SURGERY 7001OL - Minimally Invasive Surgery Theory I

Online - Quadmester 1 - 2015

Theory I Provides a thorough introduction into the history of minimally invasive surgery. Students will then investigate, analyse and synthesise complex information on a large range of theoretical and practical aspects of minimally invasive surgery including operating theatre design-endosuite standards, the anatomy of a trouble shooting for a laparoscopic tower, laparoscopes, visualisation systems and recording devices, electrosurgery, energy devices, harmonics, liasure and thunderbeat, plasma medicine, tissue approaximation, suture technique and staple technology.

  • General Course Information
    Course Details
    Course Code SURGERY 7001OL
    Course Minimally Invasive Surgery Theory I
    Coordinating Unit Surgery
    Term Quadmester 1
    Level Postgraduate Coursework
    Location/s Online
    Units 3
    Contact Up to 3 hours per week
    Available for Study Abroad and Exchange N
    Assumed Knowledge Basic knowledge of minimally invasive surgical techniques
    Restrictions Available to MMIS students only
    Course Description Theory I Provides a thorough introduction into the history of minimally invasive surgery. Students will then investigate, analyse and synthesise complex information on a large range of theoretical and practical aspects of minimally invasive surgery including operating theatre design-endosuite standards, the anatomy of a trouble shooting for a laparoscopic tower, laparoscopes, visualisation systems and recording devices, electrosurgery, energy devices, harmonics, liasure and thunderbeat, plasma medicine, tissue approaximation, suture technique and staple technology.
    Course Staff

    Course Coordinator: Peter Hewett

    Additional Academic Staff

    Name Phone Email Location
    Mr (Chrys) Indran Chrysantha Sri Lal Hensman MBBS (Hons) FRACS 03 9760 2777 chris.hensman@adelaide.edu.au Melbourne
    Mr Alex Karatassas MBBS, FRACS 08 8222 6750 alex.karatassas@adelaide.edu.au The Queen Elizabeth Hospital
    Dr Dinesh TrehanMBBS, MS (Gen.Surg), DNB (Gen.Surg)FRACGP, FRACS 08 8182 9000 dinesh.trehan@adelaide.edu.au Royal Adelaide Hospital
    Dr. Santosh Antony 0lakkengil, MBBS, DNB (Gen.Surg.), M.MinInvSu.(Aus), FIAGES 08 8123 6826 santosh.olakkengil@adelaide.edu.au Royal Adelaide Hospital
    Administrative Contact Details
    Name Phone Email Location
    Ms Sally Lauder 08 8222 7024 sally.lauder@health.sa.gov.au The Queen Elizabeth Hospital
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Understand the basis and relevance of the program and understand how
    continuous innovation in surgical technique and instrumentation has
    brought minimally invasive surgery to its current state.
    2 Appreciate the fundamentals about operating theatre design and endosuite
    standards for the future and predict how changing technology will
    influence operation theatre design.
    3 Demonstrate mastery in the anatomy of, and trouble shooting for, a
    laparoscopic tower and to have the skills and knowledge to correct
    malfunctions in the components of the laparoscopic tower.
    4 Demonstrate an understanding of laparoscopes, visualisation systems and recording devices used in minimally invasive surgery.
    5 Demonstrate the mastery of theoretical knowledge relating to electrosurgery in open and laparoscopic surgery.
    6 Understand the theoretical knowledge relating to energy devices:
    Harmonics, Ligasure and Thunderbeat that are available for dissection in
    laparoscopic surgery.
    7 Understand complex information regarding plasma medicine and how it can be applied to surgery, wound healing and sterilisation.
    8 Demonstrate knowledge on the tissue approximation suture technique and
    how to use the appropriate suture material for laparoscopic suturing and
    knots.
    9 Demonstrate an understanding in the history of the development of
    stapling devices and be familiar with the array of stapling devices that
    are available.
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-9
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1-9
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 1-9
    Skills of a high order in interpersonal understanding, teamwork and communication. 1-9
    A proficiency in the appropriate use of contemporary technologies. 1-9
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 1-9
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1-9
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1-9
  • Learning Resources
    Required Resources

    Students will require access to a computer and the internet.

