Background

A vascular surgeon with a strong academic background specialising in venous diseases. In 1999 he performed the first endovenous operation in the UK and in 2001 he invented the transluminal occlusion of perforators (TRLOP) operation for incompetent perforating veins.

He set up his clinic as a centre of excellence for varicose veins, venous leg ulcers, pelvic congestion syndrome and other venous diseases and was appointed visiting Professor at University of Surrey in 2013.

He has published over 100 peer-reviewed research papers and a book on venous diseases. His research team has been awarded multiple international and national prizes for research into venous disease.

He runs the College of Phlebology and the Leg Ulcer Charity.

Training

• Undergraduate: St Bartholomew’s Hospital, London 1981-1986
• Demonstrator in Human Anatomy: St. Bartholomew’s Hospital Medical School, London 1987-1988
• SHO Surgical Rotation: Bristol and South West Surgical Rotation 1989-1990
• Registrar Surgical Rotation; Portsmouth Hospitals 1991-1992
• Research Fellow / Honorary Lecturer in Vascular Surgery: Royal United Hospital and University of Bath 1992-1994
• Lecturer in Vascular Surgery: University of Oxford 1995-1998

Clinical interests and areas of expertise

• Varicose veins of the legs – especially complex or recurrent varicose veins. He gets asked for many second opinions from patients who have had unsuccessful varicose vein treatments elsewhere. Having introduced endovenous surgery into the UK in 1999, he has a huge experience in the treatment of veins and correcting what has gone wrong elsewhere. He is recognised as an international expert in this area.
• Pelvic congestion syndrome – he started treating pelvic congestion syndrome and pelvic varicose veins (including vulval and vaginal varicose veins) in 2000. His team has published many papers in this area and are recognised as international leaders in the diagnosis and treatment of pelvic venous reflux and pelvic congestion syndrome.

Research interests

Latest research presentations and publications include:

• 15 year outcomes from endovenous surgery for varicose veins
• The action of endovenous laser, radio-frequency and foam sclerotherapy on the vein wall indicating which technique should be used for which vein for optimal results during venous leg therapy by endovenous surgical techniques
• Diagnostic imaging of pelvic veins for pelvic venous congestion, pelvic venous reflux and pelvic venous obstruction