Big Fibroid operation refused in U.K & Was done successfully laparoscopically in India
 
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Q Why should I opt for Endoscopic Training now?

Recent advances in minimally invasive surgery have seen widespread applications in many surgical specialties, perhaps none more so than Gynaecology.

Today the Laparoscopic & Hysteroscopic approach is being used in a growing number of Gynecological procedures with significant potential medical and economical and faster recovery benefits to patients.

Furthermore, in this era of consumer rights more and more patients are demanding to know all the options to them.


Q Do you have the training to meet the demand?

With more & more gynecologists performing Laparoscopies had lead to tremendous development and also increased complication rate. Professional with tangent thinking go beyond excellence & are in a position to provide multiple options to a given situations for their patient’s problem.

It is the ongoing training which motivates you to do things differently to achieve results different from conventional average. It was perhaps inevitable that the learning curve would be accompanied by a variety of complications and difficulties in performing Endoscopic surgery.

These adverse outcomes are further compounded by the crisis in Endoscopic training program and lack of adequate accreditation system and of minimum standards.

The other major issue is the need for surgeons to take special training in performing the many operations that are available by this means. Even surgeons that are brilliant in open techniques need special training to transfer their excellent surgical skills to the video monitor and display.

The need for additional training is because laparoscopic surgeons leave the familiar territory of a three dimensional operating field to working on a two dimensional flat video display

Q Are you willing to make an investment in your practice to ensure its future viability?

In consideration of the innate desire to attain excellence in latest Gynecological practice, this course is designed to comprehensively review a wide range of opportunities for the aspiring gynecologic surgeon. After more than a decade and a half of “Endoscopic revolution” dating from the historical first laparoscopic hysterectomy in 1989, almost every open gynecological procedure that has been described has been successfully performed endosmotically. In addition, numerous new procedures have also been developed based on a greater understanding of pelvic anatomy, improved surgical skills and modern energy sources. Following any Laparotomy for Gynaec. Condition gives rise to adhesions with abdominal wall in about 50% of cases. Out of which 50% develops pain in abdomen because of adhesions and compels many patient for redo surgery for pain in the form of Laparoscopic Adhesiolysis. Let me share with you my commonest experience: When we do Laparoscopic Adhesiolysis- patient and her relatives always objects and ask us: Why my primary Gynaec surgery had not been done by Laparoscopy and as a result why I had second surgery in the form of Laparoscopic Adhesiolysis. This fact should be eye opener fact for every surgeon, as he may be disrepute for not offering the option of Laparoscopic surgery while doing laparotomy for any Gynaec condition. NRI patients and even our Indian patients are demanding this option for different Gynecological conditions because of its obvious benefits.

Meeting the growing demands for Endoscopic Surgery

In response to this growing demand, Dr.Pragnesh Shah, the Course Director is offering the personalized training for 15 days course for the practicing Gynaecologist with vision of developing, learning and incorporating Gynecological Endoscopy in their own existing practice to reach the upper edge in already competitive practice. His state-of-the-art Jyoti Hospital & Minimum Invasive Surgery centre and Advanced Endoscopic Training Centre at Ahmedabad, India. The personalized course have been rated highly by participants and recognized and supported by the academic resources of the Federation of Obstetricians and Gynecologists of India (FOGSI) and Indian Association of Gynecological Endoscopist (IAGE).

 

Q. WHY SPECIALIZED LAPROSCOPIC TRAINING WHEN I CAN LEARN BY ASSISTING IN ANY HOSPITAL OR LAPROSCOPIC SURGEON?

Technical skills in the field of laparoscopic surgery have been taught in specialized training center for last ten years. Studies have shown that unlike open surgery, mere observing cases or assisting a surgeon does not improve the necessary skill to become a laparoscopic surgeon. Ergonomics & Physics of laparoscopic surgery is completely different than open surgery & mastery of hand-eye co-ordination requires thorough exposure over animal tissue followed by same skill demonstration in operation theatre. Laparoscopic techniques skill acquisition need “Hand on” training under specialized guidance because the field of view is limited, peripheral vision is not possible & the operative field is represented in two dimensions on a video monitor. Unlike open surgery, where the surgeon is facilitated verbally & manually through assistantship from the opposite side of the operating table, in video-endoscopic surgery verbal directives is not of much help & there is an increased reliance on the technical skills of the surgeon. To achieve these basic skills & to imbibe the principles of laparoscopic surgery, training in simulated operative environments & observation of state of the art surgery in operation theatre has become a necessity.

