FALS Guidelines (Except Proctology)

FALS Guidelines

(Fellowship of Advanced Laparoscopic Surgery)

About FALS Fellowship Course

  • This course is to train senior or advanced laparoscopic surgeons and to keep the members abreast with recent advancements in advanced laparoscopic procedures. FALS courses are organized in various sub- specialties such as hernia, bariatric surgery, upper gastrointestinal surgery, colorectal surgery and oncology, HPB and robotic surgery except FALS Proctology.
A. FELLOWSHIP CATEGORY Eligibility Criteria: IAGES MEMBERSHIP IS MUST.
  • Those who are not members may apply for membership online. See the website www.iages.in for more details
  • Members of collaborating associations who have signed MOU with IAGES are also eligible. They are expected to get their application endorsed by the respective collaborating association prior to joining the course.
  • FALS courses can be taken under following subspecialty
    • Upper GI
    • Colo-rectal
    • Oncology
    • Hernia
    • Bariatric surgery
    • Robotic Surgery
    • HPB
  1. Non-Examination category
    • Surgeons who have been doing laparoscopic surgery in the chosen field for 10 or more years are eligible for Non-Examination Category.
    • Candidates should have performed more than 100 laparoscopic surgeries in the chosen subspecialty and need to submit a logbook to substantiate the claim.
    • All the candidates will be interviewed by the IAGES board for final assessment before the award of fellowship
  2. Examination Category
    • All surgeons with a minimum of three years experience Post MS /DNB in General Surgery.
    • The applicant should have performed over 25 laparoscopic procedures in the chosen specialty either jointly or independently.
    • All the candidates would appear for MCQ assessment and Viva by the IAGES FALS board for final assessment during the forthcoming annual national conference before awarding the fellowship
B. Non-Fellowship Category
  • FALS course is also open to Non-members and all surgical postgraduates and interested surgeons across the globe, under the non-Fellowship category wherein they are eligible to take this course and receive the Certificate of completion of FALS course.
  • They could register and participate in the annual national conference as Postgraduates or Non-member category
Logbook
  • Age/Sex/Surgery/Role/Post-op course/Complication/Remarks
  • Role – Assisted/undersupervision/Independent (as drop down)
  • Post-op course – Uneventful / Eventful (as drop down)
  • Complications – Infection, Bleeding, Leak, Stricture, Obstruction, Others (type if others) as drop down
Remarks – Type the outcome of the event, if patient has been conservatively managed, Recovered, Diseased, Transferred, etc

