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If
you would like to seek further advice from a specialist consultant, you
must consult your General Practitioner first and ask him/her to
refer you. You should not approach the consultant directly.
The following hospital
Trusts have consultants who have specialist skills in caring for patients
with pectus deformities. This
list is compiled by city or town.
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| Consultant |
Mr
D Parikh MS FRCS, Consultant Paediatric Surgeon |
| Hospital |
The
Childrens Hospital, Steelhouse Lane
Birmingham B4 6NH
Tel: 0121 333 8083 |
| Age
of Patient |
Paediatric |
| No
of patients seen / year |
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| No
of operations / year |
|
| Type
of operation |
Nuss
procedure |
| Comments |
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| Consultant |
Consultant
Cardiothoracic Surgeon |
| Hospital |
Department
of Thoracic Surgery, Bradford Hospital,
Bradford Royal Infirmary, Duckworth Lane
Bradford BD9 6RJ |
| Age
of Patient |
Adult |
| No
of patients seen / year |
12 |
| No
of operations / year |
6 |
| Type
of operation |
Limited
excision supported by Harefield Pattern bar |
| Comments |
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| Consultant |
Mr
Morgan, Consultant Thoracic Surgeon |
| Hospital |
Bristol
Royal Infirmary & the Bristol Royal Hospital for Sick Children,
Bristol BS2 8HW |
| Age
of Patient |
Adults
and paediatrics |
| No
of patients seen / year |
35-40 |
| No
of operations / year |
25-30 |
| Type
of operation |
Modified
Ravitich without bar |
| Comments |
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| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
Papworth
Hospital, Papworth Everard
Cambridge CB3 8RE |
| Age
of Patient |
Aged
16 and over |
| No
of patients seen / year |
|
| No
of operations / year |
5-8 |
| Type
of operation |
Ravitich |
| Comments |
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| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
University
Hospital of Wales, Heath Park
Cardiff CF14 4XW |
| Age
of Patient |
Adult |
| No
of patients seen / year |
12-15 |
| No
of operations / year |
3-4 |
| Type
of operation |
Robicek
technique |
| Comments |
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| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
Lothian
University Hospital NHS Trust, Royal Infirmary Edinburgh, Lauriston
Place, Edinburgh EH3 9YW |
| Age
of Patient |
Adult |
| No
of patients seen / year |
6-8 |
| No
of operations / year |
2-3 |
| Type
of operation |
Modification
of several techniques using bar for support |
| Comments |
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| Consultant |
Consultant
Thoracic Surgeon |
| Hospital |
Royal
Devon & Exeter NHS Trust, Barrack Road, Exeter
Devon EX2 5DW |
| Age
of Patient |
Adult |
| No
of patients seen / year |
6-8 |
| No
of operations / year |
3-4 |
| Type
of operation |
Robicek's
repair with mesh 'hammock' |
| Comments |
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| Consultant |
Mr
D.C.G. Crabbe, MD FRCS, Consultant Paediatric Surgeon |
| Hospital |
Clarendon
Wing, Leeds General Infirmary, Leeds LS2 9NS
Tel: 0113 392 5077, Fax: 0113 392 6609
Email: dc@dcrabbe.freeserve.co.uk |
| Age
of Patient |
Paediatric |
| No
of patients seen / year |
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| No
of operations / year |
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| Type
of operation |
Nuss
procedure |
| Comments |
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| Consultant |
Consultant
Thoracic Surgeon |
| Hospital |
The
General Infirmary at Leeds, Great George Street, Leeds, West
Yorkshire LS1 3EX |
| Age
of Patient |
Adult |
| No
of patients seen / year |
12 |
| No
of operations / year |
12 |
| Type
of operation |
Ravitich |
| Comments |
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| Consultant |
Professor
D.A. Lloyd MChir, FRCS, Consultant Paediatric
Surgeon
Mr R Franks, Consultant Cardiothoracic Surgeon |
| Hospital |
Alder
Hey Childrens Hospital, Eaton Road,
Liverpool L12 2AP
Tel: 0151 252 5250 |
| Age
of Patient |
Paediatric |
| No
of patients seen / year |
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| No
of operations / year |
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| Type
of operation |
Nuss
procedure |
| Comments |
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| Consultant |
Mr
E.M. Kiely FRCS, Consultant Paediatric Surgeon |
| Hospital |
Great
Ormond Street Hospital for Sick Children, Great Ormond Street, London,
WC1N 3EH
Tel: 020 7405 9200 |
| Age
