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Fellowship in Minimal Access Surgery
At The Medicity, we don’t just teach laparoscopic surgery—we immerse you in it. Our Fellowship in Minimal Access Surgery (FMAS) is a transformative program designed to equip medical professionals with the skills, confidence, and expertise needed to excel in minimally invasive surgery.
Our Approach
Whether you’re eager to enter the world of laparoscopy or an experienced professional looking to refine your skills, our program is structured to meet your learning needs. We emphasize real-world problem-solving, preparing you to handle surgical challenges with confidence and precision.
Eligibility
Postgraduate medical professionals and advanced practitioners are not eligible to enroll in this course
Eligibility for this course is limited to medical graduates, OT technicians, nurses, MBBS, BAMS, BUMS, BHMS, AYUSH practitioners, and similar medical professionals
FMAS Day to Day Schedule
| Day 1 |
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8:30 am – 9:45 am: Registration of the participants 9:45 am: 10:00 am Tea Break 10:00 am – 11:00 am – Lecture | Live Lab Demonstration Introduction, Evolution Principles & Future of Minimal Access Surgery Dive into the past, present, and future of Minimal Access Surgery (MAS) with an immersive presentation covering its evolution, principles, and advancements. This session begins with an introduction to MAS, highlighting its definition, significance, and advantages over traditional open surgery. It then explores the evolution of MAS, tracing its early beginnings in laparoscopy and endoscopy, key technological advancements, and major milestones like the first laparoscopic cholecystectomy, alongside the contributions of pioneering surgeons. The session also delves into the fundamental principles of MAS, including optical enhancements like high-definition cameras and 3D imaging, specialized instrumentation such as trocars and energy devices. Additionally, emphasis is placed on ergonomics and precision, ensuring improved dexterity and minimal tissue trauma. The discussion extends to patient selection, safety protocols, and risk management, along with the critical importance of training and skill development through simulation and hands-on experience. 11:15 am – 12:40 – Lecture | 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. 1:00 pm – 2:30 pm – Hands-On Training Paper Cutting Drill Develop steadiness, accuracy, essential for fine dissection and suturing. One of the core simulation techniques built to improve your hand eye coordination. 2:30 pm – 3:00 pm – Lunch Break 3:00 pm – 5:00 pm – Lecture | Live Lab Demonstration Laparoscopic Equipment & Instrument Sterlization This lesson will provide you with a clear understanding of the essential sterilization techniques for laparoscopic instruments to ensure patient safety and prevent infections. We will cover various sterilization methods such as autoclaving, ethylene oxide (ETO) sterilization, hydrogen peroxide plasma, and chemical disinfection. Additionally, you will understand the importance of proper instrument handling, maintenance, and storage to maintain their functionality and sterility. By the end of this lesson, you will be equipped with the knowledge to follow best practices in laparoscopic instrument sterilization, ensuring safe and effective surgical procedures. |
| Day 2 |
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10:00 am – 12:00 – Lecture | Live Lab Demonstration Abdominal & Pelvic Anatomy for Laparoscopic Surgeries Understanding abdominal and pelvic anatomy is essential for safe laparoscopic surgeries. This lecture covers key structures, port placement, and organ relationships. Abdominal Wall: Proper knowledge of abdominal layers ensures safe trocar insertion and pneumoperitoneum creation while avoiding vascular and nerve injuries. The peritoneal spaces, including the greater and lesser sacs, influence infection spread and surgical approaches. Key organs like the liver, stomach, intestines, spleen, and kidneys require careful handling during laparoscopic procedures to prevent complications. Vascular & Lymphatic Anatomy: Understanding major vessels (aorta, IVC) and lymphatic drainage is crucial for avoiding bleeding and optimizing oncological outcomes. 12:00 – 2:00 pm – Hands-On Training Cobra Rope Drill & TopGun drill– Enhance your bimanual dissection skills with the Cobra Rope & TopGun Drill, a specialized laparoscopic exercise designed to improve ambidexterity and depth perception. This training focuses on precise coordination, using scissors in one hand and a grasper in the other, ensuring greater control and efficiency in minimally invasive procedures. 