News
Welcome to The Royal London Hospital
Encouraged by new opportunities to focus mainly on his passion for pelvic floor conditions andcomplex benign diseases, Mr Leo has now moved to Barts NHS Trust. He has gained a lot ofexperience while working as a Consultant at St Mark’s and Northwick Park Hospital and he is nowhappy to carry this experience while serving his …
Fellow of European Board of Surgery in Coloproctology (FEBS)
Mr Leo was recently awarded in Munich by the European Society of Colorectal Surgery (ESCP) with one of the highest qualifications in surgery, confirming skills and knowledge in Coloproctology.
Edge Medical laser
Mr Leo now uses the newest Edge Medical laser for non invasive treatments for anal fistula, pilonidal sinus and haemorrhoids. This new gadget with great cost effectiveness is convenient giving great results and better outcome for our patients. Available both in private sector at OneWelbeck, and NHS at London North West Healthcare NHS Trust.
EPSiT: Endoscopic non invasive treatment for pilonidal sinus
This video shows results of our study on EPSiT. A simple negative pressure dressing is added at the end of the procedure minimising the recurrence.
Magazine interview: Piles during Pregnancy
https://theweekendpages.com/samantha-faiers/#1
Welcome to The London Clinic
Started a new adventure at The London Clinic. I couldn’t be more proud of my team and all people who have supported me until this day.
Refining and improving the assessment and treatment of faecal incontinence
AbstractFaecal incontinence (FI) is a common symptom. There are a variety of invasive treatments available, however, the benign nature of this problem and the varying degrees of severity, mean that conservative management is usually pursued first. The aims of this thesis were to investigate: the current practice of continence advisors who deliver conservative management in …
Refining and improving the assessment and treatment of faecal incontinence Read More »
Welcome to OneWelbeck
Mr Leo now operates at OneWelbeck, a specialist hospital for minimally-invasive day surgery and outpatient diagnostics in the heart of Central London. OneWelbeck
Negative pressure‑assisted endoscopic pilonidal sinus treatment
Abstract Background Endoscopic pilonidal sinus treatment (EPSiT) is a novel minimally invasive option for the treatment of pilonidal sinus disease (PSD). To optimise the postoperative wound management after EPSiT, an ultraportable negative pressure wound therapy (NPWT) device was used. The aim of this study was to assess the clinical outcomes of negative pressure-assisted (NPA) EPSiT. …
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THD® Anopress: portable anorectal manometry
This video demonstrates how to use the newer portable manometer THD® Anopress. In this specific case the Anopress was used in an healthy volunteer to better demonstrate normal values.
Early diagnosis and monitoring of OASIS to prevent and delay FI.
This video presentation was given by Mr Alex Leo at the ESCP 2020. The aim was to inform the audience on how early diagnosis and monitoring obstetric anal sphincter injuries (OASIS) may prevent and delay faecal incontinence.
Early Post Partum Gallstone Pancreatitis and fundus first gallbladder dissection
A case report of a young woman having a severe gallstone pancreatitis 2 weeks after an emergency C section. In this video we show brief steps for a laparoscopic cholecystectomy with a fundus first approach and intra operative cholangiogram. Mr Kamran Kurashi & Mr Cosimo Alex Leo London North West NHS University Trust.
Long‐term outcome of sacral nerve stimulation for faecal incontinence
Abstract Aim Sacral nerve stimulation (SNS) is a minimally invasive treatment for faecal incontinence (FI). We report our experience of patients who have undergone SNS for FI with a minimum of 5 years’ follow‐up. This is a single centre prospective observational study with the aim to assess the long‐term function of SNS. Method All patients …
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Initial experience with SphinKeeper™ intersphincteric implants for faecal incontinence in the United Kingdom: a two-centre retrospective clinical audit
Abstract Aim The SphinKeeper™ artificial bowel sphincter implant is relatively new surgical technique for the treatment of refractory faecal incontinence. This study presents the first experience in two UK tertiary centres. Method This is a retrospective audit of prospectively collected clinical data in relation to technique, safety, feasibility and short-term effectiveness from patients undergoing surgery …
General surgery and COVID‑19: review of practical recommendations in the first pandemic phase
Abstract Background In March 2020, the World Health Organization confirmed COVID-19 infection as a pandemic. The absence of previous knowledge of the COVID-19 has made the decision-making difficult including in the surgical departments. The purpose of this report was to review the management recommendations regarding surgical activity and changes to surgical practice, identifying concordances and …
Randomized Pilot Study: Anal Inserts Versus Percutaneous Tibial Nerve Stimulation in Patients With Fecal Incontinence
Abstract Background Anal inserts and percutaneous tibial nerve stimulation may be offered to those with fecal incontinence in whom other conservative treatments have failed. Objective We aimed to compare anal inserts and percutaneous tibial nerve stimulation. Design This was an investigator-blinded randomized pilot study. Settings The study was conducted at a large tertiary care hospital. …
Evaluation of 153 Asymptomatic Subjects Using the Anopress Portable Anal Manometry Device
Abstract Background/Aims The Anopress device is a new portable manometry system. The aim of this study is to formulate normative data using this new device by recording the anorectal function of asymptomatic subjects. Patient comfort was also assessed. Methods Anorectal function was assessed in asymptomatic volunteers using the Anopress. All volunteers were examined in a …
Technical Tips and Tricks of Outpatients Treatments for Hemorrhoids
Abstract Hemorrhoids are a common condition affecting the anorectum. The clinician must accurately diagnose the condition and exclude more sinister causes responsible for the same symptoms. A focused history and thorough examination help in establishing a differential diagnosis. The treatment modality is guided by the degree of the hemorrhoids. Conservative measures should be employed, including …
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A meta-analysis comparing open anterior component separation with posterior component separation and transversus abdominis release in the repair of midline ventral hernias
Abstract Purpose This study aims to compare the outcomes of posterior component separation and transversus abdominis release (PCSTAR) with the open anterior component separation (OACS) technique. OACS, first described by Ramirez et al. (Plast Reconstr Surg 86(3):519-526, 1990), has become an established technique for local myofascial advancement in abdominal hernia surgery. PCSTAR, described by Novitsky …