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About Us

Welcome to my website!

I am Dr. Georgios Georgiou, a Consultant General Surgeon and Proctologist trained in Germany. Together with my dedicated team, I am committed to delivering exceptional surgical care with a focus on safety, accuracy, and compassion. We understand that medical visits often raise questions or concerns, which is why we prioritize clear, personalized communication. We take the time to explain every step of the process thoroughly, ensuring you feel comfortable, informed, and confident from the very first consultation.

Whether you are here for a routine check-up or a surgical procedure, our mission is to provide you with the highest quality care, customized to your individual needs, utilizing the most advanced techniques and modern technology.

Thank you for trusting us with your health. We are here to support you every step of the way.

Biography

International experience, modern techniques ,
personalized care.

Dr. Georgios Georgiou was born and raised in Limassol, Cyprus. In 2002, he graduated from Laniteio Lyceum A’ and, after completing his military service, was accepted in the Medical School of the University of Debrecen in Hungary. He completed his studies within the prescribed time, distinguished for his academic performance, and in 2010 he obtained his Doctor of Medicine degree.

After completing his medical studies, Dr. Georgiou moved to Germany, where he began his specialization in General Surgery. He initially worked at the Department of General and Gastrointestinal Surgery at Brüderkrankenhaus St. Josef in Paderborn, and subsequently at the Department of Thoracic, General, and Gastrointestinal Surgery at Städtisches Klinikum in Solingen. In 2018, following successful completion of the official specialty examinations, he was awarded the title of Specialist in General Surgery by the Medical Association of North Rhine-Westphalia (Ärztekammer Nordrhein-Westfalen).

Subsequently, he served as a Senior Registrar (Consultant Surgeon) at the Department of General, Gastrointestinal, and Oncological Surgery at Sana Krankenhaus Gerresheim in Düsseldorf. During this period, he developed a strong interest in Proctology, with a particular focus on the diagnosis and surgical management of anal diseases. As a recognition of his expertise, he was awarded the title of Specialist in Proctology by the Medical Association of North Rhine-Westphalia (Ärztekammer Nordrhein-Westfalen) in 2021. Additionally, he served as a surgical trainer, imparting his expertise to the clinic’s resident physicians.

Shortly before the end of 2022, Dr. Georgiou returned to his hometown, and since early 2023, he has maintained his private practice in Limassol. Since October 2023, he has been an external associate of the Ygia Polyclinic Private Hospital, where he performs a significant number of laparoscopic and proctological surgeries, applying the most modern surgical techniques.

During his twelve-year training and work experience in Germany, Dr. Georgiou specialized in the most modern and advanced methods of treating diseases in his field, such as laparoscopic (minimally invasive) surgery. He has conducted numerous surgeries, both open and laparoscopic, on patients with cancer or other conditions of the large and small intestine, as well as surgeries on patients with proctological diseases and conditions from the entire spectrum of general surgery, such as abdominal wall hernias and gallbladder diseases.

Dr. Georgiou has participated in numerous surgical and proctological conferences in Germany and internationally, enriching his knowledge and practical skills. He holds certified qualification for performing ultrasound in parts of the trunk, chest, and abdominal region from the German Ultrasound Society (DEGUM – Deutsche Gesellschaft für Ultraschall in der Medizin), as well as emergency medicine certification (Fachkunde Rettungsdienst) from the Medical Association of Westphalia-Lippe (Ärztekammer Westfalen-Lippe).

Dr. Georgiou is a member of the German Medical Association (Ärztekammer Nordrhein-Westfalen), the German Surgery Association (Berufsverband der Deutschen Chirurgie), the Cyprus Medical Association, the Hellenic Society of Coloproctology, and the European Hernia Society.

Diseases – Surgeries

Diseases – Surgeries

Hemorrhoids

Hemorrhoids are vascular structures in the anal canal that help control continence. They consist of arteries and veins and can become symptomatic when enlarged or inflamed. Common symptoms include painless bleeding during defecation, itching, skin irritation, discomfort, and, in advanced cases, prolapse of hemorrhoidal tissue outside the anus. Hemorrhoids rarely cause pain.

Treatment depends on the symptoms and the degree of the disease and may be conservative (pharmaceutical) or surgical. Surgical treatment options include Rubber Band Ligation, Laser Hemorrhoidoplasty, doppler-guided Hemorrhoidal Artery Ligation with Recto-Anal Repair (HAL-RAR), and traditional hemorrhoidectomy with ultrasound scissors (e.g. Milligan-Morgan procedure).

Anal Fissure

An anal fissure is a longitudinal tear in the mucous lining of the anal canal. It typically causes severe pain during and after bowel movements, often described as a burning sensation, which can last from minutes to hours. Bleeding during defecation is also common. The pain and bleeding are often mistaken for hemorrhoidal disease. Additionally, a feeling of “tightness” due to sphincter muscle spasm may occur.

