Shepton Mallet NHS Treatment Centre
Shepton Mallet NHS Treatment Centre
Orthopaedics
Anterior cruciate ligament (ACL) reconstruction

ACL reconstruction is a surgical procedure that involves a torn ligament being removed from the knee. A tissue graft is then inserted. The surgery is performed via keyhole or minimally invasive surgery, to reduce scarring and bruising.

Carpal tunnel syndrome

CTS is caused by the compression of the median nerve at the wrist in the carpal tunnel, resulting in pain and numbness in the fingers. It can be treated with steroids, splinting and physiotherapy, and, in severe cases, surgery.

Contracture release (frozen shoulder)

Frozen shoulder is also known as shoulder contracture and is a painful condition that affects shoulder movement. It is caused by the flexible tissue surrounding the shoulder joint becoming inflamed and thickened. Steroid injectionsmay help but in severe cases surgery may be necessary to remove the inflamed tissue.

Dupuytren’s contracture release

Dupuytren's contracture occurs in the hand where the fingers bend towards the palm and cannot be fully straightened. Treatment includes surgery (fasciectomy) to remove the tissue causing the fingers to bend, or an injection to break down this tissue.

Fasciectomy
Another name for the surgery to the hand that is performed to treat Dupuytren's contracture, where the fingers bend towards the palm and can't be fully straightened.
Ganglion cyst removal

A ganglion cyst is a fluid-filled swelling that develops near a joint or tendon, usually on the wrist, hand or fingers. The fluid is either drained out of the cyst using a syringe, or the cyst is removed during surgery.

Ganglions and minor lumps and bumps removal

Lumps like ganglions beneath the skin can be removed if they are causing pain or difficulty with footwear.

Hip revisions
A hip revision, or repeat hip replacement, involves replacing a patient's artificial hip joint if it has become loose, infected or worn out.
Knee arthroscopy

A knee arthroscopy is used to investigate knee problems, including inflammation and injury, or to repair damaged tissue. An arthroscope - a telescope on a long, thin cord - is inserted through small cuts in the skin - enabling the patient to recover faster from surgery.

Knee revisions
This surgical procedure involves replacing a patient's artificial knee joint with a new one. This surgery may also involve the use of bone grafts.
Metacarpal fusion
Minimally invasive foot surgery

Any surgical procedure on the foot that uses the latest technology to make fewer, smaller incisions, resulting in reduced tissue damage and scarring. Cases can often be treated on a day patient basis.

Minor lumps and bumps

Minor lumps and bumps on the hands and wrists, such as cysts, moles and lipomas (benign tumours) are easy to treat via minor surgery on a day patient basis.

Osteotomy

A surgical procedure that involves part of a bone being cut to shorten or realign it. It is sometimes performed as part of bunion surgery or to relieve pain in arthritis cases. It is performed under general anaesthetic.

Patella resurfacing

A surgical procedure to replace the joint surface of the patella. It is usually performed as part of a total knee replacement but may be don ein isolation f the joint surface damage is confined to the patella

Rotator cuff repair
The rotator cuff is a group of muscles closely wrapped around the shoulder that may be damaged through trauma or general wear and tear, causing pain and weakness. During keyhole surgery, the tendon attaching the muscle to the bone is reattached.
Shoulder arthroscopy

This surgical procedure is performed  using keyhole surgery using an arthroscope attached to a video camera. It is used to repair damage caused to the shoulder through trauma, wear and tear or damage to the ligaments and tendons.

Shoulder joint aspiration

If a patient is experiencing pain in a shoulder joint, a needle may be inserted into the joint to remove any fluid build up, and/or to diagnose the problem. This is a quick procedure.

Shoulder joint manipulation

This is performed under general anaesthetic and has been used for many years to treat frozen shoulder. The shoulder is moved through a range of motion to separate adhesions. Anti-inflammatory medication may also be injected into the shoulder.

Shoulder replacement

A surgical procedure involving all or part of the shoulder joint being replaced by a prosthetic implant. This is generally performed to relieve arthritis pain or to fix severe joint damage.

Shoulder stabilisation

This surgical procedure repairs damage done to shoulder cartilage if it has dislocated, helping to re-stabilise the shoulder joint.

