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Academics Laparoscopic Surgery

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COURSE DETAILS

Course Title: Core Skills in Laparoscopic Surgery.

Contact Name: Dr. Girish Bapat

Contact Email: masdmhpune@gmail.com

Contact Telephone: +91 20 4015 1000

Course Duration (days): 3 days

Course Frequency (per year): Twice a year

Course Rationale: It has long been realized that there is paucity of a structured basic laparoscopic course in India where many of the surgeons and trainees wish to practice laparoscopic surgery. It has been observed that there is lot of variation in basic skills/practices, results/outcomes amongst practicing surgeons, gynaecologists, and urologists. With the aim of teaching basic principles of laparoscopic surgery and safe surgical practice, we decided to conduct this course at Deenanath Mangeshkar Hospital & Research Centre, Pune.

Target Audience

Post graduate students (higher surgical trainees) in surgical specialities (General Surgery, Urology or Gynaecology)

Established consultants who want to start laparoscopic surgery.

Number of Participants: Twelve (12) per course

Awards

Certificate of Course Participation.

Certificate of CME points. (CME points awarded by State Medical Council).

AIMS

Teach Basic Principles of Laparoscopic Surgery.

Teach Safe Surgical Practice.

Indications and contraindications of laparoscopic procedures e.g. Cholecystectomy, appendectomy, diagnostic laparoscopy.

Physiological Effects of laparoscopy.

OUTCOMES

Hand-Eye Co-ordination.

Safe Access.

Safe Dissection and tissue handling.

Use of Energy Sources.

Suturing & Knotting.

Equipment care, assembly, and troubleshooting.

Fundamentals of optics.

Fundamentals of Energy Sources.

Personal and patient safety.

V. LEARNING METHODS

Lectures – Audio visual presentations on the topics such as access and closure, energy sources, physiological influence on laparoscopic surgery, appendisectomy, cholecystectomy supported by videos.

Demonstration

  • Assembly of Video trolley. The problem was created purposely and the students were asked to resolve it.
  • Troubleshooting.
  • Knotting and suturing.
  • Use of energy sources.
  • Peritoneal access & closure

EXERCISES

Hand-Eye Co-ordination

  • Picking up the pearl from one bowl and transferring it into another bowl using Graspers.
  • Stacking up of Sugar cubes.
  • Capping the needle.

Tying a knot :

  • Practical training of Roeder’s knot was given using specially designed wooden block as well as ribbon.
  • Intracorporeal knotting.

Incision making – Rubber gloves were provided and students were asked to cut them in the round shape.

Suturing – Hands on training with the help of Endo-Trainer and animal tissue was given.

  • Putting 3 sutures on a cut rubber sheet.
  • Resuturing of Banana skin without touching the pulp.
  • Animal tissue was provided for suturing and closing perforation.
  • Ulcer suturing on pig stomach.

Dissection

  • Hands on training of Dissection of gallbladder on pig gallbladder.
  • Peeling off the banana skin without damaging the pulp.

Using lap Simulator all the above exercises were practiced by the students.

Faculty :

1 Dr. Girish Bapat
MS (Gen. Surg.), FRCS (Glasgow), FRCS (Gen.)
Course Director.
Consultant General, Laparoscopic and Bariatric Surgeon
Received ASIT- Covidien fellowship in Bariatric surgery at A-Z Sint Jan Hospital, Brugge, Belgium- Dr Bruno Dillemans.
Examiner for MRCS.
2 Dr. Vrishali Patil
MBBS. D.N. B (Gen Surgery), MRCS (Edinburgh)
Consultant Multi-organ Transplant Surgeon
Certified fellowship in Total Laparoscopic Donor Nephrectomy University of Wisconsin USA
Laparoscopic training at Cuschieri Skills Center Dundee University UK &
Minimal Access Therapy Training Unit (M.A.T.T.U.) Guild Ford. UK. Royal College of Surgeries England.
3 Dr. Utkrant Kurlekar
Head of the Department.
M. S. (Gen. Surg)
Consultant General, Laparoscopic and Bariatric Surgeon
Training in laparoscopy at Kameda Medical Centre, Japan.
Training in Bariatric Surgery at Dukes University, North Carolina.
4 Dr. Shivde Subodh
FRCS (Urology) , FRCS (Edinburgh), FRCS (Glasgow), M.Ch. (Urology)
Travelling scholarships from the Royal Colleges of surgeons of Edinburgh and Glasgow for advanced training of laparoscopy in urology at the Cleveland Clinic Ohio, USA.
5 Dr. Bhagyashri Shivde
M.D (Anaesthesia) Sassoon General Hospital, from Pune University in 1993.
F.R.C.A from Royal College of Anesthetics, London in July 1998.
Visiting Fellowship at Princess Alexandria Hospital Singapore – Anaesthesia for bariatric surgery.
6 Dr. Khambete Niranjan
B. E. (Univ. Pune)
M.Tech (IIT Bombay), Ph.D. (Sheffield, UK).
Manager, Clinical Engineering, Deenanath Mangeshkar Hospital.
7 Dr. Mangal Bhavana
DGO, MD, DNB
MRCOG (Membership of Royal College of Obstetrics & Gynaecology)
Attended Basic surgical skills course as Faculty - RCOG London.
8 Dr. Bhandarkar Deepraj
MS, MAMS, FRCS, FACS, FICS, FAIS, FACG, FIAGES, FALS, FAMS, Dip. Lap. Surgery (France)
Laparoscopic, Thoracoscopic & Bariatric Surgeon at
Hinduja Hospital/Breach Candy Hospital
Editor: Journal of Minimal Access Surgery
Faculty Director: Centre of Excellence for Minimal Access Surgery Training (CEMAST)
9 Dr. Joshi Ashwini
FRCS (Paed & Gen. Surgery), M. Ch (Paed. Surg.), MS (Gen. Surg.)
Consultant Paediatric Surgeon at The Royal London Hospital, London.
10 Dr. Shrotri Milind
MS (Gen. Surgery), FRCS (Glasgow), FRCS (Intercollegiate), MD (University of East Anglia, UK)
Consultant Surgeon – Upper Gastro-Intestinal & Laparoscopic Surgery, Aintree University Hospital (2004 onwards)
Honorary Lecturer – Royal Liverpool University (2004 onwards)
11 Dr. Rawat Saumitra
MS, FRCS (Edinburgh), FRCS (Glasgow)
Consultant Surgeon at Gangaram Hospital, New Delhi.
Examiner and Tutor at Royal College of Surgeons, England.
12 Dr. Singhvi Rajesh
MS, FRCS (Glasgow)
Consultant Surgeon at Care Hospital, Avanti Hospital, Orange City Hospital and Research Centre, Nagpur.
13 Dr. Ramadwar Ravindra
FRCS (UK), M. Ch (Paed. Surg.), MS (Gen. Surg.)
Consultant Paediatric and Laparoscopic Surgeon at Bombay Hospital and Hinduja Hospital.