Continuing with my previous post (BEST SPECIALTIES AFTER MS/ DNB GENERAL SURGERY ? (PROS AND CONS) - PART 1), here is the part 2 review of various pathways for specializing after completing MS General Surgery. In this post I will be reviewing following:

Contents

• MCh/ DNB Plastic Surgery
• MCh/ DNB CTVS
• MCh/ DNB Minimally Invasive Surgery

MCh/ DNB Plastic Surgery

• Includes wide number of both Cosmetic and Reconstructive Procedures
• Plastic surgery is not just liposuction and nose jobs, it is much much more than that. Plastic surgery as a branch has a wide spectrum of procedures which includes: Skin, Hand Surgery, cranio-maxillo-facial reconstructions, Tendon Reconstruction, peripheral nerve surgery, burns management, genitourinary reconstructions, oculoplastic surgery, bed sore management, diabetic foot management and the list goes on
• Decent demand in large private setups, high demand in large government and semi government setups
• Usually good load of cases only in big cities
• Procedure time is usually long 
• Patients may have unrealistic expectations from plastic surgeons as popularized on television and in movies
• Easy to get the seat

MCh/ DNB CTVS 

• Usually not preferred by most these days but it does not mean that there is less scope.
• It is still a required specialty in tertiary care hospitals with many procedure both cardiac and thoracic in the armamentarium of Cardiothoracic and vascular surgery. Some examples are Coronary artery bypass grafting (CABG), Heart valve repair or replacement, Ventricular assist devices, carotid endarterectomy, Heart transplant, Surgery in great vessels (aortic coarctation repair, Blalock-Taussig shunt creation, closure of patent ductus arteriosus), congenital heart disease surgeries, Lung volume reduction surgery, Lung cancer surgery, pleurectomy, lung transplant surgery etc. 
• Very demanding in terms of challenges of access during the surgery and the need of long term intensive care support required
• One needs to be very passionate for being a heart surgeon
• Usually the work hours are more as the teams are small and number of hours one needs to put are more
• Very easy to get the seat

MCh/ FNB Minimal Invasive Surgery 

• It is more like extension of your general surgical training
• For those who already have a good hands on in laparoscopic procedures, it might not be very useful
• Limited seats
• Good exposure to Bariatric surgery which we usually do not get in general surgery training
• Good only if taken in high volume laparoscopic surgery centers (only a few centers like GEM, Coimbatore |  Sir Ganga Ram, Delhi| Meenakshi Mission, Madurai | Galaxy, Pune)
• All across India minimal access surgery is being practised largely by general surgeons only
• FNB and Mch MAS at AIIMS are only two courses in India which are recognised by medical council for Minimal Access surgery
• Adoption of Robotic Minimal Access surgery is still in its nascent stages in India, you will require additional training separately

So to conclude, I would say that all specialties have some good things and some bad things. There are some which are in high demand in the job market for freshers, but in the long term, more or less, all specialties offer good scope for talented and deserving surgeons. 

The key to success is always dependent on the amount of interest you take and the amount of hard work you put into nurturing your surgical skills. It also depends on the right choice of institute to work in and an optimal match between the demand of the specialty that you choose and number of doctors already offering those services in your city.  

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8/08/2020 11:49:00 PM

GRIPMER Fellowship in Minimal Access Metabolic & Bariatric Surgery

iMAS Sir Ganga Ram Hospital New Delhi
(GANGA RAM INSTITUTE OF POST GRADUATE MEDICAL EDUCATION & RESEARCH)

1 position

6 month / 1 year option

Requirements Post MS

Stipend 95k

Interested candidates pls share CV at imas.sgrh@gmail.com

9/22/2018 05:26:00 PM

Whatsapp Discussion on FNB (Minimal Access Surgery) - 2018 

[4:33 PM, 3/5/2018] +91 98*******: Two of my junior SRs in DDU with Rank 44 andRank 110 left FNB( Minimal Access Surgery) last year after taking admission. One of senior SR rank 25 did not appear for FNB counselling. So in my view FNB stands false national board.