2:00 pm – 3:00 pm – Lunch Break 3:00 pm – 5:00 pm – Lecture | Live Lab Demonstration Principle of Laparoscopic Port Positioning and Port Entry In this lecture on Port Entry Techniques, you will gain a comprehensive understanding of the principles and best practices involved in creating safe and effective access points for laparoscopic surgery. The session will cover the anatomical considerations essential for selecting the optimal entry site, ensuring minimal risk to underlying structures. You will explore various entry methods, including the closed (Veress needle) and open (Hasson) techniques, along with direct trocar insertion and optical entry, understanding their indications, advantages, and potential complications. Emphasis will be placed on patient positioning, abdominal wall assessment, and strategies to prevent and manage complications such as vascular or bowel injuries. You will also learn about the latest advancements and modifications in port entry techniques that enhance safety and efficiency. By the end of this lecture, you will be equipped with the necessary knowledge to make informed decisions on the most appropriate entry approach tailored to patient-specific factors, improving surgical outcomes. |
| Day 3 |
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10:00 am – 12:00 – Lecture | Live Lab Demonstration The session will cover the working principles, advantages, limitations, and safety precautions associated with each energy source. Additionally, we will discuss the importance of proper instrument handling to minimize complications such as thermal injury. By the end of this lesson, you will be equipped with the knowledge to choose and use energy sources effectively for various laparoscopic procedures. 12:00 – 2:00 pm – Hands-On Training Packing the Pole Drill Enhance your depth perception, instrument precision, and hand-eye coordination through the Packing the Pole Drill, a fundamental laparoscopic exercise designed to refine your skills. 2:00 pm – 3:00 pm – Lunch Break 3:00 pm – 5:00 pm – Lecture | Live Lab Demonstration Endo Suturing In this lecture on Endo Suturing, you will gain a deep understanding of the fundamental principles and advanced techniques required for effective laparoscopic suturing. The session will cover the essential hand-eye coordination skills necessary for precision and efficiency in minimally invasive procedures. You will learn about needle handling, appropriate suture selection, and the intricacies of intracorporeal and extracorporeal knotting techniques. The lecture will also delve into common challenges faced during endo suturing and practical strategies to overcome them, ensuring proficiency in performing secure and reliable sutures in laparoscopic surgeries. Through expert guidance, you will develop the confidence to integrate these skills into clinical practice, enhancing surgical outcomes and patient safety. |
| Day 4 |
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10:00 am – 12:00 – Lecture | Recorded- How to Create a Pneumoperitoneum In this lecture, you will learn an alternative technique to establish pneumoperitoneum without using a Veress needle, focusing on safe and effective methods to access the peritoneal cavity. The session will cover the principles behind direct trocar insertion and open (Hasson) technique, highlighting their advantages, indications, and contraindications. You will gain an understanding of patient positioning, abdominal wall anatomy, and key safety measures to minimize complications such as vascular or bowel injury. The lecture will also discuss the use of optical trocars and other specialized instruments, providing a comparative analysis of various entry techniques. By the end of the session, you will have a comprehensive grasp of the step-by-step approach, troubleshooting strategies, and clinical scenarios where non-Veress needle methods are preferred for laparoscopic surgery. 12:00 – 2:00 pm – Hands-On Training Develop expertise in extracorporeal knotting with hands-on training in Roeder’s and Meltzer’s knots for free structures. Practice applying these techniques to the appendix and fallopian tube, followed by advanced knotting for continuous structures like the cystic duct, uterine artery, splenic, and renal arteries. Additionally, refine your skills in laparoscopic square knotting, crucial for procedures such as myomectomy, fundoplication, Burch suspension, partial nephrectomy, rectal prolapse repair, and vault closure in total laparoscopic hysterectomy—ensuring precision and control in complex surgical scenarios. 2:00 pm – 3:00 pm – Lunch Break 3:00 – 5:00 pm – Hands-On Training |
