GENDON (Gastro, Endoscopic, Diabesity, Oncosurgery & Nutrition services) Institute is a symbol of excellence, commitment and dedicated surgical care and, advanced training in Minimal Access Surgery (MAS) for practicing medical professionals. This is aimed at spreading the advantages of this form of surgery across the country and the region, by empowering and utilizing our local personnel.

Endosurgery symbolizes the cross-section of medicine and state-of-the-art technology. Also known as minimally invasive surgery (MIS) or keyhole surgery, it is a modern surgical technique in which operations in the abdomen and the thorax are performed through small incisions (usually 0.5–1.5 cm) as opposed to the larger incisions needed in standard open surgery. Keyhole surgery makes use of images displayed on TV monitors to magnify the surgical elements.

The medical personnel – surgeon, nurse, and OT technicians have to be educated in the safe use of these technologies and be fully aware of any potential danger. Studies have demonstrated that MAS operations are safer, faster and less stressful to the operators when the whole team involved are well trained for the procedures.

Having been introduced in this country in mid 1990’s, MAS is only available in a few selected health institutions. The number of surgeons and gynecologists who can comfortably handle the equipment and instruments of MAS are not more than 100 in this country of a population of more than 40 million. Only a handful (<50 surgeons) have the capability of performing advanced procedures because this requires training in advanced skills. 

Professionalism & Integrity.

To live up to our mission, uphold all our values and treat our clients with utmost regard as they so deserve.

Confidentiality.

To handle all information attained and interactions with our personnel with privacy.

Excellence & Quality.

 Commit to giving the very best to our clients to ensure they attain the highest level of wellness and satisfaction.

Reliability

To cater to your health and training needs round the clock at your convenience.

Partnership

Foster good relationships with stake holders in the health sector to promote proper healthcare and training.

Courses

Minimal Access Surgery training offers substantial benefits over traditional open surgical procedures.

The presence of a well-trained, dedicated laparoscopic theatre team-(Surgeon, Nurses & Biomedical staff) has been shown to reduce the incidence of conversions & complications and improves surgical outcomes.

At Gendon Institute, we endeavor to ensure an adequate scope of knowledge, expertise and skills is attained by the entire team at the end of their training Programme. The appropriate employment and care of instruments, energy sources, telescopes and equipment is paramount in this training.

Course objectives.

  • Operating Theatre protocol, universal precautions in assisting at MAS surgery.
  • Equipment, instruments and techniques for OT staff.
  • Cleaning, disinfection and sterilization of instruments and equipment.
  • Sterilization process validation.
  • Care and maintenance of MAS equipment, instruments & scopes.
  • Care and maintenance of energy sources- Diathermy- and CO2 gas jars.
  • Dos, Don'ts and troubleshooting.

Who should attend?

Nurses, Theatre technicians and biomedical staff.

Course duration

2 days

Laparoscopy has no large incisions hence reduced risk of infections, need for analgesics, better cosmesis and a shorter recovery period. Based on its advantages, Laparoscopy has gained preference over open surgery and is becoming the new trend in surgery. Therefore it is necessary to acquire these skills as a surgeon in the 21st century.

Course Objectives

The participants will master:-

  • Provision of fundamental knowledge base required for applications
  • Introduction to optics and MAS equipment
  • Acquisition and optimizing performance of basic laparoscopic skills

-Hand- eye coordination

-Depth perception

-Appreciation of 3-D space on 2-D video image

  • Principles and practice of ports positioning and safe induction of pneumoperitoneum
  • The understanding of pitfalls, potential complications and outcomes of Lap procedures
  • Introduction of enthusiasm in practice and advancement of MAS

Who should attend?

  • Surgeons who want to gain mastery in Laparoscopic surgery.

Course duration

  • 2 days

The aim of this intensive two day practical course is to provide delegates with prior experience of laparoscopic surgery with revision of the principles of safe laparoscopic practice including suturing and knot tying skills. This intermediate programme then aims to build on skills and knowledge acquired previously through intensive practical sessions intermixed with video presentations, tutorials and discussions.

