Laparoscopic Cholecystectomy

It is a key-hole surgery to remove gallbladder along with gallstones, performed under general anaesthetic. It is usually a day-case procedure and average recovery time is 2-3 weeks (uncomplicated procedures). The benefits and risks for this procedure are usually discussed during the appointment for the assessment. It is the gold standard treatment for the symptomatic gallstones.

Laparoscopic Groin Hernia Repair

Extra peritoneal (TEP)

With three small cuts a space is created in the tummy wall which is inflated with carbon dioxide. All hernia sacs are reduced. A mesh is placed to cover all potential hernia defects and the space is deflated to close. Over a period of few weeks the mesh gets integrated in body tissues to prevent future hernia developing through the defects.

Transabdominal (TAPP)

In this technique, with three small cuts the tummy cavity is inflated with carbon dioxide. A space is created in tummy wall from inside to reduce hernia and place a mesh covering all potential hernia defects.

Research has not shown any major difference in complications or outcomes of these two approaches. TEP has an advantage of not entering the tummy cavity, thereby avoiding complications related to this.

Open Groin Hernia Repair

This procedure is in practice for several decades and still considered as one of the best treatments for unilateral primary hernia, especially in patients with significant health problems. It is performed as day-case procedure under general, spinal or local anaesthetic. Average time for full recovery to physical activities such as cycling and exercise is 6 weeks.

Umbilical and Para-Umbilical hernia repair

A small to moderate sized hernia developing through the belly button or around the belly button is usually repaired as day-case, under general or spinal anaesthetic with a combination of sutures and or polypropylene mesh. Average recovery time for physical work is about 6 weeks (uncomplicated).


Gastroscopy is a test to look inside the food pipe and stomach with a long flexible tube which has a camera fitted inside. It generally lasts for 15 to 30 minutes and during the procedure, pictures are taken for the record and biopsies are taken where necessary. It is generally performed as a day case procedure with a local anaesthetic throat spray or sedation.

Hiatus Hernia Repair

A surgical procedure performed by keyhole approach under general anaesthetic to create a competent sphincter at the lower end of food pipe using the upper part of stomach. It is indicated in patients who fail to control their symptoms with medications, develop side effects from medications and want to avoid taking long term medications. Patients are usually discharged the same day after an uncomplicated procedure. They are advised to take special precaution with their diet in following 6 weeks from surgery.

Other conditions and procedures