| Day 5 |
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10:00 am – 3:00 – Live Surgery – WET LAB In our state-of-the-art Wet Lab, surgeons gain hands-on experience by performing live laparoscopic procedures on a high-fidelity pig model. This training simulates real surgical conditions, allowing participants to refine their instrument handling, dissection techniques, hemostasis, and suturing skills. Under expert guidance, trainees develop the precision and confidence needed for complex laparoscopic surgeries in a controlled, high-impact learning environment. Surgeries to be performed independently by the student at our state of the art WET LAB facility:
Admission Desk open for students enrolling in the Diploma in Minimal Access Surgery (DMAS). 04:00 pm – 4:45 pm Skill Assessment Test The Skill Assessment Test evaluates your laparoscopic proficiency, instrument handling, suturing techniques, and problem-solving abilities in simulated scenarios. |
| Day 6 |
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10:00 am – 12:00 – Lecture | Live Lab Demonstration This session provides key insights and expert strategies to enhance efficiency, precision, and safety in laparoscopic surgery. You will learn ergonomic techniques, optimal port placement, instrument handling, and suturing methods to improve surgical outcomes. The lecture also covers the identification and management of major intraoperative complications, including bleeding, bowel and vascular injuries, CO2 embolism, and difficult anatomy, ensuring surgeons are well-prepared to handle emergencies in the OT with confidence. 12:00 – 2:00 pm – Hands-On Training Practical Hands-On Training in Extracorporeal Square Knot – Develop expertise in extracorporeal knotting with hands-on training in Roeder’s and Meltzer’s knots for free structures. Practice applying these techniques to the appendix and fallopian tube, followed by advanced knotting for continuous structures like the cystic duct, uterine artery, splenic, and renal arteries. Additionally, refine your skills in laparoscopic square knotting, crucial for procedures such as myomectomy, fundoplication, Burch suspension, partial nephrectomy, rectal prolapse repair, and vault closure in total laparoscopic hysterectomy—ensuring precision and control in complex surgical scenarios. 2:00 pm – 2:30 pm – Lunch Break 2:30 – 3:00 pm – 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. 03:00 pm – 04:00 pm -CONVOCATION CEREMONY Celebrate your achievement at the Convocation Ceremony, where you will be awarded your Fellowship in Minimal Access Surgery (FMAS). This marks the culmination of your intensive training, recognizing your dedication and expertise in advanced laparoscopic techniques. It’s a moment to honor your hard work and connect with peers and mentors as you step forward in your surgical journey. |
- The elements covered in the course will be completed, but the order may change due to any circumstances.
- The first day will focus on induction, during which your experience and training needs will be assessed.
- Maintaining the log book is necessary to earn CME points.
- On Day 1, you will be provided an assignment book, you have to complete and submit it by the first half of Day 5.
- A skill assessment test will be conducted on Day 5.
| Wet Lab Guidelines |
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The wet lab involves procedures on animal models, and the following additional guidelines must be followed: Your cooperation is crucial for a smooth and professional training experience. |
Strict No Mobile Policy – No phones allowed in the wet lab, similar to OT.For Indian Fellows
- One week intensive training
- Fellowship in Minimal Access Surgery Certification
For International Fellows
- One week intensive training
- Fellowship in Minimal Access Surgery Certification
How to Enroll in Courses
To secure your seat, you must complete the registration by paying the registration fee:
₹10,000 + GST (₹11,800 total)
USD $157 (including GST)
This amount will be deducted from your total course fee of ₹49,990 or USD $1,490.
Why is Registration Required?
Registration is essential to:
Reserve your spot in the program (limited seats available)
Help us manage course logistics, faculty schedules, and training resources effectively
What Happens After Registration?
Once you’ve registered:
You will get access to online theoretical sessions, helping you build a strong foundation in Minimal Access Surgery
You can select your preferred month for hands-on training, depending on availability