[4:33 PM, 3/5/2018] +91 989*******: What was the reason for leaving the course

[5:39 PM, 3/5/2018] +91 901*******: I think, the people who don’t have exposure to lap chole and appendix and haven’t done, will find fnb good, but for the senior members who have already done these in their professional life and are expecting more advanced laparoscopy will be disappointed.
I have discusses with people, and they told me that the Delhi and mumbai centres will give u exposure to advanced laparoscopy, if someone is expecting a good hands on in advanced laparoscopy with this fnb course at these centres is likely to be disappointed.

[5:52 PM, 3/5/2018] +91 903*******: Advances lap exposure is there in hinduja and max?

[5:52 PM, 3/5/2018] +91 852*******: Most accurate assessment tilll now

[12:54 PM, 3/6/2018] +91 945*******: Anybody have any idea about last year FNB (MAS) allotment till what rank ?
Kindly comment

[1:47 PM, 3/6/2018] +91 94*******: Thanks a lot😊

[9:54 PM, 3/6/2018] +91 996*******: Any news abt counselling dates

[10:18 PM, 3/6/2018] +91 987*******: Nope

[3:45 AM, 3/7/2018] +91 798*******: What's the stipend for FET??

[9:21 AM, 3/7/2018] +91 987*******: Around 40 k to 45 k in South
1 lac at delhi

[11:05 AM, 3/7/2018] +91 989*******: 1 lac with 24 hr file work only

[11:08 AM, 3/7/2018] +91 987*******: I have worked at gangaram  so i know that's not all true

[11:09 AM, 3/7/2018] +91 901*******: What is ur review about ganga ram?

[11:11 AM, 3/7/2018] +91 987*******: Yes there is kinda residency work but they give not much of  hands on. I know that it's mainly for fresher pass out people otherwise who is already doing the basic laparoscopy surgery then it is not for them

[11:14 AM, 3/7/2018] +91 901*******: I think residency work is everywhere, no one can bypass that....
The trends in the last few years have been delhi as an option for toppers,
So there must be something in delhi, that’s why I m asking.

[11:14 AM, 3/7/2018] +91 987*******: Yea there are other perks too for North indian that's definitely there apart from any degree

[11:16 AM, 3/7/2018] +91 987*******: Working at gangaram  has a benefit of making links and yeah they absorb you in the team if you want to  work as an consultant after

[11:26 AM, 3/7/2018] +91 987*******: True that's the main reason why not to go for Superspecialty course.  I think  fnb  has to be the option for those only who have no zeal  or confidence to even qualify in mch course after  they have tried hard

[11:29 AM, 3/7/2018] +91 903*******: Any benifit in salary in corporates?

[11:52 AM, 3/7/2018] +91 901*******: Surely, the salary is around a lakh or slightly more in all corporates...especially north India.
In all the less familiar places, the salary is around 35-42K

[12:14 PM, 3/7/2018] +91 903*******: I mean for example in Gujarat general surgeon get 90k... After fnb can they have more salary?

[12:14 PM, 3/7/2018] +91 903*******: Any idea?

[12:16 PM, 3/7/2018] +91 901*******: Ohhh...
No clue about that.

[12:20 PM, 3/7/2018] +91 903*******: Ohkeyyy

[12:21 PM, 3/7/2018] +91 90*******: Delhi and near by mae SR ko b at least 95-1 mil ra hai

There are new medical colleges, which are giving 1.25-1.3 to surgery SR, due to recent MCI inspection issues.

[12:28 PM, 3/7/2018] +91 903*******: All these are temporary things

[12:28 PM, 3/7/2018] +91 903*******: In order to have a long innings in corporates.... How much these 2 yrs of investment is helpful that must b evaluated

[12:29 PM, 3/7/2018] +91 903*******: I love all procedures of general surgery... Keeping general surgery as your career in mind... Does this course teach us lap hernia, lap gastric bypass

[12:29 PM, 3/7/2018] +91 903*******: Etc...

[12:31 PM, 3/7/2018] +91 989*******: In corporate only work matter. How much clinical skills u have. Degree do not matter

[12:32 PM, 3/7/2018] +91 756*******: These corporate Hospitals won't give that much of hands on , it's just a kind of observership.

[12:33 PM, 3/7/2018] +91 987*******: True.

