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Timetable of Fellowship Course in Minimal Access Surgery - FMAS

Timetable of Fellowship in Minimal Access Surgery - FMAS

Training will be conducted from Monday to Saturday except Sundays. So, the total effective training days for FMAS will be 12 days.

Training will also not be held on National Holidays – Republic Day, Independence Day, Gandhi Jayanti, Holi & Diwali, which will be covered in additional working day.

Day 1

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Introduction to Laparoscopic Surgery
10:30 am – 01:00 pm Hands on training Basic Laparoscopy Skills with Top Gun Drill Laparoscopic hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Demonstration of Laparoscopic Instruments Design (Part I): including Veress needle, Hassons cannula, port access instruments, dissecting instruments, various graspers and scissors.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation Introduction of Minimal Access Surgery including Robotics, HALS, NOTES, TEM and SILS.

Day 2

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Demonstration of correct handling of Laparoscopic Camera / Light source cable, focusing and white balance.
10:30 am – 01:00 pm Hands on training Basic Laparoscopy Skills with Top Gun Drill hands-on exercise to learn bimanual hand & eye coordination, ambidexterity and depth perception using instruments in both hands.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Demonstration of Laparoscopic Instruments Design (Part II): Principle of disinfection and sterilization of reusable dissecting and access instruments, non-electrical instrument including harmonic probes for laparoscopic surgeons. Demonstration of port closure instruments and various uterine manipulators.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation Discussion on importance of learning three pillars of safety in Laparoscopy Surgery, Ergonomics, Task Analysis and Engineering.

Day 3

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Lecture on Laparoscopic Suturing and Knotting Technique.
10:30 am – 01:00 pm Hands on training Practice of extracorporeal Roeder’s, Meltzer’s knot for free structures followed by practice of laparoscopic extracorporeal knot over appendix and fallopian tube.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Hands-on practice of laparoscopic extracorporeal Meltzers knot for continuous vascular and avascular structures like cystic duct, cystic artery, splenic artery, renal artery or uterine artery. Demonstration of laparoscopic extracorporeal Square knot for fundoplication, burch suspension, myoma, partial nephrectomy, rectal prolapse and vault closure
03:00 pm – 04:30 pm Lecture / PPT / Video presentation Demonstration of Optical instruments used in minimal access surgery including telescopes with different diameters, different visual axes and different numbers of rods and lenses. Different types of cameras, including single-chip and three-chip camera. Differences between Standard Definition and High Definition cameras. Various types of Standard Definition and High Definition monitors. Various types of light source like Halogen, Xenon and LED and demonstration of types of light source cables (fiber-optic and gel cables).

Day 4

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty.
10:30 am – 01:00 pm Hands on training Practice in OT setting on Veress Needle / Hasson cannula insufflation & port placement.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Hand-on practice of laparoscopic square knot and laparoscopic Intracorporeal Surgeon’s knot used for tuboplasty, bowel anastomosis, vault closure, enterotomy repair, bladder injury and pyeloplasty.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation Laparoscopic Insufflator & Quadro – manometric Principles of Microprocessor – Controlled Digital Insufflator in the OT setting.

Day 5

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Hand on training on Intracorporeal Surgeon’s knot with Choreographic movements without swording of instruments.
10:30 am – 01:00 pm Hands on training Practice in OT setting on laparoscopic dissection with energy sources.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Revision practice of laparoscopic extracorporeal and Intracorporeal suturing / knotting.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation Laparoscopic Dissection Techniques with leaning of principles of Radio Frequency generator – harmonic scalpel, LigasureTM , Plasma-SectTM, and Argon beamer and Laser. Various complications and its prevention of energy sources including burn injuries, direct and capacitative coupling.

