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Intermediate Skills for Laparoscopic Surgeons

This course has been approved by the Royal College of Surgeons of Edinburgh and has been awarded 18 CPD points.

A 3 day, practical course providing laboratory based practice of intermediate laparoscopic skills, aimed at surgical trainees (SPR) with some prior experience of laparoscopic cholecystectomy. The atmosphere is relaxed and informal, allowing easy exchange of ideas and experiences.

Level of Course: CT1-ST6

The course provides

• Maximum laboratory time to practise a wide range of laparoscopic skills
• Expert Sessions to address a variety of topics in laparoscopic surgery
• Personal tuition and feedback
• Self paced and flexible programme
• Opportunity to view different applications
• Maximum of twenty participants

The course will cover (lectures and hands-on practices)

 
  • Ergnonomics in laparoscopic surgery
  • Difficult access techniques and adhesiolysis
  • Extracorporeal knot-tying technique
  • Laparoscopic suturing and intracorporeal knot tying
  • Laparoscopic continuous suturing techniques
  • Tumbled square knot
  • Free laparoscopic suturing exercise
  • Prevention of laparoscopic bile duct injuries
  • Intraoperative cholangiography, primary closure of CBD or  'T' tube insertion
  • Hiatial repair using tumbled square knot
  • Repair of perforated duodenal ulcer
  • Repair of incisional hernia
  • Laparoscopic stapled Gastroenterostomy

 

Expert Sessions

  • Difficult access techniques and indication for conversion to open
  • Laparoscopic colorectal surgery
  • Prevention of laparoscopic bile duct injury
  • Laparoscopic repair of perforated duodenal ulcer
  • Laparoscopic stapled gastroenterostomy
  • Total extra-peritoneal hernia repair
  • Laparoscopic incisional hernia repair

 

Learning Outcomes

  • At the end of this practical training course you should be able to:
  • Explain the techniques necessary to overcome the visual demands in laparoscopic surgery
  • Demonstrate effective equipment and instrument positioning using ergonomic principles
  • Utilise  exracorporeal knot-tying technique for ligation in continuity
  • Demonstrate optimal bite placement and knot tying technique during laparoscopic tissue approximation
  • Demonstrate safe stapling technique
  • Utilise protack fixation device safely
  • Demonstrate safe and accurate handling mesh

 

Apply the component skills taught in this course to various procedures including:

  • Access to scarred abdomen,
  • Ligation in continuity using extracorporeal knot,
  • Intraoperative cholangiography, primary closure of CBD or insertion 'T' tube
  • Closure of enterotomy
  • Hiatial repair
  • Stapled gastroenterostomy
  • Repair of perforated duodenal ulcer and
  • Laparoscopic incisional hernia repair
  • Total extra-peritoneal hernia repair

It is desirable that attendees have already completed a basic training course in laparoscopic surgery before applying for a place on this course.