[12:33 PM, 3/7/2018] +91 989*******: I totally agree with u

[12:34 PM, 3/7/2018] +91 756*******: So if one is considering of getting laparoscopic hands on training , it's not a good option. Yes if one wants to be a general surgeon , then inspite of being an SR better join FNB

[12:34 PM, 3/7/2018] +91 987*******: True

[12:35 PM, 3/7/2018] +91 901*******: I think if u r looking for a long stay at corporates, then fnb at Apollo n fortis kind n max ganga ram are the best, as if u have done fnb there, gradually u will have an good option to become a part of their team and then u grow further.
Ask later on u will be recognised with a better name and fame, as these people have got very good connections.

[12:35 PM, 3/7/2018] +91 756*******: Plus if one is worried about salaries and all. We all are surgeons , we will earn good money🙂 it's just about being patient and sticking to one thing

[12:36 PM, 3/7/2018] +91 903*******: ☺

[12:36 PM, 3/7/2018] +91 756*******: Eventually money will come , surgeries b karne milengi

[12:38 PM, 3/7/2018] +91 756*******: In my college I have seen and done enough of basic laparoscopy . The ones who haven't had this much experience will definitely find interesting

[12:40 PM, 3/7/2018] +91 903*******: Ohkeyyy

[12:51 PM, 3/7/2018] +91 810*******: I agree with this.. even i am working in medical college.but they ll not allow to touch to scope...they expect certificate....

[8:18 AM, 3/9/2018] +91 810*******: If u choose the seat this year...then if u left means...u have to pay fee?

[8:18 AM, 3/9/2018] +91 810*******: Can u do like that...?

[8:18 AM, 3/9/2018] +91 810*******: Opting out is there in this?

[11:09 AM, 3/9/2018] +91 901*******: No clue

[11:13 AM, 3/9/2018] +91 810*******: If any one know please share

[11:30 AM, 3/9/2018] +91 989*******: If u leave after opting a seat... U can't give fnb for 2 year

[11:49 AM, 3/9/2018] +91 993*******: Only FNB exam or any of national board exam

[12:00 PM, 3/9/2018] +91 989*******: I think fnb only

[3:30 PM, 3/21/2018] +91 989*******: Ps... who all are attending the councelling ?

[3:45 PM, 3/21/2018] +91 852*******: I am✋🏻

[4:08 PM, 3/21/2018] +91 987*******: I think I may

[4:08 PM, 3/21/2018] +91 987*******: What's your rank

[4:10 PM, 3/21/2018] +91 852*******: My rank is 49...and yours???

[4:10 PM, 3/21/2018] +91 987*******: Same

[4:10 PM, 3/21/2018] +91 987*******: Lols

[4:10 PM, 3/21/2018] +91 852*******: Ohh...

[4:10 PM, 3/21/2018] +91 852*******: 49*

[4:10 PM, 3/21/2018] +91 987*******: Don't you have dnbss

[4:11 PM, 3/21/2018] +91 987*******: Yup

[4:11 PM, 3/21/2018] +91 852*******: No....and you ...do u have a rank in dnb ss

[4:11 PM, 3/21/2018] +91 987*******: Yeah

[4:11 PM, 3/21/2018] +91 987*******: That's why

[4:11 PM, 3/21/2018] +91 987*******: I may not come to Fnb

[4:12 PM, 3/21/2018] +91 987*******: Well how many people attending this fnb counselling  this year anyways any idea

[4:24 PM, 3/21/2018] +91 989*******: So u took in dnb

[7:04 PM, 3/21/2018] +91 989*******: What were your marks at rank 49 ?

[7:04 PM, 3/21/2018] +91 989*******: And what was your rank in dnb ss ?

[7:48 PM, 3/21/2018] +91 987*******: 64

[8:08 PM, 3/21/2018] +91 987*******: 853

[8:08 PM, 3/21/2018] +91 987*******: And urs

[8:14 PM, 3/21/2018] +91 901*******: I am

[8:19 PM, 3/21/2018] +91 961*******: What can one expect at rank 65 in fmas

[8:52 PM, 3/21/2018] +91 987*******: First of all are u in for fnb?
Then what do you think you want ?
What do you think you will get

[8:53 PM, 3/21/2018] +91 987*******: I can just give an idea which I have that's it.
Then you can take whatever you like

[8:54 PM, 3/21/2018] +91 961*******: Wanted Delhi..but no way at this rank one can get Delhi

[8:54 PM, 3/21/2018] +91 961*******: So what are the other good options ?

