Timetable of Diploma in Minimal Access Surgery – DMAS

Timetable of Diploma in Minimal Access Surgery – DMAS

Training will be conducted from Monday to Saturday except Sundays. So, the total effective training days for DMAS will be 4 Weeks.

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
09:00 am – 10:00am Registration Registration & Distribution of Study Material
10:00am – 10:15am Break Tea/Coffee Break
10:15am- 01:00pm Lecture/PPT /Video
Presentation 		Introduction of Minimal Access Surgery including NOTES,
SILS, HALS, Robotic and VRPS.
01:00pm- 01:30pm Break Lunch break
01:30pm- 04:30pm Laparoscopic skill
development exercises		 Demonstration of Laparoscopic Instruments Design (Part I):
Access instrument including Veress needle, Hassons
cannula, Ports and Reducers. Dissecting instruments,
various graspers and scissors.

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.






Day 2

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OT cases and Learning of closed access
technique with veress needle, including safety tests.
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture/PPT /Video
Presentation 		Access Techniques in Laparoscopic Surgery

Principles of sterilization and disinfection of Laparoscopic
instruments.

01:30pm- 02:00pm Break Lunch break
02:30pm- 04:30pm Laparoscopic skill
development exercises		 Demonstration of Laparoscopic Instruments Design (Part II):
including needle holders, Clip applicator, Hemo Lock.
Instruments used with RF energy sources, Harmonic &
ligasure. Special instruments like uterine manipulator, liver
retractor etc.

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.






Day 3

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OT cases and Learning of Primary/Optical
port insertion.
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture/PPT/ Video
Presentation 		Importance of Ergonomics, Task Analysis and Engineering in
Laparoscopic Surgery.

Demonstration of Optical instruments used in minimal
access surgery including telescopes with different
diameters, different visual axes and different numbers of rod
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) , 3D
Laparoscopy.

01:30pm- 02:00pm Break Lunch break
02:00pm- 04:30pm Laparoscopic skill
development exercises		 Lecture on Laparoscopic Suturing and Knotting Technique.
Demonstration of correct handling of Laparoscopic Camera /
Light source cable, focusing and white balance.

Demonstration of extracorporeal Roeder’s, Meltzer’s knot for
free structures followed by practice of laparoscopic
extracorporeal knot over appendix and fallopian tube.

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






Day 4

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OT cases and Learning of Open Access
techniques with Hasson Cannula and Secondary port
placement under vision.
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture/PPT/ Video
Presentation		 Laparoscopic Insufflator & Quadrao- manometric Principles
of Microprocessor – Controlled Digital Insufflator in the OT
setting. Understanding, pneumoperitoneum pressure, gas
flow rates and volume of gas used. Detection and Prevention
of Gas Leaks and avoiding complications. ETC02
monitoring and measures to control ETC02. Gas embolism
and its management including Durant’s manoeuvre.
01:30pm- 02:00pm Break Lunch break
02:00pm- 04:30pm Laparoscopic skill
development exercises		 Demonstration of laparoscopic extracorporeal Square Knot
for fundoplication, burch suspension, myomectomy, partial
nephrectomy, rectal prolapse and vault closure

Hand-on practice of laparoscopic square knot.
Demonstration of Intracorporeal Surgeon’s knot used for
tuboplasty, bowel anastomosis, vault closure, enterotomy
Supervisor repair, bladder injury and pyeloplasty.






Day 5

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OT cases and Learning insufflator settings
and ETC02 monitoring.
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture/PPT/ Video
Presentation		 Energy Sources in Laparoscopic Surgery (Part I)
Electro Surgical generator and RF monopolar and bipolar
current. Understanding burn injuries, caused by insulation
failure, direct coupling, capacitative coupling, direct thermal
spread. Prevention of burn injuries.
01:30pm- 02:00pm Break Lunch break
02:00pm- 04:30pm Laparoscopic skill
development exercises		 Hand on training of Intracorporeal Surgeon’s knot with
Choreographic movements without swording of instruments.