FALS UPPER GI FELLOWSHIP COURSE MODULES

S.no Topics
1 The Surgical anatomy of GE Junction & Esophagus – An MIS Perspective
2 The Functional assessment of the esophagus
3 Antireflux Surgery for GERD
4 Surgical Management of Achalasia Cardia
5 MIS for Paraesophageal Hernia
6 Revision Surgery following Hellers Myotomy
7 Approach to Boerhaave Syndrome
8 MIS for Benign Tracheooesophageal fistula &Esophageal Diverticula
9 Role of Endoscopy and Endotherapy for Benign Esophageal Dissorders – Achalasia & GERD
10 MIS for Benign Esophageal Tumour
11 Perioperative Complications and Management During Functional esophageal Surgery
12 Current Status on role of revision Surgery Following Fundoplication
13 Transthoracic Esophagectomy: Step by Step
14 Robotic Esophagectomy: How do I Perform?
15 The Role of Transhiatal Esophagectomy in 2020
16 Enteral Feeding PEG, MIS Options
17 Stents in Foregut Disorders
18 Perioperative Complications and Management during Malignant Oesophageal Surgery
19 Endo Laparoscopic Resections – GIST
20 Surgery for Peptic Ulcer Disease (Truncal Vagotomy +GJ, HSV)
21 MIS For Benign Perforations in Stomach and Duodenum
22 Gastric Volvulus
23 MIS Total D2 Gastrectomy
24 Robotic D2 Gastrectomy
25 Complicationsfollowing Gastric Surgeries
26 Diaphragmatic Hernia
27 MIS for Duodenal NET +. MIS for Duodenal cancer
28 Panel Discussion on video demonstrations of Bariatric surgery
29 Panel Discussion on complications of Bariatric surgery
30 Current management of Portal Hypertension
FALS Colo Rectal Fellowship Course Modules
S.No Topics
1 Colorectal Anatomy
2 Role of Colonoscopy for Surgeons
3 Enhanced Recovery After Surgery (ERAS) in Colorectal Surgery
4 Pathology Specimen and Role of Pathologist in Colorectal Cancer and its Impact on Outcome
5 Bowel preparation for colorectal surgery and antibiotic prophylaxisReview of literature
6 Evidence based management of Haemorrhoids and Evaluation of ODS
7 VAAFT
8 Laparoscopic management of complete rectal prolapse
9 Surgical management of Diverticulitis
10 Acute Left sided colonic obstruction : Management options
11 Newer Diagnostic and Therapeutic Approaches for Abdominal Tuberculosis
12 Prevention and Management of para-stomal hernias
13 Laparoscopic right hemicolectomy technique
14 Conventional Versus Minimally Invasive Hartmann Takedown: A Metaanalysis of the Literature.
15 Role of ICG in assessing LN, Mets and to assess bowel perfusion / anastomosis
16 Laparoscopic left hemicolectomy techniques- one step at a time – IMV, Splenic flexure and IMA
17 Lap AR: The Learning Curve!
18 Laparoscopic Abdominoperineal Resection
19 Laparoscopic colorectal anastomotic options – Intracorporeal / Extracorporeal / Hand sewn / Side to side/ End to side stapling technique and extraction.?
20 Transanal Minimally Invasive Surgery (TAMIS)
21 Roboticsin Colorectal Surgery
22 How to make an idealstoma and management of stoma
23 Colonic polyposis syndrome – screening and surgical management
24 Functional outcomes of sphincter preserving surgeries
25 Open, Lap, Robotic for Rectal Cancer – Does approach matter?
26 Imaging in colorectal disease : Anatomy , MRI Assessment for Rectal Cancer – Pre / post NACRT treatment.
27 Colonic Perforation and Anastomotic Leak
28 Surgery for ulcerative colitis: Who and when to take the call? How I do it ? Video: Laparoscopic restorative proctocolectomy with IPAA
29 Short vs Long Course RT- Is there still a debate?
30 Surgeons role in Metastatic Colorectal Cancer & Different options in the treatment of Liver Metastases
FALS Oncology Fellowship Course Modules
S.No Topics
1 Applied anatomy for thoracic and Lap upper GI Surgery
2 Case Selection : Who is the Operable Patient
3 OT Set Up Anesthesia & Port Position in Thoracoscopic Oesophagectomy
4 Transthoraciac Esophagectomy – Master Video
5 Other Approaches : Transhiatal Three Field and IVOR Lewis
6 Complications of Esophagectomy and Gastrectomy> Prevention & Management
7 Ca Stomach: Case Selection : Who is the Operable Patient
8 Laparoscopic D2 Gastrectomy – Master Video
9 Pallitative Procedures in Cancer Stomach
10 Colorectal Anatomy for the Laparoscopic Surgeon
11 Evaluation & Case Selection of the Patient for Lap CRC Surgery
12 Laparoscopic RT Hemicolectomy With CME and CVL : Master Video
13 Lap APR
14 Laparoscopic Anterior Resection : Master Video
15 Special Situations – Colorectal Oncology
16 Complications of Colorectal Onco Surgery
17 Is the Time Ripe for MAS Liver Surgery?
18 Lap Radical Cholecystectomy With Clearance
19 MAS in Cancer Pancreas- Current Controversies
20 Laparoscopic Distal Pancreatectomy – Mastervideo Combine With Spleen Preserving
21 Laparoscopic Whipple Surgery – Mastervideo
22 Robotic Surgery for Upper GI Cancers
23 Robotic ISR
24 Tamis and Tatme Time to Take Notes Again?
25 Neoadjuvant Therapy – Boon or Bane for the Surgeon?
26 NACT in HPB
27 Hipec in GI Onco
28 Endoscopy in GI Onco More Than Just Diagnosis! ( ESR EMR Stent )
29 Interesting Case Capsules in Oncology

