There is a risk in Minimal Access Surgery that it will fall into disrepute unless adequate steps are taken to standardize the training of minimal access surgery. Some form of accreditation after a recognised training scheme would go a long way towards removing fear from patients from these fears. Most of the training institute of the world is giving training for just few days and they are increasing the number of high risk surgeons. About minimal access surgeon it is said the “There are some patient whom we cannot help but there are none whom we cannot harm”. Adequate training will probably pay dividends in reduced the number of these high risk surgeons.

The Medical Council of India should be responsible for maintaining standards of teaching on recognised courses, setting criteria for accreditation, and supervising a national audit of all laparoscopic procedures. Laparoscopic surgery is now necessity not luxury. The explosion of interest in minimally invasive surgery among surgeons and gynaecologists represents the most dramatic change in surgery. There is little doubt that laparoscopic surgery will progress to dominate all the surgical procedures. As with any highly demanding skill, during learning Minimal Access Surgical procedures take longer and there may be an increased risk to the patient. An increased incidence of iatrogenic bile duct injuries was reported during the introduction of laparoscopic cholecystectomy. Training in laparoscopic surgery should be structured to help people along the learning curve quickly and safely. Along with teaching there should clearly be some form of accreditation. There is necessity to train the trainers. Most of the trainers of Laparoscopic Surgery themselves not have any structured training in Laparoscopy.

The question of accreditation in minimally invasive surgery needs to be addressed urgently. Accreditation should apply not only to senior house officers and registrars but also to consultants. The Medical Council of India makes no attempt to assess manual dexterity at any time in a surgeon’s training. The problems that will be with us for the next 10 years is that all presently appointed consultants are predominantly self taught and have varying degrees of skill and expertise. Thus we are back to the thorny issue of accrediting existing consultants.

One of the very interesting issue is that if accreditation is to be introduced, who should be responsible for it to standardized. It would not be difficult for MCI to set up a panel of surgeons experienced in performing and teaching laparoscopic surgery to undertake this task. This could be done in association with the surgical societies with a specific interest in minimally invasive surgery. World Association of Laparoscopic Surgeon has already taken initiative in this field and we requested the MCI to set a pattern.

Internationally criteria for accreditation of Minimal Access Surgery would have to be laid down, and clearly a mechanism of appeal for those who fail accreditation would also need to be organised. The ideal training for minimal access surgical procedure is, firstly, for trainees to watch a video; if they have no laparoscopic experience, they should spend time on a pelvitrainer before attending a hands-on course. During my Master degree in Minimal Access surgery from University of Dundee my professor, Prof. Cuschieri has estimated that 10% of surgeons will not take up these skills and are thus better confining their activities to open surgery. It is very unlikely that in the immediate future they will find themselves short of trade.

General Information about the Fellowship Programs in Minimal Access Surgery at Laparoscopy Hospital, New Delhi

Fellowship in Minimal access surgery at Laparoscopy Hospital, New Delhi was founded to assist scholar surgeon a in their study of all aspects of Minimal Access Surgery or Laparoscopy, the Institute brings about 400 overseas scholars to India every year. These are both American citizens as well as non-American citizens. Of the latter group, many are Indian graduate students studying at American universities and various other universities. Many of them return to India, where they assume faculty positions at Indian institutions.

Senior Short-Term Fellowships in laparoscopy
These are the same as Senior Research fellowships except the award period is up to four months.

Fellowships for Scholarly Development
A limited number of fellowships are awarded to established scholars who have not previously specialized in Indian studies, and to established professionals who have not previously worked or studied in India. Proposals in this category have a substantial research or project
component and clearly defined anticipated results. No individual can receive a grant in this category more than once.

Review Process and Outcome
Applications for fellowships are screened and chosen by a Selection Committee comprised of experts in minimal access surgery. Selected scholars are granted fellowships upon receipt of project approval and training at Laparoscopy Hospital, New Delhi by The Global Open University and World Association of Laparoscopic Surgeons. Upon completion of the fellowship tenure, senior scholars contribute to the growing understanding of Laparoscopy through their publications, and junior fellows complete M.MAS degrees and join the ranks of faculty at medical colleges and universities across the world. Each year, therefore, scholars returning from Institute fellowships in India directly impact literally thousands of students across the country through their teaching and thousands more through their skill.

Laparoscopy Hospital is one of the premier institute of Minimal Access Surgery. This institute is engaged in Minimal Access Surgical Training Programmes since 2001. It is established to ensure the highest standard of training, treatment and research in laparoscopic procedures. Laparoscopy Hospital is a major pole of excellence for training in laparoscopic surgery and it is considered one of the best laparoscopic training institute in the world. Thousands of surgeons and gynecologists from every corner of the globe have been trained for basic and advanced laparoscopic skill at this institute. There is hardly any country left in the world from where surgeons and gynecologist has not come to get laparoscopic training in our hospital. More than 2500 surgeons and gynecologists has been trained in eight year. The University Diploma in Minimal Access Surgery (D.MAS) and Fellowship in Minimal Access Surgery (F.MAS) course designed and offered by Laparoscopy Hospital is first in the world and accepted globally. Laparoscopic training program is scientifically designed by World Association of Laparoscopic Surgeons and it ensures that the participants are able to do all the taught surgery themselves after training. Complete course is organized scientifically according to international protocol of laparoscopic education proven to learn Minimal Access Surgery.

Laparoscopic Surgery at operation theatre of Laparoscopy Hospital is performed by ultra modern technique and highly qualified Laparoscopic Surgeon. we are on the forefront of developing new laparoscopic techniques for the treatment of various diseases. Laparoscopy Hospital is leading private hospital in Asia with the greatest range of laparoscopic technology of any independent hospital.  The main reason behind the quality service is that at laparoscopy hospital they dont treat any other disease which is not possible without laparoscopy. Laparoscopy Hospital aims to make people better in a safe and caring environment, with state of the art laparoscopic equipment, highly trained staff and doctors.  This minimal access surgical institute aim to provide the highest standards of care and service to their patients, and regard patients opinions and comments as extremely valuable as they help them to identify areas of success and opportunities for improvement. Laparoscopy Hospital is getting patients from all over world and they have international reputation of doing quality surgery at an affordable cost.