also be practiced as recommended by WALS and SAGES.
12:00pm - 02:30pm
Batch A + Batch B together:
Discussion of Principles of Camera, Monitor, Various light sources
and light cables, Fibre optic and Gel cables functioning.
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B : TopGun Drill Laparoscopic
Hands On Exercises to increase bimanual dissection techniques using
scissors in one hand and grasper in another hand. Ambidexterity will
also be practiced as recommended by WALS and SAGES.
Day 3
09:00am - 12:00pm
Batch A : Laparoscopic Hands On
training and exercises to increase depth perception by doing cobra
rope drill and Tin Cup Drill and Terrible Triangle Drill. + Practice
of Diagnostic Laparoscopy and Hand Eye Coordination for
Gynaecologist, Surgeon and Urologist for various Minimal Access
Surgery in laparoscopic lab with all set laparoscopic instruments
(Hands On Training). Technique of Identifying various pathologies
using laparoscope.
12:00pm - 02:30pm
Batch A + Batch B together:
Laparoscopic Insufflator and Discussion of Quadromanometric
Principles of Microprocessor Controlled Digital Insufflator.
principles of Cystoscopic, Hysteroscopic and Urological Instruments,
Medex pump and Retroperitoneoscopic Instruments and Ergonomics of O.
T. setup of these instruments in Operation Theatre. Demonstration of
Bipolar Mono polar, Ligasure and Harmonic Scalpel. Principles of
Ultrasonic dissectors.
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B : Laparoscopic
Hands On training and exercises to increase depth perception by
doing cobra rope drill and Tin Cup Drill and Terrible Triangle
Drill. + Practice of Diagnostic Laparoscopy and Hand Eye
Coordination for Gynaecologist, Surgeon and Urologist for various
Minimal Access Surgery in laparoscopic lab with all set laparoscopic
instruments (Hands On Training). Technique of Identifying various
pathologies using laparoscope.
Day 4
09:00am - 12:00pm
Batch A: Practice of Roaders
Knot and Meltzers Knot for Free Structure followed by practice of
laparoscopic extracorporeal knot over appendix and fallopian tube.
12:00pm - 02:30pm
Powerpoint Video Presentation
of Various Laparoscopic Access Techniques for Surgeons,
Gynaecologists and Urologists including Veress Needle, Hassons
method, Scandinavion method and Fielding method of Access. +
Diagnostic Laparoscopy of various systematic methods of performing
Diagnostic Laparoscopy for Surgical Gynecological and Urological
procedures.
02:30pm - 03:00pm
Lunch (Working Lunch will be
provided in Resource Dinning area of Institute)
03:00pm
- 06:00pm
Batch B: Practice of Roaders
Knot and Meltzers Knot for Free Structure followed by practice of
laparoscopic extracorporeal knot over appendix and fallopian tube.
Day 5
09:00am - 12:00pm
Batch A: Hands On pracrice of
Laparoscopic Extracorporeal Knotting for Continuous Structure like
Cystic Duct, Uterine artery, Splenic or Renal Arteries (Hands On
Training) + Laparoscopic Square knot to Myoma and Fundoplication
12:00pm - 02:30pm
Laparoscopic Dissection
Techniques (Presentation and Discussion of Principles behind
Monopolar, Bipolar, Harmonic Scalpel, Ligasure, Plasmasect, and
Argon beamer and laser for Gynecological, Surgical and Urological
Procedures. + Laparoscopic Sterilization Technique (Powerpoint
Presentation of various ways of Doing Laparoscopic Sterilization in
female). + Laparoscopic Nephrectomy (Powerpoint presentation of how
to perform laparoscopic Nephrectomy Techniques and
tricks)
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B: Hands On pracrice of
Laparoscopic Extracorporeal Knotting for Continuous Structure like
Cystic Duct, Uterine artery, Splenic or Renal Arteries (Hands On
Training) + Laparoscopic Square knot to Myoma and Fundoplication
Day 6
10:00am - 12:00pm
Batch A: Hands On practice of
Laparoscopic Intracorporeal Surgeons Knot training for Tuboplasty,
bowel anastomosis, Vault closure, enterotomy, bladder
injury and pyeloplasty (Hands On Training on Tissue in O. T.
environment)
12:00pm - 02:30pm
Batch A + Batch B: Baseball
Diamond Principle of Laparoscopic Port Positioning (Powerpoint Video
Presentation of Exact point where one should put the port during
various Laparoscopic Procedures.) + Laparoscopic Appendicectomy
Technique (Powerpoint presentation of various ways of doing
Laparoscopic Appendicectomy including two port appendicectomy
stapler appendicectomy and Retrocecal Appendicectomy) + Laparoscopic
Nephrectomy (Powerpoint presentation of how to perform laparoscopic
Nephrectomy Techniques and tricks)
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B: Hands On practice of
Laparoscopic Intracorporeal Surgeons Knot training for Tuboplasty,
bowel anastomosis, Vault closure, enterotomy, bladder
injury and pyeloplasty (Hands On Training on Tissue in O. T.
environment)
Day 7: Sunday
Day 8
09:00am - 12:00pm
Batch A: Hands On practice of
Intracorporeal Tumble Square Knot for Fundoplication and Myoma,
Pyeloplasty, Duodenal perforation, Hiatus hernia, Supracervical
Hysterectomy and pediatric hernia. (Hand On Training on Tissue
in O. T. environment).
