Dr Sofronis Loizides
BSc(Hons), MBBS(Hons), MSc(Hons), FRCS(Eng)
Consultant in General and Colorectal Surgery and Gastrointestinal Surgical Oncology
Specialist in Minimally Invasive Surgery, Laparoscopic and Robotic
W: www.sofronisloizides.com E: firstname.lastname@example.org T:+35725355211
Dr Loizides is a general surgeon with a specialist interest in advanced minimally invasive surgery (laparoscopic and robotic) of the gastrointestinal tract and associated organs. He is based in Limassol at Ygia Polyclinic and at the American Medical Centre in Nicosia. He has recently returned to Cyprus following his 18-year long training programme in world leading centres in the UK and Australia.
Dr Loizides graduated from the University College of London (UCL) with a prize winning Honours degree. He also completed a Bachelors degree (BSc) in Neuroscience achieving first class honours under the supervision of Nobel prize winner Professor John O’Keefe. He completed his surgical training in distinguished university hospitals in London and Surrey. He trained in all aspects of general surgery and sub-specialised in gastrointestinal surgery. He completed a Masters Degree (MSc.) in ‘Evidence Based Healthcare’ for which he achieved First Class.
Dr Loizides was awarded the certificate of completion of training (CCT) in the UK in October 2018 and was admitted as a Fellow to the Royal College of Surgeons of England (FRCS).
Dr Loizides was then selected for a one year post-graduate fellowship at the world-renowned Royal Prince Alfred (RPA) Hospital in Sydney, Australia. He worked under Professor Michael Solomon, a world leader in colorectal surgery. Dr Loizides trained in performing complex pelvic surgery such as pelvic exenteration and cytoreductive surgery with heated intraperitoneal chemotherapy (HIPEC) for locally advanced, recurrent and metastatic abdominal malignancies. At the same time he continued to perform laparoscopic as well as robotic surgery and general surgery including emergencies and trauma.
During the various stages of his training Dr Loizides was actively involved in clinical research and endeavoured to practise evidence-based medicine. He has presented his research at congresses internationally and has published a number of scientific research articles (click here for list).
Dr Loizides can provide treatment in all aspects of general surgery and all aspects of benign and malignant disease of the gastrointestinal tract.
- Fellowship in Colorectal and Advanced GI Oncological Surgery, RPA Hospital, Sydney, Australia
- Certificate of Completion of training (CCT), GMC UK
- FRCS, Royal College of Surgeons of England
- MSc Evidence based healthcare in Surgery (Distinction), University College London, UK
- MRCS, Royal College of Surgeons of England
- MB BS (Distinction), University College London, UK
- BSc (Hons) Neuroscience, University College London, UK
- Majorly invasive surgery course, pelvic exenteration and CRS/HIPEC, RPA Hospital Sydney, Medtronic, 2019
- Workshop in advanced techniques for robotic ventral Rectopexy with Biodesign, Cook Medical and A/Prof Andrew Stevenson, Brisbane, Australia, 2019
- DaVinci Robotic Colorectal Course, Newcastle Surgical Training Centre, Freeman Hospital, UK, 2018
- Basic Skills In Colonoscopy JAG Course, St Georges Hospital, London, UK, 2016
- Damage Control Surgery, Turnbull Centre, Queen Mary University Mile End, London, UK, 2011
- Care of the Critically Ill Surgical Patient (CCrISP®), Royal College of Surgeons, London,UK 2011
- Specialist Registrar Skills in General Surgery. St Mary’s Hospital, London, UK, 2011
- Systematic Training in Acute Illness Recognition and Treatment for Surgery (START Surgery), Royal College of Surgeons, London, UK, 2009
- Basic Surgical skills (BSS), Basildon and Thurrock Hospital, UK, 2009
- Advanced Trauma Life Support (ATLS), Brighton Hospital, UK, 2018
- Advanced Life Support (ALS), North Middlesex Hospital, London, UK, Dec 2009.
