Advanced Laparoscopic Surgery Feasibilty
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Transcript of Advanced Laparoscopic Surgery Feasibilty
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Advanced Laparoscopic Surgery:Is it feasible?
Dr. Shahzad Alam ShahAssistant Professor Of Surgery
FJMC/Sir Ganga Ram Hospital Lahore
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What Is Advanced Laparoscopic
Surgery?
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Current Scenario
Slow Progression
Grossly Deficient Training Doctors and Nurses ,paramedics
Individual Efforts
Do as I do policy
Advancement is driven by the multinationalcompanies
Disposables Dr Shahzad Alam ShahMid City Hospital Lahore Pakistan
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Establishment of centers for laparoscopicsurgery
Guidelines
Training Structured Program
Crash courses
Cost Containment
What needs to be done-
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Cost
Cost Containment
Improvisation and Innovations
Endosuturing
Reusable Instruments
Indigenous Resources
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SKILLS ACQUISITION IN ADVANCED LAPAROSCOPICOPERATIONS
2 handed dissection
technique Non dominant dexterity
Extra & Intra corporealknotting
Intracorporeal suturing.
Endotrainers
Animal Models
Apprenticeship
Training Courses
Clinical Program
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Skill Acquisition
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Improvisation and Innovations
Available, Affordable,Accessible, Acceptable
and Appropriate
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Improvisation and Innovations
TEP Hernia Repair
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Extracorporeal Knoting and
Self made Endoloops
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Appendicectomy with Extracorporeal Knotting
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Intracorporeal Knotting & Suturing
Dr Shahzad Alam Shah
Mid City Hospital Lahore Pakistan
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Re-usable Stapling and Intracorporeal
Suturing
Gastrojejunostomy
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Entro-entrotomy
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Tissue Approximation
Mesh Fixation Devices
TAPP Hernia Repair
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Conclusions
Every avenue of innovation and ingenuity
has to be explored to ensure that the optimalresult can be achieved at minimal cost
Equanimity, determination and commitmentto ones belief in the benefits of laparoscopic
surgery
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Laparoscopic surgery is a completely different fromconventional surgery. It, thus, demands specialized
training. Training has to be imparted as a crash course
Training for laparoscopic surgery
Dr Shahzad Alam ShahMid City Hospital Lahore Pakistan