Minimally Invasive Surgery

Over the past 17 years, SENADHIPAN INSTITUTE OF MEDICAL SCIENCES has gained regional and international recognition for its efforts to provide the best laparoscopic training. Our dual purpose is to train those who will provide top quality patient care and be the academic leaders in minimal access surgery, who in turn will train many surgeons for practice in communities across the world.

Candidates for the fellowship will be required to have extensive hands-on training.

Provision of a comprehensive fundamental knowledge base achieved by structured modular teaching.


This comprises delivery of lectures, video sessions, clinical observation, hands on trainings, discussions, feedback, assessment, unlearning,relearning and remedial action.
Acquirement of laparoscopic and endoscopic surgical skills to an advanced level so that complex surgical procedures can be performed with ease and precision
Full understanding of the clinical relevance of the theoretical and practical knowledge gained. This comprises clinical observation at out-patients, theatre , post operative rooms and ward rounds.

Skill acquisition
Skills will be taught formally, to a level where competent students can participate in the teaching process. Skills will also be gained carrying out the research in the relevant topic, and assisting others with theirs.

To promote enthusiasm for safe minimal access surgery

The application of MAS skills and theory is based on an approach designed to minimize risk as far as possible. Throughout the course patient safety, and optimal care are emphasized, and provide a structure that can, and should, be applied to the individuals’ continuing professional development. Of equal importance is the concept that graduates should act as ambassadors for minimal access surgery, continue to be actively involved in its development and impart knowledge to other aspiring surgeons .

Duration: 6 months

  1. Safety in Minimal Access Surgery including Robotic Surgery (10 Credit)
  2. Ergonomics of Minimal Access Surgery (10 Credit)
  3. Vision and orientation in Minimal Access Surgery (10 Credit)
  4. Fundamental knowledge and skill in Minimal Access Surgery (20 Credit)
  5. Dissection techniques in Minimal Access Surgery (20 Credit)
  6. Clinical application in Minimal Access Surgery (20 Credit)


On completion of this module the student should be able to:

  • Assess risk and communicate this assessment
  • Design systems to minimize hazards


On completion of this module the student should be able to:

  • Apply the established principles of ergonomics to theatre set up and instrument placement in practical situations
  • Demonstrate an understanding of the effect of the laparoscopic approach on the surgeon’s movements and performance


On completion of this module the student should be able to:

  • Appreciate the effects of indirect viewing on perception and performance
  • Appreciate the effects of 2 and 3D images on perception and performance
  • Use a range of endoscopic visual systems effectively and efficiently
  • Understand the technical features of current endoscopic viewing systems


On completion of this module the student should be able to:

  • Describe the haemodynamic and other changes associated with a pneumoperitoneum and the effects of pressure, flow rate, volume, and the nature of gas used
  • Effect of pneumoperitoneum or thoracoscopy on anaesthetic management
  • Insert a Veress needle with appropriate technique and set up and operate an insufflator
  • Perform various techniques for creating a pneumoperitoneum and discuss their advantages and disadvantages
  • Describe the nature, advantages, and disadvantages of various clipping and stapling devices and demonstrate their safe use
  • Apply extracorporeal knots endoscopically, suture, and perform a microsurgical knot intracorporeally


On completion of this module the student should be able to:

  • Explain the technical features of the various energy generating modes
  • Understand the tissue effects, both local and systemic, and the differences and similarities of the various modes of dissection.
  • Be aware of the specific hazards associated with each mode and how to minimize the danger to the patient and staff


On completion of this module the student should be able to:

  • Discuss the benefits and disadvantages of the use of a variety of minimal access techniques for the diagnosis and treatment of a range of surgical conditions
  • Differentiate the different issues associated with the various minimal access approaches to various surgical conditions.
  • Define the skills needed for different modalities of treatment and their own level of competence.
  • Safely perform basic laparoscopic procedure like laparoscopic cholecystectomies, appendectomies, hernias repair, fundoplication, heller’s myotomy, colorectal surgeries,HPB surgeries,varicocelectomy, orchidopexy and ovarian cystectomy.

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