Theatres

The London Bridge Hospital currently operates using five major operating theatres; all theatres are modern and well equipped with the latest surgical technology.

As part of HCA's refurbishment plans, the hospital is attaining another two state of the art theatres over the next two years, increasing our number of theatres from five to seven.

Work has already commenced on creating and designing this new area. This major development will enable us to undertake even more procedures with the latest technology and facilities.

Our Sterilising and Decontamination Department (CDU) have recently been assessed and certified as successfully meeting the requirements for decontamination of medical and surgical instruments in accordance with the requirements of:

ISO 9001:2000

ISO 13485:2003

and

Directive 93/42/EEC
Annex V (sterility aspects)

The existing main operating theatres in London Bridge Hospital, such as those for breast surgery and cardiac surgery, are used to perform a wide range of surgical procedures, some of which are listed below:

Breast Surgery

• Excision/Biopsy Breast Lesion
• Segmental Resection
• Mastectomy
• Axillary Clearance
• Sentinel Node Mapping
• Needle Localisation
• Breast Reconstruction + Latissimi Dorsi
• Breast Implant (Post Mastectomy)
• Microdochectomy

Breast prostheses are hired as and when required on a sale/return basis.

Cardiac Surgery

• Coronary Artery By-Pass Grafts (CABG) on / off pump
• Aortic Valve Surgery (Replace / Repair)
• Mitral Valve Surgery (Replace / Repair)
• Minimal Access Valve Surgery
• Aortic Root Replacement
• Aortic Aneurysm Repair
• A.F. Ablation (in conjunction with one of the above)
• Thoracic Aortic Replacement

Equipment

• Medtronic Octopus System for off pump surgery
• Estech Instumentation for minimal access surgery
• Consignment Stock of Heart Valves and Rings

(See also link with Perfusion Services)

Dental / Maxillo-Facial Surgery

• Extraction of Impacted Teeth
• Enucleation of Cyst of Jaw
• Alveolar Bone Graft
• Glossectomy
• Parotidectomy
• Segmental Excision of Mandible
• Excision Submandibular Gland
• Reconstruction of Jaw

Equipment

• Mercian Dental Drill
• Oscillating Saw
• Sagittal Saw
• Reciprocating Saw

Ear, Nose & Throat Surgery

• Ossiculoplasty
• Combined Approach Tympanoplasty
• Stapedectomy
• Radical Mastoidectomy
• Meatoplasty
• Glottoplasty / Uvuloplasty
• Pharyngoscopy
• Functional Endoscopic Sinus Surgery (FESS)
• Septorhinoplasty
• Radical Dissection Cervical Lymph Nodes
• Reduction of Turbinates
• Microlaryngoscopy

Equipment

• Zeiss Pentero Microscope
• Diego Micro Debrider
• Diego Stapedectomy Drill
• Midas Rex Legend Drill
• Kurz Instrumentation & Prostheses (Ossiculoplasty)
• Kurz Stapes Pistons
• Shah / Goode Grommets
• Gyrus Instrumentation for Septorhinoplasty
• Bouchayer Instrumentation for Laryngoscopy

General Surgery

• Laparoscopic Appendicectomy
• Cholecystectomy (Open / Laparoscopic)
• A.P. Resection
• Hernia Repair (Open / Laparoscopic)
• Hartmann's Procedure

Equipment

• T.V. Stack + Camera + DVD Recording Facilities
• Hydraulic Lithotomy Poles
• Range of Ethicon Staplers (Open / Laparoscopic)

Gynaecological Surgery

• Myomectomy
• Vaginal Anterior / Posterior Repair
• Hysteroscopy
• Laparoscopy (Diagnostic / Therapeutic)
• Debulking Uterine Tumour
• Trans Vaginal Tape
• Ovarian Cystectomy
• Salpingo-oophorectomy
• Total Abdominal Hysterectomy

Equipment

• T.V. Stack + Camera + DVD Recording Facilities
• Olympus Insufflator
• Holmium Laser Morcellator
• Hydraulic Lithotomy Poles

Liver Surgery

• Hemi-Hepatectomy
• Whipples Procedure
• Excision Liver Tumour
• Repair of Liver
• Laparoscopic Liver Resection
• Liver Ultrasound (in conjunction with one of the above)
• Radiofrequency Ablation to Tumour (in conjunction with one of the above)

