Laparoscopic Training in India

The Laparoscopic Training Program at World Laparoscopy Hospital, New Delhi is designed by academic council of World Association of Laparoscopic Surgeons. World Laparoscopy Hospital has two branch one at Tilak nagar, New Delhi and another at Gurgaon. The courses of World Laparoscopy Hospital, New Delhi and World Laparoscopy Hospital, Gurgaon is designed in such a way that at the end of this laparoscopic training course surgeon & gynaecologists will be able to do all the taught surgery themselves on their patients. Laparoscopic Training in India is much economical than any European countries and more hands on are available in fully dedicated hospitals of India. Laparoscopy Hospital is pioneer in Minimal Access Surgery Training, Treatment and Research. Non of the hospital in India is as popular as Laparoscopy Hospital as far as Laparoscopy is concerned. Thousands of Surgeons from all over world are taking laparoscopic training at Laparoscopy Hospital every month.

Click here for more information about Laparoscopic Training at World Laparoscopy Hospital

Surgeons and Gynecologists who has taken training at this institute are now among the best Laparoscopic Consultant in their respective country. Till today more that 2500 surgeons has been trained in this pioneer institute.  World Laparoscopy Hospital is pride of India and 75% of visitors patients and Doctors of this Laparoscopy Hospital are foreigners.

World Laparoscopy Hospital is a unit of Delhi Laparoscopy Hospital Pvt. Ltd Which is Registered by Government of India under companies act 1956 with corporate identity No: UB5195DL200TPTC161881. This University courses offered by World Laparoscopy Hospital is recognized internationally by World Association of Laparoscopic Surgeons.

A new poll conducted by The World Surgery Scientist Magazine of 2009 academics survey worldwide has chosen Laparoscopy Hospital of New Delhi as the Best Institute to Learn Laparoscopic Surgery. The World Association of Laparoscopic Surgeons has also recognized World Laparoscopy Hospital and Laparoscopy Hospital as one of the best institute to learn laparoscopic surgery. Click here to learn more

Many studies have performed all over world to develop a training model for rehearsal of techniques in laparoscopic procedures. The stomach, esophagus, small intestine, uterus, spleen, and kidney of a pig should be prepared for this training model. This involved cleaning and emptying the stomach and small bowel, then preparing the pouch of the stomach, intestine, uterus, spleen and kidney by stapling. The whole specimen should be placed on a prepared tray and mounted in an abdominal trainer box, with an access point created where the main target of dissection for laparoscopic surgery was externalized to allow the surgeon to perform the surgery.In one study after the initial development work, the phantom has been used to train 50 surgeons in the skills for laparoscopic procedures.The trainees were a mixture of specialist registrars in the latter years of training and consultants who has started performing laparoscopic surgery. Each trainee completed an evaluation form which was then analysed for their feedback regarding the laparoscopic training model.

Specific comments from individual laparoscopic trainees included best practical was taken as which model was best and what they liked best. After all the data collected it was found that ideal model for laparoscopic surgery is very important for laparoscopic surgeon to develop there laparoscopic skill.

 Laparoscopic surgery is a surgery on image it is not a real surgery it is a virtual surgery and it should be mandetory for every surgeon to develop there skill over tissue training model for laparoscopic skill aquisition.

11/08/2008

Diagnostic laparoscopy is a laparoscopic surgical procedure in which surgeons use to view abdominal cavity to detect any pathology. A laparoscope, a thin viewing tube similar to a telescope, is passed through a small incision in the abdomen. Using the laparoscope, the doctor can look directly at the outside of the uterus, ovaries, fallopian tubes, and nearby organs. WALS has given a series of statement to assist surgeons and patients about diagnostic laparoscopy.

Diagnostic laparoscopy is a safe and well tolerated procedure that can be performed in an outpatient setting under general or occasionally local anaesthesia with IV sedation in carefully selected patients. Diagnostic laparoscopy should be performed by physician trained in laparoscopic technique that can recognize and treat common complication and can treat and perform other therapeutic procedures if it is necessary during performing diagnostic laparoscopy.

