Minimal Access Surgery – aMAS Bariatic
By Apollo Simulation Centre
Description
The field of minimal access surgery has grown remarkably over the past two decades. MAS has several benefits over the traditional approach like a shorter hospital stay, less analgesic use and better cosmetic outcomes. However, it may also cause some unexpected complications. So, MAS should be approached with great caution and practice. This blended learning program on ‘Advanced Minimal Access Bariatric Surgery (aMAS Bariatrics)’ will aid you to learn the evidence based principles and perform better surgeries. Hands-on experience in our ASC will help hone your skills thereby minimizing the complications. This program is specially designed to meet the needs of both beginners and experienced in the field where the basic yet very important topics like ergonomic principles, various dissection and tissue approximation techniques, and anaesthetic considerations are included along with other advanced topics like specific laparoscopic procedures in field of bariatric surgery including a session on Robotic surgery.
CME Credits
ASC will be applying for certification as a comprehensive Accredited Education Institute by Tamilnadu MGR Medical University. Once accredited, the credit points will be added to all courses conducted through ASC.
Resolution of conflicts of interest (COI)
Of note, apart from the instruments shown in the sessions, at ASC and for invited speakers, there is no motivation to promote any specific brand related to any medical device company and participants can use any other brands of their choice.The ASC industrial and research partners declare that they are never committed to the elaboration and running organization of the programs or in the choice of experts. Course Faculty members and Healthcare professionals declare that they are fully committed to maintaining professional autonomy and independence in relations with the medical device Industry.
Learning Outcomes
- Perform various dissection and tissue approximation tasks as per evidence based surgical principles.
- Understand the complications associated with minimal access surgery and their prompt management
- Acquire expert knowledge on recent advances in various minimal access bariatric procedures
- Gain knowledge on proper and safe use of bariatric instruments and its regular maintanance.
- Improve performance significantly through simulation experience and advanced assessment
- Improve non-technical skills, such as surgical team set-up, resource management, setting up of the unit, etc
Course Price: ₹0.00
Course Duration :
3 Days
New batch Starts on
Contact Us
Webinars, Panel and Small group discussions
Equipment, Instrument and procedure demonstrations
Dry laboratory training on all technical aspect of MAS
Live demonstration / Master videos of various surgical procedures
Wet lab for hands-on experience during selected courses
Offers
Curriculum
Online Course Module
All didactic lectures will be available as online modules for candidates interested in online-only certification and to all onsite course participants to prepare for the contact course well in advance.All the required theory knowledge will be learnt through this web platform. There will a Q&A section available after each lecture to interact with the faculty for any additional doubts to be clarified.
| S.No | Topic | Faculty | Comment |
|---|---|---|---|
| 1 | Introduction to Laparoscopy | Dr. Prasanna Kumar | History and Development |
| 2 | Laparoscopic Instruments | Dr. Prem Balachandran | Image chain, Lap Trolley |
| 3 | Basic Principles | Prof. Raj Palaniappan | Ergonomics of setup & access |
| 4 | Energy sources | Dr. Venkat Subraminaim | Electrosurgery, Ultrasonics |
| 5 | Access Techniques | Dr. Muralidharan | Pneumoperitoneum creation |
| 6 | Tissue Approximation | Prof. Raj Palaniappan | Sututing, Staplers, Glue |
| 7 | Equipment Maintanance | Dr. Nikhilesh Krishna | Safety, Sterilisation, Storage |
| 8 | Anaesthetic Considerations | Dr. Elayaraja S.M. | ERAS, Specific considerations |
| 9 | Troubleshooting | Prof. Raj Palaniappan | Tips to ovecome difficulties |
| 10 | Robotic Surgery | Dr. Venki Munikrishnan | Benefits, Modifications |
| 11 | Bariatric Anatomy & Physiology | Prof. Raj Palaniappan | Surgical relations & mechanism |
| 12 | Optimising Patient for Surgery | Dr. Nikhilesh Krishna | Assessments, Pre-op preparation |
| 13 | Restrictive Surgeries | Dr. Jameel JKA | Band, Sleeve Principles, Outcome |
| 14 | Malabsorptive/Metabolic | Dr. Arun Prasad | RYGB, OAGB, DJB, SADI, etc |
| 15 | Bariatric Nutrition | Mr. Sowmiyan Seshadri | Deficiencies, Supplements |
| 16 | Post-operative Care | Dr, Nikhilesh Krishna | Follow-up and Support group |
| 17 | Complications | Dr. Saurabh Mishra | Modalities to overcome difficulties |
| 18 | Recent Advances | Dr. Arun Prasad | Principles, Surgeries, Instruments |
| 19 | Failure / Weight regain | Prof. Raj Palaniappan | Management |
| 20 | Setting up of a bariatric unit | Dr. Nikhilesh Krishna | Team, OT & Protocols |
Onsite Course Module
The three day contact course is aimed at providing practical knowledge about everything
that one needs to know about minimal access hernia surgery. This is achieved by way of 50% of time spent on panel
discussions, live surgical demonstrations and 50% time on hands on training including dry and simulation laboratory.
