advanced laproscopy

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done by dr ved prakash asian hospital faridabad

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PowerPoint Presentation: 

Advanced Laparoscopy Dr. Ved Prakash Sr. Consultant Surgery Asian Institute of Medical Sciences Faridabad NCR

Good news: 

Good news The most dramatic changes in field of surgery over last two decade is explosion of interest in MIS by surgeon

Bad news: 

Bad news Introduction of laproscopic procedure in our country is Haphazard Uncontrolled Unaudited

The skill and training acquired during residency have very short half life---as a result physician in practice must continually upgrade their abilities Rhodes,surgery 2004: 

The skill and training acquired during residency have very short half life---as a result physician in practice must continually upgrade their abilities Rhodes,surgery 2004

Who started laproscopy in India : 

Who started laproscopy in India Those who returned from abroad after training and adequate exposure Those who went abroad, observed laparoscopy and started in India by trial and error method Surgeon who attended and organized workshop with the help of above two group

PowerPoint Presentation: 

Laproscopic choleycystectomy Laproscopic appendicectomy Diagnostic laproscopy Basic laproscopy

Aims of training for advanced laproscopy: 

Aims of training for advanced laproscopy Continuous progress of individual skill to keep pace with market Understanding of newer equipment and their better utilization Much added advantage in patient recovery and outcome

There is no excuse today for the surgeon to learn on the patient Dr. Will Mayo 1927

How one should get trained?: 

How one should get trained? Lecture over Handling of instrument Choice of instrument Anatomy of work area Assessment of risk and benefit of particular c ase

PowerPoint Presentation: 

Endotrainer Simulated model, animal lab Extra and intra corporeal knotting Intra corporeal suturing Attending workshop and master video session Watching video of particular procedure

How one should go for first advanced procedure: 

How one should go for first advanced procedure Keep the track of learning curve Dedicated team of nurse, technician and asst. surgeon High degree of awareness of potential risk of specific surgery Supervision of trained personnel Selection of right patient to minimise intra and post operative disaster

Case history 40 yrs old female with symptom of occasional headeche and palpitation for last one year Serum cortisol- normal Serum norepinephrine and dopamine -normal Isolated norepinephrine was raised Urinary VMA was normal : 

Case history 40 yrs old female with symptom of occasional headeche and palpitation for last one year Serum cortisol- normal Serum norepinephrine and dopamine -normal Isolated norepinephrine was raised Urinary VMA was normal

PowerPoint Presentation: 

Laproscopic heller cardiomotomy

PowerPoint Presentation: 

Thank you