Course objectives

  • Use of harmonic scalpel
  • Ergonomics in laparoscopic surgery
  • Difficult access techniques and adhesiolysis
  • Extracorporeal knot-tying technique
  • Laparoscopic suturing and intracorporeal knot tying
  • Tumbled square knot
  • Prevention of laparoscopic bile duct injuries
  • Repair of perforated duodenal ulcer

Who should attend?

  • Surgeons with basic laparoscopic skills who want to gain expertise in Laparoscopic surgery.

Course duration

  • 2 days

Laparoscopic surgery has become a current trend in medicine and is gaining popularity worldwide. However, a wider range of laparoscopic operations are impossible for many laparoscopic surgeons due to lack of fluency in endosuturing and knotting. The art of endoscopic suturing is the most important technique of laparoscopic surgery that elevates a basic laparoscopic surgeon to a higher level of performing advanced laparoscopic surgeries.

This course is designed to give participants an in-depth and step-by-step understanding of the principles of tissue approximation with emphasis on knotting and Endosuturing, indications and methodology of applying these techniques, with extensive hands on practice of the same.

Course Objectives

The participants will master

  • Principles and methods of tissue approximation
  • Types and techniques of various extracorporeal knots:- Roeders, Meltzers, Mishras and Tayside knots
  • Types and techniques of various intracorporeal surgical suturing
  • Indications and application of various knots and Endosuturing
  • Ergonomics of intracorporeal suturing
  • Common errors and remedies of various techniques

Who should attend?

  • Surgical / Gynaecology residents
  • Surgeons wishing to master endoscopic tissue approximation, knotting and suturing.
  • Basic laparoscopic surgeons wishing to progress to performance of advanced / complex endoscopic procedures

Course duration

  • 2 days

 

While the steps in most laparoscopic operations are similar to open surgery, steps of surgery in laparoscopic hernia repair are different. Been a common surgical condition and with an increasing demand, it is essential for surgeons to master the laparoscopic anatomy and procedural steps to avoid recurrences and complications of Hernias.

Course objectives.

The participants will master:-

  • The anatomy of the inguinal region as viewed in laparoscopy.
  • Trans Pre-peritoneal (TAPP) and Totally Extra peritoneal (TEP) inguinal hernia repair.
  • Intraperitoneal Onlay Mesh (IPOM) and Trans abdominal Partial Extra peritoneal (TAPE) methods of repairing ventral and incisional hernias.
  • The characteristics of various prosthetic materials to help in making the right choice.
  • Patient selection for laparoscopic hernia repair.
  • Prevention and management of complications in laparoscopic hernia surgery.

Who should attend?

  • Basic/ Intermediate laparoscopic surgeons wishing to gain skills to perform Laparoscopic Hernia Repair.

Course duration

2 days

The superiority of laparoscopic treatment for Gastro Esophageal Reflux Disease (GERD), Achalasia Cardia and Paraesophageal Hernia has over the years been confirmed. Surgeons with interest in laparoscopic surgery should acquire skills to manage these conditions.
The participants will master:-

  • The laparoscopic anatomy of the hiatal region and the variations.
  • The work up of patients with upper GI disorders.
  • The step by step approach to laparoscopic Fundoplication, Cardiomyotomy and Paraesophageal hernia repair.

Who should attend?

  • Basic/ Intermediate laparoscopic surgeons wishing to gain skills to perform Laparoscopic surgery for upper GI disorders.

Course Duration

  • 2 days

The advent of solid organ extirpation in Minimal Access Surgery has marked a new highly beneficial era in surgery. Solid organs are not hollow and include the liver, pancreas, spleen and adrenal glands.
Course objectives.
The participants will master:-

  • Basic requisite laparoscopic anatomy.
  • The principles of safe solid organ dissection.
  • The use of ultracision with its Harmonic Technology.