[8:55 PM, 3/21/2018] +91 961*******: Where one can get good hands on

[8:56 PM, 3/21/2018] +91 987*******: Yea definitely

[8:57 PM, 3/21/2018] +91 987*******: Jaipur.  Madurai
Galaxy = Gem

[8:57 PM, 3/21/2018] +91 987*******: Others are all more or less okay okay

[8:58 PM, 3/21/2018] +91 987*******: Mumbai and Bangalore comes at last in hands on which on have heard

[8:59 PM, 3/21/2018] +91 852*******: Jaipur Santokhba durlabhji hospital??
Is it a new seat this year?

[8:59 PM, 3/21/2018] +91 987*******: There is 1

[9:00 PM, 3/21/2018] +91 961*******: Is there any chance of getting Galaxy/gems

[9:00 PM, 3/21/2018] +91 961*******: What is a good rank for gems /Galaxy ?

[9:00 PM, 3/21/2018] +91 987*******: Until your rank u will get Mumbai Bangalore Hyderabad according to last year counselling assumption

[9:01 PM, 3/21/2018] +91 961*******: Exactly

[9:01 PM, 3/21/2018] +91 987*******: For gem  as there is increase in seat so I am just guessing up to 50

[9:01 PM, 3/21/2018] +91 961*******: Mumbai Bangalore are not good options in terms of hands on

[9:01 PM, 3/21/2018] +91 987*******: Not at all

[9:02 PM, 3/21/2018] +91 987*******: One of my junior is there, he is regreting this

[9:05 PM, 3/21/2018] +91 987*******: Others do post your ranks please

[9:15 PM, 3/21/2018] +91 900*******: At Bangalore u get good hands on.

[10:13 PM, 3/21/2018] +91 989*******: Didnt give...fnb mein 59 and rank 111

[10:32 PM, 3/21/2018] +91 702*******: Is FNB recognised by MCI ??

[10:36 PM, 3/21/2018] +91 890*******: No

[10:37 PM, 3/21/2018] +91 890*******: No advantage in medical college..

[10:38 PM, 3/21/2018] +91 989*******: If u go to additional qualification list on mci website.... Fnb is mentioned....

[10:57 PM, 3/21/2018] +91 901*******: Which centre are u planning to take?

[11:15 PM, 3/21/2018] +91 989*******: Gem most probably....

[11:15 PM, 3/21/2018] +91 901*******: Ok!!

[11:16 PM, 3/21/2018] +91 989*******: And u

[11:16 PM, 3/21/2018] +91 901*******: My rank is way far than urs, I cannot have a choice, depends what all are left on that day.

[11:18 PM, 3/21/2018] +91 989*******: Does anyone have any idea what s the procedure if a person is unable to attend counseling and want to send someone else on his behalf

[11:19 PM, 3/21/2018] +91 987*******: What's your rank

[11:22 PM, 3/21/2018] +91 890*******: At 97 rank any possibility of getting ?

[11:23 PM, 3/21/2018] +91 987*******: Bangalore

[11:23 PM, 3/21/2018] +91 901*******: No clue, I will suggest, don’t take such risk.

[11:24 PM, 3/21/2018] +91 987*******: Yes there is in the notice of dnb too so there it's written that with authorised letter one can send the other person

[11:24 PM, 3/21/2018] +91 987*******: Read it on site

[11:30 PM, 3/21/2018] +91 989*******: No need to take any prior permission

[3:19 PM, 3/24/2018] +91 852*******: Any notification regarding FNB Rank letter, handbook and seat matrix

[3:21 PM, 3/24/2018] +91 890*******: Any charges for attending counselling

[9:26 AM, 4/2/2018] +91 996*******: Any idea from where to opt out for fnb counselling first round..

[9:28 AM, 4/2/2018] +91 890*******: Any draft to be made?

