The Medicity

Master's in Minimal Access Surgery

(MMAS)- General Surgeons

Master’s in Minimal Access Surgery (MMAS) program at The Medicity offers an unparalleled opportunity for medical professionals to excel in laparoscopic surgery through a meticulously designed 21-day curriculum.Combining flexibility with excellence, the program includes 14 days of online theoretical training, supplemented by 7 days of intensive, hands-on practical experience at The Medicity.

Participants begin their journey with online live and recorded sessions, led by India’s foremost surgeons. These lectures cover the foundational and advanced aspects of minimal access surgery, ensuring learners can balance professional commitments while acquiring in-depth knowledge.

The offline segment immerses participants in practical learning through state-of-the-art dry and WET labs and real operating theatre/Room sessions. Guided by experts, participants practice and perform surgeries, building their confidence and honing their skills in a real-world setting.

Tailored for aspiring and experienced surgeons, the MMAS program accommodates the demanding schedules of medical professionals. Its holistic approach combines rigorous theoretical training with invaluable hands-on experience, providing a comprehensive education in minimal access surgery. Graduates of this program gain not only advanced technical skills but also the confidence to elevate their surgical practice to new heights.

The Master in Minimal Access Surgery (MMAS) Program at The Medicity offers an immersive learning experience designed to equip surgeons with advanced skills in minimal access surgery. The program is structured into two comprehensive phases: 14 days of online theoretical training and 7 days of offline hands-on training, ensuring a perfect blend of foundational knowledge and practical expertise.

Online module provides an in-depth exploration of key topics in minimal access surgery through live and recorded sessions. Participants will cover:

  • Introduction to Minimal Access Surgery: Principles, history, and evolution of the field.
  • Technological Advances: Focus on optical devices, light sources, cameras, insufflators, and surgical tools like trocars, graspers, and energy devices (e.g., electrocautery, harmonic scalpel).
  • Sterilization and Safety Protocols: Techniques to maintain the longevity and safety of equipment.
  • Insufflation and Pneumoperitoneum: Gases, pressures, complications, and management strategies.
  • Operating Room Setup: Optimizing equipment placement, patient positioning, and ergonomic techniques for surgical precision.
  • Understanding Pelvic Anatomy: Detailed study of the anterior abdominal wall, sacral promontory, and common injury sites.
  • Laparoscopic Techniques: Including suturing, knot-tying, port entry methods, and troubleshooting complications.
  • Core Laparoscopic Procedures: Cholecystectomy, Appendectomy, Hernia Repairs (inguinal, umbilical, incisional), Colectomy, Splenectomy, Adrenalectomy, Colorectal Surgery, Gastric Bypass, and Bariatric Surgery, Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Participants will also gain insights into the advantages and disadvantages of laparoscopic surgery, tips and tricks for precision, and the management of surgical challenges.

Offline Hands-on Training emphasizes practical skills through drills, simulations, and live surgeries. The curriculum includes:


Simulation Drills

  1. Paper cutting exercises.
  2. Cobra rope drills.
  3. Packing the poll technique.
  4. Various laparoscopic suturing techniques (extracorporeal and intracorporeal).
  5. Tissue retrieval and port closure techniques.

Live Animal Surgery Procedures

Participants will perform laparoscopic procedures such as:

  1. Laparoscopic Diagnostic
  2. Laparoscopic Cholecystectomy
  3. Laparoscopic Appendicectomy
  4. Laparoscopic Hernia Repair
  5. Laparoscopic Nephrectomy
  6. Laparoscopic Splenectomy
  7. Laparoscopic Varicocelectomy
  8. Laparoscopic Duodenal Perforation
  9. Laparoscopic Fundoplication
  10. Laparoscopic Repair of Duodenal Perforation
  11. Laparoscopic Hellerʼs Myotomy


Commonly Performed Surgeries (Based on Patient Demand)

  1. Laparoscopic Cholecystectomy
  2. Laparoscopic Cholecystectomy single Incision
  3. Laparoscopic hernia repair.
  4. Laparoscopic Appendectomy 
  5. Laparoscopic Abdominal Wall Reconstruction
  6. Minimally invasive procedures for hemorrhoids.
  7. Laparoscopic Sleeve Gastrectomy
  8. Laparoscopic Bariatric surgery 
  9. Excision of pilonidal sinus with flap coverage.
  10. Advanced procedures such as laparoscopic subtotal colectomy and Nissen fundoplication.
  11. Fluid Excision of Pilonidal Sinus with Flap Coverage Anoplasty with Bilateral Island Flap
  12. Laparoscopic Splenectomy Mesh Explantation
  13. Minimally Invasive Procedure for Hemorrhoids (MIPH) with Lateral Sphincterotomy and Fissurectomy


Program Schedule

  • Online Training: 14 days of live and recorded classes covering theoretical and procedural aspects.
  • Offline Training: 7 days of intensive hands-on sessions at The Medicity

This dual-phase training ensures that participants not only acquire theoretical knowledge but also develop the technical skills necessary to excel in the field of minimal access surgery.