Treatment options include conservative measures (such as topical medications) or surgical intervention like Botulinum toxin (Botox) injection into the sphincter muscle, fissurectomy, or advancement flap.

Anal Abscess

An anal abscess is a collection of pus that forms near the anus or within the anal sphincter muscles as a result of an infection. It usually causes a painful swelling in the area around the anus, with the skin being hard, red, and warm. More rarely, it may be accompanied by fever or pus discharge from the anus. If an anal abscess is left untreated, there is a high probability of anal fistula formation, making treatment more complicated.

An anal abscess must always be drained surgically

Anal Fistula

An anal fistula is an abnormal channel between the anal canal and the skin around the anus, often arising from an untreated anal abscess. Rarely, it can be associated with inflammatory conditions like Crohn’s disease. Symptoms include discomfort in the anal area, discharge of foul-smelling fluid from the external skin opening of the fistula, itching, and irritation of perianal skin. Surgical intervention is essential, as it is the only definitive treatment for an anal fistula.

The most prevalent surgical methods used for the treatment of anal fistulas are Seton placement, Ligation of Intersphincteric Fistula Tract (LIFT), Video-Assisted Anal Fistula Treatment (VAAFT), and Fistulectomy.

Genital Warts (condyloma acuminata)

Condyloma acuminata are benign growths caused by human papillomavirus (HPV), the most common sexually transmitted infection. They appear as small, skin-colored or pigmented protrusions or clusters, of various sizes and shapes in the perianal area and inside the anal canal. The most common symptoms are itching and a burning sensation in the anal area, while sometimes they may bleed. If left untreated, condylomas can grow and multiply, potentially covering large areas. In some cases, they may even progress to cancer.

Treatment options include surgical excision (removal) or destruction with the use of Laser.

Skin Diseases of the Perianal Area (Perianal Dermatoses)

Various skin conditions can affect the perianal region, resulting in symptoms such as itching (pruritus ani), redness, pain, and discomfort. These conditions may be caused by infections (bacterial, viral, fungal, or parasitic), irritants (such as chemical agents and diarrhea), or underlying skin diseases like psoriasis, atopic dermatitis (eczema), contact dermatitis, lichen sclerosus, or lichen planus. Additionally, proctological diseases – including hemorrhoid disease, fistulas and fissures – can also cause skin irritation in this area.

Proper diagnosis and tailored treatment are essential to effectively manage these varied conditions and alleviate symptoms.

Anal Vein Thrombosis

Anal vein thrombosis, commonly known as thrombosed external hemorrhoid, occurs when a blood clot forms in the veins surrounding the anus. This condition often presents with sudden, intense pain and a firm, bluish lump in the anal area. It is frequently triggered by straining during bowel movements. Other common causes include prolonged sitting, heavy lifting, and pregnancy.

In most cases, anal vein thrombosis can be effectively managed with conservative treatments. However, if the pain becomes severe or unmanageable, a minor procedure may be indicated to remove the clot or the affected vein, providing rapid and significant pain relief.

Anal Cancer

Anal cancer is relatively rare, accounting for approximately 1-2% of all gastrointestinal cancers. Most cases are associated with HPV infection.

Treatment depends on the stage and location of the tumor and may include radiotherapy, chemotherapy and surgery.

Frequently asked questions

Surgery is usually recommended for hemorrhoids that cause persistent symptoms that do not improve with conservative treatments.
Most patients recover within one to two weeks. However, complete healing can take longer depending on the extent of the procedure.
Yes, hemorrhoids can reappear, especially if proper habits are not maintained.
Maintaining a high-fiber diet, staying well-hydrated, avoiding straining during bowel movements, avoiding prolonged periods on the toilet, and exercising regularly can significantly reduce the risk of hemorrhoid development or recurrence.
Surgery is usually indicated when an anal fissure does not heal despite conservative treatment such as dietary modifications, stool softeners, and topical medications.
Preparation typically involves bowel cleansing with an enema and fasting before the procedure.
The duration of hospital stay after a proctological surgery depends on the specific procedure and the patient’s overall health. In most cases, patients can be discharged on the same day or the following day. More complex surgeries may require a longer stay for monitoring and recovery.

Pilonidal Disease

Pilonidal disease is a condition in which cysts, abscesses, or sinus tracts develop in the skin and soft tissue of the cleft of the buttocks. It commonly occurs when hair and debris become trapped under the skin, leading to inflammation and infection. Symptoms of pilonidal disease may include pain, swelling, skin redness, foul odor and discharge of blood or pus. Diagnosis is usually made through physical examination. In some cases, imaging studies like ultrasound may be needed to assess the extent of the disease.

Treatment options range from conservative measures – such as anti-inflammatory medications and antibiotics – to abscess drainage performed under local anesthesia. In more severe or recurrent cases, surgical removal of the cyst is recommended. Surgical treatment options include classical excision (“open excision”), Laser therapy, and cyst removal with skin flap reconstruction (e.g. Karydakis or Cleft-Lift procedure).