    All learning resources will be delivered online with online tutorials consisting of links to text, video and websites delivering relevant content.

    Recommended Resources

    All learning resources will be delivered online with online tutorials consisting of links to text, video and websites delivering relevant content.

    Online Learning
    Colloquy will provide the online learning system for students via LEARN http://www.learn.adelaide.edu.au/login/index.php .

    Once students have successfully enrolled with the University they can access the LEARN site where they will be attending their classes, viewing assignments, joining discussion forums and linking up with professors and fellow students. 
  • Learning & Teaching Activities
    Learning & Teaching Modes
    Theory I will be taught via online tutorials with directed learning to text, videos and websites.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Type No of Sessions Duration of Sessions (hrs) Total Hours
    Online Tutorials 10 3 30
    Exam 1 1 1
    Reading/Study Time 10 6 60
    Tutorial Preparation 10 5 50
    Exam Preparation 15 10
    Written Assignments 7 3 21
    TOTAL workload per term 172
    Learning Activities Summary
    Term 1

    Week Topic Lecture
    1 Introduction and overview of course This first tutorial is to make introductions between students and teaching staff as well as familiarise students with the online LEARN platform.  Students are required to introduce themselves, discuss their reasons for participating in the program and ask any questions.
    2 History of minimally invasive surgery This topic will review the last 20 years of advances in minimally invasive surgery including improvements in instrumentation and visualisation and the complexity of procedures.  An understanding of the history of minimally invasive surgery will allow students to place current practice in context and appreciate the innovation displayed by their predecessors.
    3 Operating theatre design This topic will examine how operating theatres are designed and how a surgeon interacts with that design. It will explore how new technology will influence that design.
    4 Troubleshooting a laparoscopic tower (Guest lecturer) Surgeons reply on technology to provide an operative view – this topic will provide students with the tools to troubleshoot problems that may arise when there is a failure of that technology.
    5 Laparoscopes and visualization systems (Guest lecturer)    This topic will help outline the workings of laparoscopic vision systems.  It will also explain the theory of rod lens systems and the working unit of the Hopkins telescope.  Theory behind three-chip vs. single-chip vs. 3-D camera systems will also be discussed to help familiarise students with the use of digital capture devices.
    6 Electrosurgery Electrosurgery has revolutionized minimally invasive surgery from the beginning, and it remains a mainstay of surgical technique today.  This topic will help students to understand how electrosurgery works to prevent complications and maximise its efficacy.
    7 Energy devices The use of different technologies to dissect tissues and seal vessels has been one of the innovations that has allowed minimally invasive surgery to thrive. The technologies behind these devices are explained and the potential uses and drawbacks are discussed.
    8 Plasma medicine This topic will cover what plasma is and how it is created.  It will explore how plasma works to improve wound healing and sterilize tissues.  It will also cover DeQuadmesterine and the applications of plasma in medicine.
    9 Tissue approximation This topic teaches the use of appropriate suture material, suturing techniques and knots.
    10 Staplers This topic will look at the history of staple technology starting in the USSR in 1958 during the Cold War.  Students will be able to view a wide variety of staplers, look at the engineering principles of stapling and causes for failure of these devices.
    Specific Course Requirements
    In order to be eligible for this program, applicants must meet the following requirements:

    Professional requirements:
    •    Students must be an experienced surgeon who has completed, or be within 1 year of completing, the FRACS, FRACOG (or equivalent).
    •    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery.

    Visa requirements:
    •    Permanent residency or citizenship - to be a domestic applicant
    •    or hold a Temporary Business (Long Stay) Visa (Subclass 457) – to be an International applicant.
    •    Students must be resident in Australia.

