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Minimal Access Surgery

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Introduction

The practice patterns of General and GI Surgery has changed significantly in the last two decades as a result of the increasing use of rigid and flexible Endoscopes for both diagnostic and therapeutic techniques. These changes are occurring from time to time and continue rapidly with increasing the performance of Advanced Laparoscopic procedures. Residents and General Surgeons who have completed their training in conventional open surgeries and are entering the practice of general surgery must be familiar with and must be well trained and educated in these areas of surgery. Laparoscopy should be significant part of their practice and with time will become more important and more widely used.

Training of Mias :(Minimal Invasive Abdominal Surgery)

Definition

The training of general surgeon as a specialist in minimal access abdominal surgery programs is more practical and evidence based. The development of educational programs will adequately prepare residents, general surgeons and DNB candidates for the future of laparoscopic surgery practice.

Aim of The Training:-

Due to lack of adequate educational programs in MIAS, this programme is adequately designed to prepare general surgeons in the art of Minimal Access Surgery which will benefit the patients.

Objectives of The Training

To train a specialist to be capable of
  • Improving knowledge in MIAS
  • Aim to practice MIAS as an armatarium.
  • Teaching, research and auditing
  • Coordinating and promoting collaboration in organizing the services
  • Providing leadership in developing research within the specialty

Organization Of Training

  • Training programs in MIAS should be in a multidisciplinary centre of minimally invasive surgery and should be organized by a qualified, accredited specialist in MIAS.
  • The Centre should use the guidelines and protocols by national professional bodies and are reviewed at regular intervals.

The Means of Training

Entry requirements

  • MS in General Surgery from an Institute or Medical College recognized by Medical Council of India or Indian Medical Council

The trainees should participate in all relevant activities of the training unit such as the care of Out -Patients and In -Patients, on call duties during both day and night, participate in educational activities and teaching other health professionals. Participation in audit and clinical or basic research is essential.

The duration of MIAS training should include a Minimum of One Year in an approved programme and should cover the clinical and research aspects of the following areas:

  • Good text books on MIAS written by leading and experienced Authors
  • Educational tools such as Video tapes /CD ROMS
  • Simulators for Endo – Training
  • Box trainers to master the skills
  • Endo trainer rooms with adequate space and good air-conditioning facility to work long hours in the simulators so the trainee can avoid fatigue.
  • Endo-cameras mounted on a special stands with the monitors
  • Special hand instruments to learn the hand and eye co-ordination
  • To learn depth perception
  • To learn tactile sensations

The training is structured throughout with clearly defined targets to be met after specified intervals. An education plan is drawn up in consultation with the trainees at the beginning of each attachment and progress is monitored regularly, by means of log book.

Assessment of Training

Each student is evaluated every month by programme coordinator.

Course Evaluation

The trainee gets the opportunity to evaluate the course.

Log Books

The log books are to be submitted for monthly evaluation of the progress and to evaluate the learning curve.