Procedures/Services

Adenoidectomy
Surgical removal of the aderoids in parients who suffer from either glue ear or diffculty in breathing through their nose.

Amniocentesis
Withdrawal of a sample of the fluid (amniotic fluid), surrounding an embryo in the uterus by piercing the amniotic sac through the abdominal wall. As the amniotic fluid contains cells from the embryo (mostly shed from the skin) cell cultures enble chromosome patterns to be studied so that prenatal disgnosis of chromosome abnormalties (such as Down's Syndrome) can be made. Metabolic errors and other diseases, such as spina bifida cn also be diagnosis prenatally from the biochemistry of the cells , or that of the fluid. Although the risks of amniocentesis in skilled hands are extremely low, there is no point in undertaking it unless the parents agree to a termination of the pregnancy if a serious abnormality is discovered.
Angiography
X-Ray examination of blood vessels. A contrast medium is injected into artery, and a rapid series of x-ray recordings is made, commonly using digital subtraction angiography.
Angioplasty
Surgical repair or reconstructoin of narrowed or completly obstructed arteries (or rarely veins).
Appendectomy
Surgical removal of the vermiform appendix.
Arthroscopy
Inspection of a joint cavity with an arthoscope, enabling percutaneous surgery (such as merriscetomy and biopsy) to be performed.

Artificial Insemination
Instrumental introduction of semen into the vagina in order that a woman may conceive. Insemination is timed to coincide with the day on which the woman is expected to ovulate. The semen specimen may be provided by the husband (AIH- Artificial Insemination Husband), for example in cases of importance or by an anonymous donor (Donor Insemination) usually in cases where th husband is sterile.
Brachytherapy
Radiotherapy administered by implanting radioactive wires or gains into or cloaw to a tumour. This technique is used in the treatment of many accessible tumours (e.g. breast cancer).
Cholecystectomy
Surgical removal of the gall bladder, usually for cholecystitis or gallstones.
Colonoscopy
Procedure for examining the interior of the entire colon and rectum, using a flexible illuminated fibre opic or video camera instrument (colonoscope) introduced though the anus and guided up the colon by a combination of visual and x-ray control. It is possible to obtain specimens for microscope examiation using flexible forceps passed through the colonoscope and to remove polyps using a diathermy snare.
Colostomy
A surgical operation in which part of the colon is brought through the abdominalwall and opened in order to drain or decompress the intestine. The part of the colon chosen depends on the site of obstruction.
Craniotomy
Surgical removal of a portion of the skull, performed to expose the brain and meniges for inspection or biopsy or to relieve excessive intracranial pressure (as in a subdural haematoma).
Cystoscopy
Examination of bladder by means of an instrument (cystoscope).
Echocardiography
The use if ultrasoundwaves to investigate and display the action of the heart as it beats. Used in the diagrams and assessment of congenital and acquired heart diseases. It is safe, painless and reliable and reduces the need for cardiac catheterization.
Gastroscopy
The inspection of the interior of the stomach by an illuminated optical instrument.
Haemodialysis
A technique of removing waste materials or poisons from the blood using the principle of dialysis. Haemodialysis is performed on patients whose kidneys have ceased to function. The process takes place in an artificial kidney or dialyses. The stream of blood taken from an artery is circulated through the dialyses on one side of a semipermiable membrane, while a solution of similar electrolytic composition to the patient's blood, filters through the membrane whose pores are too small to allow pasage of blood cells and proteins. The purified blood is then returned to the patients's body through a vein.
Hysterectomy
The surgical removal of the uterus, either through an incision in the abdominal wall or through the vagina.
Laminectomy
Surgical cuttin into the backbone to obtain access to the spinal cord. The surgeon excises the rear part (the posterior arch) of one or more vertebrae. The operation is performed to remove tumour, to treat injuries to the spine, such as prolapsed intervertebral (slipped) disc (in which the affected disc is removed) or to relieve pressure on the spinal cord or roots.
Laparoscopy
Examination of the abdominal structures which are contained with the peritoneum, bye means of an illuminated tubular instrument (laparocope). This is passed through a small incision in the wall of the abdomen after injecting carbondioxide into the abdominal cavity.
Laryngectomy
Surgical removal of the whole or a part of the larynx as in the treatment of laryngeal carcinoma. Speech can be tested in many patients using special techniques and appliances.
Lithotrispy
The destruction of calculi (stones) by the application of shock waves.
Mammography
X- Ray examination of the female breast. Using low energy x-rays, fine details of brest tissue can be visualised, paticularly the presence of the calcification of soft tissue masses, enabling the early diagnosis of breast cancer.

Phacoemulsification
The use of a high frequency ultrasound probe to break up a cataract so that it can be removed, through a very small incision. This is now a popular method of performing cataract surgery.

Prastatectomy
Surgical removal of the prostate gland. The operation is necessary to relieve retention of urine due to enlargement of the prostate, or to cure the symptoms of frequency and poor urinary flow due to the same cause. The operation can be performed through the bladder or through the surrounding capsule of the prostate.

Thyroidectomy
Surgical removal of the tyroid gland.

Tonsillectomy
Surgical removal of the tonsils.

Trabecullectomy
An operation for gloucoma, one part of which is the removal of a small segment of tissue from part of the wall of schlemm's carral. This area is known as the trabcular meshwork. Trabeculectomy allows aqueous fluid to filter out of the eyes under the conjun etiva, this reducing the pressure inside the eye.
Trigger Finger
An impairment in the ability to extend a finger, resulting either from a modular thickening in the flexor tendon or narrowing of the flexor tendon sheath. On unclenching the first, the affected finger (usually the third or fourth) at first remains bent, and then on overcomming the resistance, suddenly straightens (triggers). Treatment is by incision of the tendon sheath, or injection of stroids around the tendon.
Ultrasonography
The use of ultrasound, usally in excess of 1 MHz, to produce images of structures of the humour body, that may be observed on a TV screen, and subsequently transferred to photo graphic film. It is based on the principle of detecting the refelected waves (echoes) occuring at interfaces within human organs, following a short pulse of ultrasound. This is repeated many times to build up a complete picture. Both the transmittes and detector are contained within the scarring probe. As far as is known there are no adverse effects from the use of ultrasound, and it has particular value in obsttrics (including diagnosis of pregnancy, assessment of gestational age, diagnosis of malpresentations and hydatidiform moles, and detection of fetal abnormalities) and in examination of the biliary and urinary tract and the vascular tree. More specialised techniques include echocardiography, transoesophageal ultrasound (endoscopic ultrasound) examinations.
  Please Note That All Definitions Have Been Taken From The Oxford Concise Medical Dictionary (New Edition)