General & Emergency Surgery
Surgical consultation
Dr. Younes evaluates a broad range of general surgical conditions: abdominal pain requiring surgical assessment, soft tissue lumps and lesions, and pre-operative and post-operative care.
Appendicitis and appendectomy
Inflammation of the appendix, and one of the most common surgical emergencies. It typically begins as vague discomfort around the navel that moves over some hours to the lower right abdomen, becoming sharper and more localised. It is usually accompanied by loss of appetite, nausea, and a low fever, and the pain is characteristically worse with movement, coughing, or pressing on the area.
Treatment is removal of the appendix, performed laparoscopically wherever the situation allows — through three small incisions, with a shorter recovery than open surgery. Where the appendix has already perforated, an open operation may be necessary.
When to seek urgent care
Appendicitis is a medical emergency. If you have worsening lower right abdominal pain of this kind, go to an emergency department. It does not resolve on its own and an untreated appendix can perforate.
Lipomas, cysts and skin lesions
Common, benign, and straightforward to remove — most under local anaesthetic as a short clinic procedure.
- Lipoma
- — a soft, mobile lump of fatty tissue under the skin. Harmless, but removed when it grows, becomes uncomfortable, or is in an awkward place.
- Sebaceous cyst
- — a firm lump beneath the skin, sometimes with a visible central point. Removed when recurrently inflamed or infected, and best removed when quiet rather than during an active infection.
- Skin and soft tissue lesions
- — moles, skin tags and other lesions requiring excision. Anything with an uncertain appearance is sent for histological examination as a matter of routine.
Any lump that is growing, changing, painful, or fixed to the tissue beneath it should be assessed rather than assumed to be harmless.
Minor procedures under local anaesthetic
A number of procedures are performed in the clinic under local anaesthetic, without a hospital admission or a general anaesthetic:
- Excision of lipomas, sebaceous cysts and small skin lesions
- Incision and drainage of abscesses
- Rubber band ligation of hemorrhoids
- Breast biopsy
- Wound care and suture removal
You go home the same day, usually within the hour.
Emergency general surgery
Dr. Younes manages acute surgical conditions including appendicitis, incarcerated and strangulated hernia, acute cholecystitis, perianal abscess, and other emergencies requiring urgent assessment.
For urgent but non-emergency problems, call the clinic directly — urgent cases are seen the same day wherever possible.
When to seek urgent care
If you have severe abdominal pain, a hernia that has become painful and cannot be pushed back, persistent vomiting, or a fever with severe localised pain, go to an emergency department. Do not wait for a clinic appointment.
Second opinions
If you have been told you need an operation and want an independent assessment before deciding, that is a reasonable thing to want — and a routine part of surgical practice.
A second opinion consultation covers whether the diagnosis is supported by your investigations, whether surgery is the appropriate treatment, what the alternatives are, and what the operation would involve.
Sometimes the conclusion is that the original recommendation was correct. Sometimes it isn't. Either way you will have a clearer basis for your decision.
Bring your imaging, reports and any surgical recommendation you have already received.