Day 6

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Baseball Diamond Principle of Laparoscopic Ports Positioning to understand the placement of the ports during various laparoscopic procedures to achieve the best ergonomics for safe and easy task performance.
10:30 am – 01:00 pm Hands on training Practice in OT setting on Laparoscopic Cholecystectomy / Laparoscopic Appendicectomy / Laparoscopic Hernia Repair / TEP / TAPP / Diagnostic Laparoscopy / Tubal Sterilization / Salpingectomy / Salpingo-oophorectomy Ovarian Cystectomy.
01:00 pm – 01:30 pm MCQ Pattern Exam on basics of laparoscopy
01:30 pm – 03:00 pm Convocation of CMAS Certification ceremony of CMAS batch and farewell lunch.

Day 7

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position.
10:30 am – 01:00 pm Training OT Setting For Surgeons : Laparoscopic Cholecystectomy Simple / Difficult For Gynecologists : Laparoscopic Tubal Sterilization, Salpingectomy, Salpingo-oophorectomy.
01:00 pm – 01:30 pm Break Lunch Break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Laparoscopic Intracorporeal Surgeon’s Knot with Ipsilateral Port Position.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation For Surgeons : Safe Laparoscopic Cholecystectomy.
For Gynecologists : Ectopic Pregnancy its Diagnosis and Management.

Day 8

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Laparoscopic Intracorporeal tumble Square Knot for Tissues under tension like for gastric preformation, crural approximation, burch suspension etc.
10:30 am – 01:00 pm Training OT Setting For Surgeons : Laparoscopic Appendectomy For Gynecologists : Laparoscopic Ovarian Cystectomy, Ovarian Drilling, Operations one Endometriotic and Dermoid Cyst.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Laparoscopic extracorporeal Weston Knot with Ipsilateral Port Position.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation For Surgeons : Laparoscopic Appendectomy
For Gynecologists : Adenexal masses / Ovarian cysts

Day 9

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Laparoscopic Intracorporeal Continuous Suturing with start and ending with Aberdeen knot.
10:30 am – 01:00 pm Training OT Setting For Surgeons : TEP / TAPP repair in Inguinal Hernia. For Gynecologists : Laparoscopic managements of Endometrioma.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines For Surgeons / For Gynecologists : Laparoscopic Ventral Hernia Repair with IPOM Technique in the lab setting.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation For Surgeons : Laparoscopic Inguinal Hernia repair
For Gynecologists : Pelvic Anatomy

Day 10

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Laparoscopic Anastomosis Techniques practice in the dry lab.
10:30 am – 01:00 pm Training OT Setting For Surgeons : Laparoscopic IPOM / IPOM Plus repair of ventral / incisional hernia For Gynecologists : LAVH / TLH
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic surgery practical guidelines Learning Laparoscopic Tissue retrieval and Port closure techniques.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation For Surgeons : Laparoscopic IPOM repair of ventral / incisional hernia.
For Gynecologists : LAVH / TLH

Day 11

Time Activity Type Activity Details
09:30 am – 10:30am Laparoscopic surgery practical guidelines Learning Software for Movie Making and Video Editing used in Editing of Laparoscopic procedures.
10:30 am – 01:00 pm Training OT Setting For Surgeons : Laser Pilonidal Sinus, MIPH / Laser Haemorrhoidoplasty
For Gynecologists : Laparoscopic Myomectomy.
01:00 pm – 01:30 pm Break Lunch break
01:30 pm – 03:00 pm Laparoscopic skill development exercises Preparing and submitting one edited video of laparoscopic procedure of Surgeon’s choice.
03:00 pm – 04:30 pm Lecture / PPT / Video presentation For Surgeons : MIPH and Laser Haemorrhoidoplasty
For Gynecologists : Laparoscopic Myomectomy.

Day 12

Time Activity Type Activity Details
09:30 am – 11:00am Objective Skills Clinical Examination (OSCE) and MCQ Pattern examination for award of FMAS
11:00 am – 01:00 pm Training OT Setting For Surgeons / For Gynecologists : Prevention of Mistakes and Errors in Laparoscopic Surgery.
01:00 pm – 02:00 pm Convocation Certification ceremony and farewell lunch