12:00pm - 02:30pm
Batch A + Batch B: Laparoscopic
Cholecystectomy Technique (Powerpoint Presentation of various ways
of doing Laparoscopic Cholecystectomy) + Laparoscopic Tubal Surgery
(Presentation of laparoscopic Salpingostomy, Ectopic pregnancy,
Salpingo-Oophorectomy and two port techniques of Tubal Cyst
resection).
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch A: Hands On practice of
Intracorporeal Tumble Square Knot for Fundoplication and Myoma,
Pyeloplasty, Duodenal perforation, Hiatus hernia, Supracervical
Hysterectomy and pediatric hernia. (Hand On Training on Tissue
in O. T. environment).
Day 9
09:00am - 12:00pm
Batch A: Hands On practice of
Laparoscopic Intracorporeal Continuous Suturing with Dundee Jamming
Knot and Aberdeen Termination (Hands On Training in O. T.
environment) + Diagnostic and Operative Hysteroscopy (Presentation
of various hysteroscopic procedures including TCRE, Polypectomy,
Hysteroscopic Myomectomy and Metroplasty)
12:00pm - 02:30pm
Batch A + Batch B: Laparoscopic
Assisted Vaginal Hysterectomy (Powerpoint Presentation of various
ways of Doing Laparoscopic Hysterectomy including vaginal part of
LAVH) + Laparoscopic Repair of Inguinal Hernia (TAPP). Powerpoint
Presentation of various ways of Doing Laparoscopic Hernia Repair
including two port hernia repair, Hernia without tackers, and
staplers.
02:30pm - 03:00pm
Lunch
03:00pm - 06.00pm
Batch B: Hands On practice of
Laparoscopic Intracorporeal Continuous Suturing with Dundee Jamming
Knot and Aberdeen Termination (Hands On Training in O. T.
environment) + Diagnostic and Operative Hysteroscopy (Presentation
of various hysteroscopic procedures including TCRE, Polypectomy,
Hysteroscopic Myomectomy and Metroplasty)
Day 10
09:00am - 12:00pm
Batch A: Hands On practice of
laparoscopic Tissue Retrieval Techniques: Practice of various ways
of Laparoscopic Tissue retrieval techniques including, use of
endobag, morcellator and hand ports in various surgical
Gynecological and urological minimal access surgical procedures +
Port Closure Technique practice at the end of laparoscopic surgery.
12:00pm - 02:30pm
Batch A + Batch B:
Extracorporeal Repair of Inguinal Hernia (TEP). (Powerpoint
Presentation of various ways of Doing Extracorporeal Hernia Repair
including Hernia without tackers, and staplers) + Laparoscopic Total
Hysterectomy (Powerpoint Presentation of various ways of doing
Laparoscopic Total Hysterectomy including hysterectomy for big
uterus and uterus with multiple fibroid) + Laparoscopic
Varicocelectomy and Surgery for Undescended Testes (Powerpoint
Presentation of various ways of varicocelectomy, Laparoscopic
Orchiodectomy and laparoscopic management of undescended
testes).
02:30pm - 03:00pm
Lunch
03:00pm -06:00pm
Batch B: Hands On practice of
laparoscopic Tissue Retrieval Techniques: Practice of various ways
of Laparoscopic Tissue retrieval techniques including, use of
endobag, morcellator and hand ports in various surgical
Gynecological and urological minimal access surgical procedures +
Port Closure Technique practice at the end of laparoscopic surgery.
Day
11
09:00am - 12:00pm
Batch A: Hands On
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform first
day of this dissection: Laparoscopic cholecystectomy, Laparoscopic
Appendicectomy, Laparoscopic Salpingostomy, Laparoscopic
Salpingo-oophorectomy, Laparoscopic Hysterectomy, laparoscopic
Nephrectomy, Laparoscopic Sterilization etc.