of Patient |
Paediatric |
| No
of patients seen / year |
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| No
of operations / year |
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| Type
of operation |
Nuss
procedure |
| Comments |
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| Consultant |
Consultant
Cardio-thoracic Surgeon (two) |
| Hospital |
Great
Ormond Street Hospital for children NHS Trust, Great Ormond Street,
London, WC1N 3JH |
| Age
of Patient |
Paediatric |
| No
of patients seen / year |
120 |
| No
of operations / year |
12-25 |
| Type
of operation |
WADA
sternal turnover for pectus carinatum and Nuss for excavatum |
| Comments |
Numbers
increasing as Nuss procedures develop |
| Consultant |
Mr
Dussek, Consultant Thoracic Surgeon |
| Hospital |
Guy's
Hospital, St Thomas Street, London SE1 9RT |
| Age
of Patient |
Adult |
| No
of patients seen / year |
20 |
| No
of operations / year |
8-10 |
| Type
of operation |
Modified
Ravitich using bar |
| Comments |
Patients
are referred from Marfan Association |
| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
Kings
College Hospital, Denmark Hill, London SE5 9RS |
| Age
of Patient |
Adult |
| No
of patients seen / year |
1-2 |
| No
of operations / year |
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| Type
of operation |
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| Comments |
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| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
St.
Bartholomew's & The London NHS Trust, West Smithfield, London
EC1A 7BE |
| Age
of Patient |
Adult |
| No
of patients seen / year |
Approx.
30 |
| No
of operations / year |
Approx.
6 |
| Type
of operation |
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| Comments |
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| Consultant |
Mr George Ladas FRCS FETCS, Consultant Thoracic Surgeon |
| Hospital |
Royal
Brompton and Harefield NHS Trust, Sydney Street
London, SW3 6NP |
| Age
of Patient |
Adult and Paediatric |
| No
of patients seen / year |
10-15 |
| No
of operations / year |
6-8 |
| Type
of operation |
Nuss procedure (also in adults), Modified Ravitch |
| Comments |
Also
re-do procedures, correction of Pectus carinatum and complex deformities |
| Consultant |
Consultant
Cardio-thoracic Surgeon (four) |
| Hospital |
Manchester
Heart Centre, The Royal Infirmary
Manchester M13 9WL |
| Age
of Patient |
Adult
and Paediatric |
| No
of patients seen / year |
|
| No
of operations / year |
30-40 |
| Type
of operation |
Modified
Ravitich |
| Comments |
Each surgeon
has their own modified technique |
| Consultant |
Consultant
Cardio-thoracic Surgeon |
| Hospital |
South
Manchester University Hospitals NHS Trust, Wythenshawe Hospital, Southmoor
Road, Wythenshawe, Manchester M23 9LT |
| Age
of Patient |
Adult |
| No
of patients seen / year |
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| No
of operations / year |
4 |
| Type
of operation |
Ravitich |
| Comments |
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| Consultant |
Mr
Wallis, Consultant Cardio-thoracic Surgeon |
| Hospital |
Cardiothoracic
Unit, South Cleveland Hospital, Marton Road, Middlesborough,
Cleveland TS4 3BW |
| Age
of Patient |
Adult |
| No
of patients seen / year |
3-4 |
| No
of operations / year |
1-2 |
| Type
of operation |
Ravitich |
| Comments |
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| Consultant |
Consultant
Thoracic Surgeon & Consultant Cardio-thoracic Surgeon |
| Hospital |
The
Newcastle Upon Tyne Hospital NHS Trust, The Freeman Hospital, High
Heaton
Newcastle Upon Tyne, NE7 7DN |
| Age
of Patient |
Adult |
| No
of patients seen / year |
9
(Thoracic Consultant) |
| No
of operations / year |
5-7
(Thoracic Consultant), 2-3 (Cardio-thoracic
Consultant) |
| Type
of operation |
Modified Ravitich
with Marlex Mesh (Thoracic Consultant)
Ravitich
with bar (Cardio-thoracic Consultant)
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| Comments |
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| Consultant |
Mr Leslie Hamilton, Consultant Paediatric Cardiothoracic Surgeon |
| Hospital |
The
Newcastle Upon Tyne Hospital NHS Trust, The Freeman Hospital, High
Heaton
Newcastle Upon Tyne, NE7 7DN |
| Age
of Patient |
up to 16 years (and adults with congenital heart disease) |
| No
of patients seen / year |
15 – 20 with abnormal chest shape |
| No
of operations / year |
5 – 10 for chest wall abnormalities |
| Type
of operation |
programme
for Nuss procedure started 2004
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| Comments |
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| Consultant |
Mr.
