Advanced laparoscopic surgery

All gastric, oesophageal, liver, gallbladder, bile duct, and pancreatic surgery, for both benign disease and (where appropriate) for cancer, and including advanced techniques  such as single-incision laparoscopic surgery (SILS). Including surgery for reflux/GORD and for rolling hiatal hernia.

Laparoscopic fundoplication

Laparoscopic splenectomy

Inguinal hernia repair

  • Dr Mackay favours the totally extra-peritoneal (TEP) approach.
  • This technique is particularly useful for re-do hernia surgery after previous open surgery, and for those with bilateral inguinal hernias.
  • The TEP approach is not suitable for those with a large inguinoscrotal hernia.

Laparoscopic ultrasound

  • laparoscopic IOUS (intra-operative ultrasound) is a useful investigation in the workup of many patients with upper-GIT and hepatobiliary cancers.
  • Direct contact ultrasound offers the opportunity to use a high-frequency ultrasound probe, which allows better definition than the lower-frequency trans-abdominal probes.