Minimal Access Surgery: aMAS Bariatric

Learning Outcomes

  • Apply proper laparoscopic ergonomics, trocar placement strategies, and instrument manoeuvring to enhance surgical efficiency and reduce fatigue.
  • Enhance skills in performing Sleeve Gastrectomy, One-Anastomosis Gastric Bypass (OAGB), and Roux-en-Y Gastric Bypass (RYGB) using minimal access techniques.
  • Demonstrate proficiency in intracorporeal knotting, endo loop placement, stapling techniques, and enterotomy closure to ensure secure and effective anastomoses.
  • Identify and manage technical difficulties such as inadequate stapling, bleeding, and anastomotic leaks to improve patient outcomes.

 

Description

This three-day intensive course is designed for surgeons aiming to advance their expertise in minimal access bariatric surgery. Combining theoretical knowledge with hands-on practice, the program focuses on refining surgical techniques, enhancing clinical decision-making, and effectively managing complications. In addition to live surgical demonstrations, panel discussions, and simulation-based training, participants will receive access to a comprehensive Learning Management System (LMS) with 20 in-depth modules to strengthen conceptual understanding and reinforce key principles of bariatric surgery

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Course Duration:
3 Days
  • Webinars, panel and small group discussion
  • Dry lab training on technical aspects
  • Realistic 3D printed models
  • Live demonstrations/ master videos

Curriculum

Knowledge

Delivered through online lectures

Skills

Delivered through 3-day contact course at Apollo Simulation Centre

Assessment

For both knowledge and skills

Observership

Optional

Online Course Module

All didactic lectures will be available as online modules for candidates 2 weeks prior to the contact course to prepare for the course well in advance. All the required theory knowledge will be learnt through web platform. There will be a Q&A section available after each lecture to interact with the faculty for any additional doubts to be clarified. Completing online modules is mandatory for certification

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 and access
4 Energy sources Dr. Venkat Subraminaim Electrosurgery, ultrasonics
5 Access techniques Dr. Muralidharan Pneumoperitoneum creation
6 Tissue approximation Prof. Raj Palaniappan Suturing, staplers, glue
7 Equipment maintenance Dr. Nikhilesh Krishna Safety, sterilisation, storage
8 Anaesthetic considerations Dr. Elayaraja S.M. ERAS, specific considerations
9 Troubleshooting Prof. Raj Palaniappan Tips to overcome difficulties
10 Robotic surgery Dr. Venki Munikrishnan Benefits, modifications
11 Bariatric anatomy and physiology Prof. Raj Palaniappan Surgical relations and 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 and protocols

Contact Course

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.

Time Event Location Comment
08:45 Registration and 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 and access
10:30 D3: Access techniques EndoSuite Creation of working space
11:00 Coffee/Tea – Lounge
11:15 H1: Access and dexterity Skills Lab Dissection and scissors exercise
12:00 H2: Knotting and clipping Skills Lab Technique and steps
12:30 Lunch – Lounge
13:30 P1: Right patient right surgery Skills Lab Advantages and 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 and 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 and steps
09:45 H6: Gastric stapling Skills lab Technique and steps
11:00 Coffee/Tea
11:15 H7: Stapled GJ Skills lab Technique, steps
11:45 H8: Enterotomy closure Skills lab Technique, steps
12:30 lunch
13:30 P3: Complications Board room Investigations and 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 and certification Skills lab Analysis of performance
16:45 Summary and feedback Lounge Views and 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 and feedbacks
17:00 End of the Course
Observership program

Observership 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-week period of clinical attachment to the speciality unit with possibilities of surgeon shadowing through managing outpatient/inpatient services and assisting procedures/surgeries.

Objective Assessment Module

Objective clinical assessment remains the most replicable and standardised scoring system to evaluate the candidates’ knowledge and skills. 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.

Patron


Dr. Prasanna Kumar Reddy
Dr. Prasanna Kumar Reddy

Sr. Consultant Surgeon,

Department of Surgical Gastroenterology,

Apollo Hospitals, Chennai

Program Director


Dr. Muralidharan M
Dr. Muralidharan M

Consultant Surgeon,

Department of General Surgery,

Apollo Hospitals, Chennai

Course Convenor


Dr. Raj Palaniappan
Dr. Raj Palaniappan

Director and Lead Surgeon,

Institute of Bariatrics,

Apollo Hospitals, Chennai

Faculty


Dr. J.K.A. Jameel
Dr. J.K.A. Jameel

Sr. Consultant,

Department of Surgical Gastro enterology

Apollo Hospitals, Chennai

Dr. Nikhilesh Krishna
Dr. Nikhilesh Krishna

Consultant Surgeon,

Department of Minimal Access Surgery,

Apollo Hospitals, Chennai

Dr. Arun prasad
Dr. Arun prasad

Senior Consultant,

Surgical Gastro enterology

Department of Bariatric Surgery,

Indraprastha Apollo Hospital

Dr. Sudeepta Kumar Swain
Dr. Sudeepta Kumar Swain

Consultant,

Robotic Gastrointestinal Surgeon,

Apollo Hospitals, Chennai

Who is this course for?

Minimal Access Surgeons

Why ASC

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