Frequently asked questions

Surgery is recommended for recurrent, chronic, or complicated cases, especially if there is an abscess, sinus, or persistent infection that does not respond to conservative measures.
Recovery typically takes 2 to 4 weeks, depending on the extent of the surgery and the type of procedure performed.
Maintaining good hygiene, avoiding prolonged sitting, and keeping a healthy weight can help reduce the risk.
Yes, recurrence is possible, especially if proper hygiene and preventive measures are not followed.

Hernias of the Abdominal Wall

A hernia appears as a protrusion on the abdominal wall just beneath the skin. It is the projection of internal organs or fat through a weak point or opening in the muscles of the abdominal wall. Hernias can cause pain or discomfort, especially during physical activity or weight lifting. Various factors can contribute to hernia development, including previous abdominal surgery, weight gain, pregnancy, regular lifting of heavy objects, or chronic cough. The most common types of hernia are inguinal hernia, umbilical hernia, epigastric hernia, and incisional hernia. Less common types include femoral hernia, parastomal hernia, and Spiegel’s hernia. Hernias are usually diagnosed through physical examination and can be confirmed with imaging techniques such as ultrasound or computed tomography (CT scan).

Treatment depends on the size and symptoms. Small, asymptomatic hernias may only require monitoring, while larger or symptomatic hernias typically need surgical repair. The preferred surgical approach is laparoscopic repair, which involves placing a mesh to reinforce the weakened area of the abdominal wall. If laparoscopic surgery is not feasible, an open repair is performed, also utilizing a mesh for reinforcement.

Frequently asked questions

While surgery is often the most effective solution, small hernias that aren’t causing any symptoms may simply be monitored by your doctor. However, surgery is generally recommended for hernias that are causing pain or discomfort, or if there’s a risk of potential complications. There aren’t really alternative therapies that will repair a hernia.
During surgery, the surgeon will either gently push the bulging tissue back into its proper place within your abdomen or, in some cases, remove it. The weakened area in your abdominal wall is then repaired and a special mesh is used to reinforce the area and provide extra support.
The length of hospital stay depends on the type of hernia and the surgical procedure performed. In many cases, such as with inguinal or umbilical hernias, patients can go home the same day of surgery. However, for more complex hernias or if there are underlying health concerns, a hospital stay of one or more days may be recommended for observation and recovery.
If you have laparoscopic surgery, you might be able to return to work and light activities within one to two weeks. With open surgery, it could take up to four weeks before you’re ready for more strenuous activities. It’s important to avoid heavy lifting and other strenuous activities until your doctor gives you the go-ahead.

Gallstones (Cholelithiasis)

Cholelithiasis is a common condition of the biliary system characterized by the formation of stones in the gallbladder. Contributing factors include an imbalance in bile composition, genetic predisposition, obesity, rapid weight loss, pregnancy, and age (more frequent in older adults). The most common symptoms are pain in the upper right abdomen, which may radiate to the back, along with nausea and vomiting. Diagnosis is typically based on clinical examination and abdominal ultrasound. Serious complications of cholelithiasis can include cholecystitis (inflammation of the gallbladder), bile duct obstruction, and pancreatitis.

Treatment may involve observation without intervention if the gallstones are asymptomatic or surgical removal of the gallbladder (cholecystectomy, performed laparoscopically), if symptoms are present.

Inflammation of the gallbladder (Cholecystitis)

Cholecystitis is the inflammation of the gallbladder and is the most common complication of cholelithiasis (Gallstones). Symptoms generally include pain in the upper right abdomen, along with nausea, vomiting, fever, and indigestion (bloating and discomfort after meals).

Treatment involves antibiotics and pain management, but surgical removal of the gallbladder (laparoscopic cholecystectomy) is preferred.

Gallbladder polyps

Gallbladder polyps are abnormal tissue growths protruding from the inner lining (mucosa) of the gallbladder. They are usually asymptomatic and often discovered incidentally during imaging tests such as ultrasound conducted for other reasons. The most common polyps are cholesterol polyps, which consist of cholesterol deposits adhering to the mucosa and are considered pseudopolyps. Conversely, true polyps, like adenomatous polyps (adenomas), originate from the mucosa and are hyperplastic lesions with potential for malignant transformation (gallbladder carcinoma). The risk of malignancy increases with polyp size, especially when exceeding 1 cm. Therefore, regular monitoring with annual ultrasounds is recommended, and surgical removal (laparoscopic cholecystectomy) is advised for polyps reaching or surpassing this size threshold.

Frequently asked questions

A cholecystectomy is a surgical procedure to remove the gallbladder. The gallbladder is a small organ that stores bile, a fluid produced by the liver that aids in the digestion of fats. This procedure is performed laparoscopically through four small incisions in the abdominal wall.
Most patients are able to return home one or two days after surgery.
Most patients can return to work and resume their normal activities within one to two weeks.
Initially, a low-fat diet is recommended to allow your digestive system to adjust. You can gradually reintroduce fats, but it’s best to limit your intake of greasy or fried foods.
Yes, you can live a normal, healthy life without a gallbladder. Your liver will continue to produce bile to digest food.

