Hernia
A hernia is a defect in the fascia, that holds in the abdominal contents.
They are commonly found in areas of weakness- for example the umbilicus (belly button), inguinal or femoral canal (groin) or sites of previous incisions. They cannot heal on their own, and the defect can get bigger over time. Despite this, they do not always need immediate repair.
A hernia may present with a lump or with pain to the area. It is occasionally associated with recent straining or heavy lifting. More urgent symptoms- such as severe pain, vomiting or inability to reduce a hard lump- should be reviewed at your closest emergency department. This could suggest strangulation of bowel and this is a surgical emergency.
Groin hernia repair is one of the most commonly performed general surgical procedures. It is generally performed via a keyhole approach and may be done as a day procedure. The open approach is also still common, and is more likely to be the case with an urgent repair. Umbilical, epigastric and incisional hernias can be repaired either via open or keyhole approach. This will be individually tailored to your history, as well as hernia size and site.
Most elective hernia repairs will require the use of mesh. Hernias generally form as the body’s own tissue has a weakness and as such mesh is used to act like a scaffold, helping to reinforce the repair.
Recovery after hernia repair includes an exclusion period for driving (usually one week, and we advise you speak with your insurer to clarify), as well as 4-6 weeks avoiding heavy lifting or straining. Dr Gillespie can discuss more specifics about your individual recovery at your pre-operative consultation.
Treatment,
tailored to you
Gallbladder surgery
Removal of the gallbladder- otherwise known as cholecystectomy- is almost always done via a laparoscopic, or keyhole, approach. This is usually performed electively either as day surgery or with a one-night stay in hospital.
Dr Gillespie specialises in the following procedures
Abdominal Wall Hernia Repair
There are many different types of abdominal wall hernia- but this can include umbilical (naval) and incisional hernias.
They are always repaired under a general anaesthetic.
Gastrectomy
A gastrectomy is performed for the surgical management of gastric (stomach) cancer. It involves the removal of the tumour with the stomach itself ensuring that the entire cancer is removed, along with removal of the lymph nodes that would typically be the first place that cancer would spread.
Fundoplication (Anti Reflux Surgery)
A fundoplication is a surgical procedure performed for people with proven gastro-oesophageal reflux that cannot be managed with medication alone. It is also performed as part of a hiatus hernia repair. It is usually performed laparoscopically.
Hiatus Hernia Repair
Most hiatus hernia surgery is performed laparoscopically (keyhole surgery) and involves returning the stomach to the abdominal cavity and then repairing the hernia itself.
Inguinal (groin) hernia repair
This is generally done via a laparoscopic (keyhole) approach under a general anaesthetic. There may be some circumstances where an open approach is preferable and Dr Gillespie will discuss the details specific to you when consenting for surgery.
Endoscopy (Gastroscopy/Colonoscopy)
Endoscopy is performed under either a sedation or general anaesthetic. It is a day procedure that occurs in hospital.
Oesophagectomy
An oesophagectomy is performed to remove a tumour of the oesophagus or the junction between the oesophagus and stomach, along with the lymph nodes to which this cancer tends to spread first.
Weight Loss Surgery
First of all, congratulations on making the first step towards a real lifestyle change. We know that most people will have already explored many options before enquiring about weight loss surgery.
Often, people are sick of the cycle of weight loss followed by weight regain. And many people will find that after working hard to lose weight, they can even put more back on. This process can be so disheartening. While weight loss surgery is by no means an "easy" way out, it can help break this cycle and empower you with the tools to have long lasting weight loss.
But more important than the number on the scales, bariatric surgery can help with obesity related complications and allow you to live a life without compromise.
