31 Old Broad Street

Services & Specialities

Colorectal Surgery

Colorectal surgery refers to a variety of procedures used to repair the colon, rectum, anus and the pelvic floor. We also provide endoscopy and colonoscopy facilities as a minimally invasive outpatient alternative to colorectal surgery.

An endoscopy requires only mild sedation while the endoscope, a small, fibreoptic tube is passed through the mouth and into either the stomach, intestine, or colon. This allows physicians to identify problems in the gastrointestinal tract and, in some circumstances, remove abnormal growths.

A colonoscopy involves inserting a colonoscope, a long flexible tube about the thickness of a finger, into the rectum and gradually advancing it through the colon, allowing the physician to examine the lining of the rectum, diagnose colon and rectal problems, perform biopsies and remove polyps.

Our colorectal surgery team provide a wide range of services, some of which are outlined below.

Upper GI endoscopy

A fibre-optic examination of the oesophagus, stomach and duodenum. This can be done with sedation or a throat spray.

Flexible Sigmoidoscopy

A fibre-optic camera examination of the rectum, sigmoid and left colon, often done without sedation.

Colonoscopy

A fibre-optic examination of the colon after full bowel preparation, usually performed under sedation. Colonic polyps can be removed at the time of this procedure.

 

Proctology

Banding of haemorrhoids

Outpatient treatment for internal/external haemorroids.

Stapled haemorrhoidectomy

A new technique for treating haemorroids which is less painful than open surgery. Performed as a day case.

Diathermy Haemorrhoidectomy

Surgical excision of haemorrhoids, performed as a day case.

Pilonidal sinus surgery for primary and recurrent disease

A treatment for ingrowing hair follicles at the base of the spine. Surgical techniques include excision, Bascom's procedure and Limberg flaps.

Anal Fissures

Treatments include the use of GTN and diltiazem for chemical sphincterotomy, Botox fissurectomy and lateral anal sphincterotomy.

Perianal abscess and anal fistula surgery

Drainage of sepsis, laying open of fistulae, seton insertion and rectal advancement flaps.

 

Inflammatory Bowel Disease

Surgery for Crohn's disease

Resection of diseased segments of crohn’s and strictureplasty of short stricures to preserve bowel length. Some cases are done laproscopically (using minimally invasive surgery and micro-video cameras).

Pouch surgery for ulcerative colitis

Resection of colon and rectum and then using an ileal 'J' pouch to restore intestinal continuity.

 

Colorectal Cancer surgery

Primary colorectal cancer surgery

All colonic and rectal resections including low anterior resection of the rectum and abdomino-perineal excision with myocutaneous flap repair of the perineum. Some cases are done laparoscopically (using minimally invasive surgery and micro-video cameras).

Recurrent rectal cancer surgery

Multivisceral resection including total pelvic exenteration and abdominosacral resection.

 

Pelvic Floor

Rectal prolapse surgery

Perineal and abdominal repair of full thickness rectal prolapse.

Rectocoele repair

Enable incomplete evacuation and obstructed defecation.

Anal sphincter repair

Correct faecal incontinence.

Diverticular Resection

Resection of complicated diverticular disease such as colovaginal and colovesical fistulae.