Intestinal Diseases

Various diseases of the large and small intestines can be treated either laparoscopically (minimally invasive) or through open surgery. The most common conditions include:

Frequently asked questions

Common symptoms include right lower abdominal pain, nausea, vomiting, loss of appetite, and sometimes fever.
The standard treatment is surgical removal of the appendix (appendectomy), which can be done laparoscopically.
Peritoneal adhesions are bands of connective (scar) tissue that form within the abdominal cavity, between two organs or between an organ and the abdominal wall. They are most commonly caused by previous abdominal surgeries, especially after open procedures. Less frequently, adhesions can develop as a result of intra-abdominal inflammation, such as cholecystitis or intestinal inflammation.
Many adhesions are asymptomatic, but they can cause abdominal pain or bowel obstruction.
Treatment generally involves surgical removal of the adhesions (adhesiolysis) to free the affected organs and restore normal function. In many cases, this procedure can be performed laparoscopically.
Surgery is usually indicated in specific situations, such as recurrent or persistent infection unresponsive to conservative treatment, serious complications like abscess formation, intestinal perforation, or significant bleeding, or when there is permanent damage to the large intestine, such as symptomatic narrowing (stenosis) of the lumen.
It typically involves removing the affected segment of the large intestine and reconnecting the healthy parts.
Surgery is usually necessary when complications like strictures, fistulas, abscesses, or severe disease refractory to medical therapy occur.
No, surgery generally manages complications but does not cure the disease.
Symptoms of ileus can vary depending on the location and severity of the blockage, but generally include abdominal pain, nausea, vomiting, abdominal distension, and an inability to pass gas or stool. In severe cases, general symptoms such as rapid heartbeat, low blood pressure, and overall weakness may develop. Due to the risk of serious complications like bowel necrosis and peritonitis, prompt medical evaluation is crucial.
Treatment typically involves supportive measures, including bowel rest (fasting), intravenous fluids and painkillers, correction of electrolyte imbalances, and gradual reintroduction of food. If conservative management fails or in more severe cases, surgical intervention may be necessary to restore or remove the obstructed segment of the intestine.

Skin and Soft Tissue Conditions

Treatment of various skin and soft tissue conditions, including:

Most of these procedures are performed in the office under local anesthesia. However, in the case of very large or complex lesions, general anesthesia may be necessary.

Frequently asked questions

Lipomas are benign fatty tumors that grow beneath the skin, while sebaceous cysts are closed sacs beneath the skin filled with sebum. Both are common, benign soft tissue lesions that can appear in any part of the body.
Removal may be recommended if the lesion causes discomfort, pain, becomes inflamed, grows in size, or for cosmetic reasons.
The procedure is typically done in doctor’s office and involves a minor surgical excision under local anesthesia. It is a straightforward and safe procedure, usually associated with a quick recovery.
Surgery is generally indicated in cases of recurrent or infected ingrown toenails, especially when conservative treatments such as proper nail trimming, pressure relief, and topical antiseptics or antibiotics have failed to resolve the issue.
Surgical treatment typically involves a partial or complete removal of the affected nail (onychectomy). The procedure is performed in doctor’s office under local anesthesia.
Hidradenitis suppurativa (HS) is a chronic skin condition characterized by recurrent, painful abscesses and inflammation typically in areas such as the armpits and groin. When medical therapies fail or the disease causes extensive tissue damage, surgical management may be necessary to remove affected tissue and prevent recurrence.
Common surgical options include incision and drainage of abscesses, local excision of affected tissue and wide excision procedures with skin grafting or flap coverage to reconstruct the area.

Spleen Diseases

In cases where spleen removal is necessary – such as in severe traumatic injury, blood disorders (for example idiopathic thrombocytopenic purpura), or malignant tumors – it can be performed either laparoscopically (minimally invasive) or through an open surgical procedure, depending on the specific clinical situation.

Frequently asked questions

Yes, vaccination is essential to prevent serious infections such as those caused by Streptococcus pneumoniae (pneumococcus), Neisseria meningitidis (meningococcus), and Haemophilus influenzae type B (Hib).
Vaccination is recommended both before the scheduled surgery and, in urgent cases, afterward. For planned procedures, vaccination should be completed at least 14 days prior to the surgery. In emergency situations, vaccination should be administered as soon as possible after the operation.
Some vaccines, such as the pneumococcal vaccine, may need to be repeated at regular intervals according to current guidelines.
The most significant long-term effect is an increased risk of infection, as the spleen plays a vital role in the immune response. Proper care—such as vaccination and prompt use of antibiotics if an infection occurs—helps minimize the risk of serious complications.

Lymph Node Diseases

In cases where a biopsy of a lymph node (excisional biopsy) is necessary to establish a diagnosis, it can be performed either laparoscopically (minimally invasive) or through an open surgical procedure, depending on the lymph node’s location.

