Irritable Bowel Syndrome (IBS), the symptoms and how to manage and treat a lifelong condition

IBS_FPSP

FREE seminar from HCA Healthcare UK on 27th April 2017.

IBS is a common condition of the digestive system, causing bloating, stomach cramps, diarrhoea and even constipation, likely to affect one in five people. IBS usually develops between the ages of 20-30 and is a lifelong condition, and affects twice as many women than men.(1)

There are many causes of IBS with some experts linking digestive problems and sensitivity of the gut as the main reasons, and some may not experience symptoms for months, with only sudden flare-ups.

Though there is no absolute cure for IBS, management and treatment options are available and can help towards living a normal life.

Come to our free seminar on the 27th April and hear from our expert gastroenterologists: Dr Sean Preston and Dr Charles Murray, and our dedicated team from the London Digestive Centre to discuss your concerns and answer any questions you may have regarding IBS and the management and treatment options available to you.

Event date: Thursday 27th April 2017

Time: 18:30pm registration for a 19:00 start

Venue: London Digestive Centre, 41 Welbeck Street, London W1G 8EA

Nearest Tube: Bond Street or Baker Street

As this is a free event, please book here in advance to avoid disappointment

 

1 source http://www.nhs.uk/conditions/Irritable-bowel-syndrome/Pages/Introduction.aspx

Pioneering treatment for hip and knee pain (Osteoarthritis)

MAKOThe Princess Grace Hospital is proud to be the first hospital in the UK to offer robotic assisted procedures for those needing partial hip and knee replacements and the first to offer total knee replacements due to osteoarthritis, in the UK.

8.75 million people in the UK have sought treatment for Osteoarthritis1 .  It is the most common form of arthritis in the UK and affects 33% of those 45 years and over. Though osteoarthritis can cause pain in all joints within the human body, it is mostly found in the knee and hips (over 6.5 million people in the UK1).

Many people suffering from osteoarthritis, do not necessarily need joint surgery, and can usually be treated with creams, painkillers, injections or even treatments such as Transcutaneous Electrical Nerve Stimulation (TENS) which can ease symptoms of pain.

For those suffering from degenerative arthritis however, sometimes surgery is the only option.

MAKO Robotic-Arm Assisted technology

Our MAKO robot allows our specialist orthopaedic surgeons to remove the diseased bone from the hip or knee whilst preserving the surrounding healthy bone and tissue. It also allows our surgeons to place in the implants more accurately and with minimal differences in length compared to traditional methods.

Whilst currently not substituting conventional methods of hip and knee replacements, the MAKO robot does have its advantages:

  • Smaller surgical incisions
  • Fewer complications due to the pre-planned surgical pathway
  • Less pain and faster recovery times, getting you mobile and returning to your active life
  • Longer lasting implants resulting from accurate placement, giving greater patient satisfaction and less return visits for replacements

How does the MAKO procedure work?

Before the surgery, you will have a CT scan which generates a 3D virtual model of the area to be operated on. This model is used to create a surgical plan, unique to you, and will indicate the optimal size and placement of your implants.

During the operation, the robotic system guides the surgeon, preventing them from moving outside the pre-defined boundaries of the plan (however, the surgeon can alter this ‘in surgery’ as necessary based on real-time information).

For more information about partial hip or knee replacements using our MAKO robotic system contact the Orthopaedic Centre London.

1Osteoarthritis facts and figures 

The Princess Grace Hospital and Al Zahra Hospital Dubai, collaborate to enable access to advanced healthcare in UAE

PG_AZHD_2017The Princess Grace Hospital and Al Zahra Hospital Dubai, collaborate to enable access to advanced healthcare across the United Arab Emirates (UAE)
The Princess Grace Hospital, part of HCA Healthcare UK, recently visited the Dubai World Trade Centre to participate in the Arab Health 2017 conference, and confirm their partnership with Al Zahra Hospital Dubai to provide access to advanced healthcare across the UAE.

The conference running from 28th January to 1st of February 2017 is the largest healthcare event in the Middle East and North Africa regions, with over 4,000 of the world’s leading healthcare companies in attendance.

The Princess Grace Hospital and Al Zahra Hospital Dubai have teamed up to enable access to advanced healthcare in the UAE, reducing the need for outbound travel for healthcare, and to help establish Dubai as a hub for healthcare needs across the Middle East region.

The partnership sees The Princess Grace Hospital support Al Zahra Hospital Dubai in providing the same high quality, advanced cancer care for patients in Dubai, as they would if they were traveling abroad, increasing access and potentially increasing medical tourism in the region.

Among the treatments on offer being discussed is Hyperthermic Intraperitoneal Chemotherapy (HIPEC), a form of highly concentrated, heated chemotherapy used to directly treat the abdomen (unlike conventional chemotherapy treatment which circulates throughout the body) during surgery.

