At the heart of all the treatments offered is a patient-centred approach. Ensuring you are fully informed of all options and have a detailed understanding of the treatment offered is of utmost importance. Mr Chand believes in a collaborative approach with his patients whereby all decisions are made together.
All procedures are carried out using the latest modern equipment in line with national guidance. Mr Chand is appropriately accredited for all treatments offered. Some of Mr Chands publications on laparoscopic and robotic surgery can be seen here.
COLONOSCOPY AND FLEXIBLE SIGMOIDOSCOPY
A colonoscopy or flexible sigmoidoscopy involves passing a narrow calibre camera into the bowel under sedation. The camera is inserted into the bottom and a high definition picture is brought up showing the inside of the bowel. This is a very accurate test to detect abnormalities in the colon including benign growths (polyps), inflammation and tumours. Biopsies may be taken at the time of the procedure.
The endoscopy suite at The London Clinic has a state-of-the-art facilities and is ideally suited for these procedures ensuring a caring and comforting surrounding.
Most surgical procedures can be carried out using minimally-invasive surgery. This may involve laparoscopic or robotic approaches. This means that instead of a large incision, smaller incisions of a 1cm or less can be used instead to pass fine instruments into the abdomen. The surgery is then performed using state-of-the-art cameras and fine instrument on a high definition screen.
This precise approach to surgery is known to lead to faster recovery, shorter hospital stay and fewer complications without compromising the surgery itself.
Mr Chand is a recognised key opinion leader and widely published in minimally-invasive surgery and offers this approach to the majority of his patients undergoing major surgery. Mr Chand is a recognised expert in minimally invasive surgery and is happy to discuss the appropriateness of laparoscopy or robotic surgery with you. An example of this surgery can be found here
FLUORESCENCE GUIDED SURGERY
New research has shown that special dyes can be used during surgery to highlight important structures and pathology. By injecting a safe dye during the procedure, we are able to see additional information relating to the surgery eg the bloodflow to important organs as well as glands which may be diseased. In colorectal surgery, research has shown that use of such dyes may lead to fewer complications.
The London Clinic has a state-of-the-art machine which allows surgeons to use a special dye in colorectal surgery. Mr Chand is one of the most experienced surgeons in the world using such dyes both in clinical practise and research. Mr Chand is also currently lead investigator on a number of trials to investigate how to better identify anatomy and pathology using fluorescent dyes. These are registered with REC. An example of this surgery can be found here
Complex conditions are best managed by a multidisciplinary team whereby experts form different fields are able to input into the best treatment strategy. Mr Chand is a firm believer in such an approach to offer his patients optimal care and consideration. His practise often involves input from other affiliated specialities. A combined approach to healthcare has been consistently shown to improve patient satisfaction and outcomes. All patients with complex disease are discussed within a multidisciplinary forum. This will give you reassurance the your case is discussed with leading experts in the field to give you the optimal treatment plan
The London Clinic undertakes regular MDTs for colorectal cancer which are in line with NICE guidelines. Mr Chand is also part of a BSGE accredited multidisciplinary endometriosis unit.
Professor Chand is currently part of a collaborative effort to update national guidelines in light of the COVID-19 pandemic.