12:00pm - 02:30pm
Batch A + Batch
B: Laparoscopic Ovarian Surgery (Presentation of laparoscopic
oophorectomy, Ovarian Cystectomy including laparoscopic resection of
Endometrioma) + Laparoscopic Fundoplication (Nissen and Toupet)
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B: Hands On
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform first
day of this dissection: Laparoscopic cholecystectomy, Laparoscopic
Appendicectomy, Laparoscopic Salpingostomy, Laparoscopic
Salpingo-oophorectomy, Laparoscopic Hysterectomy, laparoscopic
Nephrectomy, Laparoscopic Sterilization etc.
Day 12
09:00am - 12:00pm
Batch A: Hands On
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform second
day of this dissection:Laparoscopic Hernia Surgery, Laparoscopic
Nephrectomy, Laparoscopic Total Hysterectomy, Laparoscopic Burch
suspension, Laparoscopic Varicocelectomy etc. They will repeat the
cholecystectomy, hernia, Appendicectomy, tubal and Ovarian Surgery
also.
12:00:pm - 02:30pm
Batch A + Batch
B: Laparoscopic Pediatric Surgery (Presentation of various
laparoscopic and Thoracoscopic pediatric surgery) + Retroperitoneoscopy (Powerpoint Presentation of
various ways of Doing Retroperitoneoscopic surgery for Nephrectomy
and Retroperitoneoscopic Ureterolithotomy)
02:30pm - 03:00pm
Lunch
03:00pm - 06:00pm
Batch B: Hands On
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform second
day of this dissection:Laparoscopic Hernia Surgery, Laparoscopic
Nephrectomy, Laparoscopic Total Hysterectomy, Laparoscopic Burch
suspension, Laparoscopic Varicocelectomy etc. They will repeat the
cholecystectomy, hernia, Appendicectomy, tubal and Ovarian Surgery
also.
Day 13
09:00am - 12:00pm
Batch A: Hands on
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform second
day of this dissection:Laparoscopic Hernia Surgery, Laparoscopic
Nephrectomy, Laparoscopic Total Hysterectomy, Laparoscopic Burch
suspension, Laparoscopic Varicocelectomy etc. They will repeat the
cholecystectomy, hernia, Appendicectomy, tubal and Ovarian Surgery
or any laparoscopic surgery of your choice.
12:00am - 02:30pm
Batch A + Batch B: 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). Examination by WALS
and TGO University (Objective Evaluation of the
course)
02:30pm - 03:00pm
Lunch (Working Lunch will be
provided in Resource dinning area of Institute). After Lunch the
candidates will have to prepare them self for convocation. Even
Diploma candidates has to participates in Certification
Ceremony.
03:00pm - 06:00pm
Batch B: Hands on
training on Live Tissue in operation theatre environment for
the participants according to their choice of individual surgeons,
Gynaecologists and urologists. They will be able to perform second
day of this dissection:Laparoscopic Hernia Surgery, Laparoscopic
Nephrectomy, Laparoscopic Total Hysterectomy, Laparoscopic Burch
suspension, Laparoscopic Varicocelectomy etc. They will repeat the
cholecystectomy, hernia, Appendicectomy, tubal and Ovarian Surgery
or any laparoscopic surgery of your choice.
Certification
Ceremony
06:00pm - 09:00pm
Shuttle Bus will be arranged
for the participants to go to India Habitat Center from Laparoscopy
hospital for Certification Ceremony. Candidate will be awarded
Fellowship in Minimal Access Surgery and Mementoes of fellowship.
The Diploma Candidates will only get the CME certificates and
Mementoes. The Final Certificate of Diploma candidates will be
awarded after completion of their course at the end of four
week.
Day 14:
Sunday
Day 15
10:00am - 12:00pm
Laparoscopic Hands On Intra-corporeal Suturing with
currect timing under supervision
12:00pm - 02:30pm
Demonstration and Discussion of principles of
Laparoscopic Ventral Hernia Repair and Laparoscopic Burch
Suspension.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Practice of Laparoscopic Ventral Hernia Repair and Burch
Suspension in Laparoscopic Lab with the help of tackers and Suture
Passer. Hands On practice of two port ventral hernia
repair
Day 16
10:00am - 12:00pm
Laparoscopic Hands On Exercises with extracorporeal
Dundee Jamming Knot, Continuous suturing and Aberdeen Termination.
Ambidexterity will also be practiced as recommended by WALS
and SAGES
12:00pm - 02:30pm
Demonstration and Discussion of principles of
Laparoscopic Myomectomy for Gynecologists and Laparoscopic
Management of Duodenal Perforation for Surgeon and Procedure for
Prolapse and Hemorrhoid.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Hands On Exercises with extracorporeal Dundee Jamming
Knot, Continuous suturing and Aberdeen Termination. Ambidexterity
will also be practiced as recommended by WALS and
SAGES
Day 17
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises with
extracorporeal Weston Knot. Weston knot is essential to learn in
cases where knot pusher can not be used. Tay side knot also will be
practiced in the same session.
