Mrs Aruna Abhyankar | Cardiff Hospital

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Spire Cardiff Hospital

Tel: 02920 735 515

Mrs Aruna Abhyankar

Consultant Paediatric Surgeon

MS, FRCS (General Surgery), MCh, FRCS (Paediatric Surgery)

Specialises in

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I am a consultant paediatric surgeon with a specialist interest in paediatric urology. I have dual accreditation in paediatric surgery in India and the UK, and sub-specialist training of two years in paediatric urology at Great Ormond Street, and Evelina Children's Hospital (St Thomas') after which I returned to Cardiff as consultant.

I am on the specialist register of the GMC for paediatric surgery. I look after patients from 0-18 years of age. I also have been fully trained as a general surgeon which offers me additional awareness of management of paediatric conditions and their lasting legacy into adulthood. In my NHS practice, I perform elective and emergency paediatric surgery at tertiary level complexity.

An ongoing commitment to on call general paediatric surgery is immensely useful to maintain actual skills of complex decision making and management of complications or complicated pathologies. I look after neonates with complex malformations, trauma cases, common acute conditions such as appendicitis, testicular torsion, abdominal pain etc.

The majority of my elective surgical practice is paediatric urology and day case surgery, hernia, orchiopexy and circumcision – to name a few. I have specialist interest in complex hypospadias, management and minimally invasive surgery.

As a consultant, I have developed reconstructive complex hypospadias surgery. No child has required primary transfer elsewhere for this surgery.

For laparoscopic urinary tract surgery, I undertake surgery for implapable testes, pyeloplasty, renal cyst surgery, uretro-uretrostomy, reimplantation and minimally Invasive ACE formation for bowel continence.

I am the bladder service lead which includes consultant-led triage of referrals for patient safety, facilitation and support to nurses for non-invasive tools bladder assessment, reduction in invasive and intrusive investigations, collaborating to develop a Hub and spoke arrangement, re-establishment of transition clinic into adulthood and commencement of prenatal counselling for complex urology pathologies including spina bifida.

I also have independent skills in surgery for complex recto-urethral malformation. I work closely with my nursing and medical colleagues to explore surgical and nonsurgical strategies that best suit the child's needs.

Treatment information

Some of the principal treatments carried out by Mrs Aruna Abhyankar at Spire include:

Paediatrics

Other treatments

Circumcision, foreskin reconstruction
Herniotomy
Laparoscopic assessment /excision/treatment of abdominal or pelvic pathology
Orchiopexy: open and laparoscopic approach
Removal skin/ subcutaneous lumps

Assessment, operative and non-operative management:

Complex incontinence issues, bladder dysfunction
Constipation
Abdominal pain
Urinary tract infection and vesico-ureteric reflux

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Important information about Covid-19 tests

Spire Cardiff Hospital is only able to provide Covid-19 tests to patients undergoing surgery at our hospital. Covid-19 testing or antibody tests are not available as a standalone service.

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Additional information

Clinical interests

Incontinence
Paediatric urology
Urology

Other clinical interests include: minimally invasive surgery, incontinence management including surgery, paediatric urology including prenatal counselling, complex perineal malformations including proximal hypospadias, general paediatric surgery and clinical research.

Qualification and professional memberships

Professional memberships

British Association of Paediatric Surgeons

European Society of Pediatric Urology

International Children’s Continence Society

Research and publications

Clinical research experience:

MS Thesis: Role of Mesh Laparostomy for management of Abdominal Sepsis (and introduction of cost-effective alternative)
MCh Thesis: Role of Diuretic renal scan in management of Antenatal Hydronephrosis
Randomised Trial of wound management after day Case Surgery; Cardiff; 2001-2003: Principal Investigator
Randomised double blind control trial of Intrasphincteric Botulinum Toxin Vs Placebo for management of Idiopathic Constipation: Guy’s and St Thomas’ NHS Foundation Trust: 2003-2005

Active participation in international meetings:

Open discussion at the British Association of Paediatric Urology (BAPU) Conference, September 2019. This was on the topic of: a rare case of posterior urethral valves and duplication of urethra. This child’s diagnosis was unraveled through careful review of history, selective radiology and he will need complex surgery to manage his continence. There are only 10 cases reported in the literature.
Panel discussion and presentation of my technique of laparoscopic assisted Ureteroureterostomy for duplex ureters at the BAPU 2017 conference. It is now being adopted by more centres across the UK, with some good feedback. The approach is significantly less invasive for children and safer.

Medical education:

It is an absolute pleasure to supervise and mentor students and trainees with varied experience and skills. I encourage them to explore the opportunities for self-learning, collaboration and reflections. It is very gratifying to watch them complete projects and receive recognition of the good work they do.

Recent teaching activities:

BAPU Paediatric Urology Course; September 2019, Cambridge, UK.

Adult Urology Viva Course, London, April 2019.