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Laparoscopic Training Course For Surgeon, Gynecologist, Urologist and Pediatric Surgeon

By Endoscopic Institute on Jan. 12, 2016.

Laparoscopic Training Course For Surgeon, Gynecologist, Urologist and Pediatric Surgeon.

Advantages of Laparoscopic Surgery

By Endoscopic Institute on Oct. 5, 2010.

Laparoscopic or “minimal Access Surgery” is a highly specialized technique for performing surgery of abdomen. In the past, this surgical technique was commonly used only for gynaecologic surgery, for diagnostic laparoscopy in cases of infertility and for gall bladder surgery. Over the last 10 years the use of this specialized surgical technique has expanded into intestinal surgery. In traditional “open” surgery the surgeon uses a single incision to enter into the abdomen. Laparoscopic surgery uses several 0.5-1cm incisions. Each incision is called a “port.” At each port a tubular instrument known as a trochar and cannulla is inserted. Specialized instruments and a special telescope known as a laparoscope are passed through the port during the procedure. At the beginning of the procedure, the patient’s abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the laparoscopic surgeon. The laparoscope transmits images from the abdominal cavity to high-resolution video monitors through a digitally advanced camera system in the operating room. During the operation the surgeon watches detailed images of the abdomen on the high resolution monitor. This system allows the surgeon to perform the same operations as traditional surgery but with smaller multiple incisions.However recently single incision laparoscopic surgery is also evolved.

In certain situations a minimal access surgeon may choose to use a special type of port that is large enough to insert a hand known as Hand Port. When a hand port is used the surgical technique is called “hand assisted laparoscopic surgery”. The incision required for the hand port is generally 5.5 cm and hence larger than the other laparoscopic incisions, but is usually smaller than the incision required for traditional surgery.

Advantages of laparoscopic surgery?

Compared to traditional open surgery, patients often experience less pain, an earlier recovery, and less scarring with laparoscopic surgery.

Operations which can be performed using laparoscopic surgery?

Most of the abdominal advanced surgeries can be performed using the laparoscopic technique in experienced hand. These include surgery for gallbladder, dduodenal perforatio, appendicitis, Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation.

In the past there had been concern raised about the safety of laparoscopic surgery for radical cancer operations. But recently several studies involving hundreds of patients have shown that laparoscopic surgery is safe for certain ­colorectal cancers.

How safe is laparoscopic surgery?

Laparoscopic surgery is as very safe as traditional open surgery. At the beginning of a laparoscopic operation the laparoscope is inserted through a small incision near the umbilicus, Either superior crease or inferior crease of umbilicus. The laparoscopic surgeon initially inspects the abdomen by doing diagnostic laparoscopy to determine whether laparoscopic surgery may be safely performed. If there is a large amount of inflammation or if the surgeon encounters other factors that is risky and prevent a clear view of the structures the surgeon may need to make a larger incision in order to complete the operation safely by converting laparoscopic surgery into open surgery.

Any intestinal or abdominal laparoscopic surgery is associated with certain risks such as complications related anesthesia and bleeding or infectious complications. The risk of any operation is determined in part by the nature of the specific operation and hidden risk factor within the patient itself. An individual’s general health and other medical conditions are also factors that affect the risk of any operation. Patient should discuss with your surgeon your individual risk for any operation. World Laparoscopy Hospital, Gurgaon is very reach in this concern because for poor and needy patient surgery is completely free at World Laparoscopy Hospital.

Guidelines to Endoscopic Training

By Endoscopic Institute on Jul. 25, 2008.


All over world there is lack of a structured endoscopy training program with clear goals for proper teaching and evaluation. It is necessary to alleviate apprehensions in the minds of trainees regarding this crucial area.

Guidelines for endoscopic training.

  • Gastrointestinal endoscopy training should occur in appropriately equipped facilities.
  • Exposure to gastrointestinal endoscopic live procedures should be available to all trainees, both physicians and surgeons.
  • Cognitive and interpretive skills combined with a clear understanding of the role of gastrointestinal endoscopy in patient management are as important as technical skills.
  • Endoscopic physician should understand the principles and practice of cleaning and disinfection of modern endoscopic instruments in accordance with current guidelines of cleaning and disinfection.
  • Appropriate training in fluoroscopic theory and practice of how to operate C-arm should be obtained.
  • Physician should complete the specified minimum number of procedures under supervision before the supervisor may consider assessing competence.
  • Certificate from the institute and University should be taken at the completion of the training program.
  • The program director should attest that the candidate is competent to perform the gastrointestinal endoscopy and specific procedures safely and expeditiously.
  • The institute should encourages successful applicants to maintain continuing medical education in the field of gastrointestinal endoscopic practice and to regularly audit their own endoscopic practice.

SPECIFIC REQUIREMENTS

Log Book

Details of all cases attempted, including those not successfully completed, must be recorded prospectively in the log books. These details include indications complications, degrees of success and time taken. The time taken is recorded as a guide for the supervisor and is considered to be much less important than the successful completion of a procedure with minimal discomfort for the patient and no complications.

The fellow should work with the preceptor and other designated members of the training team in the procedure room. The fellow should participate in the pre-operative, intra-operative and post-operative care of patients. The fellow may be assigned to other professionals to gain additional knowledge and experience in procedures and techniques.

World Laparoscopy Hospital, Gurgaon, India offer a structured training program which is fully dedicated for scientific laparoscopic training. The detail about this institute can be found at the website of World Laparoscopy Hospital

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