[9:29 AM, 4/2/2018] +91 942*******: Opt out option there on nbe site

[9:29 AM, 4/2/2018] +91 942*******: Left upper side

[9:30 AM, 4/2/2018] +91 942*******: U have to pay online some  amount and opt-out.....

[10:02 AM, 4/2/2018] +91 852*******: In the counselling...we can pay the counselling fee through Debit card also??

[10:05 AM, 4/2/2018] +91 942*******: Yes

[10:06 AM, 4/2/2018] +91 758*******: So is there no need to bring DD

[10:08 AM, 4/2/2018] +91 852*******: Any idea about Galaxy Pune?? Good academics and exposure..but i'm not sure about hands on.

[10:09 AM, 4/2/2018] +91 942*******: Exposure is good
Mainly onco....

[10:10 AM, 4/2/2018] +91 942*******: Someone told me they giv endoscopic thyroid....gynac malignancy etc

[10:10 AM, 4/2/2018] +91 942*******: But less no. Of routine appendix gall bladder cases....

[11:06 AM, 4/2/2018] +91 996*******: In that only dnb cet SS there..no fnb option in the scrol down menu

[11:09 AM, 4/2/2018] +91 942*******: I think it comes 1 or 2 days before counselling

[11:09 AM, 4/2/2018] +91 942*******: Or on the day

[11:09 AM, 4/2/2018] +91 942*******: M not sure

[11:12 AM, 4/2/2018] +91 989*******: It will start on the day of counseling

[11:39 AM, 4/2/2018] +91 702*******: So if you don't get anything on the day of counselling and you want to attend second counselling do we need to make double payment ??

[11:39 AM, 4/2/2018] +91 989*******: No

[11:39 AM, 4/2/2018] +91 702*******: With just single payment we r eligible for second counselling ?

[11:41 AM, 4/2/2018] +91 989*******: On the day of 2nd counseling u have to pay

[11:41 AM, 4/2/2018] +91 989*******: Another 2500

[11:50 AM, 4/2/2018] +91 702*******: Ok

[11:51 AM, 4/2/2018] +91 852*******: What proof we need to carry regarding recognized status of MS degree?

[11:52 AM, 4/2/2018] +91 852*******: MCI page showing the name of college?
Or a letter from college confirming the same

[12:02 PM, 4/2/2018] +91 989*******: Not required

[12:03 PM, 4/2/2018] +91 989*******: If your ms seat was a provisional seat when you took it then u need to take a proof that is recognized now

[12:04 PM, 4/2/2018] +91 989*******: They didn't ask me for any such certificate during dnb counseling

[12:13 PM, 4/2/2018] +91 852*******: Hmm....but they have listed it in the document list

[12:14 PM, 4/2/2018] +91 852*******: Ok thanks

[12:14 PM, 4/2/2018] +91 989*******: Then a print out from mci site

[12:15 PM, 4/2/2018] +91 852*******: I just talked to them...they said take a print of MCI page showing the name of college

[12:16 PM, 4/2/2018] +91 989*******: 👍🏻

[12:16 PM, 4/2/2018] +91 989*******: Anyone any idea about jaipur fnb

[12:17 PM, 4/2/2018] +91 901*******: I think its good.

[12:19 PM, 4/2/2018] +91 989*******: Salary cutting exposure?

[12:19 PM, 4/2/2018] +91 901*******: I had talked to Gangaram fnb guy....very very good work he is getting there...approx 10-15 surgeries per fnb guy every month.

[12:19 PM, 4/2/2018] +91 901*******: No clue of that

[12:20 PM, 4/2/2018] +91 702*******: Madurai ??

[12:23 PM, 4/2/2018] +91 901*******: I think its so so, but bit of food issues n 2-3 dnb gastro candidates over your head, I think every year 2 dnb or least 1 candidates come there.

[12:24 PM, 4/2/2018] +91 901*******: You didn’t take in dnb, um sure u would b having a good rank there too!!