Frequently asked questions

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system. They play a crucial role in filtering lymph fluid, which contains immune cells, to help combat infection and disease. Additionally, they assist in removing waste products from the body.

Peritoneal Dialysis Catheter

A peritoneal dialysis catheter is a flexible tube inserted into the abdominal cavity to allow for peritoneal dialysis, a treatment for kidney failure. This catheter provides access to the peritoneal cavity, where a special dialysis solution is introduced to remove waste products and excess fluid from the blood through the lining of the abdomen (peritoneum).

The catheter is placed surgically, either using an open procedure or laparoscopically (minimal invasive method).

Frequently asked questions

The nephrologist is the healthcare professional who will evaluate the patient’s suitability for the placement of the peritoneal dialysis catheter.
Typically, you should wait 1-2 weeks after the catheter is inserted before beginning dialysis. This waiting period allows the insertion site to heal properly.
With proper care, the catheter can remain functional for several years.

Venous Catheter Port-a-Cath

A Port-a-Cath is a permanent central venous access device used for patients requiring long-term intravenous therapy, such as chemotherapy or parenteral nutrition.

The catheter is surgically implanted under local or general anesthesia, providing a reliable and comfortable means for frequent or continuous access to the bloodstream.

Frequently asked questions

Generally, you can go home the same day, as the procedure is often done on an outpatient basis.
The Port-a-Cath can usually be accessed for treatments a few days after placement.
With proper care, the Port-a-Cath can remain functional for several years.
Yes, it can be removed when no longer needed. The removal process is typically simpler than the insertion.

Diseases – Surgeries

Diseases – Surgeries

Hemorrhoids

Hemorrhoids are vascular structures in the anal canal that help control continence. They consist of arteries and veins and can become symptomatic when enlarged or inflamed. Common symptoms include painless bleeding during defecation, itching, skin irritation, discomfort, and, in advanced cases, prolapse of hemorrhoidal tissue outside the anus. Hemorrhoids rarely cause pain.

Treatment depends on the symptoms and the degree of the disease and may be conservative (pharmaceutical) or surgical. Surgical treatment options include Rubber Band Ligation, Laser Hemorrhoidoplasty, doppler-guided Hemorrhoidal Artery Ligation with Recto-Anal Repair (HAL-RAR), and traditional hemorrhoidectomy with ultrasound scissors (e.g. Milligan-Morgan procedure).

Anal Fissure

An anal fissure is a longitudinal tear in the mucous lining of the anal canal. It typically causes severe pain during and after bowel movements, often described as a burning sensation, which can last from minutes to hours. Bleeding during defecation is also common. The pain and bleeding are often mistaken for hemorrhoidal disease. Additionally, a feeling of “tightness” due to sphincter muscle spasm may occur.

 Treatment options include conservative measures (such as topical medications) or surgical intervention like Botulinum toxin (Botox) injection into the sphincter muscle, fissurectomy, or advancement flap.

Anal Abscess

An anal abscess is a collection of pus that forms near the anus or within the anal sphincter muscles as a result of an infection. It usually causes a painful swelling in the area around the anus, with the skin being hard, red, and warm. More rarely, it may be accompanied by fever or pus discharge from the anus. If an anal abscess is left untreated, there is a high probability of anal fistula formation, making treatment more complicated.

An anal abscess must always be drained surgically

Anal Fistula

An anal fistula is an abnormal channel between the anal canal and the skin around the anus, often arising from an untreated anal abscess. Rarely, it can be associated with inflammatory conditions like Crohn’s disease. Symptoms include discomfort in the anal area, discharge of foul-smelling fluid from the external skin opening of the fistula, itching, and irritation of perianal skin. Surgical intervention is essential, as it is the only definitive treatment for an anal fistula.

The most prevalent surgical methods used for the treatment of anal fistulas are Seton placement, Ligation of Intersphincteric Fistula Tract (LIFT), Video-Assisted Anal Fistula Treatment (VAAFT), and Fistulectomy.

Genital Warts (condyloma acuminata)

Condyloma acuminata are benign growths caused by human papillomavirus (HPV), the most common sexually transmitted infection. They appear as small, skin-colored or pigmented protrusions or clusters, of various sizes and shapes in the perianal area and inside the anal canal. The most common symptoms are itching and a burning sensation in the anal area, while sometimes they may bleed. If left untreated, condylomas can grow and multiply, potentially covering large areas. In some cases, they may even progress to cancer.

Treatment options include surgical excision (removal) or destruction with the use of Laser.

Skin Diseases of the Perianal Area (Perianal Dermatoses)

Various skin conditions can affect the perianal region, resulting in symptoms such as itching (pruritus ani), redness, pain, and discomfort. These conditions may be caused by infections (bacterial, viral, fungal, or parasitic), irritants (such as chemical agents and diarrhea), or underlying skin diseases like psoriasis, atopic dermatitis (eczema), contact dermatitis, lichen sclerosus, or lichen planus. Additionally, proctological diseases – including hemorrhoid disease, fistulas and fissures – can also cause skin irritation in this area.

