Colonic & Rectal Surgery
Laparoscopic & open surgery for colon & rectal cancers/tumours and polyps, inflammatory bowel disease (Crohn’s & Ulcerative Colitis) and diverticular disease.
Colonoscopy
Investigation of rectal bleeding, passing rectal mucous, change in bowel habit (persistent diarrhoea, new onset & persistent constipation), +/-abdominal pain, positive faecal occult blood test (National Bowel Cancer Screening Program), abnormalities seen on imaging, unexplained anaemia & loss of weight.
Screening or surveillance for bowel cancer/polyps in patients who have had previous colonic polyps/cancer, patients with a family history of bowel cancer or who have long-term inflammatory bowel disease.
Therapeutic indications include removing known colonic polyps, dilating colonic or rectal strictures.
Trans-anal Minimally Invasive Surgery (TAMIS & taTME)
TAMIS for large rectal polyps or small/early stage rectal cancers.
taTME (Hybrid trans-anal minimally invasive surgery combined with either laparoscopic or open surgery for larger rectal cancers).
Small Bowel Surgery
Crohn’s disease, Meckel’s diverticulum, small bowel tumours & strictures, adhesions.
Anal surgery
Haemorrhoidectomy, anal fissures, anal cancer/AIN, fistula, abscesses, skin tags, warts etc.
Rectal Prolapse Surgery
Abdominal & perineal (anal) procedures.
Rectocele Surgery
Trans-anal approach.
Faecal Incontinence
Assessment (including 3-D endo-anal ultrasound) and both operative & non-operative management.
Pilonidal Sinus Surgery
Limberg flap/Rhomboid flap.
Functional Bowel Diseases
Constipation, irritable bowel syndrome, solitary rectal ulcer syndrome, proctalgia fugax.
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