Summary of Services

Colon & Rectum

Condition Suggested Treatment
(NB: there can be variations and exceptions under certain circumstances)

Colorectal polyp

Colonoscopy + polypectomy

Colorectal cancer

Hand-assisted Laparoscopic/Laparoscopic Colectomy

Diverticular disease

Hand-assisted Laparoscopic Colectomy

Inflammatory bowel disease

Hand-assisted Laparoscopic colectomy

Rectal prolapse

Laparoscopic resection-rectopexy

Laparoscopic Ventral Mesh Rectopexy

Delorme’s procedure (transanal approach)

Anorectal Conditions

Condition Suggested Treatment
(NB: there can be variations and exceptions under certain circumstances)

Haemorrhoids

Open haemorrhoidectomy using Ligasure or Transanal Haemorrhoid Dearterialisation

Anal fistula

Simple fistulotomy, seton or

Complex flap operations

Anal fissure

Rectogesic/Botox Injection/Anal sphincterotomy

Perianal abscess

Drainage procedure

Pilonidal sinus

Karydakis procedure

Anal cancer

Radiotherapy

Pelvic Floor Disorders

Condition Suggested Treatment
(NB: there can be variations and exceptions under certain circumstances)

Faecal incontinence

Various modalities including Sacral Nerve Stimulation and anal sphincter repair

Obstructed defaecation

Pelvic floor biofeedback physiotherapy/gynaecological procedure/laparoscopic ventral mesh rectopexy

Rectocoele

Internal rectal prolapse

Descending perineum

Hernia

Condition Suggested Treatment
(NB: there can be variations and exceptions under certain circumstances)

Inguinal hernia

Laparoscopic hernia mesh repair possible for most types of hernia

Umbilical hernia is usually repaired via an open approach

Incisional hernia

Parastomal hernia

Recurrent hernia

Umbilical hernia