GILLS-interanational Gas less laparoscopy workshop ( LEADS UK),

OVERVIEW

GILLS International Gasless Laparoscopy Workshop (LEADS UK)
The GILLS International Gasless Laparoscopy Workshop is an advanced hands-on surgical training program organized in prestigious academic association with LEADS (Laparoscopic Education & Training Support, Leeds, UK) and the Gasless International Laparoscopic Surgery society. Gasless laparoscopy utilizes mechanical abdominal wall lifting devices instead of CO2 pneumoperitoneum, revolutionizing minimally invasive abdominal and pelvic surgery by reducing physiological cardiopulmonary stress, avoiding hypercarbia, and enabling cost-effective laparoscopy under regional or spinal anesthesia.

This international workshop provides general surgeons, gynecologists, surgical oncologists, and surgical residents with hands-on workstation practice, abdominal lifting assemblies, laparoscopy consoles, conventional open surgical instrumentation adaptation, and step-by-step mentoring from international and national minimally invasive surgery leaders.

Key Workshop Highlights & Objectives
Delegates master precision abdominal wall lift positioning, triangulation under planar elevation, port site placement without gas leakage concerns, and conventional instrument utilization through open trocars.

International Collaboration – Organized in academic association with LEADS (Leeds, UK) and GILLS
Pneumoperitoneum-Free Surgery – Mechanical planar abdominal wall lift eliminating CO2-related complications
Regional & Spinal Anesthesia – Feasibility of advanced laparoscopic interventions without general anesthesia
Cost-Effective Instrumentation – Integration of standard low-cost open surgical instruments through gasless ports
High-Risk Patient Safety – Ideal for patients with severe cardiopulmonary compromise, elderly, and rural centers

All cadaveric and simulator-assisted sessions are performed under strict institutional and international surgical education protocols, ensuring delegates gain true-to-life mechanical tactile feedback, triangulation confidence, and depth orientation.

COURSE DETAILS

Structured Hands-on Dissection & Simulation Curriculum
The program bridges the physics and biomechanics of mechanical abdominal wall elevation with live surgical video walkthroughs, ergonomics training, and comprehensive station practice.

The curriculum systematically progresses from device assembly (suspension arms, planar retractors, subcutaneous wires) through port creation, triangulation in a tent-shaped surgical workspace, gasless laparoscopic cholecystectomy, appendectomy, tubal ligation, and gynecological/pelvic procedures.

Stepwise Workshop Matrix

Session 1: Lift Assembly & Ergonomics | Session 2: General Surgery Corridors | Session 3: Gynecologic & Pelvic Access
Abdominal retractor anchoring to operating table | Gasless laparoscopic cholecystectomy & Calot triangle dissection | Gasless total laparoscopic hysterectomy & myomectomy
Subcutaneous lifting wire placement & mechanical lift | Gasless appendectomy, adhesiolysis & hernia repair | Diagnostic laparoscopy & tubal ligation under spinal block
Valveless open-trocar access & smoke evacuation | Suction clearance without pneumoperitoneum collapse | Specimen retrieval without loss of working space

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SUBJECTS COVERED

Core Surgical Modules & Syllabus
Guided by international faculty from LEADS UK, GILLS, and host surgical faculty, delegates perform sequential operative procedures:

Module 1: Principles & Biomechanics of Abdominal Wall Lifting

Understanding planar vs. fan-shaped mechanical retractors, mechanical stress distribution across the anterior abdominal wall, table clamp stability, and creating optimal exposure without increasing peak airway pressure.

Module 2: Valveless Port Access & Conventional Instrumentation

Techniques for working through open non-valved sleeves without pneumatic seal requirements. Integration of standard curved needle holders, standard suction tips, and electrosurgical instruments through gasless ports.

Module 3: Continuous Smoke & Fluid Clearance

Eliminating surgical smoke hazards using unsealed continuous passive evacuation channels. Performing heavy peritoneal lavage and high-volume suctioning without chamber collapse.

Module 4: Upper & Lower GI Gasless Procedures

Step-by-step gasless cholecystectomy, cystic duct and artery isolation, laparoscopic appendectomy using open knotting techniques, and adhesiolysis for small bowel obstruction.

Module 5: Pelvic & Gynecological Applications

Gasless uterine manipulation, ovarian cystectomy, myomectomy, tubectomy, and total laparoscopic hysterectomy performed safely under spinal and epidural anesthesia.

Interactive video review and comparative physiology lectures highlight the absence of hypothermia, deep vein thrombosis risks, and hemodynamic instability in gasless versus conventional laparoscopy.

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COURSE REQUIREMENTS

Eligibility & Technical Infrastructure
Designed for general surgeons, gynecologists, surgical fellows, and rural healthcare practitioners aiming to deliver safe, cost-effective laparoscopic surgery.

Target Audience

General Surgeons, Gynecologists, Surgical Oncologists, and Trainees (MS / DNB / DGO / MCh) seeking gasless technique mastery.

Equipment Standard

Mechanical abdominal wall lifting arm assemblies, planar retractor sets, 30° laparoscopes, 4K camera systems, and open instrument adaptations.

Accreditation

Joint certificate issued by GILLS, LEADS (UK), and Host Surgical Department with accredited CME credit hours.

Workstation orientation includes table clamp torque safety, subcutaneous wire tensioning protocols, and ergonomics for two-handed open instrument maneuvering.

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WORKSHOP FACULTY & COLLABORATING BODIES

LEADS (UK) FACULTYInternational Course Director

Faculty from LEADS (Leeds, UK) demonstrating gasless lifting mechanics, port creation, and operative technique.

GILLS FACULTYGasless Laparoscopy Lead

Gasless International Laparoscopic Surgery society mentors guiding abdominal wall elevation and pelvic surgery.

ORGANIZING COMMITTEESkill Lab Coordinator

Managing laparoscopic towers, lifting apparatus, specimen simulators, and delegate station rotations.

GILLS International: Gasless Laparoscopy • In Association with LEADS UK

International Hands-on Gasless Laparoscopy Workshop organized by GILLS in academic association with LEADS (Leeds, UK) and host surgical departments.

0 Global Masterclass

LEADS UK & GILLS

Gas-Free / CO2-Free Surgery

0 Program

Minimally Invasive Surgery

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GILLS-interanational Gas less laparoscopy workshop ( LEADS UK),

OVERVIEW

COURSE DETAILS

SUBJECTS COVERED

COURSE REQUIREMENTS

OVERVIEW

COURSE DETAILS

SUBJECTS COVERED

Module 1: Principles & Biomechanics of Abdominal Wall Lifting

Module 2: Valveless Port Access & Conventional Instrumentation

Module 3: Continuous Smoke & Fluid Clearance

Module 4: Upper & Lower GI Gasless Procedures

Module 5: Pelvic & Gynecological Applications

COURSE REQUIREMENTS

Target Audience

Equipment Standard

Accreditation

WORKSHOP FACULTY & COLLABORATING BODIES

GILLS International: Gasless Laparoscopy • In Association with LEADS UK

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