Equipment

• Boston Scientific Radiofrequency Ablator
• Tissue Link Dissector
• Intra-operative Ultrasound Probes
• Range of Ethicon Staplers
• Tachosil Haemostatic Agent
• Floseal Haemostatic Agent
• Cell Saver Facilities are available

Neurosurgery / Spinal Surgery

• Creation of V.P. Shunt
• Craniotomy (Tumour / Aneurysm)
• Posterior Lumbar Interbody Fusion (PLIF)
• Transphenoidal Hypophysectomy
• Anterior Disc Replacement
• Microdiscectomy
• Laminectomy
• Anterior Cervical Discectomy & Fusion
• Correction Spinal Deformity

Equipment

• Zeiss Pentero Microscope (DVD Facility)
• Selector Ultrasonic Aspirator
• Radiotranslucent Mayfield Head Rest
• Midas Rex Legend Drills
• Consignment Instrumentation for Lumbar & Cervical Fusions
• Range of Shunts & Ventricular Drains
• Intra-Cranial Pressure Monitoring post-op facilities available
• Aesculap Aneurysm Clips

Orthopaedic

• Total Hip Replacement (THR)
• Revision THR
• Total Knee Replacement (TKR)
• Revision TKR
• ACL Reconstruction Autograft / Multi-Ligament Repair
• Shoulder Arthroscopy (Diagnostic / Therapeutic)
• Elbow Arthroscopy (Diagnostic / Therapeutic)
• Wrist Arthroscopy (Diagnostic / Therapeutic)
• Knee Arthroscopy (Diagnostic / Therapeutic)
• Ankle Arthroscopy (Diagnostic / Therapeutic)
• Osteochondrial Grafting
• Subacromial Decompression
• Osteotomy
• Shoulder Stab Unidirectional
• Rotator Cuff Repair
• Carpal Tunnel Decompression
• Ulna Nerve Transposition
• Repair of Tendons
• Metatarsal Cheilectomy

Prostheses can be hired as and when required

Equipment

• Fluid Management System
• T.V. Stack + Camera + DVD Facilities
• Laminar Flow Theatres
• Accufex Instrumentation
• Dionic Arthroscopes
• Dionic Shaver System
• Maquet Traction Operating Table
• Range of Power Tools
• Barouk Screws
• Varisation Set
• Sagittal Saw
• Mini-Driver
• A.O. Small Fragment Set

Pain Treatment

• Facet Joint Injection
• Facet Joint Denervation
• Facet Joint Rhizolysis
• Paravertebral Block
• Epidural Injection

Equipment

• Neurotherm R.F. Generator

Plastic Surgery

• Abdominoplasty
• Breast Augmentation
• Mastopexy

Prostheses can be hired as and when required

Thoracic Surgery

• Video Assisted Thoracoscopy (VATs)
• Lobectomy / Segmental Resection
• Pneumonectomy
• Mediastinoscopy
• Bronchoscopy (Rigid / Flexible)
• Thoracoscopy
• Thoracotomy
• Talc Pleurodesis
• Pleurectomy

Equipment

• T.V.  Stack + Camera + D.V.D Facilities
• Storz Minimal Access Instrumentation (VAT's)
• Range of Ethicon Thoracic Staplers

Urology & Renal Surgery

• TURP /TURBT
• Laser TURP
• Radical Prostatectomy
• Partial / Total Nephrectomy
• Urethroplasty
• Insert. Artificial Urinary Sphincter
• Repair Vesico-Vaginal Fistula
• Total Cystectomy
• Laparoscopic Nephrectomy
• Laparoscopic Prostatectomy
• Endo-Fragmentation of Ureteric Stone
• Laser Endo-Fragmentation of Ureteric Stone
• Percutaneous Nephrolithotomy
• Renal Transplant (Donor / Recipient)
• Creation A.V. Fistula

Equipment

• Holmium Laser
• Olympus Electro-Hydraulic Lithotripter
• Olympus Ultrasonic Lithotripter
• Olympus Scopes
• Versapulse Morcellator
• T.V. Stack + Camera + DVD Facilities
• Range of PTFE Grafts

Vascular Surgery

• Varicose Vein Surgery (including Venous Closure)
• Endovenous Laser Therapy
• Carotid Endarterectomy
• Abdominal Aortic Aneurysm Repair

Equipment

• Vari-Lase Endovenous Laser
• Mantis Venous Generator can be hired as and when required
• Ultrasound (X-RAY)
• Consignment of Vascular Grafts