Point-of-care ultrasound (POCUS) is used during clinical assessment to provide real-time information that can support clinical decision-making. It is particularly useful in evaluating abdominal wall conditions, gallbladder disease, and fluid collections. POCUS complements clinical examination and formal imaging but does not replace radiology-reported ultrasound, CT, or MRI where these are indicated. I hold a Postgraduate Certificate in Medical Ultrasound and use clinician-per

Hepato-Pancreato-Biliary (HPB) surgery involves conditions affecting the liver, pancreas, gallbladder, and bile ducts . These conditions can be complex and often benefit from specialist assessment. Conditions Commonly Assessed Complex gallbladder and bile duct disease Acute and chronic pancreatitis Liver and pancreatic lesions Post-operative complications Complex abdominal pain with unclear diagnosis The Role of a Second Opinion A second opinion can be valuable when: The diag

A hernia occurs when tissue or intestine pushes through a weakness in the abdominal wall. Hernias do not heal on their own and may gradually enlarge over time. Common Types of Hernia Inguinal (groin) Femoral Umbilical Incisional (previous surgical scars) Ventral and complex abdominal wall hernias When Is Hernia Surgery Recommended? Surgery is considered when a hernia: Causes pain or discomfort Interferes with daily activities Is increasing in size Carries a risk of obstructio

Gallbladder surgery (cholecystectomy) is a common and effective treatment for symptomatic gallbladder disease, most often caused by gallstones. Surgery is usually recommended when gallstones begin to cause pain, inflammation, or complications. What Is the Gallbladder? The gallbladder is a small organ beneath the liver that stores bile, which helps digest fats. The body functions normally without a gallbladder, as bile continues to flow directly from the liver into the intesti

The information leaflets linked on this page are produced by the NHS and are provided for general patient education. They are included here to support understanding and do not replace individual clinical assessment or personalised medical advice. Clinical decisions should always be made following consultation with an appropriately qualified healthcare professional. Individualised Care All medical and surgical decisions are based on: Individual symptoms Clinical findings Imagi