Q. WILL I BE ABLE TO PERFORM CASES IN OPERATION THEATRE INDEPENDENTLY IN THIS PROGRAMME ?

You will get chance to observe operation theatre. It is not possible to let perform surgery independently (free-hand). Because it is not in the favour of patient’s life. According to international ethical guidelines independent learning over human patient is strictly prohibited. However, you will get chance to assist .

Q. WHAT IS THE CERTIFICATION?

You will be certified by the Course Director and institute is recognized by Fedration of Obstetrics & Gynaecological Socities of India (FOGSI)

Q. HOW TO APPLY FOR THE COURSE?

We take limited candidates in one batch on first come first serve basis hence it is essential to reserve your seat as early as (Three months prior) possible by fulfilling all the formalities. For confirmation send the completed application form by mail/ person or to our person to
Dr.Pragnesh Shah  M.D..   Endoscopic Surgeon

Q. DO I NEED TO PAY AT THE TIME OF APPLICATION FOR THE COURSE?

You can send the application form with a demand draft of  Rs.10,000/- payable at Mumbai for final confirmation to your participation in any programmed. After this you would receive a confirmation of attendance letter/Email from our institute.

Q. I AM INDIAN BUT AT PRESENT WORKING ABROAD WHAT FEES IS APPLICABLE TO ME?

Even if you are Indian but having NRI status you ned to pay tution fee equivalent to overseas surgeon 200 USD payable at Mumbai (excluding airfares)

Q. WHAT IS THE ELLIGIBILITY CRITARIA FOR THE PROGRAMME?

All, surgeons & gynecologists having exposure of open surgery are good candidate for the programmed. The minimum qualification for the laparoscopic training is medical graduate equivalent to M.B.B.S. with experience in Gyn. Or Surgery.

Q.WILL I BE ABLE TO PERFORME LAPAROSCOPIC SURGERY ON MY PATIENT AFTER THIS PROGRAMME?

Yes, There is ample opportunity to develop your skill during this programme. Most of the surgeons trained from our Centre are performing regular laparoscopic surgery with confidence & reliability.

Q. CAN I EXTEND THE PROGRAM SO THAT I COULD VISIT touRist place ALSO?
 
Yes, You could extend the program so that it covers different tourist place.. You would have to pay extra costs for the same. Contact for the more details.

Q. WHAT ARE INCLUSIONS?

FOR TRAINEES

Trainning fees & study materials
Lodging in Hotel/Hostel can be arranged with prior request.
Possible exclusions are:
Any Taxes, Insurance, Visa Charges, Passport expenditures, Dinners, Meals .


Dear Gynecologist,

Thank you for showing your interest in learning Operative Lap. Training with us.

For more detail for Lap. Training visit at ??

I assure you that you will able to do Laparoscopy & Hysteroscopy independently after our training at our place. (I.e. Level-I Endoscopic surgery), provided you have completely finished training for 15 days (i.e. 25-30 lectures, Hands on training on pelvic trainer, assisted lice surgeries and seen the videos of most of the Gynaecological surgeries during your training)

Checklist for Laparoscopic Training :

  1. FOGSI membership confirmation & confirmation of yearly contribution send to FOGSI by your local society secretary during your training period.
  2. You have to submit the certificate from your department about your status/ residency & permission from your H.O.D. or your MD/MS/DGO passing certificate
  3. You have to fill up the prescribed form of Laparoscopic training  from FOGSI website : http://www.fogsi.org/training/endoscopy_training_form.pdf
  4. You have to send D/D of Rs. 15,000/25,000/-(Basic/Advanced course) payable at Mumbai on “FOGSI” For FOGSI recognized training to us. http://www.fogsi.org/training/endoscopy_training.pdf
  5. Inform Dr.Pragnesh Shah (Course Director )

 1-3 months prior to starting of your Laparoscopic training at our center.

You can definitely plan to come in any month during year for 15 days. You have to inform us one month prior to your tentative dates for starting your training at our center.
You have to arrange for your accommodation in one of the hotel in Ahmedabad of your own during your stay for training.