Proper diagnosis and tailored treatment are essential to effectively manage these varied conditions and alleviate symptoms.

Anal Vein Thrombosis

Anal vein thrombosis, commonly known as thrombosed external hemorrhoid, occurs when a blood clot forms in the veins surrounding the anus. This condition often presents with sudden, intense pain and a firm, bluish lump in the anal area. It is frequently triggered by straining during bowel movements. Other common causes include prolonged sitting, heavy lifting, and pregnancy.

In most cases, anal vein thrombosis can be effectively managed with conservative treatments. However, if the pain becomes severe or unmanageable, a minor procedure may be indicated to remove the clot or the affected vein, providing rapid and significant pain relief.

Anal Cancer

Anal cancer is relatively rare, accounting for approximately 1-2% of all gastrointestinal cancers. Most cases are associated with HPV infection.

Treatment depends on the stage and location of the tumor and may include radiotherapy, chemotherapy and surgery.

Frequently asked questions

Surgery is usually recommended for hemorrhoids that cause persistent symptoms that do not improve with conservative treatments.
Most patients recover within one to two weeks. However, complete healing can take longer depending on the extent of the procedure.
Yes, hemorrhoids can reappear, especially if proper habits are not maintained.
Maintaining a high-fiber diet, staying well-hydrated, avoiding straining during bowel movements, avoiding prolonged periods on the toilet, and exercising regularly can significantly reduce the risk of hemorrhoid development or recurrence.
Surgery is usually indicated when an anal fissure does not heal despite conservative treatment such as dietary modifications, stool softeners, and topical medications.
Preparation typically involves bowel cleansing with an enema and fasting before the procedure.
The duration of hospital stay after a proctological surgery depends on the specific procedure and the patient’s overall health. In most cases, patients can be discharged on the same day or the following day. More complex surgeries may require a longer stay for monitoring and recovery.

Pilonidal Disease

Pilonidal disease is a condition in which cysts, abscesses, or sinus tracts develop in the skin and soft tissue of the cleft of the buttocks. It commonly occurs when hair and debris become trapped under the skin, leading to inflammation and infection. Symptoms of pilonidal disease may include pain, swelling, skin redness, foul odor and discharge of blood or pus. Diagnosis is usually made through physical examination. In some cases, imaging studies like ultrasound may be needed to assess the extent of the disease.

Treatment options range from conservative measures – such as anti-inflammatory medications and antibiotics – to abscess drainage performed under local anesthesia. In more severe or recurrent cases, surgical removal of the cyst is recommended. Surgical treatment options include classical excision (“open excision”), Laser therapy, and cyst removal with skin flap reconstruction (e.g. Karydakis or Cleft-Lift procedure).

Frequently asked questions

Surgery is recommended for recurrent, chronic, or complicated cases, especially if there is an abscess, sinus, or persistent infection that does not respond to conservative measures.
Recovery typically takes 2 to 4 weeks, depending on the extent of the surgery and the type of procedure performed.
Maintaining good hygiene, avoiding prolonged sitting, and keeping a healthy weight can help reduce the risk.
Yes, recurrence is possible, especially if proper hygiene and preventive measures are not followed.

Hernias of the Abdominal Wall

A hernia appears as a protrusion on the abdominal wall just beneath the skin. It is the projection of internal organs or fat through a weak point or opening in the muscles of the abdominal wall. Hernias can cause pain or discomfort, especially during physical activity or weight lifting. Various factors can contribute to hernia development, including previous abdominal surgery, weight gain, pregnancy, regular lifting of heavy objects, or chronic cough. The most common types of hernia are inguinal hernia, umbilical hernia, epigastric hernia, and incisional hernia. Less common types include femoral hernia, parastomal hernia, and Spiegel’s hernia. Hernias are usually diagnosed through physical examination and can be confirmed with imaging techniques such as ultrasound or computed tomography (CT scan).

Treatment depends on the size and symptoms. Small, asymptomatic hernias may only require monitoring, while larger or symptomatic hernias typically need surgical repair. The preferred surgical approach is laparoscopic repair, which involves placing a mesh to reinforce the weakened area of the abdominal wall. If laparoscopic surgery is not feasible, an open repair is performed, also utilizing a mesh for reinforcement.

