Dr
Florica specialises in a range of laparoscopic abdominal surgery such as
gallbladder, bowel (colo-rectal), hernia and anti-reflux.
Based on our increasing experience with laparoscopic surgery we strongly
believe that the advantages this method confers to both the surgical procedure
and to patient outcomes make it a far superior preference to all but the
minority of procedures.
Our best results based on our practice audit, are in laparoscopic gallbladder
surgery where we achieved 99% of our procedures through keyhole surgery
regardless of the severity of the disease or patient health status, with no
surgical technical complications.
In our bariatric practice we have performed laparoscopic gastric banding
system insertion with no major or minor technical complications and our results
are consistent with best practice standards.
:: Antireflux surgery (Anti GORD
Surgery)
Surgery is very effective in treating GORD. Patients who do not respond well
to lifestyle changes or medications or those who continually require medications
to control their symptoms, will have to live with their condition or may undergo
a surgical procedure.
LapBand and hiatus hernia
Hiatus hernia and gastroesophageal reflux is
a common occurrence in patients undergoing obesity surgery. Prior to gastric
band placement such a hernia needs to be repaired in order to avoid significant
reflux symptoms after surgery and place the gastric band in the correct
position. Often the hernia is not that obvious due to the large amount of fatty
tissue and the hiatus may need exploration; investigations with x-rays or
endoscopy diagnose the condition often prior to the surgery. The dissection
of the hernia is kept to a minimum in order to reduce the risk of band slippage
and the herniated stomach is reduced to the abdominal cavity; the hernia is
closed with figure of eight sutures anterior to the oesophagus.
LapBand revision surgery
Slipped band and/or dilated gastric pouch is a long term problem met in
approximately 5% of the patient undergoing gastric banding surgery. The band can
be replaced or repositioned usually with further keyhole surgery.