Revision practice of laparoscopic extracorporeal and
Intracorporeal suturing / knotting.






Day 6

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OT cases and setting of electro surgical
generator, Harmonic and ligasure.
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture / PPT / Video
Presentation		 Energy sources in Laparoscopic Surgery (Part II)
Demonstration of Harmonic Scalpel and principles of
conversion of mechanical energy (vibration) to thermal
energy. Safe manipulation of harmonic probe. Discussion on
advanced energy sources like Thunder beat (Hybrid energy
source), Ligasure, Argon beamer, plasma kinetic energy (Bipolar resectoscope) and lasers.
01:30pm- 02:00pm Break Lunch break

02:00pm- 04:30pm Laparoscopic skill
development exercises		 Practice in OT setting of laparoscopic dissection with energy
sources, including Harmonic, Ligasure and L – hook with
cutting monopolar current.






Day 7

Time Activity Type Activity Details
09:00am – 11:30am Training in OT Setting Observation of OTcases
11:30am – 11:45am Break Tea / Coffee Break
11:45am- 01:30pm Lecture/PPT/ Video
Presentation		 Baseball Diamond Principle of Laparoscopic Ports
Positioning for various laparoscopic procedure. How to
ensure that Laproscopic Instrument behave like type 1 Lever
& how to achieve ideal manipulation azimuth and elevation
angle.
01:30pm- 02:00pm Break Lunch break
02:00pm- 04:30pm Laparoscopic skill
development exercises 		Demonstration of baseball diamond principle of ports placement. Pros & cons of contralateral/ipsilateral port position.

Learning how to avoid mirror image and swording port position. Learning port placement in common cutting area for bilateral Surgery.

Demonstration and hands on training of port closure and tissue retrieval tectniques.






Day 8

Time Activity Type Activity Details
09:00am-01:00am Training in OT Setting For Surgeons : Laparoscopic Cholecystectomy Simple/
Difficult.

For Gynaecologists : Laparoscopic Tubal Sterilization,
Salpingectomy, Salpingo-oophorectomy.
01:00pm- 01:30pm Break Lunch break
01:30am- 03:30pm Laparoscopic skill
development exercises 		Hands on training of Laparoscopic Intracorporeal Surgeon’s
Knot with Ipsilateral Port Position.
03:30pm- 04:30pm Lecture/PPT/ Video
Presentation		 For Surgeons : Safe Laparoscopic Cholecystectomy.

For Gynaecologists : Ectopic Pregnancy its Diagnosis and
Management.






Day 9

Time Activity Type Activity Details
09:00am-01:00am Training in OT Setting For Surgeons : Laparoscopic Appendectomy

For Gynaecologists : Laparoscopic Ovarian Cystectomy, Ovarian Drilling, Operations on Endometriotic and Dermoid Cysts.
01:00pm-01:30pm Break Lunch break
01:30am-03:30pm Laparoscopic skill development exercises Laparoscopic approximation techniques (anastomosis) for Tubal recanalization, Pyeloplasty, CBD Injury, Ureteric Injury.
03:30pm-04:30pm Lecture/PPT/Video Presentation For Surgeons : Laparoscopic Appendectomy

For Gynaecologists : Adenexal masses/Ovarian cysts






Day 10

Time Activity Type Activity Details
09:00am-01:00am Training in OT Setting For Surgeons : TEP/TAPP repair in Inguinal Hernia.

For Gynaecologists : Laparoscopic management of Endometrioma.
01:00pm-01:30pm Break Lunch break
01:30am-03:30pm Laparoscopic skill development exercises Hands on training on Laparoscopic Extracorporeal Weston Knot with Ipsilateral and contralateral Port Position.
03:30pm-04:30pm Lecture/PPT/Video Presentation For Surgeons : Laparoscopic Inguinal Hernia repair TAPP

For Gynaecologists : Pelvic Anatomy






Day 11

Time Activity Type Activity Details
09:00am-01:00am Training in OT Setting For Surgeons : Laparoscopic IPOM/IPOM Plus repair of ventral/incisional hernia

