Certificate in Minimal Access Surgery
A 6-day intensive, hands-on program in laparoscopic surgery for MBBS graduates, BAMS, BUMS, BHMS, OT technicians, nurses, and AYUSH practitioners. Real simulation drills, live wet lab procedures, and C.MAS certification on successful completion.
Course Overview
Program
Certificate in Minimal Access Surgery C.MAS Certification on completion
Duration & Format
6 Days | Offline & Hands-On Lectures + Live Lab + Simulation + Wet Lab
Location
Gurugram, Haryana — India The Medicity Training Centre, DLF Phase 3
Approved By
Ministry of Corporate Affairs, Govt. of India Ministry of Skill Development & Entrepreneurship
Teaching Method
Lecture + Live Lab Demo + Simulation Drills + Wet Lab Progressive 6-day skill-building structure
Assessment & Certification
Skill Assessment Test + C.MAS Certificate Convocation ceremony on Day 6
What You Will Achieve
- Understand the evolution, principles, and future of Minimal Access Surgery
- Handle, care for, and sterilise laparoscopic instruments correctly
- Identify abdominal and pelvic anatomy for safe laparoscopic surgery
- Master trocar placement and safe port entry techniques
- Apply monopolar, bipolar, harmonic, and advanced energy devices
- Perform intracorporeal and extracorporeal suturing and knotting
- Develop hand-eye coordination through simulation drills (Paper Cut, TopGun, Pole Pack)
- Create pneumoperitoneum safely using Veress needle and Hasson technique
- Manage major intraoperative complications: bleeding, bowel injury, CO2 embolism
- Perform Laparoscopic Tubal Ligation and Ovarian Drilling on pig model
- Perform Laparoscopic Cholecystectomy and Appendectomy in wet lab
- Earn C.MAS certification recognised under Ministry of Skill Development, Govt. of India
Day-by-Day Training Schedule
Welcome, participant registration, induction briefing, and initial skill-level assessment. Assignment book distributed.
- Definition, significance, and advantages of MAS over open surgery
- Evolution: early laparoscopy & endoscopy, key milestones, first laparoscopic cholecystectomy
- Fundamental principles: HD cameras, 3D imaging, trocars, energy devices
- Ergonomics, precision, and minimal tissue trauma
- Patient selection, safety protocols, and risk management
- Role of simulation and hands-on training in skill development
- Types of instruments: graspers, scissors, dissectors, trocars, cameras
- Material composition, ergonomic design, durability, and efficiency
- Correct grip, manoeuvring, and force control to prevent damage
- Instrument care, cleaning, and pre-operative checks
Develop hand steadiness, accuracy, and fine motor control essential for dissection and suturing. One of the core simulation techniques designed to improve hand-eye coordination under laparoscopic vision.
- Sterilisation methods: autoclaving, ethylene oxide (ETO), hydrogen peroxide plasma, chemical disinfection
- Proper instrument handling, maintenance, and storage protocols
- HLD (High-Level Disinfection) steps and automated reprocessors
- Maintaining sterility and preventing surgical site infections
- Abdominal wall layers — safe trocar insertion and pneumoperitoneum creation
- Peritoneal spaces: greater and lesser sacs, and surgical approaches
- Key organs: liver, stomach, intestines, spleen, kidneys — handling during laparoscopy
- Vascular anatomy: aorta, IVC, major vessels — avoiding bleeding complications
- Lymphatic drainage and oncological implications
- Pelvic anatomy: uterus, ovaries, bladder, rectum for gynae, urological, and colorectal cases
Enhance bimanual dissection skills. The Cobra Rope and TopGun drills improve ambidexterity and depth perception — using scissors in one hand and a grasper in the other for precise coordination and control in minimally invasive procedures.
- Anatomical considerations for safe entry site selection
- Closed technique: Veress needle — principles, indications, complications
- Open technique: Hasson technique — indications and step-by-step approach
- Direct trocar insertion and optical entry methods
- Patient positioning, abdominal wall assessment, and entry failure management
- Preventing vascular and bowel injuries during port placement
- Monopolar electrosurgery: principles, cutting, coagulation modes, safety precautions
- Bipolar electrosurgery: applications, limitations, and thermal spread control
- Ultrasonic energy — Harmonic Scalpel: dissection, coagulation, and advantages
- Advanced energy devices: LigaSure and Thunderbeat — working principles
- Thermal injury prevention and instrument handling safety
- Choosing the right energy source for each procedure
Enhance depth perception, instrument precision, and hand-eye coordination. A fundamental laparoscopic exercise focused on scope navigation, looping control, and 3D spatial awareness in a confined operative field.
