Consultant General Surgeon
MBChB, FICMS, MRCP, FRCS
A leading specialist surgeon for over 20 years
English | عربي
Hendon Hospital
London, NW4 1RP
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Trustplus, Northwick Park and St Mark's Hospital
Harrow, HA1 3UJ
Surgical Conditions
What is Gallbladder disease?
The gallbladder is a small organ located under the liver, which stores bileand secretes it into the gut to aid in the digestion of fatty food. There is a wide range of gallbladder diseases, which includes:
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Cholecystitis (inflammation of the gallbladder)
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Gallstones ( of stones within the gallbladder)
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Peri cholecystic abscesses
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Tumour of the gallbladders
Patients typically require a clinical examination, blood tests and ultrasound imaging to make a diagnosis. Surgery may be required to remove the gallbladder - the vast majority of these are performed laparoscopically. Mr Al-Musawi is an expert general surgeon who has performed an extensive range of these surgeries over his career.
What is a Hernia?
A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. In general surgery the most common example is when the intestines may break through a weakened area in the abdominal wall.
Types of hernia:
Inguinal hernias: occur when fatty tissue or a part of the bowel protrudes into the groin at the top of your inner thigh. This is the most common type of hernia.
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Inguinal hernia: occurs when tissue pushes through a weak spot in the groin region
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Femoral hernias: when fatty tissue or part of the bowel protrudes into your groin at the top of the inner thigh.
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Umbilical hernias: occur when fatty tissue or part of the bowel pokes through the tummy near the belly button.
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Hiatus hernias: occur when part of the stomach pushes up into the chest by squeezing through an opening in the diaphragm, the thin sheet of muscle that separates the chest from the tummy.
Other types of hernia:
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Incisional hernias – where tissue pokes through a surgical wound in your tummy that has not fully healed
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Epigastric hernias – where fatty tissue pokes through your tummy, between your belly button and the lower part of your breastbone
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Spigelian hernias – where part of your bowel pokes through your tummy at the side of your abdominal muscle, usually below your belly button
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Diaphragmatic hernias – where organs in your tummy move into your chest through an opening in the diaphragm; this can also affect babies if their diaphragm does not develop properly in the womb
Hernias can be noticed by patients as a swelling or lump in the tummy or groins.
Hernias, even if fully reducible, do not go away on their own and most of time they require surgery to be fixed and to prevent dangerous complications.
Mr. Al-Musawi offers wide options to repair the most common abdominal and groin hernias, including inguinal, femoral, umbilical, epigastric, Spigelian, incisional and recurrent hernias.
What are Haemorrhoids?
Haemorrhoids, also known as piles, are swellings containing enlarged blood vessels that are found inside or around the bottom (the rectum and anus).
Symptoms of haemorrhoids:
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Bleeding after passing a stool (the blood is usually bright red)
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Itchy bottom
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A lump hanging down outside of the anus, which may need to be pushed back in after passing a stool
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A mucus discharge after passing a stool
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Soreness, redness and swelling around your anus
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There are a wide range of treatment options for haemorrhoids, which include rubber banding ligation, injection sclerotherapy, and laser. For more advanced cases, a surgical treatment is recommended.
What is an Anal Fissure?
An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus.
Anal fissure symptoms:
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The most common symptoms of anal fissures are:
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A sharp pain when you poo, often followed by a deep burning pain that may last several hours
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Bleeding when you poo – most people notice a small amount of bright red blood either in their poo or on the toilet paper
What is the treatment for an anal fissure?
Mr. Al-Musawi offers a consultation to select the most appropriate surgical management option.
What is an Anal Fistula?
An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the opening of the bottom (anus).
What is the Treatment For an Anal Fistula?
The main management options include a procedure of cutting open the whole length of the fistula, so it heals into a flat scar. Another option is seton insertion, where a piece of surgical thread, called seton, is inserted in the fistula and left there for several weeks to help it. There are also several non-invasive surgical treatments available. Mr Al-Musawi has extensive experience in treating anal fistulas.
What is a Pilonidal Sinus?
A pilonidal sinus is a small hole or tunnel at the top of your bottom, between your buttocks. Most people with a pilonidal sinus do not notice it unless it becomes infected and causes symptoms.
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An infection will cause pain and swelling at the top of the cleft in your buttocks, and a pus-filled skin abscess can develop.
Surgical management of a pilonidal abscess consists of an incision and drainage of the abscess or an excision of the sinus.