Who should attend?

  • Basic/ Intermediate laparoscopic surgeons wishing to gain skills to perform Laparoscopic surgery for solid organs.

Course Duration

  • 2 days

Bariatric surgery is becoming acceptable and necessary with the increase in population suffering from Obesity and Type 2 Diabetes. It has been scientifically proven to help clients achieve the right BMI by losing weight and maintaining it at the ideal range. Weight loss improves the quality of life by preventing the comorbidities associated with obesity.
Course objectives.
The participants will master:-

  • How to diagnose and stratify obesity and it’s comorbidities
  • The multidisciplinary team evaluation, pre- operation preparation and post- op management of obesity and related comorbidities
  • How to match the patients’ characteristics- Obesity class and associated comorbidities- to the appropriate surgical operation.
  • Knowledge of all the technical steps of the applicable bariatric procedures
  • Management of complications, including Nutritional and Psychological challenges.

Who should attend?

  • Laparoscopic surgeons already doing advanced procedures
  • Surgeons who wish to learn laparoscopic anastomosis technology
  • Upper GI Surgeons, Surgical Gastroenterologists, Young Laparoscopic Surgeons who wish to add bariatric surgery to their surgical armamentarium
  • Surgeons setting up their own Bariatric units

Course Duration

  • 3 days

Thoracoscopy is also known by the initials VATS, or Video Assisted Thoracic Surgery. It is an extremely useful technique for diagnosis as well as treatment of chest diseases. This course aims to provide an introduction to medical thoracoscopy including theoretical background and some practical experience. This will enable surgeons and pulmonologists to offer less invasive diagnostic and therapeutic options for a variety of thoracic disorders.

Course Objectives.
The participants will master:

  • The current indications for medical thoracoscopy.
  • The absolute and relative contraindications for medical thoracoscopy.
  • The complications of medical thoracoscopy including common, minor and major ones.
  • The equipment needed for a successful thoracoscopy procedure
  • The thoracoscopy procedure: pre-procedure care and local anaesthetic use, pneumothorax induction, pleural cavity inspection, biopsy sampling, talc pleurodesis, chest drain insertion and after care.

Who should attend?
Pulmonologists and thoracic surgeons who want to train in diagnostic and therapeutic interventional pulmonology.
Course Duration
2 days

Flexible upper and lower GI Endoscopy is an integral part of Gastroenterology and Gastro intestinal surgery for diagnostic and interventional purpose. It enables a surgeon to make proper diagnosis of various pathologies, manage them via endoscopic techniques or plan for surgery.
Course objectives.
The participants will master:-

  • The mechanics and parts of flexible video endoscope.
  • The ideals of setting up an Endoscopy unit.
  • How to handle and disinfect video endoscopes.
  • The indications and contraindications of Upper/ lower GI Endoscopy.
  • Interpretation of various GI pathologies.
  • The proper technique of performing a safe and effective endoscopy and generate standardized reports.

Who should attend?

  • Surgical and Gastroenterological Residents.
  • Physicians entering into the field of GI Endoscopy.
  • Surgeons and Physicians who want to pursue GI endoscopy as a career.
  • Surgeons practicing GI surgery who want to incorporate basic diagnostic and interventional GI Endoscopy in their practice.
  • Surgeons already performing GI Endoscopy and want to expand their knowledge and skills.

Course Duration

  • 2 days

 

Admin

Contact Us

Upper Hill Medical Centre; Ralph Bunche Road 3rd Floor, Suite 3H

P.O BOX 2058-00202 NAIROBI

Tel: +254-20-2721580 Ext. 309 Direct: +254-20-3585146 Cell: +254713888203 +254722753860 +254733245621

Email addresses : bmndungu@uhmc.co.ke, gendoncompany@gmail.com , info@gendon.co.ke

Web: www.gendon.co.ke