Laparoscopic Training in India

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, Gurgaon, 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 World 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 World Laparoscopy Hospital, Gurgaon, NCR Delhi are accredited by the respective medical societies.World Laparoscopy Hospital’s state-of-the-art training facilities in Gurgaon, 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 World Laparoscopy Hospital, Gurgaon 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.