Minimal Access Surgery: aMAS Bariatric
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 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.
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
Course Price: ₹0.00
Course Duration:
3 Days
New Batch Starts on
Contact Us
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
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 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 | ||
Preceptorship Program Module
ASC courses involve preceptorship through clinical observership and mentorship programme depending on the plan the 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-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.
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 Surgery,
Apollo Hospitals, Chennai
Dr. Arun prasad
Senior Consultant,
Bariatric Surgeon,
Dr. Sudeepta Kumar Swain
Consultant,
Robotic Gastrointestinal Surgeon,
Apollo Hospitals, Chennai
Fee
Note
- Fee excludes 18% GST
- Stay at “M” stays, Ayanambakkam (750 metres from venue)
- Residential plan include all meals and snacks
- All transports from hotel to venues are complimentary
- Plan B include 3 days and 2 nights stay from Sunday to Wednesday
- Plan-C include 6-day and 5-night stay from Sunday to Saturday
- Additional days stay can be booked through the accommodation calendar