For Gynaecologists : LAVH/TLH
01:00pm-01:30pm Break Lunch break
01:30am-03:30pm Laparoscopic skill development exercises Hands on training on Laparoscopic Intracorporeal Continuous Suturing with start and ending with Aberdeen Knot.
03:30pm-04:30pm Lecture/PPT/Video Presentation For Surgeons : Laparoscopic Inguinal Hernia repair TEP

For Gynaecologists : LAVH/TLH






Day 12

Time Activity Type Activity Details
09:00am-01:00am Training in OT Setting For Surgeons : Laser Pilonidal Sinus, MIPH Laser Haemorrhoidoplasty.

For Gynaecologists : Laparoscopic Myomectomy
01:00pm-01:30pm Break Lunch break
01:30am-03:30pm Laparoscopic skill development exercises Prevention of Mistakes and Errors in Laparoscopic Surgery

MCQ Pattern Exam

03:30pm-04:30pm Lecture/PPT/Video Presentation For Surgeons : MIPH and Laser Haemorrhoidoplasty.

For Gynaecologists : Laparoscopic Myomectomy FMAS-Certification Ceremony






Day 13

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson,
1st
or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:00 pm – 03:30
pm		 Laproscopic skill Development exercises Suturing Knotting / Lab exercises
03:30 pm – 04:30
pm		 PPT Surgeons :Laparoscopic repair of Duodenal Ulcer
perforation
Gynecologists : Laparoscopic Sacarocolpopexy






Day 14

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
assistant or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:30 pm – 03:30
pm 		Laparoscopic Skill Development Suturing Knotting /Lab Exercises
03:30 pm – 04:30
pm 		PPT Surgeons: Laparoscopic ventral/Incisional Hernia Repair Evaluation of different Techniques like IPOM ,TAR ,ETEP, TRAM
Gynecologists : Laparoscopic Cervical Cerclage






Day 15

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:30 pm – 03:30
pm 		Laparoscopic Skill development Suturing Knotting / Lab Exercises
03:30 pm – 04:30
pm		 PPT Surgeons :Laparoscopic CBD exploration
Gynaecologist : Management of the Stress urinary
Incontinence






Day 16

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:30 pm – 03:30
pm 		Laparoscopic Skill development Suturing Knotting /Lab exercises
03:30 pm – 04:30
pm		 Video Editing Class Both for Surgeons and Gynaecologists software learning for video editing and movie making






Day 17

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:30 pm – 03:00
pm 		Laparoscopic skill development Suturing Knotting / Lab exercises
03:30 pm – 04:30
pm		 PPT Surgeons :Laparoscopic Fundoplication for GERD
Gynaecologist : Colposcopy and Current trends in
Diagnosis and management of Ca. Cervix






Day 18

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:30 pm – 03:30
pm 		Laparoscopic skill Development Suturing Knotting / Lab exercises
03:30 pm – 04:30
pm		 Video Editing Class Both for Surgeons and Gynaecologistssoftware learning for video editing and movie making






Day 19

Time Activity Type Activity Details
09:30 am – 11:30am Surgeon : PPT/ Lecture/ Endoscopy/ Lap Pediatric Surgery History of Endoscopy,Basic design of endoscopes, endoscopic accessories,electropsurgical units, lasers and APC, maintenance of scopes,and staff protection,

Gynaecologist : Traning in OT Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases
11:30 am – 12:00
pm 		Tea Break
12:00 pm – 02:00
pm		 Surgeon Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases

Gynaecologist Demonstration of diagnostic and operative hysteroscopy instruments
2:00 pm – 02:30
pm		 Lunch Break
2:30 pm – 04:30
pm		 Surgeon : Training in OT Hands on as assistant or surgeon under supervision in live Endoscopy cases
Gynaecologist – PPT / Lecture Overview of Diagnostic And Operative Hysteroscopy