Charlotte Tempest, CEO of the Princess Grace Hospital commented:
‘We want to build and develop on the existing relationship between The Princess Grace Hospital and Al Zahra Hospital Dubai, both hospitals can benefit and work together to provide patients with the latest advanced technologies and treatment, and ensure continuity of care’

Patients will also benefit from the knowledge and expertise of the two hospitals, the advances in treatment and the developments in technology allowing for previously unmanageable conditions to be treatable.

Arab Health 2017 news report:

 

Our Day Unit sees its 10,000th patient!

Princess Grace HospitalSince its refurbishment in 2013, The Princess Grace Hospital Day Unit has transformed, with state-of-the-art facilities now available to our patients. Our patient satisfaction rates have never been higher and our dedicated staff recently celebrated our 10,000th patient through the door since the refurbishment.

The Unit is available for patients receiving treatment for a variety of conditions and means that they do not have to stay in hospital for longer than is necessary. The refurbishment was patient-centred and has led to increased privacy and dignity as we now have separate rooms with en-suites, as opposed to curtained cubicles. Furthermore, the installation of state-of-the-art technology, such as Smartglass doors, ensures that we are able to provide our patients with the best care. Smartglass allows the glass surrounding the room to be frosted or clear at the flick of a switch, meaning that the patient can be monitored by nursing staff but can gain instant privacy if required. Returning patients have commented that they find the Unit more comfortable now and feel like they are in a hotel bedroom instead of in a hospital environment.

Sharon Stringer, Clinical Nurse Manager of the Unit, said “I have worked across both inpatient and outpatient functions during my career as a nurse and find working on the Day Case Unit very rewarding. Support from departments throughout the hospital ensures that we are able to match our patients’ expectations and provide a high level of care to get them to theatre and recovery quickly and safely meaning that they can be discharged home the same day. The multidisciplinary team are well-drilled and energetic, which means that we can efficiently gather all required information from a patient and smoothly guide them through their treatment plan. For 2017 we aim to build on our previous successes and identify innovative ideas to enhance our patients’ experience.”

For more information about our facilities and services, please visit our website here.

Patient story – Mr Babbage

28702After being reassured two years earlier that potential problems with his prostate were nothing to worry about, Peter Babbage received the news he feared.

Despite having no symptoms, pain or discomfort, results of a test to measure his prostate specific antigen (PSA) were abnormally high and an MRI scan and biopsy revealed he had advanced prostate cancer.

Using private health insurance through his work, Peter, 58, from the Cotswolds, a keen cyclist, contacted Professor Roger Kirby, Professor of Urology at The Princess Grace Hospital, and within two days had an appointment to see him. Tests and examinations confirmed the diagnosis and Peter was advised his best option was to have his prostate removed – an operation known as a prostatectomy.

The Princess Grace Hospital has the latest high-tech equipment to carry out this procedure – a piece of kit called the da Vinci surgical system, which allows surgeons to remove the prostate with small keyhole incisions and with greater accuracy than traditional surgery. This means less pain and a better recovery for patients. The two-hour procedure, performed under general anaesthetic, was carried out on a convenient day for Peter and went without a hitch.

Peter was in hospital for three days and says the care he received was fantastic.

‘The entire experience was quite amazing,’ says Peter, who is married with two children. ‘The treatment at the hospital was fantastic, the food was excellent and the nurses were absolute angels and very compassionate. There was very little discomfort and I was out of bed the same day and by the following day, I was climbing flights of stairs.

‘If you need to have this operation done, my advice to other men would be to go ahead and not give it a second thought. You hear some bad stories about prostate surgery and its after-effects but it was nothing like that. I was walking a couple of miles a day after two days, and within three weeks of the operation I was pretty much back to normal. Soon I should be able to get back to my great passion cycling.’

For further information about Robotic Surgery at The Princess Grace Hospital, please visit here.

Running Tips for Beginners

Dr Courtney Kipps, Consultant in Sports and Exercise Medicine at the Institute of Sport Exercise and Health (ISEH), provides guidance about taking up running.

Women stretching

Experts state that running regularly can help to increase your life expectancy and that even jogging and short runs are beneficial. Additionally, running can reduce the risk of heart disease and other chronic diseases, such as bowel cancer and type 2 diabetes.

In the article Dr Kipps answers some of the most common questions from people thinking about taking up running for the first time, including whether it is safe to run if you have high cholesterol or blood pressure and if you can run with arthritis.

New to running? Below are some top tips:

  • Warm up thoroughly and stretch after every run
  • Start off with two to three runs a week
  • Don’t run on consecutive days and never increase frequency by more than 10% each week
  • Improve flexibility through stretching and low-impact exercises such as yoga

MAKO Knee Replacement

In the new issue of The Independent Practitioner, Professor Haddad discusses the role of robotic technology in surgery.