- Hand-eye coordination fundamentals for laparoscopic suturing precision
- Needle handling — loading, passing, and retrieving under laparoscopic vision
- Suture material selection for different tissue types and procedures
- Intracorporeal knotting: square knot, surgeon’s knot, slip knot
- Extracorporeal knotting: Roeder’s and Meltzer’s knot techniques
- Common challenges in endo suturing and practical strategies to overcome them
- Open (Hasson) technique: safe peritoneal access, step-by-step approach
- Direct trocar insertion — principles and optical trocar use
- Patient positioning and abdominal wall anatomy for entry
- Key safety measures: avoiding vascular and bowel injury during access
- Comparative analysis of non-Veress entry methods
- Troubleshooting: failed entry, subcutaneous emphysema, gas leak
Develop expertise in extracorporeal knotting. Practice Roeder’s and Meltzer’s knots on free structures (appendix, fallopian tube), then advance to continuous structures (cystic duct, uterine artery, renal artery). Laparoscopic square knotting applied to myomectomy, fundoplication, Burch suspension, partial nephrectomy, and vault closure techniques.
Extended simulation time for reinforcing intracorporeal and extracorporeal knotting skills under faculty supervision. Participants work through timed knotting exercises and instrument exchange drills.
- Laparoscopic Tubal Ligation
- Ovarian Drilling
- Laparoscopic Cholecystectomy
- Laparoscopic Appendectomy
Each participant independently performs all four procedures on a high-fidelity pig model in our state-of-the-art wet lab facility. The session simulates real surgical conditions — refining instrument handling, dissection technique, haemostasis, and suturing under expert faculty guidance.
Admission desk open for participants enrolling in the Diploma in Minimal Access Surgery (DMAS) — the natural next step after C.MAS.
Timed evaluation of laparoscopic proficiency including instrument handling, suturing technique, knotting accuracy, and problem-solving in simulated scenarios. Assignment book to be submitted before this session.
- Ergonomic techniques and optimal port placement for efficient surgery
- Expert instrument handling and suturing tips to improve outcomes
- Identifying and managing intraoperative bleeding — haemostasis strategies
- Managing bowel and vascular injuries — recognition and immediate response
- CO2 embolism, port-site complications, and difficult anatomy handling
- Group discussion: real case scenarios and complication prevention
Consolidation session: final knotting practice on free and continuous structures. Targeted remediation for participants based on Day 5 assessment feedback.
Individual skill assessment results shared with each participant. Personalised feedback on proficiency in laparoscopic techniques, instrument handling, suturing, and complication management. Certification criteria confirmed.
Celebrate your achievement at the Convocation Ceremony. Participants who successfully complete the program are awarded the Certificate in Minimal Access Surgery (C.MAS), recognised under the Ministry of Skill Development & Entrepreneurship, Govt. of India. Connect with faculty and peers as you step forward in your surgical career.
Wet Lab — Day 5 Surgeries
Each participant performs all four procedures independently on a validated pig model in The Medicity’s state-of-the-art Wet Lab. Expert faculty supervise every step, providing real-time correction and guidance.
- Fallopian tube identification and isolation
- Bipolar coagulation and cutting technique
- Haemostasis and tissue handling
- Clip application and Filshie clip technique overview
- Ovary stabilisation and positioning
- Monopolar needle puncture — depth and point selection
- 4–10 drilling points per ovary technique
- Haemostasis and post-drilling assessment
- Calot’s triangle dissection and identification
- Critical view of safety establishment
- Cystic duct and cystic artery clipping and division
- Gallbladder dissection from liver bed and retrieval
- Appendix identification, mesoappendix dissection
- Endoloop application or stapler firing at base
- Appendix division and retrieval in bag
- Port closure and wound management
Simulation Drills Across 6 Days
Wet Lab Guidelines
- Strict No Mobile Policy — No phones allowed in the wet lab, same as OT protocol
- No Photography or Videography — Capturing photos or videos is strictly prohibited
- No Breaks During Wet Lab — The session is continuous; no breaks allowed to maintain procedural integrity
- Dress Code & Scrubs — Provided scrubs required; participants may bring their own scrubs if preferred
- Sterile Environment Protocol — Head covering, gloves, gown, and OT behaviour standards apply throughout
- Assignment Book Submission — Must be submitted before the skill assessment on Day 5
- Log Book Maintenance — Required to earn CME points; must be kept current throughout the program
- Schedule Flexibility — Module order may vary due to circumstances; all elements will be covered
Important Information
- The elements covered in the course will be completed, but the order may change due to any circumstances
- Day 1 focuses on induction — your experience level and training needs will be assessed on arrival
- Maintaining the log book throughout the program is necessary to earn CME points
- An assignment book is issued on Day 1 — it must be completed and submitted before Day 5’s skill assessment
- The skill assessment test is conducted on Day 5 — timed and evaluated by faculty
- The program is approved by the Ministry of Corporate Affairs and Ministry of Skill Development & Entrepreneurship, Govt. of India
Course Fee
- Instalment 1 Registration ₹20,000
- Instalment 2 — Before Course ₹40,000
- Instalment 1 Registration $99
- Instalment 2 — Before Course $900
Note: This course is for UG medical graduates and allied health professionals only. PG medical professionals are not eligible for this program.
Enrol in Certificate in Minimal Access Surgery
6 days of intensive laparoscopic training — simulation drills, wet lab surgeries, and C.MAS certification recognised by the Government of India.