[12:24 PM, 4/2/2018] +91 989*******: That issue will be in GEM too as 2dnb candidate comes every year

[12:25 PM, 4/2/2018] +91 989*******: 499....didn't get what I wanted

[12:25 PM, 4/2/2018] +91 989*******: But gem is good for fnb rather than dnb

[12:26 PM, 4/2/2018] +91 901*******: Gem has 4 fnb candidates, but work is very very properly divided their...Like every one gets equal work there...plus exposure to advanced lap is best at gem!!

[12:26 PM, 4/2/2018] +91 989*******: Yes

[12:26 PM, 4/2/2018] +91 989*******: They hv increased the seat to 4 this time

[12:36 PM, 4/2/2018] +91 702*******: What is the total number of seats

[12:37 PM, 4/2/2018] +91 852*******: 29

[12:37 PM, 4/2/2018] +91 901*******: 😮

[12:37 PM, 4/2/2018] +91 989*******: 3 seat increased this time

[12:37 PM, 4/2/2018] +91 702*******: N till what rank can we expect the counselling to go

[12:37 PM, 4/2/2018] +91 901*******: Artemis Gurgaon has come this time!!!

[12:38 PM, 4/2/2018] +91 702*******: How is the work there

[12:38 PM, 4/2/2018] +91 989*******: Hard to predict.... New entry hai

[12:39 PM, 4/2/2018] +91 702*******: Ganga Ram and Gem chodkar kahin bhi hands on nahi hai.. Ganga Ram mein bhi hands on mein sirf chole and appendix milta hai.. thoda bahut IPOM and TEP

[12:40 PM, 4/2/2018] +91 702*******: Artemis seat is not showing online

[12:41 PM, 4/2/2018] +91 901*******: Gangaram mae na basic lap fnb candidate bahut acche se karega,
Par waha advanced lap nai hota hai...
I have talked to a resident there

[12:59 PM, 4/2/2018] +91 98*******: Rajeev... Please throw some light on this

[1:16 PM, 4/2/2018] +91 702*******: Ganga Ram mein general ward mein jo admit hue woh FNB ka.. that means only lap chole/ lap appendix/ TEP/ IPOM

[1:16 PM, 4/2/2018] +91 702*******: Bariatric mein sleeve ke alava kuch nahi hota hai

[1:17 PM, 4/2/2018] +91 702*******: Similarly Max mein bhi Bariatric ke Naam par sirf Sleeve karte hain

[1:19 PM, 4/2/2018] +91 702*******: Basically if you are willing to work as a JR for the next two years take it up.. otherwise cool rehkar skill develop karo.. slow n steady.. advance lap seekh hi jaaoge..

[1:20 PM, 4/2/2018] +91 702*******: FNB will only give you edge in medical college

[1:20 PM, 4/2/2018] +91 702*******: Corporates want only skill

[1:21 PM, 4/2/2018] +91 702*******: Most places are given FNB seats just because they don't get permanent SRs and SRs are not available round the clock

[1:22 PM, 4/2/2018] +91 702*******: FNB candidate day n night available for 2 yrs

[1:22 PM, 4/2/2018] +91 702*******: N at the end of two years

[1:22 PM, 4/2/2018] +91 9891*******: Frankly speaking... Nothing stands in front of gem

[1:22 PM, 4/2/2018] +91 702*******: You ll still do Lap chole /appendix/ hernia

[1:22 PM, 4/2/2018] +91 702*******: Sleeve

[1:22 PM, 4/2/2018] +91 702*******: Bas

[1:22 PM, 4/2/2018] +91 702*******: Aur kuch nahi

[1:22 PM, 4/2/2018] +91 702*******: True

[5:24 PM, 4/3/2018] +91 890*******: FNB counselling venue

[5:25 PM, 4/3/2018] +91 890*******: N documents needed?

[5:28 PM, 4/3/2018] +91 890*******: ????

[5:30 PM, 4/3/2018] +91 852*******: NBE Office...sector 9 dwarka

[5:30 PM, 4/3/2018] +91 890*******: N documents needed

[5:30 PM, 4/3/2018] +91 890*******: ?

[10:45 AM, 4/4/2018] +91 901*******: New seats again added yesterday in the matrix!!

[11:08 AM, 4/4/2018] +91 890*******: Where it's given....not finding

[11:09 AM, 4/4/2018] +91 961*******: Any thing else to be take other than the documents? Any D/d etc ?

