Specialist Surgical Procedures
As specialist surgeons we are experienced and qualified to perform a wide range of surgical procedures.
In the Procedure section, you will find information regarding most of the common procedures and technique options
as well as pre and post operation care and considerations.
Amputations of the lower limb are performed for peripheral vascular disease, trauma, tumors, and infection. The level of the amputation is influenced by the viability of soft tissues, functional requirement, cosmesis, and comfort.In lower limb amputations, the level of amputation in relation to the knee influences postoperative mobility.
Appendicectomy is the surgical removal of the vermiform appendix either due to clinically or radiologically suspected appendicitis or alternative pathology (i.e tumour, mucocoele etc). The operation is performed under general anaesthesia with the patient in the supine position. Both open and laparoscopic appendicectomy are acceptable, local practice may influence the surgeon’s decision.
The adrenal glands are paired retroperitoneal organs situated superior to the kidneys. They consist of two functional units, the adrenal cortex (secreting glucocorticoids (cortisol), mineralocorticoids (aldosterone), and sex hormones) and the adrenal medulla (secreting catecholamines, e.g. noradrenaline, adrenaline and dopamine).
Arteriovenous fistula formation
Arteriovenous fistulas are fashioned to provide a high-flow vessel that is easily accessible for haemodialysis in patients with chronic renal failure. Superficial veins from the upper limb such as the cephalic and basilica vein can be anastomosed to adjacent arteries. The fistula must then mature over the following 4 – 6 weeks before it can be used for dialysis.