About three out of every 1,000 women who have laparoscopy have complications. Possible complications include injury to nearby organs, bleeding, or a problem related to the anaesthesia.Discuss any concerns you have with your doctor. During the procedure the patient is continuously monitored and resuscitation capability should immediately be available. Laparoscopy should be performed under sterilized environment with meticulous disinfection of laparoscopic instruments. Overnight observation of patient is essential after diagnostic laparoscopy there are only certain indications where day care diagnostic laparoscopy may be considered.

Office based diagnostic laparoscopy should only be performed when complication and the need for therapeutic procedure through the same access are highly unlikely. Surgeon or gynaecologist should be careful if:
 

• Persistent nausea and vomiting for more than 24 hours
• Temperature over 100 degrees Fahrenheit for more than 24 hours
• Redness, swelling, drainage, or bleeding around the incision
• After the first day of surgery: Menstrual flow that is heavier than normal, heavy bleeding with clots, or soaking a sanitary pad in less than two hours

Diagnostic laparoscopy has become an integral part of general surgical procedures with the recent advancements in laparoscopic technology. Since surgeons are more oriented in viewing and dissection of different intra-abdominal areas and are proficient in the definitive management of complications in the procedures, diagnostic laparoscopy may be better off in the hands of surgeons.

Laparoscopy has proved to be an important tool in final minimally invasive exploration for selected medical patients with chronic abdominal disorders, the diagnosis of which remains uncertain despite employing the requisite laboratory and non-invasive imaging investigations.  

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World Laparoscopy hospital training center for research and continuing medical education in minimally invasive surgery is state of art institute and most popular centre in whole world. This center is very beneficial for surgeons and gynecologists because of rigorous scientific and technical qualities that have made the World Laparoscopy Hospital, New Delhi so popular, with the added bonus of an exquisite and accessible setting at the heart of Asia. New Delhi is a place of attraction for whole world and World laparoscopy hospital gives a platform for all the surgeons and gynecologists of the world to build their skill under the supervision of master laparoscopic surgeon.

Laparoscopic techniques are gaining importance in many operative fields thus require a continuous improvement both of theoretical knowledge as well as of practical skills under supervision of expert laparoscopic surgeon. Since 2001 the Laparoscopy Hospital has offered a broad range of Minimal access surgery courses directed by a renowned international faculty Prof. Dr. R.K. Mishra. Quality is the key and this is why all courses of Laparoscopy Hospital, New Delhi are accredited by the respective medical societies.

World Laparoscopy Hospital’s state-of-the-art training facilities in New Delhi India offer six workstations for a maximum of only thirty participants. Different training modules have been developed for “dry” and “wet” lab training in general surgery and gynecological laparos­copic procedures. Intensive hands-on sessions on animal models prepare for the real case and small working teams are the ideal set-up for an intensive exchange of knowledge under the supervision of master laparoscopic surgeon.

Innovative developments in the field of medical technology, sophisticated new treatment methods with the minimal access surgical technique, increasingly more stringent require­ments for hospital and quality management and, last but not least, a healthy interest in acquiring new knowledge have given raise to an enormous and ever-increasing demand for further and advanced training. The future of advanced training in minimal access surgery is Laparoscopy. Laparoscopy Is now a necessity not luxury and it is important for every surgeon and gynecologist to learn art and science of laparoscopy. The Laparoscopy Hospital, New Delhi enjoys a world-wide reputation as a leading forum for medical trai­ning and answers the demands of physicians. The course program comprises a wide range of hands-on workshops, management seminars and international symposia.

