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Areas of Specialist Expertise

/media/our-expertise/library/xray-man-red-colon.jpgFaecal incontinence

This can be a very disabling condition and because it is not life threatening and is embarrassing does not have a very high profile.  Within the NHS we are recognised as specialists in treating this problem and our services are commissioned by primary care trusts in the West Midlands. We have successfully introduced sacral nerve stimulation as well as a number of other techniques to treat this problem.

Minimally invasive surgery with enhanced recovery programme

NBCC has been instrumental in developing laparoscopic surgery which results in faster return to normal activity after major surgery and smaller scars. This coupled with an enhanced recovery programme means patients need only be in hospital for 3-4 days despite undergoing major surgery.

Doppler guided haemorrhoidal artery ligation and pexy (HALO or THD)

NBCC surgeons have been trained in these treatments for haemorrhoids.  They are considerably less painful than standard surgical excision and can be performed as a day case with the need for only a light general anaesthetic. In our experience recovery is much quicker and there is less risk of longer-term complications such as anal seepage or stenosis.

Early rectal cancer treatment

NBCC surgeons have access to 3-D endorectal ultrasound at Good Hope Hospital. This is the gold standard to assess polyps and small cancers of the rectum.  With this information, combined with specialised pathology, we can judge whether a local excision is appropriate or whether it should be combined with radiotherapy.

Transanal endoscopic microsurgery (TEM)

TEM, developed in Germany in the eighties, allows the safe removal of large polyps and small cancers of the rectum, without the need for major surgery. NBCC surgeons have the largest experience in the West Midlands in TEM.

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