French, Rowan

Definitions

Breast surgery may involve any of a variety of surgical procedures carried out on the breasts of women (generally) and men. These procedures may include removing a sample of tissue from a breasttumour (abnormal growth), as well as removing malignant (cancerous) tumours. Surgery may also include breast reconstruction following a mastectomy (breast removal) for breast cancer. The surgeons who perform this type of breast reconstruction may be breast oncology (cancer) surgeons or plastic surgeons. (Surgeons trained in both specialities are known as oncoplastic surgeons.) Some breast surgeons also do cosmetic breast surgery, including enlargement and reduction.moreColorectal surgery is used to repair damage to the colon, rectum and anus. Surgery is a vital treatment option for colorectal cancer, ulcerative colitis, Crohn’s disease, and some cases ofdiverticulitis, often resulting in reconstruction of the intestinal tract. Other bowel conditions that may require surgery to a lesser extent include haemorrhoids, anal fissures (tears in the lining of the anus), bowel incontinence, and rectal prolapse. Most of these surgeries repair tears, remove blockages, or tighten sphincter muscles. Surgery is also sometimes used to treat pelvic floor disorders, such as perineal hernia and rectocele (bulging of the rectum towards the vagina). Some colorectal conditions or diseases may be treated with minimally invasive surgery, while others will require more complex procedures.moreEndoscopy involves examining the inside of the body with an endoscope, a lighted, flexible instrument that has a small camera on the tip. There are many types of endoscopes, and endoscopy, namedaccording to the organs or areas they are used to examine (e.g. arthroscopy examines joints; bronchoscopy examines the lungs; cystoscopy examines the bladder and urethra; laparoscopy may examine the ovaries, appendix or other abdominal organs; colonoscopy examines the bowel). An endoscope is passed through a natural body opening (e.g. mouth) or a small incision. Small instruments can be inserted through an endoscope and used to take samples of tissues for analysis (biopsy), to remove material (e.g. removing polyps during a colonoscopy), or to carry out a surgical procedure.moreGeneral surgery takes its name from general medicine, and is a surgical specialty focusing on the torso and abdominal organs. This may include the intestines comprising the oesophagus, stomach, small and large intestines, pancreas, liver, gallbladder and bile ducts. It also often deals with diseases and disorders involving the skin and breasts.moreLaparoscopic surgery, also known as ‘keyhole surgery’, is carried out with the aid of a camera inserted into the abdomen or pelvis. A small incision is made in the abdominal wall through which alaparoscope, a flexible lighted tube with a camera attached, is inserted so that structures within the abdomen and pelvis can be examined. The abdominal cavity is made more visible by distending it with an absorbable gas, usually carbon dioxide. A number of major and minor surgeries may be carried out. A variety of tubes and long, narrow instruments can be inserted through the same incision in the skin, or via other small incisions, facilitating a number of procedures without the need for a large surgical incision. The surgeon uses these instruments to manipulate, cut and sew tissue. A number of procedures can be performed laparoscopically, including gallbladder removal (laparoscopic cholecystectomy), oesophageal surgery (laparoscopic fundoplication), colon surgery (laparoscopic colectomy), and surgery on the stomach and spleen. Most patients receive general anaesthetic during the procedure.moreThe thyroid gland is located in the lower part of the neck, below the Adam’s apple, wrapped around the trachea (windpipe). It produces hormones which help regulate the heart rate, blood pressure,body temperature and metabolism (the rate at which food is converted into energy). Thyroid disorders can include an overactive gland, called hyperthyroidism, or an underactive gland, called hypothyroidism. Both can result in an enlarged thyroid gland. Sometimes surgery is required to remove the thyroid gland. A thyroid nodule is a small swelling or lump in the thyroid gland. They are usually examined with imaging such as ultrasound or MRI, and a fine-needle aspiration biopsy, a relatively painless procedure to take tissue fluid samples from the nodule. Thyroid surgery may be required when: the biopsy indicates the nodule is cancerous; the nodules are getting bigger; or the trachea or oesophagus is compressed because the thyroid is very large. Thyroid surgery involves removing part or all of the thyroid gland, under general anaesthesia. Usually, the lobe of the thyroid gland containing the nodule lump is removed. An analysis of tissue will determine if the rest of the thyroid gland should be removed, during the same surgery. (Alternatively, surgery may be done at a later date.)more