[11:10 AM, 4/4/2018] +91 901*******: Yes, d/d of 2500

[11:10 AM, 4/4/2018] +91 961*******: In the name of ?

[11:10 AM, 4/4/2018] +91 901*******: Or u can pay by card there directly

[11:12 AM, 4/4/2018] +91 961*******: Is that sure that we can pay by card directly ?

[11:13 AM, 4/4/2018] +91 901*******: Its written in there,

[11:13 AM, 4/4/2018] +91 961*******: Actually they r saying something about opt out facilities?

[11:13 AM, 4/4/2018] +91 901*******: N people at dnb councelling had similar orders,n they were able to pay by card there.

[11:13 AM, 4/4/2018] +91 961*******: Ok

[11:14 AM, 4/4/2018] +91 901*******: I will suggest if u r coming to counselling, take a d/d, u can be sure then.

[11:15 AM, 4/4/2018] +91 961*******: Ok

[11:15 AM, 4/4/2018] +91 961*******: Thank you

[11:23 AM, 4/4/2018] +91 890*******: Card option was there in dnb ss ..so definitely it will be there in dnb too

[11:23 AM, 4/4/2018] +91 890*******: Fnb

[3:44 PM, 4/4/2018] +91 890*******: Mentioned in rank letter also that credit and debit card accetable

[3:54 PM, 4/4/2018] +91 979*******: Any chance of Delhi at rank 30

[3:55 PM, 4/4/2018] +91 890*******: Full chance hai

[3:55 PM, 4/4/2018] +91 979*******: Max

[3:58 PM, 4/4/2018] +91 890*******: Don't know but rank is very gud ...Delhi ke toh chance hai

[4:03 PM, 4/4/2018] +91 989*******: Mamc, blkapoor

[4:03 PM, 4/4/2018] +91 989*******: Artemis gurgaon

[4:33 PM, 4/4/2018] +91 987*******: It's yet not recognised

[4:33 PM, 4/4/2018] +91 987*******: It's provisional

[4:33 PM, 4/4/2018] +91 989*******: Yes

[4:36 PM, 4/4/2018] +91 852*******: Is there anything like recognised/permitted in FNB also??

[4:37 PM, 4/4/2018] +91 989*******: Yes

[4:37 PM, 4/4/2018] +91 852*******: It may be provisional...seat may not be there in actual counselling.

[4:46 PM, 4/4/2018] +91 901*******: Can we expect surprises at the counselling venue with respect to the fnb centres?

[4:48 PM, 4/4/2018] +91 987*******: Last year similarly ils kolkata seat got cancelled in 2nd counselling and the guy has to change

[4:54 PM, 4/4/2018] +91 901*******: 😶

[5:07 PM, 4/4/2018] +91 989*******: 1 2 3 rank वाले कौन hai bhai.. Koi jaanta है unhe

[5:09 PM, 4/4/2018] +91 989*******: 1,  2,3 rank wala will not come.

[5:09 PM, 4/4/2018] +91 999*******: Why

[5:10 PM, 4/4/2018] +91 989*******: I have three year experience of FNB counseling.

[5:10 PM, 4/4/2018] +91 999*******: Okks

[5:55 PM, 4/4/2018] +91 702*******: Rank 1

[5:55 PM, 4/4/2018] +91 702*******: Opting for Gem

[5:56 PM, 4/4/2018] +91 999*******: Rank 2 not opting

[5:56 PM, 4/4/2018] +91 702*******: 3 ?

[7:40 PM, 4/4/2018] +91 858*******: Can they ask DMC certificate in original

[7:40 PM, 4/4/2018] +91 858*******: I mean DMC send certificate through email woh toh print out hi hoga

[7:50 PM, 4/4/2018] +91 989*******: That will do

[7:57 PM, 4/4/2018] +91 901*******: I just wanna ask,

In a very rare case, if someone messes up with any document and forgets that, do they give the liberty of submit that document later on?

[8:46 PM, 4/4/2018] +91 989*******: They might give u a seat provisionally without allotment letter.... Once u show them the missing document... They will give u the allotment letter

[10:56 PM, 4/4/2018] +91 901*******: Ohkkkk!!!