Master’s in Minimal Access Surgery – Course Schedule

 
Day 1

9:45 am -10:00 am: Registration of the participants

Morning Session- 10 AM – 2 PM

Live Lab Demonstration

Laparoscopic Instrument, their proper handling & care

Laparoscopic instruments are essential in minimally invasive surgery, enabling precision with minimal tissue trauma. Key instruments include graspers, scissors, dissectors, trocars, and cameras, each designed for specific surgical tasks. Understanding their material and ergonomic design ensures durability and efficiency.

Proper handling is crucial for surgical precision and patient safety. Surgeons must hold and maneuver instruments correctly, apply controlled force, and maintain proper alignment to prevent damage and enhance outcomes.

Hands-On Training 

Develop steadiness, accuracy, essential for fine dissection and suturing. One of the core simulation techniques built to improve your hand eye coordination.

Post Lunch Session

Lecture | Live Lab Demonstration – Endosuturing

In the Endosuturing lecture, students will learn the fundamental principles of intracorporeal and extracorporeal knot tying. They will understand needle handling techniques, ergonomics, and instrument coordination for precise suturing. The session covers port positioning, suture materials, and methods to improve depth perception in laparoscopy. Students will learn step-by-step techniques to close enterotomies, perforations, and tissue defects safely. Common errors, troubleshooting tips, and ways to improve speed without compromising safety will be discussed. By the end, participants will build confidence in performing secure, efficient laparoscopic suturing in real OT scenarios.

Hands-on in the Dry Lab till 6:00 PM

Day 2

Morning Session – 8 AM – 2 PM

OT/OR Session- (OT List will be shared a day prior)

During OT/OR sessions, you will observe and analyze complex surgical cases, gaining firsthand experience in managing complications. These sessions focus on real-time decision-making, best practices, and critical dos and don’ts to enhance your surgical expertise and confidence.

2:00 pm – 3:00 pm – Lunch Break

Post Lunch Session

Lecture | Live Lab Demonstration – Laparoscopic Cholesystectomy

This session will provide a step-by-step understanding of laparoscopic cholecystectomy, from port placement to safe dissection of Calot’s triangle and gallbladder removal. Students will learn key anatomical landmarks, critical view of safety, and complication prevention strategies. The live lab demonstration will enhance practical understanding by correlating theory with real-time surgical technique and decision-making.

✅ Hands-on in the Dry Lab till 6:00 PM

Day 3

Morning Session – 8 AM – 2 PM

OT/OR Session- (OT List will be shared a day prior)

During OT/OR sessions, you will observe and analyze complex surgical cases, gaining firsthand experience in managing complications. These sessions focus on real-time decision-making, best practices, and critical dos and don’ts to enhance your surgical expertise and confidence.

2:00 pm – 3:00 pm – Lunch Break

Post Lunch Session

Lecture | Live Lab Demonstration – Laparoscopic Appendectomy

This session will provide students with a step-by-step understanding of laparoscopic appendectomy, from port placement to specimen retrieval. The lecture will cover indications, anatomy, instrumentation, and complication management. During the live lab demonstration, students will observe real-time surgical techniques, improving their practical understanding, hand-eye coordination, and procedural confidence.

✅ Hands-on in the Dry Lab till 6:00 PM

Day 4

Morning Session – 8 AM – 2 PM

OT/OR Session- (OT List will be shared a day prior)

During OT/OR sessions, you will observe and analyze complex surgical cases, gaining firsthand experience in managing complications. These sessions focus on real-time decision-making, best practices, and critical dos and don’ts to enhance your surgical expertise and confidence.

2:00 pm – 3:00 pm – Lunch Break

Post Lunch Session

Lecture | Live Lab Demonstration – Laparoscopic Fundoplication

Laparoscopic fundoplication is a minimally invasive surgical procedure used to treat gastroesophageal reflux disease (GERD) by reinforcing the lower esophageal sphincter. The lecture covers the indications, patient selection, and pre-operative evaluation. It explains the different types of fundoplication techniques, primarily Nissen (360°), Toupet (270°), and Dor (180°), along with their clinical relevance. The session includes step-by-step procedural guidance using laparoscopy, anatomical landmarks, and critical dissection points. Emphasis is placed on post-operative care, complication management, and long-term outcomes.