- Advanced Trauma Life Support (ATLS), Lister Hospital, Stevenage, UK, Oct 2009
- Safeguarding Children Levels 1 and 2, Mandatory training group, 2020
- Medical Management and Leadership Course, Oxford Medical, UK, 2008
- Written communication skills Course. London postgraduate school of surgery, London, 2011
- Train the Trainers Course. ISC Medical, London, UK, 2011.
- Building Excellence in Specialty Training (BEST) course. Mayday University Hospital, London, UK, 2010
- Management Skills for Junior and Middle-Grade Doctors, Medicology, London, UK, 2009
General surgery is a specialty that deals with a wide range of conditions and operations from minor cases such as removing skin lesions to much more complex elective and emergency surgery. This requires a very broad and diverse set of skills.
Commonly performed general surgical operations are:
- Removal of skin lesions and lumps such as lipomas, cysts and moles
- Lymph node biopsy
- Laparoscopic appendicectomy for acute appendicitis
- Small bowel resection
- Laparoscopic or open release of adhesions
- Diagnostic Laparoscopy
General surgeons deal with a wide array of emergencies. In the immediate setting any trauma to the thorax and abdomen is initially dealt with by a general surgeon. Abdominal emergencies such as perforation of the stomach or bowel or appendix leading to peritonitis, blockage of the bowel, inflammation of the bowel or gallbladder need to be dealt with by a general surgeon. A lot of these conditions can still be managed with a minimally invasive approach, commonly laparoscopically.
Examples of such conditions and operations include:
- Abdominal trauma- Trauma laparotomy and damage control
- Chest Trauma - Insertion of chest drain
- Perforation of bowel/stomach/appendix - Laparoscopic or open repair
- Necrotic bowel - Laparoscopic or open bowel resection
- Blocked bowel from tumour- Laparoscopic or open resection
Colon and Rectal Surgery
Laparoscopic- Robotic or Open
The colon and rectum are parts of the large bowel. There are a variety of conditions associated with the large bowel which are common and need the attention of the surgeon. Examples include diverticular disease, colon polyps, various forms of bowel cancer and inflammatory bowel disease such as Cronhs and Ulcerative Colitis. These conditions are commonly treated in close collaboration with your gastroenterologist.
Procedures to the large bowel may include:
- Right hemicolectomy
- Left Hemicolectomy
- Subtotal colectomy +/- pouch formation for cancer or inflammatory bowel disease
- High anterior resection
- Low and ultralow anterior resection with temporary stoma
- Abdominoperineal excision of rectum with permanent colostomy
- Colectomy, small bowel resection, stricturoplasty for Inflammatory bowel disease
Laparoscopic or Open
Hernias are extremely common and one of the commonest operations we perform as general surgeons. They can occur in various positions of the abdomen, groin and loin. Fixing these hernias can sometimes involve the use of prosthetic reinforcing material called the ‘mesh’.
Occasionally hernia repairs can be very complex and involve and element of abdominal wall reconstruction.
Examples of hernia repairs include:
Proctology and Pilonidal disease
Conditions around the anus and coccygeal area are extremely common. It can be embarrassing to talk about them and takes courage to seek medical attention! There are a number of investigations and techniques employed to treat theses conditions which are tailored to the individual patient.
Examples of the conditions and the techniques employed are:
- Haemorrhoids - Haemorrhoidectomy, Milligan-Morgan(open) or Ferguson(closed), Haemorrhoidal artery ligation with Doppler, Stapled haemorrhoidectomy, Energy device haemorrhoidectomy
- Perianal abscess - drainage
- Perianal fistula - Placement of seton, laying open, advancement flaps, LIFT procedure
- Fissure in ano - Botox injection, fissurectomy
- Pilonidal disease - excision and local advancement flap (Cleft lift procedure)
Surgery to the Gallbladder and Spleen
The gallbladder is a pear sized organ in the right upper abdomen. It commonly gives rise to problems due to the development of gallstones. A range of symptoms can arise such as pain, jaundice, nausea and vomiting.