At The Princess Grace Hospital we are proud to be able to offer our patients the latest innovations during their treatment. We are therefore glad to announce that we are the first private hospital in the UK to offer partial knee replacements using the MAKO robotic arm. Below is a video of Professor Haddad discussing the MAKO robotic system for orthopaedic surgery.

For more information about robotic orthopaedic surgery at The Princess Grace hospital, please visit our website here.

Tennis Elbow

Written by Mr Ali Noorani, Consultant Orthopaedic Surgeon

tennis feet

As I write this piece the French Open tennis final is being played out. Two great players are flashing around a hard clay court, hitting the ball at great speeds and exhibiting such extraordinary athleticism that it leaves me feeling quite breathless. And in just over a week’s time the pro circuit will be at it again, this time on the manicured grass courts of London SW19.

Of course, not all of us are sufficiently gifted to play at such an exalted level; for us, three sets in the local park may define our talents. However, we do share at least one thing in common with those at the top of this game – the prospect of a tennis-related injury. As an NHS consultant trauma and orthopaedic surgeon at the Royal London Hospital, with a private practice in the City and West End, I see many patients with a variety of trauma caused while playing.

Unfortunately, tennis related injury is all too common; it’s a demanding, fastpaced, sometimes explosive game; and one that puts high loads on joints, including the shoulder and elbow. These are particularly impacted as many shots are played overhead, including the service – the most strenuous stroke most of us will play.

Shoulder injuries

The shoulder can suffer various problems including internal impingement (when one or both tendons become trapped between the humeral head and the posterior glenoid) and injuries to the cartilage of the shoulder, both likely to be caused by repetitive overhead motions. Repairing painful labral tears of the shoulder are also a regular part of my practice – especially so-called SLAP tears on the top of the labrum (a thick ligament on the socket (or glenoid) side of the shoulder joint) where the biceps tendon attaches. The bicep tendon is also vulnerable to tears (full or partial) caused by excessive force or overuse – the latter of which may require surgery.

Elbow injuries

If the possible shoulder injuries weren’t bad enough, the elbow can suffer from lateral elbow tendinopathy – inflammation most likely to be caused by backhand stokes with the wrist flexed. It can also suffer from medial elbow tendinopathy – most likely caused by ‘wrist snaps’ on serve or forehand shots, open-stance hitting or ‘short-arm’ strokes.

Tennis elbow? Tennis elbow is probably the most well known injury to affect tennis players. It’s a pain around the outside of the elbow that will usually get better by itself without treatment, but requires rest. It can persist for weeks or months, occasionally longer, because tendons mend slowly. Treatment with an ice pack can ease the pain, as can using an elbow brace and over-the-counter pain relief medication. Fortunately, the need for surgery is rare, although some people benefit from platelet-rich plasma (PRP) injections to accelerate recovery.

Avoiding injuries

Prevention is the key since “stop playing tennis” is probably not the answer you want to hear. It’s important to carry out exercise to strengthen the muscles that stabilise the upper arm in the shoulder socket and enable its range of movement. And, although I can’t advise you about your playing technique or your choice of racquet (although I think a more flexible one with a wider grip can help), warming up is essential and carrying out wrist and elbow exercises can also help to prevent injuries.

So what should you do if you suffer a sports injury? If you feel pain, stop. Carrying on may cause further unnecessary damage, meaning your recovery takes even longer. You should also seek medical advice; a clear diagnosis of the cause of the pain can help set your mind at ease and point you in the direction of a full recovery.

Patient outcomes after immediate reconstruction post-mastectomy

An important study has been carried out at The London Breast Institute and  published in a peer reviewed journal. 

3545 smaller

Women undergoing a skin saving mastectomy and immediate reconstruction using an implant have been shown to achieve excellent results with the use of an internal bra made of a collagen mesh derived from calf skin according to a new study carried out by the breast surgery team led by Professor Mokbel at The London Breast Institute (LBI), and published in the current issue of Surgical Oncology. The team have analysed the outcome of this type of surgery in 164 cases performed as part of treatment for breast cancer or as part of prevention surgery to reduce the risk of breast cancer in women at high risk.

The mesh helps to achieve a natural shape and reduce complications and the need for further surgery. It also avoids having to use a patient’s own tissue to rebuild the breast meaning that there are no scars made on different parts of the body.

Using this method, the cure rate from breast cancer was 98.3 per cent and the survival rate of patients was 99.2 per cent. Patients developed very few complications and were overwhelmingly satisfied with the result. An independent observer gave the cosmetic outcome of the procedures an average of nine out of ten.

The results of this study reflect the high standards of care provided by the LBI and The Princess Grace Hospital.

Surgical resection in patients with metastatic breast cancer

LBI_Logo_RBGThe team at the London Breast Institute have conducted research looking at the survival rates of patients with metastatic breast cancer after surgery of the primary tumour.

Their analysis showed that patients that underwent surgical treatment of the primary tumour experienced a 37% reduction in risk of mortality.

To read the full article, please click here.