✅ Hands-on in the Dry Lab till 6:00 PM

Day 5

Morning Session – 8 AM – 2 PM

OT/OR Session- (OT List will be shared a day prior)

During OT/OR sessions, you will observe and analyze complex surgical cases, gaining firsthand experience in managing complications. These sessions focus on real-time decision-making, best practices, and critical dos and don’ts to enhance your surgical expertise and confidence.

2:00 pm – 3:00 pm – Lunch Break

Post Lunch Session

Lecture | Live Lab Demonstration – Inguinal Hernia (Left & Right) and Ventral and Umbilical Hernia Lecture

This lecture provides a comprehensive understanding of laparoscopic inguinal hernia repair, covering anatomy, surgical approaches (TAPP & TEP), mesh placement techniques, and fixation methods. You will learn how to identify and manage direct, indirect, and recurrent hernias, with a focus on reducing complications and ensuring long-term success.

This lecture also covers the laparoscopic approach to umbilical and ventral hernias, focusing on indications, surgical techniques, and postoperative care. Key topics include patient evaluation, port placement, hernia defect closure, mesh reinforcement, and complication management. Participants will gain insights into the advantages of laparoscopy, such as reduced pain, faster recovery, and lower recurrence rates, making it a preferred technique for hernia repair.

✅ Hands-on in the Dry Lab till 6:00 PM

Day 6

Live Surgery – WET LAB

Advanced General Surgery Laparoscopy (Pig Model Only)

The session begins with OT gowning, safety briefing, animal handling protocol, and demonstration of pneumoperitoneum creation and port placement. Participants then proceed to intensive hands-on laparoscopic training under expert supervision, focusing exclusively on core General Surgery procedures.

Procedures Performed:

  • Laparoscopic Diagnostic Exploration – Systematic abdominal survey and anatomical orientation.
  • Laparoscopic Appendicectomy – Mesoappendix dissection and stump management.
  • Laparoscopic Cholecystectomy – Calot’s triangle dissection and critical view of safety.
  • Laparoscopic Inguinal Hernia Repair (TAPP) – Preperitoneal dissection and mesh placement.
  • Laparoscopic Ventral / Incisional Hernia Repair – Defect closure and mesh fixation.
  • Laparoscopic Adhesiolysis – Safe dissection of intra-abdominal adhesions.
  • Laparoscopic Small Bowel Resection & Anastomosis – Intracorporeal suturing and stapling techniques.
  • Laparoscopic Repair of Duodenal Perforation – Primary closure with omental patch.
  • Laparoscopic Graham Patch Repair
  • Laparoscopic Fundoplication – Hiatal dissection and fundic wrap creation.
  • Laparoscopic Splenectomy – Hilum control and specimen retrieval.
  • Laparoscopic Intracorporeal Suturing Practice (Advanced Tissue Approximation)

The day concludes with structured debriefing, complication management discussion, performance assessment, and expert feedback to refine surgical precision, speed, and confidence in advanced laparoscopic general surgery procedures.

Afternoon Session

Skill Assessment Test

The Skill Assessment Test evaluates your laparoscopic proficiency, instrument handling, suturing techniques, and problem-solving abilities in simulated scenarios.

Day 7

Morning Session – 10:30 AM onwards Hands-on Training in the Dry Lab

Skill Assessment Result

Your Skill Assessment Result reflects your proficiency in laparoscopic techniques, instrument handling, suturing, and complication management. It highlights your strengths and areas for improvement, ensuring you are prepared for real-world surgical challenges. Upon successful completion, you will receive certification, validating your expertise in advanced minimally invasive surgery.

Convocation Ceremony

The Convocation Ceremony marks a proud milestone for our General Surgeons who have successfully completed their advanced laparoscopic training. In recognition of their dedication, skill, and clinical excellence, participants will be formally awarded the prestigious FMAS (Fellowship in Minimal Access Surgery) and DMAS (Diploma in Minimal Access Surgery) certifications.

The ceremony will celebrate their commitment to surgical mastery, innovation, and patient care, honoring their transition into the league of trained minimal access surgeons.

The event will be followed by a High Tea and Social Meet-Up, offering an opportunity for networking, interaction with faculty, sharing experiences, and building long-term professional collaborations in a warm and celebratory atmosphere.

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