Master of Laparoscopic Surgery

Master of Laparoscopic Surgery

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Course information

Course title Master of Laparoscopic Surgery
Course code PMLPSPET6
Postnominal M. Lap. Surg.(Melit.)
Level of qualification Second Cycle
National Qualifications Framework level Level 7
Duration 6 Semesters
Mode of attendance Part-time Evening
Total ECTS credits 90
Coordinator Godfrey La Ferla
Delivered by Faculty of Medicine and Surgery
This Masters Programme provides highly specialised and advanced theoretical clinical training in Laparoscopic Surgery. This course is offered on part-time basis over 6 semesters in 2 years. The 90 ECTS are distributed as follows:

36 ECTS taught study-units: Teaching except that of SUR5400 will be held at the University of Malta. SUR5400 will be held in Italy.

24 ECTS clinical study-units: This training in Laparoscopic Surgery will be offered by the Associazone Chirurghi Ospedalieri Italiani (ACOI) in highly specialised hospitals in Italy. (Costs of travel and accommodation are not included in the course fee.)

30 ECTS dissertation: A dissertation of approximately 25000 words will be supervised by an academic member of the University of Malta or one of the ACOI tutors depending on the subject area. However, the viva voce examination will be held in Malta.

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The Course shall be open to applicants in possession of the degree of Doctor of Medicine and Surgery or equivalent together with at least 3 years work experience in surgery. This experience should normally be obtained after applicants have been awarded the qualification of Doctor of Medicine and Surgery.

All applicants shall be required to submit with their application a letter written in English giving their motivation for applying for this Course together with a copy of their Curriculum Vitae (C.V.). Applicants shall further be requested to provide evidence that they are covered by a valid indemnity insurance policy throughout the duration of the Course.

The number of students shall be limited to 6 students.

When the number of applicants that may be admitted to the Course is limited and the number of eligible applicants exceeds the number of places available, applicants shall be selected according to the following criteria, the weighting of which shall be published at the time of the call for applications:

(a) classification of the first degree
(b) experience in the area of study
(c) motivation letter and
(d) performance during an interview.

The interviewing board appointed by the Board shall be composed of at least three members. The interviewing board may make use of electronic means of communication in order to carry out interviews with applicants.

For the purpose of selection, applicants whose qualifications were obtained by 31 August preceding the commencement of the Course shall be considered first.

The admission requirements are applicable for courses commencing in October 2019.

For more detailed information pertaining to admission and progression requirements please refer to the bye-laws for the course available here.

UM currently hosts over 1,000 full-time international students and over 450 visiting students. The ever-increasing international students coming from various countries, in recent years, have transformed this 400-year old institution into an international campus.

Our international students generally describe Malta as a safe place, enjoying excellent weather and an all-year varied cultural programme. Malta is considered as the ideal place for students to study.

You can compare your national qualifications to the local requirements by visiting our qualifications comparability webpage.

Access more information about our admission process and English language requirements.

After you receive an offer from us, our International Office will assist you with visas, accommodation and other related issues.

Local/EU/EEA Applicants: Total Tuition Fees: Eur 25,000

Non-EU/Non-EEA Applicants: Total Tuition Fees: Eur 25,000
Knowledge and Understanding

• identify and analyse problems through skills like epidemiology and
information technology, design of a study and analysis of the
data, publishing one’s results
• explain the basics of functional anatomy and physiology to prepare
a Surgeon in training to be the safest s/he could be
• develop an understanding of physiological principles as applied to
surgical patients
• discuss indications for laparoscopic surgery and appropriate
techniques
• explain principles and management of infection in surgical practice
• explain the use of key antibiotics
• transmit detailed and updated notions on the equipment and all the
modern available laparoscopic instruments
• use different equipment dedicated to laparoscopy: those for
pneumoperitoneum, vision systems, all systems of coagulation
and dissection (monopolar and bipolar, ultrasonic dissector, radio
frequency) as well as the systems of irrigation-suction-
hydrodissection
• analyse the problems associated with the insertion of the trocars
analysing all the methods to perform the procedure in extreme
safety (safe port insertion)
• demonstrate live surgical techniques of the several advanced
laparoscopic interventions
• discuss indications to mini-invasive approach
• discuss the post-operative care of patients, including drains,
intravenous fluids, patient mobilization
• analyse the possible intraoperative and postoperative
complications
• discuss the possible intraoperative and postoperative complications
• run a training programme on a simulator, as well as on cadavers
through a cadaver lab that allows to develop good coordination
between the gesture and vision, stressing the techniques of intra-
and extracorporeal suture
• write and present a dissertation


Skills

By the end of the course the student will be able to:

Hepatobiliary pancreatic and splenic surgery
• Explain different approaches and potential risks to laparoscopic
surgery
• Identify surgical complications and infections including in
laparoscopic surgery
• Manage complications effectively
• Perform a simple laparoscopic cholecystectomy
• Perform a difficult laparoscopic cholecystectomy in emergency
• Perform an intraoperative laparoscopic cholangiography
• Perform a laparoscopic hepatic sonography
• Perform a laparoscopic hepatic biopsy and simple
metastasectomy
• Perform a complete laparoscopic pancreatic exploration from the
division of gastrocolic ligament to pancreatic sonography
• Assist hands on all advanced hepato-bilio-pancreatic and splenic
procedures

