Minimally invasive abdominal & pelvic surgery

While all partners are experienced in laparoscopic surgery several have concentrated on this skill which has transformed the way we approach modern surgery. These techniques have revolutionised the management of gallstones, gastro-oesophageal reflux, inguinal and incisional hernia. They are also applicable to the surgery of achalasia, splenectomy, adrenalectomy and sympathectomy for hyperhidrosis. Two of us are trained in, and have substantial experience in laparoscopic colorectal surgery. We have over 300 patients in our colorectal case series.

Bowel and Gastro-Intestinal Tract Surgery

In the lower GI tract, 2 partners have subspecialised in colo-rectal carcinoma, inflammatory bowel disease, complex proctology and fistula surgery, faecal incontinence, sacral nerve stimulation and transanal endoscopic surgery. The exciting new field of rectal preservation in the management of rectal cancer is a special interest of the colorectal surgeons in the practice. There is extensive experience with GI complications resulting from gynaecological disease, including cancer, infertility and endometriosis. Minor ano-rectal procedures are performed in our procedure room avoiding hospital admission in many cases. Advanced surgical techniques have resulted in new combined approaches, involving radiotherapy, to the surgical treatment of low rectal carcinomas. In the upper GI tract, we have extensive experience with oesophago-gastric carcinoma, oesophageal reflux, achalasia, complex peptic ulcer disease, gastro-intestinal bleeding. We established dedicated GIT ward in Kingsbury Hospital with nursing staff who has special training and experience in this field.

Aortic and Thoracic aortic aneurysms

2 partners specialise in arterial surgery. There is a dedicated vascular theatre at Kingsbury Hospital with a state of the art fixed c-arm and full anaesthetic capabilities. This facilitates the performance of both open surgery and complex endovascular procedures. Procedures include the percutaneous treatment of abdominal and thoracic aortic aneurysms with aortic stents, carotid angioplasty and stenting and peripheral arterial angioplasty and stenting. We have vascular studies units at our Kingsbury rooms, staffed with a dedicated vascular technologist.

We have been the country’s leader in non-invasive vascular assessment for nearly 20 years. We currently employ 2 highly trained sonographers operating colour-flow duplex units. The vast majority of our vascular assessments are based on out-patient ultrasound evaluation. We seldom have to resort to expensive investigations such as CT or MR angiography and virtually never perform diagnostic angiography. These latter investigations are standard practice throughout this country because of poor access to top-quality duplex scanning.

Mastectomy, breast biopsy & reconstructive surgery

Since its inception, the practice has had interest in breast surgery. Close links with radiologists, oncologists, pathologists, social workers, Reach for Recover and the National Cancer Association reflect our multi disciplinary approach. Immediate and delayed reconstruction is gaining increasing acceptance and in this regard we work closely with our plastic surgical colleagues.