Sub-acromial decompression

Surgery on the shoulder that prevents the bones and tendons in the shoulder rubbing against each other when the arm is raised, causing inflammation, pain and reduced movement. Inflamed tissue and bone spurs are removed to open up the joint again.

Tennis elbow
A condition that causes pain around the outside of the elbow, usually caused by overuse of the muscles attached to your elbow and used to straighten your wrist.
Therapeutic injection for joint pain relief

An injection made into the shoulder or elbow joints to ease pain and reduce inflammation caused by any number of conditions. The effects of the injection may last some weeks.

Total Shoulder Replacement

A total shoulder replacement involves the damaged ball and the socket (glenoid) of the shoulder being removed and replaced with artificial components, called a prosthesis.

Total hip replacement

In this surgical procedure, the hip joint is replaced by an implant. It can be performed as a total replacement or a half replacement. Hip replacement is one of the most common orthopaedic operations.

Total knee replacement

Total knee replacement surgery involves the replacing of diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.

Ulnar nerve release
The ulnar nerve goes around the back of the inner side of your elbow and through a tight tunnel between the forearm muscles. Pressure or compression on the nerve can result in numbness in the ring and little fingers, which minor surgery can release.
Uni-knee replacements
Unicompartmental knee replacement (or uni-knee replacement) is an option for patients with osteoarthritis of the knee if their arthritis is confined to a single part or compartment of the knee. (The knee is divided into three major compartments.)
Foot and Ankle Orthopaedics
Ankle arthroscopy

This surgical procedure is performed using keyhole surgery using an arthroscope attached to a video camera. It is used to repair damage caused to the ankle through trauma, wear and tear or through sports injuries.

Bunion removal

A bunion is a painful bony deformity of the joint at the base of the big toe which usually get worse over time. Surgical removal commonly involves part of the toe bone being cut or removed and the bones being realigned.

Claw toe

Tightened ligaments and tendons cause the middle and end joints in the toe to contract, causing the toe joints to curl downwards. This condition is often caused by arthritis. Treatments can include physio, or surgery for severe cases.

Flat foot correction

Flat feet or fallen arches cause the arch, instep or inside of the foot to be flat on the ground when standing - normally it should be raised. Treatment is usually in the form of corrective insoles (orthotics) in shoes. Surgery is rare and usually only if a child has a congential problem and the foot needs straightening.

Ganglion cyst removal

A ganglion cyst is a fluid-filled swelling that develops near a joint or tendon, usually on the wrist, hand or fingers. The fluid is either drained out of the cyst using a syringe, or the cyst is removed during surgery.

Ganglions and minor lumps removal

Lumps like ganglions beneath the skin can be removed if they are causing pain or difficulty with footwear.

Hammer toe

A condition that often occurs with bunions: the toe bends downwards at the middle joint. This usually happens in the second toe and causes the middle toe joint to rise up. Suitable pads, shoes and exercises can treat this condition. Surgery is used to treat severe cases.

Ingrown toe nail

This develops when the edge of the toenail grows down and cuts into the surrounding skin, causing pain, swelling and/or bleeding. Over the counter remedies usually solve the problem. In severe cases surgery is possible to remove some or all of the nail.

Minor lumps and bumps

Minor lumps and bumps on the hands and wrists, such as cysts, moles and lipomas (benign tumours) are easy to treat via minor surgery on a day patient basis.

Stiff big toe

A condition also known as Hallux Rigidus, a form of degenerative arthritis, which causes pain and stiffness in the joint where the big toe meets the foot. Using shoe pads and shoes with plenty of room may help, but surgery may be necessary if pain continues.

Therapeutic injection for joint pain relief

An injection made into the shoulder or elbow joints to ease pain and reduce inflammation caused by any number of conditions. The effects of the injection may last some weeks.

Total ankle replacement

Surgery involves the replacing of diseased or damaged joint surfaces of the ankle with metal and plastic components shaped to allow continued motion of the ankle joint.

General Surgery
Anal fistula

This is a small channel that develops between the end of the bowel (anal canal/back passage) and the skin near the anus. Anal fistulas are painful and can cause bleeding when you go to the toilet. Surgery is common in these cases.

EUA of rectum

Examination under anaesthetic (EUA) of the rectum is a means of examining the colon and anal parts of the body using a special instrument in order to diagnose conditions.

Endoscopy

Endoscopy involves looking inside the body, usually using an endoscope inserted into a hollow organ or cavity of the body.