Frequently asked questions

While surgery is often the most effective solution, small hernias that aren’t causing any symptoms may simply be monitored by your doctor. However, surgery is generally recommended for hernias that are causing pain or discomfort, or if there’s a risk of potential complications. There aren’t really alternative therapies that will repair a hernia.
During surgery, the surgeon will either gently push the bulging tissue back into its proper place within your abdomen or, in some cases, remove it. The weakened area in your abdominal wall is then repaired and a special mesh is used to reinforce the area and provide extra support.
The length of hospital stay depends on the type of hernia and the surgical procedure performed. In many cases, such as with inguinal or umbilical hernias, patients can go home the same day of surgery. However, for more complex hernias or if there are underlying health concerns, a hospital stay of one or more days may be recommended for observation and recovery.
If you have laparoscopic surgery, you might be able to return to work and light activities within one to two weeks. With open surgery, it could take up to four weeks before you’re ready for more strenuous activities. It’s important to avoid heavy lifting and other strenuous activities until your doctor gives you the go-ahead.

Gallstones (Cholelithiasis)

Cholelithiasis is a common condition of the biliary system characterized by the formation of stones in the gallbladder. Contributing factors include an imbalance in bile composition, genetic predisposition, obesity, rapid weight loss, pregnancy, and age (more frequent in older adults). The most common symptoms are pain in the upper right abdomen, which may radiate to the back, along with nausea and vomiting. Diagnosis is typically based on clinical examination and abdominal ultrasound. Serious complications of cholelithiasis can include cholecystitis (inflammation of the gallbladder), bile duct obstruction, and pancreatitis.

Treatment may involve observation without intervention if the gallstones are asymptomatic or surgical removal of the gallbladder (cholecystectomy, performed laparoscopically), if symptoms are present.

Inflammation of the gallbladder (Cholecystitis)

Cholecystitis is the inflammation of the gallbladder and is the most common complication of cholelithiasis (Gallstones). Symptoms generally include pain in the upper right abdomen, along with nausea, vomiting, fever, and indigestion (bloating and discomfort after meals).

Treatment involves antibiotics and pain management, but surgical removal of the gallbladder (laparoscopic cholecystectomy) is preferred.

Gallbladder polyps

Gallbladder polyps are abnormal tissue growths protruding from the inner lining (mucosa) of the gallbladder. They are usually asymptomatic and often discovered incidentally during imaging tests such as ultrasound conducted for other reasons. The most common polyps are cholesterol polyps, which consist of cholesterol deposits adhering to the mucosa and are considered pseudopolyps. Conversely, true polyps, like adenomatous polyps (adenomas), originate from the mucosa and are hyperplastic lesions with potential for malignant transformation (gallbladder carcinoma). The risk of malignancy increases with polyp size, especially when exceeding 1 cm. Therefore, regular monitoring with annual ultrasounds is recommended, and surgical removal (laparoscopic cholecystectomy) is advised for polyps reaching or surpassing this size threshold.

Frequently asked questions

A cholecystectomy is a surgical procedure to remove the gallbladder. The gallbladder is a small organ that stores bile, a fluid produced by the liver that aids in the digestion of fats. This procedure is performed laparoscopically through four small incisions in the abdominal wall.
Most patients are able to return home one or two days after surgery.
Most patients can return to work and resume their normal activities within one to two weeks.
Initially, a low-fat diet is recommended to allow your digestive system to adjust. You can gradually reintroduce fats, but it’s best to limit your intake of greasy or fried foods.
Yes, you can live a normal, healthy life without a gallbladder. Your liver will continue to produce bile to digest food.

Intestinal Diseases

Various diseases of the large and small intestines can be treated either laparoscopically (minimally invasive) or through open surgery. The most common conditions include:

Frequently asked questions

Common symptoms include right lower abdominal pain, nausea, vomiting, loss of appetite, and sometimes fever.
The standard treatment is surgical removal of the appendix (appendectomy), which can be done laparoscopically.
Peritoneal adhesions are bands of connective (scar) tissue that form within the abdominal cavity, between two organs or between an organ and the abdominal wall. They are most commonly caused by previous abdominal surgeries, especially after open procedures. Less frequently, adhesions can develop as a result of intra-abdominal inflammation, such as cholecystitis or intestinal inflammation.
Many adhesions are asymptomatic, but they can cause abdominal pain or bowel obstruction.
Treatment generally involves surgical removal of the adhesions (adhesiolysis) to free the affected organs and restore normal function. In many cases, this procedure can be performed laparoscopically.
Surgery is usually indicated in specific situations, such as recurrent or persistent infection unresponsive to conservative treatment, serious complications like abscess formation, intestinal perforation, or significant bleeding, or when there is permanent damage to the large intestine, such as symptomatic narrowing (stenosis) of the lumen.
It typically involves removing the affected segment of the large intestine and reconnecting the healthy parts.
Surgery is usually necessary when complications like strictures, fistulas, abscesses, or severe disease refractory to medical therapy occur.
No, surgery generally manages complications but does not cure the disease.
Symptoms of ileus can vary depending on the location and severity of the blockage, but generally include abdominal pain, nausea, vomiting, abdominal distension, and an inability to pass gas or stool. In severe cases, general symptoms such as rapid heartbeat, low blood pressure, and overall weakness may develop. Due to the risk of serious complications like bowel necrosis and peritonitis, prompt medical evaluation is crucial.
Treatment typically involves supportive measures, including bowel rest (fasting), intravenous fluids and painkillers, correction of electrolyte imbalances, and gradual reintroduction of food. If conservative management fails or in more severe cases, surgical intervention may be necessary to restore or remove the obstructed segment of the intestine.

