Treatments provided by Tom Browne

Initial consultation fee: £150

Follow-up consultation fee: £100

Mr Browne offers the full range of surgical treatments for vascular conditions, including aneurysm surgery, carotid artery surgery, varicose vein surgery and surgery for peripheral vascular disease. He is skilled in the latest minimally invasive techniques to treat varicose veins and provides a range of general surgery procedures such as hernia repair and skin lesion removal.

Treatments, operations and tests

Carotid artery surgery

This procedure usually requiresan incision of about 3 inches between the corner of the patient's jaw and the breastbone. This is followed by a small incision along the narrowed section of artery and the fatty deposits that have built up there are removed. The artery is then sealed with a patch or stitches and the incision is also closed with stitches. This procedure is usually performed under a local anaesthetic to allow the surgeon to monitor changes in blodd flow to the brain.

Endovascular aneurysm surgery

In endovascular repair, the aneurysm isn’t removed. Instead, a graft is inserted into the aorta to strengthen it. This is done using catheters (tubes) inserted into the arteries, usually via the grouin. No major chest or abdomen surgery is involved. General anaesthesia is used during this procedure. A catheter is inserted into an artery in the groin (upper thigh) and guided into the aneurysm. Then, using an x-ray to see the artery, the graft (also called a stent graft) is threaded into the aorta to the aneurysm. The graft is then expanded inside the aorta and fixed in place to form a stable channel for blood flow. The graft reinforces the weakened section of the aorta, which helps prevent the aneurysm from rupturing.

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 (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) - Open 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. Surgical intervention uses a single long incision to allow access to the site of the hernia where the bulge can be removed or pushed back into the abdominal cavity and the muscle walls repaired with stitches or patches depending on the size of the rupture.

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.

Skin lesion removal from head or neck

Excision refers to removal of a skin lesion by completely cutting it out. Lesionsare lumps or bumps such as moles, cysts, lipoma’s (fatty lumps). Most are benign (non-cancerous). Excision refers to removal of a skin lesion by completely cutting it out.

Toe nail removal

The aim is to remove the abnormal nail and usually the nail bed too. If the nail only is removed, an abnormal nail will grow from the nail bed again. The way to do this operation depends on the problem. Wth ingrowing toenails only the narrow strips of the nail bed near the skin folds are to be removed. Severely thickened nails require the nail bed to be surgically removed with the help of chemicals.

Varicose ulcer removal

Varicose veins are a frequently occurring condition with up to 40% of women and 25% of men likely to suffer from symptoms such as fatigue, pain and swelling of the lower limbs. Soft tissue breakdown leading to ulceration can result if left untreated. Treatment can take the form of varicose vein surgery, or a new laser treatment for varicose veins, laser ablation, which includes techniques such as EVLT (Endovenous Laser Treatment) and ELVeS (Endolaser Vein System). These new techniques mean that suitable patients can be treated as outpatients, under local anaesthetic in around one hour.

Varicose vein surgery (VNUS Closure)

Removal of varicose veins using VNUS Closure involves a thin catheter being inserted into the vein through a small opening through which radiofrequency (RF) energy is delivered to the vein wall, causing it to heat, collapse and seal shut. Once the diseased vein is closed, other healthy veins take over and transfer blood from the legs. This is usually performed under local anaesthetic and the patiennt can normally walk out of the medical centre within 2 or 3 hours.

Varicose veins - surgery (both legs)

Varicose veins are a frequently occurring condition with up to 40% of women and 25% of men likely to suffer from symptoms such as fatigue, pain and swelling of the lower limbs. Soft tissue breakdown leading to ulceration if it is left untreated.

Varicose veins - surgery (one leg)

Varicose veins treatment are usually performed under a general anaesthetic. The operation usually takes between twenty minutes and two and a half hours. Your surgeon may disconnect the superficial veins from the deep veins in your legs through a cut in your groin or the back of your knee. They will probably make many small cuts along the length of the varicose veins and remove them.

Varicose veins ablation - both legs

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Varicose veins ablation - One leg

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Vascular disease surgery (peripheral)

Vascular surgery bypasses the blocked vein. A vein from another part of your body, or a synthetic graft, is attached to the affected vein. This allows blood to bypass the narrowed part of the vein.

Features

I specialise in...

  • Endovascular aneurysm surgery
  • Carotid artery surgery
  • Surgery for peripheral vascular disease
  • Varicose vein treatments
  • Hernia repair

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