Diploma in Minimally Invasive Surgery

Objectives

The Diploma aim to teach and assess the knowledge and skills that a surgeon requires to effectively and safely perform minimally invasive surgery.

Target Audience

All who meet the eligibility requirements can enroll for the diploma. This provides surgeons who have completed their basic training to have the accreditation required to practice of minimally invasive surgery.

Pre-requisites

-Basic Laparoscopy Skills (Display mastery of Laparoscopic Cholecystectomy , Laparoscopic Appendectomy, & Laparoscopic suturing skills)

-Passage of Evaluation Exam

-Entry Interview

-Completition of Three of the six offered courses in Minimally Invasive Surgery

Course content

(Six offered courses)
 
A- Upper GI (Achalasia – Reflux/Hiatal Hernia)
B- Hernia (Ventral – Inguinal)
C- Colorectal Surgery
D- Solid Organs (Spleen – Suprarenal- Renal)
E- Solid Organs (Liver- Pancreas)
F- Hystrectomy

In these course the participant would gain exposure and obtain insight into the entire spectrum of Minimal Access Surgery (laparoscopy) as it exists today.  Participants for the Diploma Course shall complete 3 out of the 6 offered courses and should be involved in more than 5-8 live surgical procedures from 4 operating theatres during their training. 

Apart from Live surgery operative demonstration, the course offers Didactic Lectures, simulated endotraining, Instructional videos and participant interaction with faculty and operation theater staff.  The course content covers Basics of laparoscopy, Equipment and Instrumentation, Creation and effects of pneumoperitoneum, Ergonomics, Port placements, Energy sources, Tissue approximation in laparoscopy.  

All laparoscopic procedures would be demonstrated and discussed in didactic lectures.  These lectures include operating room layout, port placements, operative approach and retraction, surgical steps, complications and follow up.

Simulated endotraining consists of varied monoeuvres and exercises to develop and improve hand eye coordination and to develop skills in laparoscopic suturing and knotting.  Instructional videos are provided to establish and reinforce concepts gained from live operative demonstrations and didactic lectures.

At the end of the Diploma Course, participants would have gained exposure and obtained a close insight into state of the art minimal access surgical techniques across a very wide range of surgical procedures both basic and advanced.

Interactive Sessions & Lectures

1. Upper GI (Achalasia – Hiatal Hernia)

• Laparoscopic Anatomy of Gastro-Esophageal Region

• GERD: Patient Selection and Management

• GERD: Laparoscopic Techniques:

• Nissen’s  Fundoplication

• Toupet Fundoplication

• Redo Nissen Fundoplication

• Dor Fundoplication

• Equipment Overview

• Achalasia: Patient Selection and Management

• Achalasia: Laparoscopic Techniques

• Complications of Laparoscopic Surgery around GOJ and how to prevent

• Management of hiatal hernia (large and small)

2. Hernia (Ventral – Inguinal)

• Theoretical Principles of the Inguinal Hernia Surgery

• Hernia solutions

• Laparoscopic TAPP for Inguinal Hernia

• Anatomy

• Overview of the procedure

• Mesh Placement

• Complications and Post Operative

• Laparoscopic Suturing

• Laparoscopic TEP for Inguinal Hernia

• Anatomy

• Overview of the procedure

• Mesh Fixation

• Complications

• Tips and Tricks in Laparoscopic Inguinal Hernia

• Laparoscopic Ventral Hernia

• Indications

• Dissection

• Mesh Placement

• Mesh Fixation

3. Colorectal Surgery

      -    Technical principles of laparoscopic colorectal surgery

• Medial to lateral approach & splenic flexur mobilization

• A standard technique in different colectomies

• Difficulties and complication in colorectal laparoscopy

• Laparoscopic sigmoid resection for diverticulitis & cancer. Technique & evidence based surgery

• Laparoscopic surgery for rectal cancer.

• Right hemicolectomy extracorporeal or intracorporeal anastomosis

• Restorative proctocolectomy

• Laparoscopic reversal of Hartman’s procedure.

• Rectal prolapse

• Multi-visceral resections during laparoscopic colorectal surgery

• Equipment overview  

4. Solid Organs (Spleen – Suprarenal- Renal)

- Laparoscopic Splenectomy

• Indications and Pre-Medications

• Setup

• Technical Details

• Totally Laparoscopic

• Hand Assisted

• Post-Operative Care

• Complications

- Laparoscopic Right and Left Adrenalectomy

• Laparoscopic Anatomy

• Indications and Preparation

• Setup

• Technical Details and Different Techniques

• Post-Operative Care

• Complications

- Laparoscopic Nephrectomy

• Laparoscopic Anatomy

• Indications and Preparation

• Setup

• Technical Details and Different Techniques

• Post-Operative Care

• Complications

5. Solid Organs (Liver- Pancreas)

- Laparoscopic Liver Surgery

• Indications

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