Majid Hashemi
Majid Hashemi

Consultant Bariatric and Gastrointestinal Surgeon

London

0207 ... Reveal phone no. >

Treatments provided by Majid Hashemi

Initial consultation fee: £250

Follow up fee: £180

A skilled laparoscopic surgeon, Mr Majid Hashemi provides a range of specialist procedures in the following areas:

  • Bariatric surgery: a comprehensive range of modern procedures for weight loss including laparoscopic revision surgery, Endoscopic Endobarrier implantation, Obalon balloon and Intragastric balloon
  • Oesophageal and gastric cancer: oesophagectomy and gastrectomy
  • Oesophageal surgery and anti-flux surgery: a range of laparoscopic procedures including hiatus hernia surgery, the Linx implant, gastric pacemaker implant and myotomy for achalsia
  • General surgery: Emergency and elective open and laparoscopic surgery including the , appendix surgery, gallbladder surgery and hernia repair.
  • Anti-reflux surgery: a range of laparoscopic procedures including laparoscopic repair of hiatus hernia
  • Open and  laparoscopic hernia repair
  • Endoscopy

Treatments, operations and tests

Abdomen examination by camera (laparoscopy)

Laparoscopy is an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery. There are two types of laparoscope: (1) a telescopic rod lens system, that is usually connected to a video camera (single chip or three chip), or (2) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system.

Anti-reflux surgery (Laparoscopic)

Acid reflux is caused by high acid levels in the stomach preventing the proper sealing of esophagus. The acid to travel upwards and burn the esophagus, irritating the lining and can cause a burning sensation. Surgical intervention is recommended when changes in lifestyle and diet have proved ineffective. Laparoscopic surgery is a minimally invasion procedure to reinforce the seal by wrapping part of the stomach around the lower esophagus.

Appendix removal

An appendectomy (sometimes called appendisectomy or appendicectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated non-operatively.

Endoscopy (Upper GI)

An upper gastrointestinal endoscopy uses a long endoscope to see the lining of the upper GI tract. This is used to identify the cause of many symptoms, from persistent heartburn to unexplained weight loss. There are a wide range of diseases that may be diagnosed by an Upper GI Endoscopy.

Gall bladder removal (Laparoscopic)

Gall bladder removal (cholecystectomy) surgery is usually performed laparoscopically (keyhole), using a laparoscope. The surgeon removes your gall bladder with the aid of a small camera which is inserted into the abdomen via one of a number of small incisions in the abdomen. It is now a relatively common procedure which requires only a short time in hospital.

Gastric balloon

The intragastric balloon, which has been available since the 1980s is designed to provide short–term weight loss therapy. The silicone balloon is placed endoscopically (through the mouth and oesophagus under heavy sedation) and filled with liquid so it partially fills the stomach and creates a feeling of fullness. The maximum time a balloon can be left in place is 6 months, after which it must be removed – the risk of balloon deflation and intestinal obstruction (and therefore possible death) is significantly higher when balloons are left in place longer than 6 months.

Gastric band/lap band

Laparoscopic Adjustable Gastric Banding (LAGB) is purely restrictive weight loss surgery. Restrictive forms of weight loss surgery such as LAGB promote weight loss by limiting food intake and promoting a feeling of fullness (satiety) after meals. The LAGB surgery was developed for bariatric patients who wanted a safer, less complex alternative to gastric bypass surgery.During laparoscopic adjustable gastric banding surgery, two medical devices are implanted into the body

Gastric bypass

Gastric bypass procedures (GBP) are any of a group of similar operations that first divides the stomach into a small upper pouch and a much larger lower "remnant" pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

Hernia Repair (Diaphragmatic)

The diaphragm is a dome-shaped muscular barrier between the chest and abdominal cavities. It separates your heart and lungs from your abdominal organs (stomach, intestines, spleen, and liver). There are two types of diaphragmatic hernia, i.e. congenital and acquired diaphragmatic hernias. Severe breathing difficulties are normally one of the more obvious symptoms. Both congenital and acquired diaphragmatic hernias are surgical emergencies. Surgery must be performed to remove the abdominal organs from the chest and place them back into the abdomen. The surgeon will then repair the diaphragm. The success of such surgeries depends on the cause of this type of hernia and the damage that might have been caused to the lungs.