Wyn Parry, Consultant Thoracic Surgeon
Dr. Marc van Leuven, Consultant Thoracic Surgeon
Both consultant thoracic surgeons have an interest in pectus and other
chest wall deformities. |
| Hospital |
Thoracic
Surgical Unit, Norfolk and Norwich University Hospital, Colney Lane
Norwich NR4 7UZ |
| Age
of Patient |
Adult
& paediatric |
| No
of patients seen / year |
10-15
but increasing |
| No
of operations / year |
6-8 |
| Type
of operation |
Ravitch
with and without bar
Nuss procedure |
| Comments |
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| Consultant |
Consultant
Thoracic Surgeon |
| Hospital |
Nottingham
City Hospital, Hucknall Road
Nottingham NG5 1PB |
| Age
of Patient |
Adult |
| No
of patients seen / year |
20-25 |
| No
of operations / year |
10 |
| Type
of operation |
Modified
Ravitich procedure, Nuss procedure |
| Comments |
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| Consultant |
Consultant
Plastic Surgeon |
| Hospital |
Department
of Plastic & Reconstructive Surgery, Radcliffe Infirmary, Woodstock
Road, Oxford OX2 6HE |
| Age
of Patient |
Adult |
| No
of patients seen / year |
15 |
| No
of operations / year |
5-7 |
| Type
of operation |
Modified
Ravitich and implant corrections |
| Comments |
Only
referrals for NHS treatment will be accepted, and only on receipt
of a GP letter with full background information on the patient. Treatment
will also be subject to prior approval having been obtained for treatment
on an NHS basis by the relevant funding PCT (ie, the locality of the
patient, not Oxford). Patients for private treatment will not be accepted. |
| Consultant |
Mr
Roger Vaughan, Consultant Thoracic Surgeon |
| Hospital |
Northern
General Hospital, Herries Road, Sheffield S5 7AU |
| Age
of Patient |
Adult
and paediatric |
| No
of patients seen / year |
|
| No
of operations / year |
8-10 |
| Type
of operation |
Nuss
in adults and children or Ravitich |
| Comments |
also
operates with a paediatric surgeon |
| Consultant |
Mr
Sean Marven, Consultant paediatric thoracic surgeon |
| Hospital |
Sheffield
Children's Hospital,
Sheffield S10 2TH
Email sean.marven@sch.nhs.uk
Tel 0114 2267918 |
| Age
of Patient |
Up
to 19 years of age |
| No
of patients seen / year |
>20
patients per year seen |
| No
of operations / year |
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| Type
of operation |
MIRPE thoracoscopic Nuss bar inserted |
| Comments |
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| Consultant |
Mr
Wheeler, Consultant Paediatric and Neonatal
Surgeon
Mr Weeden, Adult Thoracic Surgeon |
| Hospital |
Southampton
General Hospital, East Wing, Tremona Road,
Southampton SO16 6YD |
| Age
of Patient |
|
| No
of patients seen / year |
120 |
| No
of operations / year |
10-15
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| Type
of operation |
Modified
Ravitich for adults, Nuss for paediatrics |
| Comments |
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