Day 1: ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.45 | Registration & Pairing | Lounge | Welcoming of participants |
| 09.00 | D1: Bariatric Trolley | EndoSuite | Image chain, Lap Trolley |
| 09.45 | D2: Basic Principles | EndoSuite | Ergonomics of set-up & access |
| 10.30 | D3: Access Techniques | EndoSuite | Creation of working space |
| 11.00 | Coffee / Tea – Lounge | ||
| 11.15 | H1: Access & Dexterity | Skills Lab | Dissection & Scissors exercise |
| 12.00 | H2: Knotting & Clipping | Skills Lab | Technique & Steps |
| 12.30 | Lunch – Lounge | ||
| 13.30 | P1: Right Patient Right Surgery | Skills Lab | Advantages & Disadvantages |
| 14.00 | P2: Procedure Master videos | Skills Lab | Tips and Tricks |
| 15.00 | Coffee / Tea – Lounge | ||
| 15.15 | H3: Intracorporeal suturing | Skills Lab | Endoloop, Torn sac looping |
| 16.15 | H4: Stapling Exercise | Skills Lab | Needle handling, suturing |
| 16.45 | Summary | Lounge | Views, Recap & Group Photo |
| 17.00 | End of Day 1 | ||
Day 2: ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.45 | Overview | Lounge | Pairing |
| 09.00 | H5: Omental dissection | Skills Lab | Technique & Steps |
| 09.45 | H6: Gastric stapling | Skills Lab | Technique & Steps |
| 11.00 | Coffee / Tea | ||
| 11.15 | H7: Stapled GJ | Skills Lab | Technique, Steps |
| 11.45 | H8: Enteroltomy Closure | Skills Lab | Technique, Steps |
| 12.30 | Lunch | ||
| 13.30 | P3: Complications | Board room | Investigations & Management |
| 14.00 | P4: Mishap Videos | Board room | Complications, Troubleshooting |
| 15.00 | Coffee / Tea | ||
| 15.15 | E1: OSE | Skills Lab | Practical Exam |
| 16.30 | E2: Results & Certification | Skills Lab | Analysis of performance |
| 16.45 | Summary & Feedback | Lounge | Views & Recap |
| 17.00 | End of Day 2 | ||
Day 3: ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.45 | Overview | OT Lounge | Pairing |
| 09.00 | S1: Sleeve Gastrectomy | OT | Technique, Steps |
| 10.30 | Coffee / Tea | ||
| 11.00 | S2: OAGB | OT | Step by step approach |
| 12.30 | Lunch | ||
| 13.30 | S3: RYGB / SASJ / Revision | OT | Step by step approach |
| 15.00 | Coffee / Tea | ||
| 16.30 | Summary | OT Lounge | Views & Feedbacks |
| 17.00 | End of Course | ||
Objective Assessment Module
Objective clinical assessment remains the most replicable and standardised scoring system to evaluate the candidates of their knowledge and skill. This is achieved through the following methods in aMAS Bariatric courses.
Multiple Choice Questions (MCQ)
Online lectures are assessed by way of Multiple Choice Questions at the end of each lectures. 10 random questions will be asked once the lecture is complete. The candidate will be appearing for the questions and should score 50% to move on to next lecture.
Objective Structured Clinical Examination (OSCE):
Skills and technique assessment will be done through OSCE at the end of the contact course. Each student will be performing various tasks like dissection, suturing, stapling, steps of bariatric procedures, etc. which we objectively assessed through scoring key. The number of stations will vary between 8 and 12. At the end of the examination, a cumulative score of 50% will be required to clear the assessment.
Preceptorship Program Module
ASC courses involve preceptorship through clinical observership and mentorship program depending on the plan candidate chose. Scrubbing for surgeries based on the clinical knowledge and skill of the candidate. The candidate will be required to complete a logbook of the patients and procedures / surgeries attended during the preceptorship period.
Observership program
Observorship include short 3 day period of attachment with the respective speciality unit to witness live surgeries and ward rounds of various surgeries as per availability in the respective speciality.
Mentorship program
Mentorship involve a much longer 3 weeks period of clinical attachment to the speciality unit with possibilities of surgeon shadowing through managing outpatient / inpatient services and assisting procedures / surgeries.
Faculty
Patron
Dr. Prasanna Kumar Reddy
Consultant Surgeon
Department of Surgical Gastroenterology
Apollo Hospitals, Chennai
Program Director
Dr. Muralidharan M
Consultant Surgeon
Department of General Surgery
Apollo Cradle Hospitals, Chennai
Course Convenor
Dr. Raj Palaniappan
Director and Lead Surgeon
Institute of Bariatrics
Apollo Hospitals, Chennai
Faculty
Dr. J.K.A.Jameel
Consultant
Apollo Hospitals, Chennai
Dr. Nikhilesh Krishna
Consultant Surgeon
Department of Minimal Access Suegery
Apollo Hospitals, Chennai
Dr.Arun prasad
Senior consultant
Bariatric surgeon
Indraprastha Apollo
Dr.Sudeepta Kumar Swain
Consultant
Robotic Gastrointestinal Surgeon
Apollo Hospitals Chennai
Fee
Note
- Fee exclude 18% GSa
- Stay at “M” Stays, Ayanambakkam (750 metres from venue)
- Residential plan include all meals and snacks
- All transport from hotel to venues are complimentary
- Plan B include 3 days and 2 nights stay from Sunday to Wednesday
- Plan-C include 6 days and 5 nights stay from Sunday to Saturday
- Additional days stay can be booked through the accommodation calendar