Skin and Soft Tissue Conditions

Treatment of various skin and soft tissue conditions, including:
Most of these procedures are performed in the office under local anesthesia. However, in the case of very large or complex lesions, general anesthesia may be necessary.

Frequently asked questions

Lipomas are benign fatty tumors that grow beneath the skin, while sebaceous cysts are closed sacs beneath the skin filled with sebum. Both are common, benign soft tissue lesions that can appear in any part of the body.
Removal may be recommended if the lesion causes discomfort, pain, becomes inflamed, grows in size, or for cosmetic reasons.
The procedure is typically done in doctor’s office and involves a minor surgical excision under local anesthesia. It is a straightforward and safe procedure, usually associated with a quick recovery.
Surgery is generally indicated in cases of recurrent or infected ingrown toenails, especially when conservative treatments such as proper nail trimming, pressure relief, and topical antiseptics or antibiotics have failed to resolve the issue.
Surgical treatment typically involves a partial or complete removal of the affected nail (onychectomy). The procedure is performed in doctor’s office under local anesthesia.
Hidradenitis suppurativa (HS) is a chronic skin condition characterized by recurrent, painful abscesses and inflammation typically in areas such as the armpits and groin. When medical therapies fail or the disease causes extensive tissue damage, surgical management may be necessary to remove affected tissue and prevent recurrence.
Common surgical options include incision and drainage of abscesses, local excision of affected tissue and wide excision procedures with skin grafting or flap coverage to reconstruct the area.

Spleen Diseases

In cases where spleen removal is necessary – such as in severe traumatic injury, blood disorders (for example idiopathic thrombocytopenic purpura), or malignant tumors – it can be performed either laparoscopically (minimally invasive) or through an open surgical procedure, depending on the specific clinical situation.

Frequently asked questions

Yes, vaccination is essential to prevent serious infections such as those caused by Streptococcus pneumoniae (pneumococcus), Neisseria meningitidis (meningococcus), and Haemophilus influenzae type B (Hib).
Vaccination is recommended both before the scheduled surgery and, in urgent cases, afterward. For planned procedures, vaccination should be completed at least 14 days prior to the surgery. In emergency situations, vaccination should be administered as soon as possible after the operation.
Some vaccines, such as the pneumococcal vaccine, may need to be repeated at regular intervals according to current guidelines.
The most significant long-term effect is an increased risk of infection, as the spleen plays a vital role in the immune response. Proper care—such as vaccination and prompt use of antibiotics if an infection occurs—helps minimize the risk of serious complications.

Lymph Node Diseases

In cases where a biopsy of a lymph node (excisional biopsy) is necessary to establish a diagnosis, it can be performed either laparoscopically (minimally invasive) or through an open surgical procedure, depending on the lymph node’s location.

Frequently asked questions

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system. They play a crucial role in filtering lymph fluid, which contains immune cells, to help combat infection and disease. Additionally, they assist in removing waste products from the body.

Peritoneal Dialysis Catheter

A peritoneal dialysis catheter is a flexible tube inserted into the abdominal cavity to allow for peritoneal dialysis, a treatment for kidney failure. This catheter provides access to the peritoneal cavity, where a special dialysis solution is introduced to remove waste products and excess fluid from the blood through the lining of the abdomen (peritoneum).

The catheter is placed surgically, either using an open procedure or laparoscopically (minimal invasive method).

Frequently asked questions

The nephrologist is the healthcare professional who will evaluate the patient’s suitability for the placement of the peritoneal dialysis catheter.
Typically, you should wait 1-2 weeks after the catheter is inserted before beginning dialysis. This waiting period allows the insertion site to heal properly.
With proper care, the catheter can remain functional for several years.

Venous Catheter Port-a-Cath

A Port-a-Cath is a permanent central venous access device used for patients requiring long-term intravenous therapy, such as chemotherapy or parenteral nutrition.

The catheter is surgically implanted under local or general anesthesia, providing a reliable and comfortable means for frequent or continuous access to the bloodstream.

Frequently asked questions

Generally, you can go home the same day, as the procedure is often done on an outpatient basis.
The Port-a-Cath can usually be accessed for treatments a few days after placement.
With proper care, the Port-a-Cath can remain functional for several years.
Yes, it can be removed when no longer needed. The removal process is typically simpler than the insertion.

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    Locations

    Limassol

    Address:

    Agiou Spyridonos 57 and, Ethnikis Antistaseos 26, Limassol 3025, Cyprus​

    Working Hours:

    Monday - Friday 09:00 - 18:00

    Paphos

    Address:

    Vasilieos Georgiou II, Paphos 8010, Cyprus

    Working Hours:

    Friday 16:00 - 19:00