In this era of rapidly changing technology there is great need for good Institute to learn laparoscopic surgery. During early training of medicine in medical school, the lines are drawn between students of the knife and those of the pen. Those of us who did not mind getting our hands dirty with blood and pus went on to the surgical specialties. In spite of the fact that our organs of interest were different, surgical maneuvers for exposure, dissection, tissue approximation, and removal were universal, and we all helped one another and incorporated each other’s techniques. The dictum of, “see one, do one, teach one,” is universally true. If you were a good surgeon, you did not need to prove it by performing the same operation a hundred times in open surgery.  Diversity was the key to excellence– not monotony.Suddenly, the last ten years have brought surgeons to frontiers unfathomable a hundred years ago. Now there is a new generation of surgeons – one not so much of the knife but of the camera. Now you have to chose you want to work with knife or with camera and telescope. While many surgeons become accustomed to the ubiquitous presence of laparoscopy these days, they must not forget that it represents a quantum leap in the way surgery has been performed for thousands of years and it was not a small feat by any means.

Unfortunately there is great need of good training institute of laparoscopic surgery all over world. In the existing institute also trainer themselves are not trained. Most of the trainers dont have any University qualification in Minimal Access Surgery. They themselves are not adequately trained in th basic principles of minimal access surgery. Either they have developed their skill themselves or they have just learn laparoscopic surgery on their patients.

A major barrier against adoption and deployment of laparoscopic training program in developing of countries in the Asia Pacific is the lack of human resources with Minimal Access Surgical skills. On the recomendation of World Association of Laparoscopic Surgeons all over world many pilot program has been started to train the trainers. This pilot programme aims to address the problem by training trainers in countries, so that these trainers in turn will be able to train others and kick start the self-sustaining development of well trained laparoscopic surgeons. Laparoscopy Hospital, New delhi, is one of the Institute recognized to start this program in India. Using an internationally recognized skills standard will also aid the development of reputation of health care industry of any country as it opens the doors to foreign investment and the international market of medical tourism.

Training surgeons to assume this challenge has been problematic in many ways. In particular, the ancient specialty of surgery worthy of mention in the “Hippocratic Oath” has faired poorly in bringing the advantages of laparoscopic surgery into its general fold. Unlike community based physician who were motivated to learn endoscopy, community  have not developed a passion for minimal access surgery. Another problem is that without exposed during residency or fellowship training to laparoscopic surgery, few surgeons and gynecologists are willing to incorporate laparoscopy into their practices.

The fact is that we do not have a single frequently performed laparoscopic operation. There is a great area covered in Minimal Access Surgery. While there may not be one solitary operation to concentrate on, nonetheless, there are several good, classic operations that can be nicely performed laparoscopically. In a good institute the training program is scientifically designed so that surgeon will develop his overall skill and many of these standard procedures have been adapted by academic program to work better laparoscopically and should serve as a motivating factor to encourage the general surgeons, gynaecologists, urologists and pediatric surgeons to perform them. If a surgeon learn to perform with correct principle only few surgery, then these same skills can be used to perform other familiar operations. With practice, more complicated operations, such as laparoscopic whipples procedure and radical hysterectomy might follow.

Gereral surgeons, Gynaecologists. Pediatric surgeons and Urologists who are interested in incorporating laparoscopy into their practices often go out of their way to invest time and money in attending postgraduate training courses in many of the european countries. Shortly thereafter, they find the attendance certificate received at the end of the course is of little help in convincing hospital credentialing committees they can perform laparoscopic operations on their own. If you are the first laparoscopic surgeon in your hospital requesting unsupervised laparoscopy privileges, you will soon encounter a skeptical group of individuals opposing you. Inevitably, the issue of who will proctor you arises. Suggestions have been made that senior consultant general surgeons of professor and associate professor rank are likely candidates to proctor novice laparoscopists in their hospitals. But, this is not in the best interest of either the patients or surgeons involved. It is therefore, unreasonable to expect a senior open surgeon without any experience in laparoscopy to proctor Minimal Access Surgeon.

We must also remember the ever-present specter of litigation in this era of consumer court. Malpractice insurance companies could conceivably refuse to cover general or gynecological laparoscopists proctoring outside of their specialty if they are not trained in well recognized institute.