basic endoscopy & laparoscopic training & workshop

1. 3rd batch
HELD ON 29TH TO 31ST MAY, 2018
Conducted by
DEPARTMENT OF SURGERY
DHAKA MEDICAL COLLEGE & HOSPITAL
BASIC ENDOSCOPIC & LAPAROSCOPIC
TRAINING & WORKSHOP

2. CHAIRMAN & HEAD OF THE DEPARTMENT
PROF A Z M MOSTAQUE HOSSAIN
DEPARTMENT OF SURGERY
DHAKA MEDICAL COLLEGE AND HOSPITAL
COURSE CHAIRMAN
PROF A B M KHURSHID ALAM
ENDOLAPAROSCOPIC TRAINING COURSE AND
WORKSHOP

3. COURSE DIRECTOR
ASSO. PROF. A Z M MAHFUZUR
RAHMAN
COURSE CO-ORDINATOR
DR. MASFIQUE AHMED BHUIYAN

4. WHAT IT CONSISTS OF ?
• A basic rundown on laparoscopic surgery and its
potential in the future of the field of Surgery.
• The workshop was held for three consecutive days.
• Participants got to learn about the history of
laparoscopic surgery and different parts of a
laparoscopic machine on day 1.
• Day 2 consisted of hands on practise using the
simulation box as well as observing and assisting in
laparoscopic surgery.

5. • On day 3,the final day , participants had a chance to
observe live demonstration of endoscopic and
colonoscopic procedures on actual patients.
• Every participant had been rewarded with a certificate
after completion of the workshop.

6. DAY 1 –
LECTURE/DISCUSSION
• History of laparoscopy was briefly touched on.
• Different parts of the laparoscopic machine:
camera,light source,light cable of two different types
fibre optic and gel,telescope and flexible telescopy as
well as monitor were thoroughly discussed and
demonstrated.

7. • Thorough discussion on the ‘insufflator’ was done ,i.e,
it’s design,how it is set up and any safety issues which
may arise while using an insufflator.
• Various complications of pneumoperitoneum had been
discussed.
• Ergonomics in laparoscopy is another important topic
which had been discussed in this session.

8. WORKSHOP INAUGURATION BY PROF.DR.ABM
KHURSHID ALAM

10. ASSO.PROF.DR.AZM MAHFUZUR RAHMAN BRIEFING
THE TRAINEES.

11. DR.MASFIQUE AHMED BHUIYAN DEMONSTRATING
THE EQUIPMENTS

12. LEARNING ABOUT THE BASEBALL DIAMOND
CONCEPT

13. KEEN TRAINEES

14. SCOPE OF LAPAROSCOPIC
SURGERY
• Diagnostic laparoscopy
• Cholecystectomy by laparoscopy
• Identification of difficult cholecystectomy
• Bridging between open and lap. Cholecystectomy
(when to switch from laparoscopic to open
cholecystectomy and vice versa)
• Laparoscopic appendicectomy
• Advanced surgeries : gastrojejunostomy,right
hemicolectomy,left hemicolectomy

15. DAY 2 – HANDS ON
PRACTISE AND LIVE DEMO
• Participants had the golden opportunity to practise on
different hands on techniques such as gloves
cutting,finger knotting,suture passing,intra corporeal
and extra corporeal knotting .
• In wet lab,they practised suturing and knotting on
chicken skin and had practised anastomosis on
specimen of resected gut.

16. PRACTISE ON SIMULATION BOX

19. SIMULATION BOX AND MONITOR

20. PARTICIPANTS TRANSFER THE BEADS FROM ONE
POINT TO NEXT IN THE GIVEN DIRECTION

21. LIVE DEMONSTRATION IN THE FORM OF SURGERY

22. DAY 3 –ENDOSCOPIC AND
COLONOSCOPIC SESSION
• Participants attended live endoscopic and colonoscopic
procedures in order to gather more knowledge about
minimally invasive procedures and it’s diagnostic and
therapeutic uses to spark their interest in this modern
field of surgery.

23. IT IS JUST THE
BEGINNING…
• So far,3 such workshops have been successfully
conducted by SU 2 with impressive turnout.
• Participants were asked for feedback for further future
improvements and they had pointed out that they would
appreciate hand notes and video demos as well as a
chance to assist surgeries and getting to practise on
dummies.

25. SNAP OF TRAINING

26. TAKE HOME MESSAGE
• Practice makes perfect ? Wrong. PERFECT PRACTISE MAKES
PERFECT!
• The future is in hands of laparoscopic and robotic surgeries
• More patients are seeking faster recovery with as little hospital
stay as possible
• Workshops as such help the dynamic minds of young ,up and
coming surgery trainee doctors to dip their toes into the
fascinating realm of Minimally invasive surgical techniques e.g.
laparoscopic surgery and guide them properly in this direction
so that they can practice SAFE surgery to SAVE lives.

27. THANK YOU