12:00pm - 02:30pm
Demonstration and Discussion of principles of TVT and
TOT for Gynecologists and Laparoscopic Gastric Banding for
Surgeons.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Practical of Laparoscopic Myomectomy together with
Tissue retrieval technique and Port Closure Techniques. Square knot
will be practiced with myomectomy. Morcellation will also be
practiced using electrical
morcellator.
Day 18
10:00am - 12:00pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynecologists and
urologists.
12:00pm - 02:30pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynaecologists and
urologists.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Laparoscopic Movie Making and Video Editing techniques,
Laparoscopic Prescription Writing Techniques and Laparoscopic
consent making and O.T. note writing by the help of special software
made by Prof. Mishra.
Day 19
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration and Discussion of principles of
Laparoscopic Colorectal Surgery for Surgeons and Scrocolpopexy for
Gynecologists.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Laparoscopic Hands On Exercises of Ovarian Cystectomy
and Terrible Triangle Drill to increase the depth perception and
ambidextrity of the surgeon. Stripping techniques and small scale
choreographic movement of laparoscopy will be
taught.
Day 20
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration and Discussion of Laparoscopic
Supracervical Hysterectomy, Total Laparoscopic Hysterectomy for Big
Uterus and TLH for Multiple Fibroid for Gynecologists and
Laparoscopic CBD Exploration for
Surgeon.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
TLaparoscopic Hands On Exercises of Cobra Rope
Drill
10:00am - 12:00pm
Exercise of Laparoscopic Electrical Morcellator by
Gynecologists and Surgeons.
Day 21: Sunday
Day 22
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration and Discussion of Laparoscopic Radical
Hysterectomy for Gynecologists and Laparoscopic Thoracoscopic
Procedures for Surgeons including laparoscopic Repair of Hiatus
Hernia.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
Day 23
10:00am - 12:00pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynecologists and
urologists.
12:00pm - 02:30pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynaecologists and
urologists.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Examination by WALS and TGO University (Subjective
Evaluation of the course).
Day 24
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration and Discussion of Laparoscopic Management
of Vesicovaginal Fistula and Pelvic floor repair for Gynecologists
and Laparoscopic Gastric Bypass and Sleeve Gastrectomy for
Surgeons.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Practice of Operative Hysteroscopy by Gynecologists and
Cystoscopy and Pneumatic Lithotripter for Bladder Stone by
Surgeon
Day 25
10:00am - 12:00pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration of Transrectal Endoscopic Microsurgery and
Retroperitoneoscopy.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)
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Evaluation of Project Towards
Diploma
Day 26
10:00am- 2:30 pm
Top Gun Drill Laparoscopic Hands On Exercises of
Surgeons Choice
12:00pm - 02:30pm
Demonstration and Discussion of Robotic Surgery
used in various General surgical, Gynecological and Urological
Surgery.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
Hands On training of Hand
assicted laparoscopic surgery in O.T setup.
Day 27
10:00am - 12:00pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynecologists and
urologists.
12:00:pm - 02:30pm
Practice on Live Tissue in operation theatre environment
for the participants according to their choice of individual
surgeons, Gynecologists and
urologists.
02:30pm - 03:00pm
Lunch
03:00pm - 05:00pm
DISTRIBUTION OF
CERTIFICATES
Day 28: Synday
(Suday is holiday and date of Sunday will will be according to
callendar of that
month)
THE TOPICS COVERED IN Combined D.MAS + F.MAS WHICH IS NOT
TOUGHT IN F.MAS
Laparoscopic Management of Complicated Endometriosis
TVT
TOT
Pelvic Floor Reconstruction
Notes (Principles only)
Robotics (Principles only)
Training of Medical Video Editing
The digital age has caused a significant impact on the medical field
and together with the advent of minimally invasive techniques, having
digital documentation has improved the standard of clinical presentations,
teaching, and congress lectures. Video Editing is a skill that surgeons
must possess to properly document his personal cases and more importantly
to share with colleagues a clearer and more comprehensible picture of the
procedures performed in a peer-review setting. Likewise, properly edited
video presentations are gaining more popularity in international meetings
where vivid images displaying actual surgical techniques and styles can be
easily conveyed to the audience. Video presentations are even preferred by
a growing number of surgeons over plain lecture conferences. At the
completion of the course, participants will be familiar with the various
video formats and file types from AVI to MPEG to MXF and be able to import
them to preferred editing software. Add sounds and music, labels,
simultaneous picture-in-picture clips to your videos. Furthermore, you
will be able to acquire digital images from most common sources,
manipulate video material into a respectable and presentable multi-media products.
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