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
09:00 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 & Quadro – 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
Trainee Doctor Course 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 OT cases
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 techniques.






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