For accommodation you can search on:
http://www.travelmasti.com/ahmedabad.htm or for paying guest facility near our center contact Mr. Samarbhai on 9825033514.

We recommend starting Laparoscopy & hysteroscopy immediately after our training. You must maintain Log book of your initial 25 laparoscopy & hysteroscopy done at your center after training. You must bring your 25 videos of first laparoscopic & hysteroscopic surgeries to us for evaluation, feedback, and process for improvement of your skills & mistakes and your self accreditation for your better future.

I am sure you will be greatly benefited after this training course.

With regards,
Pragnesh Shah (Course Director)

 

JYOTI HOSPITAL & MINIMUM INVASIVE SURGERY CENTER,
OCEANPARK, SATELLITE ROAD, AHMEDABAD 380015.
PHONE: 91 79 26731750; FAX NO. : 91 79 26766491
Website: http://www.laparoscopyexpert.com

Hospital is India based Advanced Gynecological Laparoscopic Training & center for Excellence for most of the Gynecological Endoscopic Surgeries. Dr.Pragnesh Shah & Dr.Parulben Shah are experienced laparoscopic Surgeons & they have experience of most of the advanced Gynecological Surgeries with world class infra structure in Ahmedabad for any difficult & complicated laparoscopic surgeries.

Faculty

Dr. Pragnesh Shah
Dr. Parulben Shah
Dr. Himanshu Bavishi
Dr. Flguni Bavishi

Invited Faculty

Dr.Rakesh Sinha
Dr.Kurian Joseph
Dr.P.G.Paul
Dr.Shyam Desai

Understanding essential Endoscopic anatomy of pelvis & abdominal wall

Practicing hand-on training on pelvic trainer to develop hand-Eye co-ordination, necessary for Laparoscopic Surgery.

In depth interactive personal 20-25 lectures on different topics.

Video demonstration of most of the possible Gynecological Endoscopic surgeries as on today.

Live participation in most of the possible Gynecological Endoscopic surgeries as on today.

Abdominal access techniques

Pneumoperitoneum and trocar insertion

Port positions for various laparoscopic operations

 Ergonomic principles of laparoscopy

Laparoscopic equipments detail

Various laparoscopic dissection techniques

Use and safety during electro surgery

Extra-corporeal and Intra-corporeal laparoscopic suturing techniques

Laparoscopic Roader knot

Interrupted laparoscopic  suturing techniques

Intra-corporeal suturing techniques.

Techniques to control of bleeding at the time of Lap surgery Discussion 

 Lectures on Diagnostic Laparoscopy & Hysteroscopy, Adhesiolysis, Ectopic Pregnancy, Difficult LAVH for previous surgeries & for large uterus, Difficult Mymectomy, T.O.Mass, Advanced Endometriosis like Rectovaginal Endometriosis & Chocolate cyst, Hysteroscopic procedures like Tubal cannulation for PTB & Asherman’s syndrome etc.

Video presentation & discussion for Laparoscopic Tubal Anastomosis & Pelvic Floor Repair, Sub mucus fibroid resection & other Hysteroscopic surgeries.

Procedures demonstrated:

Infertility work up : Laparoscopy & Hysteroscopy

Total Laparoscopic Hysterectomy

Mymectomy

Tubal & Ovarian surgery

Endometriosis

Laparoscopic Prolapse Repair : Burch’s & Pelvic Floor Defects Repair

Hysteroscopic Sub mucus Fibroid resection & Tubal cannulation

Who should attend?

Anyone interested in giving their patients choice

Specialist with keen interest in learning and keen to start independent Laparoscopy & Hysteroscopy in near future in his own centre.

Freshly passed MD/MS student interested to start their carrier as Endoscopic Surgeon

Those Endoscopic Surgeons who are already doing level-1/level-2 surgery at their own centre and now they want to advance their skills in different Advanced Endoscopic surgeries systematically.

Course Aim & Format:

To provide the participant with intensive practical hands-on training over a 15 days period by video demonstration, live theatre participation, about 20-25 lectures on different topics & covering  most of the areas of Gynecological Endoscopic training and personal supervision & guidance. Our aim is that at the end of our training you should be confident enough to carry out Laparoscopy & Hysteroscopy at your centre independently or you should gain enough confidence to do some of the Advanced Laparoscopic surgery if you are already doing level-1/level-2 Laparoscopic Surgery at your centre now.


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