Day 20

Time Activity Type Activity Details
09:30 am – 11:30am Surgeon : PPT/ Lecture
Endoscopy/ Lap.Urologic Surgery 		Indications of diagnostic and therapeutic endoscopy, patient assessment and preparation, sedation in endoscopy,technique of upper GI endoscopy, normal upper GI endoscopy, common pathologies seen in UGI endoscopy and therapeutic interventions in UGI endoscopy
Gynaecologist : Traning in OT

Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases

11:30 am – 12:00
pm 		Tea Break
12:00 pm – 02:00
pm		 Surgeon Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases

Gynaecologist Hands on training on hystro- laproscopy for Tubal Blockage & Chromopertubation & Removal of lost IUD

02:00Pm-2:30
pm 		Lunch Break
2:30 am – 04:30
pm 		Surgeon : Training in OT

Hands on as assistant or surgeon under supervision in live Endoscopy cases

Gynaecologist – PPT / Lecture

Discussion on distension media, and distension system. Safety concerns for usage of different distension media






Day 21

Time Activity Type Activity Details
09:30 am – 11:30am Surgeon : PPT/ Lecture Endoscopy /Lap Pediatric Surgery/ History of colonoscopy. Indications/contraindications and limitations of colonoscopy. Patient preparation and medication. Colonoscope design, insertion and handling. Common pathologies seen in colonoscopy, Therapeutic interventions in colonoscopy.
Gynaecologist : Traning in OT Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases
11:30 am – 12:00
pm 		Tea Break
12:00 pm – 02:00
pm		 Surgeon Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases
Gynaecologist Hands on training in operative hysteroscopy using resectoscope with radiofrequency current and practice, hysteroscopic polypectomy, hysteroscopic septoplasty, hysteroscopic TCRE i.e. trans cervical resection of endometrium and hysteroscopic myomectomy
2:00 am – 2:30
pm 		Lunch Break
2:30 pm – 4:30
pm 		Surgeon : Training in OT Hands on as assistant or surgeon under supervision in live Endoscopy cases
Gynaecologist – PPT / Lecture Hysteroscopic myomectomy






Day 22

Time Activity Type Activity Details
09:30 am – 11:30am Surgeon : PPT/ Lecture/Endoscopy / Lap.Urologic Surgery ERCP scope design. Indications of ERCP. ERCP accessories including guidewires,cannulas,balloon catheters,sphinterotomes, stone retrieval baskets,lithotripters and stents, Limitations and complications of ERCP
Gynaecologist : Traning in OT Trainee is part of the operating team as cameraperson/assistant or surgeon under supervision in live cases
11:30 pm – 12:00
pm 		Tea Break
12:00 pm – 02:00
pm		 Surgeon Hands on training on the endoscopy endotrainers/ hands on as cameraperson /assistant or surgeon under supervision in live laparoscopy cases
Gynaecologist Hands on training in operative hysteroscopy using resectoscope with radiofrequency current and practice, hysteroscopic polypectomy, hysteroscopic septoplasty, hysteroscopic TCRE i.e. trans cervical resection of endometrium and hysteroscopic myomectomy
02:00 pm – 2:30
pm 		Lunch Break
2:30 pm – 4:30
pm 		Surgeon: Training in OT Hands on as assistant or surgeon under supervision in live Endoscopy cases
Gynaecologist – PPT / Lecture Complications of hysteroscopy and their prevention






Day 23

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
assistant or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:00 pm – 03:30
pm 		Laparoscopic Skill development Suturing Knotting / Lab Exercises
02:00 pm – 04:00
pm		 PPT Surgeons : Laparoscopic Sleeve Gastrectomy / Gastric Bypass Surgery
Gynaecologist : Internal iliac Ligation






Day 24

Time Activity Type Activity Details
09:30 am – 01:30pm Training in OT setting Trainee is part of surgical team as cameraperson, 1st
assistant or 2nd assistant
01:30 pm – 02:00
pm 		Break Lunch Break
02:00 pm – 03:30
pm 		Laparoscopic Skill Development Suturing Knotting / Lab Exercises
03:30 pm – 04:30
pm		 Convocation for DMAS Batch OSCE/ MCQ Examination Certificate Ceremony