Minimal Access Surgery: aMAS Bariatric

Learning Outcomes

  • Dissection and Tissue Approximation: Perform tasks using evidence-based surgical principles
  • Complication Management: Understand and manage complications associated with minimal access surgery
  • Bariatric Procedures: Acquire expert knowledge on recent advances in minimal access bariatric surgery
  • Instrument Use: Gain knowledge on the proper and safe use of bariatric instruments and their maintenance
  • Simulation Experience: Improve performance through simulation and advanced assessment
  • Non-Technical Skills: Enhance skills in surgical team setup, resource management, and unit organisation

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 is applying for certification as a comprehensive Accredited Education Institute by Tamil Nadu Dr. MGR Medical University. CME credits will be awarded upon accreditation.

Resolution of Conflicts of Interest (COI)

ASC and its invited speakers are committed to maintaining professional autonomy and independence. No specific brand promotions are endorsed, and participants may use any medical device brands of their choice. Industrial and research partners are not involved in the programme’s organisation or choice of experts.

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Contact Us
Course Duration:
3 Days
  • Webinars, panelsand Small group discussions
  • Equipment, Instrument and procedure demonstrations
  • Dry laboratory training on all technical aspect of MAS
  • Live demonstrations/master videos of various surgical procedures
  • Wet lab for hands-on experience during selected courses

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 be 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 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

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 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

Patron


Dr. Prasanna Kumar Reddy
Dr. Prasanna Kumar Reddy

Consultant Surgeon,

Department of Surgical Gastroenterology,

Apollo Hospitals, Chennai

Program Director


Dr. Muralidharan M
Dr. Muralidharan M

Consultant Surgeon,

Department of General Surgery,

Apollo Cradle 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

Consultant,

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,

Bariatric Surgeon,

Indraprastha Apollo Hospital
Dr. Sudeepta Kumar Swain
Dr. Sudeepta Kumar Swain

Consultant,

Robotic Gastrointestinal Surgeon,

Apollo Hospitals, Chennai

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