Snowberry LaneMelkshamWiltshire, SN12 6UNTel: 01225 709311
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Carpal Tunnel syndrome (CTS) is a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers. Usually these sensations develop gradually and start off being worse during the night. They tend to affect the thumb, index finger and middle finger.
The median nerve passes through a tight space at the wrist called the carpal tunnel - occassionally it becomes compressed in this tunnel. Some settle with splinting, others with tablets and others following a steriod injection into the tunnel itself. However, when symptoms persist despite these medical measures, it is necessary to decompress the nerve surgically.
This will be done under a local aneasthetic taking approximately 30 minutes to 1 hour in total.
We carry out patient satisfaction questionnaires pre-operatively, on operation day and 3 months post-operatively.
We pride ourselves on providing a personal approach with flexibility to accommodate patient's requirements regarding both dates and times. We can offer a first assessment appointment within 2-4 weeks of referral, with the operation just 2-4 weeks after and follow up 2 weeks later.
Pre operative instructionswebsite/J83046/files/Pre op CARPAL TUNNEL Info Sheet.pdf
Post operative instructionswebsite/J83046/files/carpal dressing letter.pdf
Vasectomy is a simple operation which makes a man sterile. A man produces sperm in his testicles. The tubes which carry the sperm from the testicles up to the penis are cut and blocked during the operation so that the sperm cannot get into the semen (the fluid released when a man reaches a climax or ‘comes’).
We have 2 fully trained surgeons who have successfully carried out in excess of 1500 procedures since August 2008. Our success rate is 99.5%.
Our vasectomy surgeons are members of the British Association of No Scapal Vasectomies Surgeons. They attend the annual conference with surgeons from all over the country and present our audit findings at this time.
We pride ourselves on providing a personal approach, with the flexibility to accommodate patients' requirements regarding both dates and times. Our average wait time for an appointment is 2-6 weeks and all patients are offered pre-admission counselling appointments.
The Vasectomy surgeon starts by putting an injection of local anaesthetic into the skin of the scrotum near the tubes. When this has taken effect he will make a small puncture wound in the skin so he can reach the tubes, cut each one and close the ends. No stitches are needed with the no-scalpel technique therefore the skin is allowed to close naturally.
We hope you will have received sufficient information from your GP regarding the procedure. Ideally you should have been made aware that:
What you need to know:
website/J83046/files/Letter small child.pdf
website/J83046/files/Prostate research letter.pdf
website/J83046/files/Vasectomy - What you need to know.pdf
website/J83046/files/Vasectomy information - No scalpel technique.pdf
website/J83046/files/Pre_Post Op InstructionsNEW.pdf
Spa Medical Centre has been carrying out excision/biopsy of lumps and bumps since 2004. We offer a one stop shop for minor operations.
Dr R Gabriel and Dr F Armstrong are both practicing general practitioners with a specific interest in dermatology and minor surgical procedures. Sister Debbie Todd is a Surgical Specialist Nurse who qualified in 2006.
We offer a wide range of skin surgery procedures including excision of some skin cancers to people in the Wiltshire area. We accept referrals from Wiltshire GP practices and Consultant Dermatologists from all the neighbouring hospitals. The following list covers what we can accept as referrals with regards to GPwSI minor skin surgery lumps and bumps and non-melanoma skin cancers.
We are able to accept referrals for low risk Basel Cell Carcinomas that fulfil the following criteria:
o Patient is 24 years and over.
o Less than 1cm in diameter on the head and neck above the collar bone.
o Below collar bone and less than 2cm.
o We are unable to accept referrals for BCCs on the nose, lips, ears and close to the eye.
o Not had a previous BCC at exactly the same site (ie we cannot accept recurrence of Basal Cell Carcinoma)
o Squamous Cell Carcinomas and Melanomas should obviously be directed to the appropriate Secondary Care Specialist. For practicable purposes this usually means the Dermatologists, Plastic Surgeons, Ear Nose and Throat or Oculoplastic Surgeons.
o We can occasionally make exceptions for the very elderly and nursing home patients in whom a trip to a major hospital would be difficult.
All our procedures are carried out under local aneasthetic, so please eat and drink normally on your operation day. Due to health and safety policy and procedures we are unable to have children in the theatre room. If the procedure you are having is for an ingrowing toenail please ensure a representative drives you to and from the surgery. Similarly if the procedure is near to the eye please again ensure a representative drives you. Please note that you are also unable to drive for 2 days following an ingrowing toenail procedure.
website/J83046/files/Advice following aspiration of Ganglion.pdf
website/J83046/files/Advice following Chalazion.pdf
website/J83046/files/Advice following excision of a Biopsy.pdf
website/J83046/files/Advice following excision of a Lesion.pdf
Our surgical co-ordinators, managed by Helen Clarke will be happy to help with any referrals or queries.
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