I carry out repair of all types of abdominal herniae. Both open and laparoscopic techniques are used and different approaches are suitable for different types of hernia.
I have great experience of laparoscopic (“keyhole” or “minimally invasive”) operations for abdominal hernia, having first taken up the technique in 1992, when this method of hernia repair was first introduced. I have published on the technique and have performed a large number of both open and laparoscopic hernia repairs.
I also perform both open and laparoscopic repair of incisional hernia.
Surgery for gallstone disease
Having been a Senior Registrar in the early 1990s when laparoscopic surgery for gallstone disease was being introduced I have now nearly 25 years experience of this operation, which is the standard operation for gallstone disease. I also performed a large number of open gallbladder operations before the laparoscopic era. I routinely take images of the bile ducts at the time of operation to detect stones that have moved from the gall bladder and can remove these laparoscopically, if present.
Surgery for Gastro-oesophageal reflux disease and giant hiatus hernia
The laparoscopic approach has become the operation of choice for those patients who require an operation for gastro-oesophageal reflux disease. I started performing this operation in 1996 and have carried out more than 600 such operations with good audited results.
General Paediatric Surgery
I had extensive training in the general surgery of childhood during training posts in London, Leeds and Oxford. I am able, with my paediatric anaesthetic colleagues, to provide a comprehensive service for the common surgical conditions affecting children, such as inguinal and umbilical hernia, hydrocele, foreskin problems, undescended testicle and “lumps and bumps”.
Operations can be carried out on children of any age between birth and teenage years.
Treatment for varicose veins
Minimally invasive treatments for varicose veins have almost completely replaced stripping of veins under general anaesthetic as the treatment of choice. By using a combination of techniques including radio frequency ablation (the “VNUS” procedure), ultrasound-guided foam sclerotherapy and direct removal of varicosities under local anaesthetic, the vast majority of vein treatments can be carried out as walk in-walk out cases using only local anaesthetic with rapid recovery of normal function and return to work.
Sometimes it is better or necessary to perform these techniques under general anaesthetic but the recovery and return to normal function is almost as rapid as when performed under local anaesthetic.
Both upper and lower Gastro-Intestinal endoscopy are usually performed under sedation and local anaesthetic but on occasions general anaesthesia is necessary and this is easily arranged.
- Bridge Clinic
- Princess Margaret Hospital
- Spire Thames Valley Hospital
- Wexham Park for the Paragon Suite