Hernia repair (epigastric)

An epigastric hernia happens when a weakness in the abdominal muscle allows the tissues of the abdomen to protrude through the muscle. An epigastric hernia is usually present at birth, and may heal without treatment as the infant grows and the abdominal muscles strengthen. An epigastric hernia is similar to a umbilical hernia, except the umbilical hernia forms around the belly button and the epigastric hernia is usually between the belly button and the chest.

Hernia repair (femoral)

Femoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, almost all of them develop in women because of the wider bone structure of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure.

Hernia repair (inguinal)

A hernia is a weakness in the stomach or abdominal wall. There are various forms of treatment - open hernia surgery using a mesh to repair the weakness, and keyhole surgery which may enable you to return to normal activities sooner.

Hernia repair (Laparocscopic Incisional)

A hernia occurs when the abdominal muscle weakens, resulting in a bulge or tear through which tissue can be pressed and cause extreme pain. Laparoscopic techniques require a small incision and the insertion of a camera/tool to repair the hernia through surgical staples and patches. While the incision is minimal and generally performed as an outpatient procedure it requires a general anaesthetic.

Hernia repair (umbilical)

The hernia pouch or sac is the lining of the inside of the tummy wall. It pushes through the weakness at the tummy button. The sac has a fatty covering and inside there may be bowel or fatty tissue called omentum. The sac steadily gets larger and can be painful. The bowel and omentum may get stuck in the sac. Their blood supply can be cut off and the bowel and omentum can strangulate and die. This causes vomiting, great pain and is very serious. Umbilical hernias are very common and easily treated, particularly when small. If treated when they are small, this will prevent strangulation and make the strongest repair.

Hernia Repair - Groin (Inguinal) -Laparascopic (Keyhole Surgery)

A hernia occurs when the abdominal muscle weakens, resulting in a bulge or tear through which tissue can be pressed and cause extreme pain. Laparoscopic techniques require a small incision and the insertion of a camera/tool to repair the hernia through surgical staples and patches. While the incision is minimal and generally performed as an outpatient procedure it requires a general anaesthetic.

Laparoscopic Greater Curvature Plication (LGCP)

There are many types of surgical weight loss procedures. Greater curvature placation is a laparoscopic procedure and involves five or six small incisions in the abdomen, used to sew the stomach together along one of the major folds, reducing the volume of the stomach by up to 70%.

Oesophagus and stomach examination by endoscope (gastroscopy)

Gastroscopy is an examination of the upper digestive tract (the oesophagus, stomach and duodenum) using an endoscope — a long, thin, flexible tube containing a camera and a light — to view the lining of these organs.

Sleeve gastrectomy

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (often with surgical staples) to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible.

Spleen removal

A splenectomy is a surgical procedure that partially or completely removes the spleen. Open surgery is performed in trauma cases or if the spleen is enlarged. Either method is major surgery and is performed under general anesthesia. The spleen is located and disconnected from its arteries. The ligaments holding the spleen in place are dissected and the organ is removed. In some cases, one or more accessory spleens are discovered and also removed during surgery. The incisions are closed and when indicated, a drain is left. If necessary, tissue samples are sent to a laboratory for analysis.

Stomach removal

The malignant cells come from the lining of the stomach wall. At first the cells stay within the lining of the stomach (in-situ carcinoma). Later they spread into the wall of the stomach (invasive cancer), making a deep ulcer. The ulcer can become fixed to the nearby tissues, such as the bowel or liver. Some of the bowel or the liver may need to be removed to clear the tumour.The aim is to remove any malignant tumour with some or all of the stomach. Some of the oesophagus or duodenum may also need to be removed. The nearby lymph glands need to be removed, to see whether there are any malignant cells in them. If so, drug treatment may be needed in the future.

Features

I specialise in...

  • Laparoscopic bariatric surgery
  • Anti reflux surgery
  • LINX implant procedure
  • Oesophageal and gastric diseases
  • Oesophageal and gastric resection and other surgeries on the stomach. 

 

Latest news

How weight loss surgery has evolved

Pioneering LINX surgery to treat heartburn

Pioneering procedure cures chronic heartburn