[9:27 PM, 4/5/2018] +91 996*******: At what rank was the last seat taken today..

[7:07 AM, 4/6/2018] +91 989*******: 198

[8:50 AM, 4/6/2018] +91 996*******: Any idea wat seats were available at 130 arnd

[8:52 AM, 4/6/2018] +91 989*******: So many candidates opt out. At 130 6 seat were available.

[8:56 AM, 4/6/2018] +91 993*******: Which college seat at 198 ???

[9:25 AM, 4/6/2018] +91 989*******: Global hospital Hyderabad.

[10:51 AM, 4/6/2018] +91 996*******: Can u pls recollect wat centers were they..? Thank you

[10:52 AM, 4/6/2018] +91 901*******: Does anyone have contact of FNB candidate working presently at LNJP??

[10:55 AM, 4/6/2018] +91 890*******: 99 rank I was offered telegena and chattisgarh

[11:12 AM, 4/6/2018] +91 901*******: I had taken idea about Raipur, and its good, though new
seat. Good number and variety of surgeries.

[11:20 AM, 4/6/2018] +91 989*******: Last year the Candidate joined the LNGP finally left.

[11:21 AM, 4/6/2018] +91 901*******: Why😐😐😐

[11:22 AM, 4/6/2018] +91 901*******: Please throw some light on it

[12:09 PM, 4/6/2018] +91 756*******: It's a good course for those who don't want to do MCh , haven't had exposure of basic laparoscopy during MS. Instead of being SR in a medical college , it's better to go for FNB.

[12:57 PM, 4/6/2018] +91 987*******: For lnjp it's true

[8:58 PM, 4/6/2018] +91 989*******: Group members can we close this group as the counseling is over..... If anyone wants to continue I will make him or her the admin

4/07/2018 11:34:00 PM

Laparoscopic Appendectomy Steps



Step 1: Port placement: A 10-mm trocar is placed at the umbilicus, and the abdominal cavity is insufflated to a pressure of 15 mmHg. The camera is also inserted through this larger trocar.

A 5-mm trocar is placed at the suprapubis, and a second 5-mm trocar is placed at the LLQ.

Step 2: Inspect abdominal cavity: The area is inspected to orient the surgeon to the position of the appendix.



Step 3: Expose appendix: The bowel is gently retracted rostrally using atraumatic graspers to allow access to appendix.



Step 4: Locate and separate appendicular artery: The mesoappendix is separated from the body of the appendix, and the mesenteric fat is separated to reveal the appendicular artery. This is best done using the “spreader” action of a dissector.



Step 5: Divide appendix from cecum: Using an endoloop, two loops are placed proximal to the cecum, and a third loop is placed 1-2 cm distally to these. The appendix is then divided between the two proximal and 3rd distal loops using scissors or cautery.



Step 6: Extract appendix: The camera may be withdrawn and the existing 10 mm port used for extraction



Step 8: Irrigate: The abdominal cavity should be irrigated thoroughly with sterile saline and suctioned clean several times. In the event of a rupture, great care should be taken to ensure all pus or other infectious fluids have been removed.



Step 9: Final inspection: The abdominal and pelvic cavities are inspected one final time for any signs of infection, errors, or other potential complications.

Check out these related videos:

LAPAROSCOPIC CHOLECYSTECTOMY BY DR R. K. MISHRA

http://www.worldsurgeryforum.net/2018/02/laparoscopic-cholecystectomy-by-dr-mishra.html

GROSS ANATOMY AND SEGMENTAL ANATOMY OF LIVER

http://www.worldsurgeryforum.net/2018/02/gross-anatomy-and-segmental-anatomy-of.html

PRINCIPLES OF BOWEL ANASTOMOSIS WITH VIDEOS

http://www.worldsurgeryforum.net/2018/02/principles-of-bowel-anastomosis-video.html

MOST IMPORTANT ANATOMY IN DIAGNOSTIC LAPAROSCOPY

http://www.worldsurgeryforum.net/2018/02/Anatomy-in-Diagnostic-Laparoscopy.html

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World Surgery Forum

2/09/2018 11:18:00 PM