Excision & drainage of pilonidal sinus

A pilonidal sinus is a small hole in the skin, usually at the top of the cleft of the buttocks, where they separate. If they become infected, an operation is needed to open and drain the abscess in the sinus.

Gallbladder surgery

For patients with painful gallstones, it is recommended that their gallbladders are removed surgically, usually via minimally invasive keyhole surgery.

Hernias

This is where an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. Hernias can occur anywhere in your abdomen, and there are a number of different types.

Laparoscopic cholecystectomy
Laparoscopic cholecystectomy is the surgical removal of the gallbladder using so-called ‘keyhole’ surgery. Recovery is quicker than an open surgical option and patients usually go home on the day of surgery.
Lateral Sphincterotomy

An operation performed on the internal anal sphincter muscle for the treatment of chronic anal fissure. The procedure improves blood supply to the fissure, aiding healing.

Lumps and Bumps

A procedure involving the surgical removal  of small skin cysts or lesions. These are usually performed as a day case, so you can go home afterwards. These are procedures that require your GP to secure funding prior to referral and treatment.

Repair of femoral hernia

A femoral hernia is when fatty tissue, or part of your bowel, pokes through a weak spot in the abdominal wall into the femoral canal, through which blood vessels pass to and from your leg. During surgery, the bulge is pushed back into place, and the abdominal wall is strengthened.

Repair of incisional hernia

An incisional, or ventral, hernia is a bulge that occurs near a prior abdominal sugical incision. Surgical repair corrects the weakened area.

Repair of inguinal hernia (laproscopic and open)

An inguinal hernia is common and occurs mainly in men when fatty tissue or a part of the bowel pokes through a weak spot in the abdominal wall into the inguinal canal, through which blood vessels pass to the testicles. Surgery pushes the bulge back into place and strengthens the abdominal wall.

Repair of recurrent hernia

If a hernia reoccurs it can be more complicated to repair due to scarring from the original surgery. Keyhole surgery is often used in this case to reduce further scarring and damage. Another option is to reopen the old scar and place a mesh over the defect.

Repair of umbilical hernia

Umbilical hernias in adults are common, they result from a weakness in the abdominal wall and usually cause few symptoms. If they become painful or cause problems with activities of daily living, they can be simply repaired using a mesh to close the defect.

Surgery for haemorrhoids

There are various surgical treatments for haemorrhoids (piles), depending on the patient's particular condition. A haemorrhoidectomy, Haemorrhoidal artery ligation or rubber band ligation are some options.

Endoscopy
Colonoscopy

A procedure often used to screen for colon cancer. An endoscope (a very thin, long camera) is passed through the anus to view the large bowel and parts of the small bowel. It also enables polyps to be removed.

Flexible sigmoidoscopy

An examination of the large intestine whereby a flexible endoscope is passed via the rectum through to the furthest part of the colon.

Gastroscopy

An endoscope is used to look into the stomach to diagnose conditions. This is a very common procedure: more than 500,000 are performed by the NHS each year in England alone.

Sigmoidoscopy

An examination of the large intestine using a rigid endoscope. It enables the doctor to look into the rectum and bottom part of the colon.

Gastroenterology
Gallstones

The gallbladder aids in the digestive process by storing and secreting bile. Gallstones, small solids, form in the gallbladder when there's an imbalance in the bile substances. They can be removed using non-surgical as well as surgical interventions.

Lower GI (medical)

The lower gastrointestinal - or GI - tract consists of the colon, rectum and anus. Common conditions of this part of the body include irritable bowel syndrome, colorectal cancer and haemorrhoids.

Upper GI incl Dyspepsia

The upper gastrointestinal - or GI - tract consists of the esophagus, stomach and duodenum. Dyspepsia is a common condition of the upper GI tract as it results from impaired digestion.

Gynaecology
Ablation of endometriosis

This is a surgical treatment for women who have heavy periods whereby most of the womb lining is destroyed using laser, radiofrequency waves or heated water.

Hysteroscopic sterilisation

In this surgical procedure, implants are inserted into the patient's fallopian tubes, causing them to form scar tissue, and eventually to block.

Hysteroscopy

A narrow tube with a telescope at the end is inserted into the uterus, sending images to a computer to give a close-up of the womb. This helps with diagnosis in cases where the patient is experiencing a range of issues, including pelvic pain and infertility. Hysteroscopy can also be used to remove fibroids.

