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.