The Medicity

Master's in Minimal Access Surgery

(MMAS) for Gynaecologists

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.

Medicine never stops evolving, and neither should your expertise. This revolutionary program acknowledges the reality of your demanding schedule while refusing to compromise on the quality of your professional development. Designed exclusively for practicing physicians who understand that excellence requires continuous learning, this intensive course seamlessly weaves theoretical advancement with practical surgical mastery into a format that respects your time constraints.

Every aspect of this program has been meticulously crafted around the working doctor’s reality. You spend your days saving lives, managing complex cases, and navigating the pressures of modern healthcare. Yet you recognize that standing still in medicine means falling behind. This course bridges that gap, offering you a pathway to enhanced expertise without derailing your current practice commitments.

The program combines cutting-edge medical knowledge with hands-on surgical training through an innovative delivery system that maximizes learning efficiency. Rather than asking you to choose between your patients and your professional growth, we have created a learning environment where both can thrive simultaneously.

DRY LAB FOCUS

LEVEL 1: BASIC Laparoscopic Suturing Skills

Basic Suturing Techniques

1. Simple Interrupted Suture

2. Continuous Running Suture

3. Figure-of-Eight Suture

4. Intracorporeal Square Knot (Reef Knot)

5. Surgeon’s Knot (Basic Two-throw Knot)

Basic Tissue Approximation Patterns

6. Horizontal Mattress Suture

7. Vertical Mattress Suture

8. U-Suture

9. Z-Suture

LEVEL 2: INTERMEDIATE Laparoscopic Knotting & Closure

Advanced Intracorporeal Knots

10. Aberdeen Knot (For continuous closure termination)

11. Slip Knot (Basic Sliding Knot)

12. Modified Surgeon’s Knot

Extracorporeal Knots

13. Roeder’s Knot

14. Duncan Loop

15. Weston Knot

16. Tennessee Slider Knot

Intermediate Suturing Techniques

17. Continuous Locking Suture

18. Baseball Stitch

19. Purse-String Suture

20. Lembert Suture

21. Gambee Suture

22. Endoloop Application

LEVEL 3: ADVANCED Laparoscopic Suturing Mastery

Advanced Sliding & Loop Knots

23. Melzer Knot

24. Modified Roeder’s Knot

Advanced Suturing Techniques

25. Continuous Interlocking Suture

26. Subcuticular Continuous Suture (Intracorporeal)

27. Transfascial Suturing

28. Barbed Suturing Technique (e.g., V-Loc)

29. Intracorporeal Suturing in Deep Pelvis

30. Laparoscopic Myoma Bed Closure (Multi-layer Suturing)

31. Laparoscopic Bowel Suturing & Anastomosis

32. Single-Handed Intracorporeal Knotting Technique

EXPERT / COMPLEX RECONSTRUCTIVE SKILLS

33. Advanced Intracorporeal Continuous Suturing in Confined Spaces

34. Laparoscopic Ureteric Reimplant Suturing

35. Laparoscopic Vault Suspension Suturing

36. Robotic-style Wristed Intracorporeal Suturing Adaptation

37. Complex Sliding Knot Variations Under Tension

OT/OR FOCUS

Operation Theatre Case List – Gynaecology (Laparoscopic Cases Only)

1.Laparoscopic Diagnostic Hystero-Laparoscopy

2. Laparoscopic Ovarian Cystectomy

3. Laparoscopic Dermoid Cystectomy

4. Laparoscopic Endometriotic Cyst (Chocolate Cyst) Excision

5. Laparoscopic Oophorectomy

6. Laparoscopic Salpingectomy

7. Laparoscopic Salpingostomy (Ectopic Pregnancy)

8. Laparoscopic Management of Ovarian Torsion

9. Laparoscopic Tubal Ligation

10. Laparoscopic Tubal Recanalization

11. Laparoscopic Myomectomy (Single / Multiple Fibroids)

12. Laparoscopic Total Hysterectomy (TLH)

13. Laparoscopic LAVH (Laparoscopic Assisted Vaginal Hysterectomy)

14. Laparoscopic Supracervical (Subtotal) Hysterectomy

15. Laparoscopic Radical Hysterectomy (Selected Cases)

16. Laparoscopic Adhesiolysis (Pelvic Adhesions)

17. Laparoscopic Excision of Endometriosis

18. Laparoscopic Deep Infiltrating Endometriosis (DIE) Surgery

19. Laparoscopic Uterosacral Ligament Plication

20. Laparoscopic Sacrocolpopexy

21. Laparoscopic Sacrohysteropexy

22. Laparoscopic Management of Hydrosalpinx

23. Laparoscopic Ovarian Drilling (PCOS)

24. Laparoscopic Pelvic Lymph Node Sampling (Selected Cases)

25. Laparoscopic Cystectomy with Ovarian Reconstruction

26. Laparoscopic Vault Closure / Vault Suspension

27. Laparoscopic Cornual Ectopic Pregnancy Management

28. Laparoscopic Cervical Cerclage (Abdominal Approach)

29. Laparoscopic Uterine Niche Repair

30. Laparoscopic Septum Resection (Combined Approach)

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 Ovarian Cystectomy

This lecture provides a comprehensive approach to laparoscopic ovarian cystectomy, covering indications, patient selection, and surgical techniques for cyst removal while preserving ovarian function. You will learn about trocar placement, cyst dissection methods, hemostasis strategies, and prevention of adhesions. Special focus will be given to managing complex cysts, endometriomas, and minimizing ovarian damage, ensuring optimal surgical outcomes.