Marsupialisation of cysts

This surgical technique involves cutting a slit into a cyst and suturing the edges so the site remains open and can freely drain.

Menstrual Disorders

A menstrual disorder is an irregular condition in a woman's menstrual cycle, including infrequent or irregular ovulation or particularly short menstrual cycles.

Pelvic Pain

Pelvic pain, whether it comes on suddenly or if it comes and goes over weeks or months, is a reason to see your GP. It may be caused by pelvic inflammatory disease, a urinary tract infection, ovarian cysts or a range of other problems.

Post Menopausal Bleeding

Post-menopausal bleeding is vaginal bleeding that occurs at least 12 months after a woman's periods have stopped. It's advisable to visit your GP to establish the cause, which may be a result of inflammation of the womb. Cancer is also a possibility that must be ruled out.

Vulval and Perineal Lesions

Lesions around the female genitalia can occur at different stages of life and be caused by different conditions from cysts to infections and even cancer. A visit to your GP for tests will help to determine the cause and arrange treatment.

Urology
Circumcision

Male circumcision is the surgical removal of the foreskin, the fold of skin covering the end of the penis. Circumcision is a common practice in the Jewish and Islamic faiths but it is generally believed among the medical community to have no real medical benefit.

Cystoscopy

A procedure used to examine and diagnose problems with the bladder. A cytoscope is inserted into the urethra and moved up into the bladder. The camera on the cytoscope relays images to a screen where they can be viewed by a specialist.

Excision of epididymus

The epididymis is a small organ over the back of each testicle where sperm are stored. A cyst can develop in this area and enlarge with fluid, becoming uncomfortable. The cyst can be removed during surgery under general anaesthetic.

Excision of lesion of scrotum / testes

The surgical removal, or excision, of lesions on the scrotum or testes is performed in order to prevent the spreading of a condition. Tissue can also be removed and tested, aiding in the diagnosis of problems.

Frenuloplasty

This is an operation to release a fold of skin on the underside of the penis in order to prevent pain and discomfort during intercourse.

Hydrocoelectomy

This operation removes fluid that collects around a testicle, called a hydrocoele. Most hydrocoeles are harmless and only need treatment if they become uncomfortable.

Meatoplasty

The surgical altering of the urethral opening to enlarge it.

Prepucioplasty

A plastic surgical operation on the foreskin of the penis to widen a narrow, non-retracting foreskin.

Scrotal surgery

Scrotal surgery can include a range of surgical procedures to correct various conditions, including the removal of hydroceles (fluid pouches around the testicle), epididymal cysts and the repair of varicose veins around the testicle.

Diagnostic Imaging
MRI

Magnetic resonance imaging (MRI) is a type of scan that uses magnetic fields and radio waves to diagnose conditions that affect tissue and bone in any part of the body. The patient lies inside the scanner - a large tube - while the scan takes place.

Ultrasound

An ultrasound scan builds up a picture of part of the inside of the body using sound waves that cannot be detected by a human ear. A small, hand-held sensor is pressed carefully against the skin surface above the area to be viewed.

X-rays

X-rays are used by medical professionals to image various parts of the human body to aid diagnosis. Diagnostic X-rays are a controlled form of radiation which are able to pass through the body recording an image on a light-sensitive detector or computer screen.

Ear, Nose and Throat
Adenoidectomy

This is a quick operation to remove the adenoids, small lumps of tissue located above the tonsils. Adenoids are part of the immune system and are only present in children. They may need to be removed due to infection or allergies.

Diagnostic endoscopic exam nasopharynx

This procedure uses a long, thin, flexible tube with a light source and a video camera at one end to analyse and diagnose conditions of the area where the nose and throat connect.

Excision lesion of external ear

A procedure involving the complete surgical removal of a lump or bump from the external ear. Skin lesions may be removed if they are cancerous - to avoid the spread of the cancer - or to aid diagnosis of a condition.

Excision of lesion of mouth / palate

Lesions in the mouth are common in adults. They may be caused by a number of factors, including tobacco use, alcohol consumption or vitamin deficiency. They may be removed if they are cancerous or uncomfortable.