Gastrointestinal surgery
• Perform every kind of appendectomy
• Mobilize right and left colic flexure
• Perform a simple adhesyolis
• Suture of gastric valve during Nissen procedure
• Perform a mechanical side-to side anastomosis

Bariatric surgery
• Perform a Laparoscopic Sleeve Gastrectomy
• Assist in Laparoscopic Gastric Bypass or other advanced bariatric
procedures
• Perform small bowel manipulation, section or anastomoses
• Dissect, identify and close the required blood vessels
• Insert trocars and instruments all the way to removing the organ

Abdominal wall surgery
• Perform a simple laparoscopic inguinal hernia repair
• Perform a simple laparoscopic ventral hernia repair

Endocrine surgery
• Work on MIVAT and MIVAP (make the 3cm cervical incision,
create the space, insert the mini-instruments)
• Work on endoscopic/robotic transaxillary thyroidectomy and
parathyroidectomy
• Perform a working space as first operator
• Work on mini-invasive adrenalectomy (Insert the trocars, handle
the camera during the procedures, clip and section the adrenal
vein, perform the final dissection of the adrenal gland)

Robotic surgery
• Become familiar with the function of the da Vinci Surgical System
• Do proper docking during robotic surgery
• Become familiar with the technique of robotic surgery
intracorporeal suturing and knot tying
• Learn robotic tissue dissection techniques using monopolar
bipolar, harmonic and radiofrequency energy

Urogynaecological Surgery
• Assist in Laparoscopic Sacrohysteropexy;
• Assist in Cervicopectopexy
• Assist in Sacrocolpopexy
• Assist in Laparoscopic Paravaginal repair with the opportunity to
interact with experts

Gynaecological Surgery
• Assess the peritoneal cavity including ureteric visualization
• Demonstrate safe tissue handling with laparoscopic instruments,
sharp and blunt dissection
• Demonstrate correct use of tissue retrieval techniques
• Demonstrate laparoscopic suturing
• Demonstrate skills in diagnostic laparoscopic in gynaecology
procedures
• Demonstrate skills in Laparoscopic hysterectomy
• Demonstrate skills in Laparoscopic Vaginal hysterectomy
• Demonstrate skills in Laparoscopic Pelvic Floor Repair
• Demonstrate experience at Laparoscopic adhesiolysis
• Laparoscopically assisted vaginal hysterectomy (LAVH) and
excisional surgery for AFS score endometriosis
• Demonstrate the ability to carry out a total laparoscopic
hysterectomy, laparoscopic Burch and laparoscopic
myomectomy
• Demonstrate the ability to perform a laparoscopic pelvic floor
repair, AFS endometriosis surgery
• Perform excisional surgery and not ablation
• Perform Laparoscopic removal of residual ovaries with
significant distortion of the anatomy
• Perform Laparoscopic oncological procedures such as
laparoscopic pelvic lymph node and para-aortic lymph node
dissection and radical hysterectomy

Tubo-Ovarian Surgery
• Decide on how to treat endometriosis and adhesions
laparoscopically
• Identify tubal pregnancy risks
• Decide on whether and when to treat tubal pregnancy risks
laparoscopically
• Identify Ovarian cyst and polycystic ovary syndrome
• Assess how to treat ovarian cyst and polycystic ovary syndrome
laparoscopically
• Identify common tubo-Ovarian laparoscopic errors, risks and
complications
• Assist in adhesiolysis
• Assist in ovarian cystectomy and oophorectomy
• Assist in excision and ablation of peritoneal endometriosis and
ovarian endometrioma
• Assist in laparoscopically assisted vaginal hysterectomy and
laparoscopic hysterectomy
• Assist in tubal ligation, simple cyst aspiration, simple adhesiolysis,
and/or ablation of minor stage (AFS III) endometriosis before
performing unsupervised surgery
• Assist in Laparoscopic ovarian cystectomy and oophorectomy
when there is normal anatomy. Laparascopic salpingotomy or
salpingectomy for the treatment of ectopic pregnancy.
This training in advanced Laparoscopic Surgery is targeted at applicants in possession of the degree of Doctor of Medicine and Surgery or equivalent together with at least 3 years work experience in Surgery. This experience should normally be obtained after applicants have been awarded the qualification of Doctor of Medicine and Surgery.
The aim of this programme is to give students an extensive training in various aspects of Laparoscopic Surgery. This would help them to develop their Laparoscopic Training Skills within the parameters of an academic background. Students who follow this course will be better trained in Laparoscopic Surgery and this will open career opportunities in the various sub-specialties of Surgery.
Click here to access the Programme of Study applicable from 2019/0.

Last Updated: 5 April 2019

The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
Unless for exceptional approved reasons, no changes to the programme of study for a particular academic year will be made once the students' registration period for that academic year begins.

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