HERNIAESSENTIALS

Asia Pacific Hernia SocietyHernia Essentials

Accredited and Endorsed by

An APHS accredited hernia training course based on current international guidelines on hernia management

The mission of Asia Pacific Hernia Society (APHS) is to provide a professional forum for education and exchange of information on diagnosis and management of abdominal wall hernias. The vision of APHS is to impart awareness about the art and safe practice of contemporary hernia surgery in the region.

This program has been designed as a structured and systematic introduction to best established international hernia surgery practices that exist today.

The Diploma in Hernia Essentials training course of APHS comprises 3 modules

1. Hernia Essentials Basics (1 day, didactics)

2. Hernia Essentials Practical (2 days, Live Surgery, Endotraining, soft cadaver/animal workshop)

3. Hernia Essentials Fellowship (2 weeks by prior appointment at APHS Centre of Excellence)

Each Course module is conducted separately. A surgeon should have attended Hernia Essentials Basics course to be eligible to attend the Hernia Essentials Practical course and Fellowship.

A Course certification would be presented at the conclusion of each module (Hernia Essentials Basics, Hernia Essentials Practical and Hernia Essentials Fellowship).

On completion of all modules, participants shall be awarded the Diploma in Hernia Essentials of APHS at a ceremony during the annual APHS congress.

Introduction

Components

Objective

Eligibility criteria for course

Award of Diploma

Course Certification

Anterior (open) View Posterior (endolaparoscopic) view

Anatomy of Anterior Abdominal Wall

Inguinal Anatomy

Hernia Essentials Basics

TEP repair for Inguinal Hernia

Patient selection, preoperative considerations, anesthesia, patient position, initial access, port positions ,surgical technique, postoperative considerations, trouble shooting.

TAPP repair for Inguinal Hernia

Patient selection, preoperative considerations,anesthesia, patient position, initial access, portpositions ,surgical technique, post operativeconsiderations, trouble shooting.

Open (Lichtenstein) Hernia repair

Preoperative considerations, anesthesia, patient position, surgical technique, post operative considerations, trouble shooting.

Open Ventral / Incisional Hernia repair

Principles of Open Repair, types of Open Repair, Principles of Component Separation

HERNIAESSENTIALS

Laproscopic Ventral / Incisional Hernia repair

Patient selection, preoperative considerations, anesthesia, patient position, initial access, port positions, sur-gical technique, postoperative considerations, trouble shooting.

Decision Making in Ventral / Incisional Hernia Surgery

Prosthesis And Fixation Devices

Hernia Quiz

Panel Discussion (All Faculty)

Decision Making in Inguinal Hernia Repair

Panel Discussion (All Faculty)

Which hernia repair?

Mesh/ non mesh.Laparoscopy / open.

TEP / TAPPIndividualisation of Treatment Options

Classification of hernia

Hernia Essentials Practicals

Handling the needleSuturing (peritoneum and bowel) and knottingExtracorporeal knot – Roeder knot

Intracorporeal knotClosing peritoneal tear with Endoloop

Mesh handling (within package only) Transabdominal sutures on meshMesh marking on abdominal wallCentral suture on meshMesh rolling and insertion through portMesh laying on floor in abdomen

Retrieving transabdominal sutures with needleFascia closure needleLoop techniqueTying loose sutures on surface.Mesh fixation with tackers(distance, counter pressure, within margin)

A) Needle handling, suturing & knotting

B) Mesh handling

D) Hasson trocar (and types)

Fascia closure needle Loop technique

C) Port closure technique

E) TEP step by step

F) TAPP step by step G) IPOM step by step

Live Surgery, Hernia endotraining exercises and Live Tissue Workshop

HERNIAESSENTIALS

On completion of Hernia Essentials (HE) Basics and HE Practicals participants are eligible to apply for HE Fellowship. The HE Fellowship may be completed at one of the following APHS accredited centres of excellence. The duration of fellowship is two weeks and may be scheduled by prior appointment with the concerned APHS centre of excellence.

Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Hospital, Saket,New Delhi, India.Program Director : Dr Pradeep Chowbey

The Minimally Invasive Surgical Centre (MISC), NUH, Singapore.Program Director : Prof Davide Lomanto

Philippine Centre for Advanced Surgery Minimally Invasive Surgery, Cardinal SantosMedical Centre, Philippines.Medical Centre, Philippines.Program Director : Dr Alfred Allen Buenafe

Beijing Chao-Yang Hospital, Capital Medical University Beijing, China.Program Director : Prof Chen Jie

Chula Minimally Invasive Surgery Centre (CMISC) Bangkok, Thailand.Program Director : Prof Suthep U

NMC Speciality Hospital, Dubai, UAE.Program Director : Dr K.G. MathewProgram Director : Dr K.G. Mathew

Huashan Hospital, Fudan University, Shanghai, China.Program Director : Prof. Steven Yao

University Medical Centre, Minimally Invasive surgical training centre, HO Chi Minh city, Vietnam.Program Director : Prof Le Quan Anh Tuan

NMC Speciality Hospital, Abu Dhabi, UAE.Program Director : Dr Ananth Pai

APHS accredited Centre of Excellence in hernia

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Hernia Essentials Fellowship

APHS SecretariatMinimally Invasive Surgical Centre

Department of Surgery

5 Lower Kent Ridge RoadAdvanced Surgery Training Centre

Level 2, Kent Ridge WingNational UniNational University Health System

Singapore 119074

Hernia Essential Program SecretariatInstitute of Minimal Access, Metabolic & Bariatric Surgery

Max Healthcare Institute Ltd.

2, Press Enclave Road,Saket, New Delhi – 110 017, India

E-mail : Pankaj.gupta1@maxhealthcare.comMobile : +91-9811690841Mobile : +91-9811690841