Excision of lesion of septum of nose

The septum is the fleshy external end of the nose. Lesions may be caused by a range of conditions, including trauma, infection or tumours. Removing the lesion aids biopsy or may also be performed for cosmetic reasons.

Excision submandibular gland

The submandibular glands are salivary glands located beneath the floor of your mouth. They may need removing (under general anaesthetic) if there's a growth in the gland or a blockage in the salivary duct.

Functional Endoscopic Sinus Surgery (FESS)

FESS is used to treat severe problems with the sinusus - the air-filled spaces in the bones of the face and head. The surgery is all done inside the nose while the patient is under general anaesthetic.

Intranasal Ethmoidectomy

This procedure treats infections in the sinus cavities between the eyes and along the sides of the nose. Surgical tools are used that enter the body through the nose and any infected tissue or bone is removed.

Microlaryngoscopy

A procedure that enables examination, under general anaesthetic, of the larynx or voice box. Voice, swallowing or breathing problems may lead to this procedure being necessary.

Mini FESS / Ethmoidectomy

A minor version, often used on children, of functional endoscopic sinus surgery (FESS) which is used to treat severe problems with the sinuses. The surgery is all done inside the nose while the patient is under general anaesthetic.

Myringotomy & Grommet

A procedure whereby a tiny cut is made in the ear drum to relieve built up fluid in the middle ear. If thick fluid is present, a tiny plastic tube - a grommet - is placed in the hole to allow air to pass through, drying up any fluid.

Nasendoscopy

An investigative technique where a flexible telescop is used to look inside the spaces in the body. It looks into the nasal space to analyse from above how the palate is working during speech and swallowing.

Operation on frontal sinus

This procedure is used on patients with acute frontal sinusitis. I can prevent life-threatening complications when the infection is unresponsive to maximal medical treatment.

Polypectomy of internal nose

Nasal polyps can arise due to chronic nasal and sinus infection. They aren't cancerous and can be removed via a polypectomy.

Septoplasty

A quick surgical procedure to straighten the nasal septum - the partition between the two cavities - to improve airflow. The surgery can take place under local or general anaesthetic.

Septorhinoplasty

An operation to improve the appearance of your nose and how you breathe through it. The bones and cartilage that give your nose shape are operated on, as is the septum, the cartilage and bone that divides the nostrils.

Tonsillectomy

A tonsillectomy is recommended after several frequent attacks of tonsillitis. The tonsil/s is removed under general anaesthetic, either using heat or by cutting.

Turbinectomy

A procedure to remove some or all of the turbinate bones in the nose to help relieve nasal obstruction.

Ophthalmology
Cataract surgery

One of the most common and quickest forms of surgery, cataract surgery involves the removal of cloudy patches in the lens of the eye which make the vision blurred or misty.

Oculoplastics

This term covers a wide range of surgical procedures that deal with the eye socket, eyelids, tear ducts and face. It also deals with the reconstruction of the eye and its associated structures.

Pain Management
Therapeutic epidural injections

This is a minimally invasive, temporary procedure that helps to relieve neck, arm, back and leg pain caused by inflamed spinal nerves.

Our news

A token of our admiration to celebrate International Nurses Day

A token of our admiration to celebrate International Nurses Day

May 12 2017

Nurses at Shepton Mallet NHS Treatment Centre have received a thank you card and a special token to celebrate International Nurses Day.

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“Outstanding” rating - national first for Shepton Mallet NHS Treatment Centre

“Outstanding” rating - national first for Shepton Mallet NHS Treatment Centre

May 9 2017

Shepton Mallet NHS Treatment Centre has been rated ‘Outstanding’ by the Care Quality Commission (CQC) in a newly published inspection report - putting the centre at the very top of the regulator’s quality ratings across England.

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On your marks, get set….

On your marks, get set….

May 8 2017

It’s the season when folk start donning their trainers and pounding the roads. Whether it is a fun run or full marathon, or if it is your first time or you are an experienced runner, preparation is key. Arun Alex, Physiotherapy Manager at Shepton Mallet NHS Treatment Centre, offers his advice.

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Daily web diary extols benefits of knee surgery

Daily web diary extols benefits of knee surgery

April 27 2017

For many people going to hospital for a knee replacement operation means recovering from surgery, being cared for by hospital staff and doing what the physiotherapist tells you to do – but for one Yeovilton man it also provided the opportunity to write a daily account of his treatment for his web site.

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