    Work placement:
    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery. This surgical position is not automatically offered with the Master of Minimally Invasive Surgery and students are personally responsible for obtaining a suitable position.  Job dates should coincide with the University of Adelaide Quadmester dates.
    Small Group Discovery Experience
    Surgical Skills Workshop Weekend
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary

    Assessment to be via embedded assessment tools within tutorials and online written case analysis and problem based learning activities. Peer to peer feedback and contribution performance metrics will also be taken into account. Formal assessments will be held via written exams and practical tests in the biannual two day clinical immersion workshops.

    Assessment task Assessment type Weighting Learning course outcomes(s) being addressed
    Written assignments Summative 40% 1-9
    Discussion/Group contribution and participation Participation 25% 1-9
    Surgical Skills workshop Summative 35% 1-9
    Assessment Related Requirements
    All tutorials and workshops are compulsory.
    Assessment Detail
    Overall assessment details:
    •    The Surgical skills workshop will account for 35% of the overall assessment. It will include practical assessment and an open book exam.
    •    Written assignments will consist of online written assignments.  The assignments are either 1,000-2,000 words. All marks will go towards a total of 40% of the overall assessment.
    •    Discussion /group contribution and participation. Contribution to discussion groups and boards and contribution performance metrics will also be taken into account accounting for 25% of the overall assessment.

    Individual assessment tasks:
    Students are required to submit assignments on the tutorial topics.
    •    Describe the major technical innovations in minimally invasive surgery over the past 10 years. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    Give an overview of what you think the design of operating suites will look like in 2030. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    Scenario A: A surgeon is about to start a laparoscopic procedure when they discover that the picture is distorted.  What steps should they take to regain a perfect picture?
    •    Scenario B: A surgeon is 10 minutes into a laparoscopic procedure when the screen goes blank.  Describe the steps they should take to regain vision. (A+B in a 1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    Describe how 3D visualization works.  Do you believe it will be the modality of the future?  Argue the pros and cons. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    Describe the types and aetiology of complications from diathermy devices used in an operating theatre.  Explain how these can be minimized. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    Which is your preferred energy source to use for laparoscopic dissection?  Describe how it works and why it suits your operative environment. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    What is plasma? What are its uses in medicine? (1,000-2,000 word essay worth 5% of overall assessment for this course)
    •    What are the essential engineering principles behind a successful stapling instrument?   In the ideal world what are the functional elements you would wish to add or improve for current staplers. (1,000-2,000 word essay worth 5% of overall assessment for this course)
    Submission
    •    All submissions relating to tutorials will be delivered online via Colloquy’s online system.
    •    Examination location and date will be communicated by Program Coordinator and/or Program Administrator.
    •    Exam result turnaround time will be a maximum of 14 days.
    •    Any queries relating to classroom contribution can be discussed directly with ProgramCoordinator.
    •    Students should refer to the University’s Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework Students: Academic Dishonesty Procedures for information regarding written submissions:
    http://www.adelaide.edu.au/policies/230/?dsn=policy.document;field=data;id=239;m=view

    •    Students should contact the Program Coordinator if:
    o    They are unable to complete their tutorial obligations;
    o    They are unable to attend an examination;
    o    They are unable to attend the clinical immersion workshop;
    o    They are unable to meet any deadlines that are set during the course.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
    Academic:                     
    Professor Peter Hewett                 
    Program Coordinator                 
    The Queen Elizabeth Hospital            
    Email:  peter.hewett@health.sa.gov.au         
    Phone:  08 8222 6248

    Professor Guy Maddern
    Program Director
    Head of Discipline, Surgery
    The Queen Elizabeth Hospital
    Email:  guy.maddern@adelaide.edu.au
    Phone:  08 8222 8492 (Departmental Secretary)


    Administrative:
    Ms Sally Lauder
    Program Administrator
    The Queen Elizabeth Hospital
    Email:  sally.lauder@health.sa.gov.au
    Phone:  08 8222 7024
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.