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 Tubal Ligation

This lecture covers the principles, techniques, and considerations for laparoscopic tubal ligation, a highly effective method of permanent contraception. You will learn about different surgical approaches, including Filshie clips, Falope rings, and bipolar coagulation, and their respective advantages and limitations. The session will emphasize safe and effective occlusion techniques, avoiding complications such as tubal damage or thermal spread. You will also explore reversal considerations, patient counseling, and failure rates of each method. By the end of this lecture, you will have a clear understanding of how to perform tubal ligation with precision, ensuring patient safety and long-term

effectiveness.

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 – TLH (Total Laparoscopic Hysterectomy)

In this lecture, you will gain a comprehensive understanding of Total Laparoscopic Hysterectomy (TLH) —a key procedure in minimally invasive gynecologic surgery. The session will cover patient selection, surgical indications, step-by-step procedural techniques, and complication management. You will explore essential aspects such as uterine manipulation, colpotomy techniques, secure ligation of uterine vessels, and specimen retrieval methods. Special emphasis will be placed on energy sources for safe dissection, ergonomic instrument handling, and strategies to minimize complications such as ureteric injury and vaginal cuff dehiscence. By the end of the lecture, you will have a detailed surgical roadmap for performing TLH with precision and confidence.

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

Lecture | Live Lab Demonstration – Laparoscopic Myomectomy

In a Laparoscopic Myomectomy lecture, students will develop a thorough understanding of uterine anatomy and fibroid classification, including size, number, and location assessment. The session will cover patient selection criteria, pre-operative evaluation, and imaging interpretation for surgical planning. Students will learn the step-by-step laparoscopic technique, including port placement, myoma enucleation, hemostasis strategies, suturing techniques for uterine repair, and specimen retrieval methods. Emphasis will be placed on minimizing blood loss, preserving uterine integrity for future fertility, and preventing adhesions. The lecture will also address intra-operative complication management and post-operative care for optimal recovery and reproductive outcomes.

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

Day 6

Live Surgery – WET LAB

Advanced Gynaecology Surgery Laparoscopy (Pig Model Only)

The session begins with OT gowning protocol, safety briefing, animal handling guidelines, and demonstration of pneumoperitoneum creation with strategic port placement tailored for gynaecologic procedures. Participants then undergo intensive, structured hands-on laparoscopic training under expert supervision, focusing exclusively on advanced laparoscopic gynaecology with strong emphasis on anatomical clarity, precision dissection, bleeding control, and fertility-preserving principles.

Procedures Performed:

  • Laparoscopic Diagnostic Pelvic Exploration – Systematic pelvic survey and anatomical mapping.
  • Laparoscopic Ovarian Cystectomy – Cyst wall stripping, ovarian reconstruction, and hemostasis.
  • Laparoscopic Dermoid Cyst Removal – Spillage prevention and specimen retrieval techniques.
  • Laparoscopic Salpingectomy – Tubal dissection with vascular pedicle control.
  • Laparoscopic Management of Ectopic Pregnancy – Salpingostomy and salpingectomy techniques.
  • Laparoscopic Myomectomy (Single & Multiple Fibroids) – Myoma enucleation and multilayer uterine suturing.
  • Laparoscopic Total Laparoscopic Hysterectomy (TLH) Simulation – Bladder dissection, uterine vessel sealing, and vault closure.
  • Laparoscopic Subtotal (Supracervical) Hysterectomy – Cervical stump management.
  • Laparoscopic Oophorectomy – Infundibulopelvic ligament control and specimen extraction.
  • Laparoscopic Adhesiolysis (Pelvic & Bowel Adhesions) – Safe sharp and blunt dissection techniques.
  • Laparoscopic Endometriosis Excision & Ablation – Deep infiltrating endometriosis identification and removal principles.
  • Laparoscopic Tubal Ligation & Tubal Reconstructive Techniques – Microsurgical precision and tissue preservation.
  • Laparoscopic Uterosacral Ligament Suspension (Simulation) – Pelvic support restoration principles.
  • Laparoscopic Ovarian Drilling (PCOS Model) – Controlled cortical puncture techniques.
  • Laparoscopic Management of Ovarian Torsion – Detorsion and ovarian conservation strategies.
  • Laparoscopic Pelvic Lymph Node Sampling (Demonstration) – Retroperitoneal space orientation basics.
  • Laparoscopic Vault Closure & Intracorporeal Knotting – Advanced suturing and ergonomic techniques.
  • Advanced Intracorporeal Suturing Practice – Continuous, interrupted, figure-of-eight, and barbed suturing methods.

 

The day concludes with a structured debriefing session covering complication management (bleeding, ureteric safety, bowel injury prevention), energy source safety, troubleshooting difficult pelvis scenarios, and conversion criteria. Participants receive individualized expert feedback focusing on surgical ergonomics, instrument handling, speed optimization, precision suturing, and operative confidence in advanced laparoscopic gynaecology.

Afternoon Session

Skill Assessment Test

The Skill Assessment Test evaluates camera navigation, depth perception, port placement strategy, tissue handling, cyst suturing, uterine defect closure, bleeding control drills, and intra-operative decision-making in simulated gynaecologic scenarios. Assessment is based on precision, safety adherence, operative flow, and technical competence.

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 Gynaecologists who have successfully completed their advanced laparoscopic training in Minimal Access Gynaecology. In recognition of their dedication, surgical precision, and clinical excellence, participants will be formally awarded the prestigious MMAS (master’s in Minimal Access Surgery) certifications.

The ceremony celebrates their commitment to advancing women’s health through innovation, skill, and patient-centered care, honoring their evolution into proficient minimal access gynaecologic surgeons. It recognizes not only their technical mastery but also their dedication to safe, fertility-preserving, and evidence-based surgical practice.

The event will be followed by a High Tea and Social Meet-Up, providing an opportunity for networking, faculty interaction, exchange of clinical experiences, and fostering long-term professional collaborations in a warm and celebratory atmosphere.

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