Enhance proficiency in scope and instrument handling, dissection, knotting, clipping and electrosurgery.
Compare the advantages and disadvantages of various hernia repair techniques, including TEP and TAPP
Properly and safely use laparoscopic instruments, ensuring regular maintenance.
Apply step-by-step procedural knowledge in simulated environments for eTEP, TAPP & Ventral hernia repair.
Execute intracorporeal suturing, stapling, mesh handling and placement with precision.
Course Description
This comprehensive three-day course is designed to equip participants with foundational knowledge, practical skills, and advanced techniques in laparoscopic hernia surgery. Combine interactive lectures, hands-on simulation exercises, and case-based discussions, the program fosters a robust understanding of laparoscopic instruments, procedural steps, and trouble shooting strategies in minimal access surgery for hernia. Participants will gain a thorough understanding of hernia repair techniques, mesh handling and intracorporeal suturing, culminating in a practical assessment to validate their proficiency.
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
Knowledge
Delivered through online lectures
Skills
Delivered through 3-day contact course at Apollo Simulation Centre
Assessment
For both knowledge and skills
Observership
Optional
Mentorship
Optional
Online Modules
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
1
Introduction to laparoscopy
2
Laparoscopic instruments
3
Basic principles
4
Energy sources
5
Access techniques
6
Tissue approximation
7
Equipment maintenance
8
Anaesthetic considerations
9
Troubleshooting
10
Robotic surgery
11
EndoHernia anatomy and radiology
12
Prosthesis and fixators
13
Optimising patients for surgery
14
Approach to groin hernias
15
Approach to abdominal wall hernia
16
Abdominal wall reconstruction
17
Emergency hernia management
18
Difficult and revisional hernias
19
Recent advances and future
20
Setting up a lap unit
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.
Day 1: ASC
Time
Event
Location
Comment
08:45
Registration and pairing
Lounge
Welcoming of participants
09:00
D1: Instruments/Prosthesis
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 suturing
Skills Lab
Technique and steps
12:30
Lunch – Lounge
13:30
P1: Which hernia repair?
Skills Lab
Advantages and disadvantages
14:00
P2: Hernia master videos
Skills Lab
Tips and tricks
15:00
Coffee/Tea – Lounge
15:15
H3: Extracorporeal knotting
Skills Lab
Endoloop, torn sac looping
16:15
H4: Intracorporeal suturing
Skills Lab
Needle handling, suturing
16:45
Summary
Lounge
Views, recap and group photo
17:00
End of the Course
Day 2: ASC
Time
Event
Location
Comment
08:45
Overview
Lounge
Pairing
09:00
H5: Mesh handling
Skills lab
Technique and steps
09:45
H6: Mesh placement
Skills lab
Technique and steps
11:00
Coffee/Tea
11:15
H7: Mesh fixation
Skills lab
Technique, steps
11:45
H8: Mesh suturing
Skills lab
Technique, steps
12:30
Lunch
13:30
P3: Controversies and problems
Board room
How to overcome difficulties
14:00
P4: Mishap videos
Board room
Complications, troubleshooting
15:00
Coffee/Tea
15:15
E1: OSCE
Skills Lab
Practical exam
16:30
E2: Results and certification
Skills Lab
Analysis of performance
16:45
Summary and feedback
Lounge
Views and recap
Day 3: ASC/EISE
Time
Event
Location
Comment
08:45
Overview
OT Lounge
Pairing
09:00
S1: TAP/TEP inguinal hernia
OT
Technique, steps
10:30
Coffee/Tea
11:00
S2: e-TEP ventral hernia
OT
Step by step approach
12:30
Lunch
13:30
S3: AWR (Lap/Robotic)
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 includes a 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 involves a much longer 3-week period of clinical attachment to the speciality unit, with the possibility of surgeon shadowing through managing outpatient/inpatient services and assisting procedures/surgeries.
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, mesh placement, tacker application, 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 70% will be required to clear the assessment.
Patron
Dr. Prasanna Kumar Reddy
Senior Consultant,
Department of Surgical Gastroenterology,
Apollo Hospitals
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
Course Co-ordinator
Dr. Premkumar Balachandran
Senior Consultant and Coordinator,
Institute of Hernia and Anterior Wall Reconstruction,
Apollo Hospitals, Chennai
Faculty
Dr. Sudeepta Kumar Swain
Senior Consultant,
Department of surgical Gastroenterology,
Apollo Hospitals, Chennai
Dr. J.K.A. Jameel
Senior Consultant,
Department of Surgical Gastroenterology
Apollo Hospitals, Chennai
Dr. Ravindran Kumeran
Senior Consultant,
Department of Surgical Gastro Enterology,
Apollo Hospitals, Chennai
Dr. Santosh Anand KS
Consultant,
Department of Surgical Gastro Enterology,
Apollo Hospitals, Chennai
Dr. Senthil Kumar K
Professor,
Department of General Surgery,
Chettinad Hospital and Research Institute, Kelambakkam