The cause can be inflammation of the gallbladder (cholecystitis), inflammation to your pancreas gland (pancreatitis) and stones blocking the pipes that drain bile from your gallbladder. Procedures carried out include:
- Laparoscopic cholecystectomy
- Intraoperative cholangiogram
- Subtotal cholecystectomy
- Laparoscopic common bile duct exploration
- ‘Hot’ cholecystectomy for acute cholecystitis, biliary colic and pancreatitis
The spleen may sometimes need to be removed, due to various conditions, commonly haematological, and rarely due to malignant disease. It can be removed laparoscopically, robotically or with open surgery.
Pelvic Floor Surgery
The pelvic floor is a set of muscles that form a sling around the base of the pelvis. The pelvic organs, including the womb (uterus), rectum and bladder, are held in position by these pelvic floor muscles.
The incidence of pelvic floor disorders increases when the muscles of the pelvic floor and connective tissue are injured or weakened. Some of the causes are pregnancy, childbirth or complicated delivery, surgical complications and obesity. Some of the common pelvic floor disorders include pelvic organ prolapse, urinary incontinence, and anal incontinence.
A lot of the times symptoms can be managed without surgery, with specialist physiotherapy and drug therapy.
Surgery can be considered in patients with severe symptoms of pelvic organ prolapse. Specifically for rectal prolapse the aim of the surgery is to restore the anatomy:
- Ventral mesh rectopexy - Robotic or laparoscopic
- Resection rectopexy - Robotic or laparoscopic
- Perineal and sphincter repairs
Transanal endoscopic Surgery
Large rectal polyps as well as early rectal cancer can be removed with this minimally invasive technique where a specially designed microscope and instruments are passed through the back passage to perform the surgery. It is a development of single-port laparoscopic technique and it avoids cuts on the outside of the anus and abdomen.
Different platforms can be used for this operation:
- TAMIS - Transanal minimally invasive surgery
- TEMS - Transanal endoscopic microsurgery
Surgery for endometriosis
Endometriosis is a complex disease of unknown origin that causes inflammation and fibrosis in the pelvis. Typical symptoms are pain, dysmenorrhea and gastrointestinal disorders. It can occasionally lead to infertility.
When the bowel (small bowel, colon and rectum) is involved a combined approach is usually employed between an expert gynaecologist and specialist colorectal surgeon.
Minimally invasive techniques are usually employed and procedures that might be performed include:
- Release of adhesions or scar tissue between the bowel and the pelvic organs, or
- Removal a small piece ( "disc") of the rectal wall, or
- Removal of a segment of colon or rectum (a bowel resection).
Cytoreductive Surgery and 'HIPEC' for advanced peritoneal disease
Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) is an innovative procedure used to treat cancers that have originated in or spread to the abdominal cavity, such as appendiceal cancer, pseudomyxoma peritonei, colon cancer, gastric cancer, ovarian cancer, and peritoneal mesothelioma.
The surgery consists of two parts: the excision or reduction of cancer deposits in the peritoneal cavity and the subsequent infusion of heated intraperitoneal chemotherapy (HIPEC) to eradicate small tumors and cancerous cells invisible to the naked eye.
The surgery is complex and only performed after special consideration of each individual case. Recent evidence suggests that with this type of surgery survival is significantly prolonged.
Pelvic Exenteration for advanced and recurrent pelvic cancer
Pelvic exenteration is a surgery performed for patients with extensive primary or locally recurrent pelvic malignancy, most frequently associated with rectal or gynaecological cancer.
A pelvic exenteration is performed to remove cancer that has involved part, or all of, the contents of the pelvis. Surgery can differ from patient to patient depending on the position and involvement of the disease.
This is a highly complex and lengthy surgery that is reserved for patients with advanced disease that are able to with-take such an operation. This surgery often involves surgeons of different specialties including urologists, vascular, orthopaedic and plastic.