FALS Hernia Fellowship Course Modules

S.No Topics
Inguinal Hernia & Diaphragmatic Hernia
1 History & Evolution of Laparoscopic Hernia Surgery
2 Endoscopic Anatomy of Inguinal Region
3 Mesh/Fixators/Sutures & Sealants for Hernia Repair
4 Laparoscopic Inguinal Hernia Repair- What does the evidence say?
5 Role of Robotics in Hernia Surgery
6 Difficult Groin Hernias- Giant, Recurrent, Incarcerated
7 Complications of Lap Inguinal Hernia Surgery (Except Recurrence)
8 Chronic Groin Pain – Is It A Myth or Reality? How to Tackle?
9 Recurrence After Lap Inguinal Hernia- Factors & Solutions
10 Laparoscopic Management of diaphragmatic – Hernias
11 Laparoscopic Management of Hiatal Hernia
12 Laparoscopy in Emergency Hernia Surgery
13 TAPP- Elucidating the techniques & Key to Success
14 TEP- Elucidating the techniques & Key to Success
15 eTEP for Groin hernia
Ventral Incisional Hernia
16 Surgical Anatomy of Abdominal wall
17 Abdominal Incision Closure and preventing hernias
18 Well prepared is half done- Imaging in Hernias
19 Pneumoperitoneum, Botox
20 Complications of Laparoscopic Ventral Hernia Repair
21 e-TEP- RS + TAR
22 TARM
23 SCOM, SCOLA, eMILOS
24 Suprapubic, Epigastric & Sub Costal Hernia Repairs – Problems & solutions
25 Parastomal Hernia Repair – Tips & Tricks
26 Lumbar Hernias and denervation bulges
27 Ventral Hernia Algorithm – Which Procedureis the best in this Patient?
28 Hernia repair in the morbidly obese
29 Complex Hernias – Complex Solutions?
30 Lap. Ventral Hernia Repair (IPOM, IPOM Plus)
31 Anterior Component Separation – Open & Laparoscopic
32 Posterior Component Separation. Tips & Tricks
Fals Bariatric Surgery Fellowship Course Modules
1 Biliary and vascular surgical anatomy
2 Cross-sectional Imaging in Common HPB diseases
3 Energy sources in HPB surgery
4 Role of Interventional Radiology in HPB diseases
5 Diagnostic / Therapeutic EUS in HPB diseases
6 Robotics in HPB surgery
7 Gallbladder
8 Management of Asymptomatic cholelithiasis
9 Safe Laparoscopic cholecystectomy – step by step
10 Difficult cholecystectomy – tips and tricks
11 Cholecystectomy in chronic liver disease
12 Mirizzi’s syndrome – how I deal with it?
13 Current trends in the management of carcinoma of gallbladder
14 Pan difficult – Unexpected scenarios in Laparoscopic cholecystectomy
15 Bile duct
16 Bile Duct Injuries – Classification, Grading and Clinical implications
17 Laparoscopic CBD exploration
18 Laparoscopic Choledochal cyst excision and hepaticojejunostomy
19 Role of Immunofluorescence in Biliary surgery
20 Role of ERCP in benign CBD strictures
21 Principles of ERCP and mechanical lithotripsy in management of Choledocholithiasis
22 Role of Spyglass and laser lithotripsy in Choledocholithiasis
23 Spleen
24 Indications and Work-up for Splenectomy
25 Different surgical approaches in Laparoscopic Splenectomy
26 Laparoscopic Splenectomy – How I do it?
27 Surgical Anatomy of Liver
28 Radiological evaluation of SOL in liver – What a surgeon needs to know?
29 Histopathology of liver lesions – an overview
30 Laparoscopic Management of Simple Liver cysts
31 Hepatic Hydatid cysts – principles of management & laparoscopic excision
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