Mr Kirana Arambage: Obstetrics and gynaecology

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Overview

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Last updated: 12 Nov 2020

Specialises in

Gynaecology

Sexual and reproductive healthcare

Offers

Video and telephone consultations

About me

Mr Kirana Arambage is a Consultant Gynaecologist specialising in Advanced Minimally Invasive Gynaecological Endoscopic Surgery.

He works at the BSGE accredited Endometriosis Care and Research Centre (which is one of the busiest endometriosis centres in the UK) in Oxford University Hospitals NHS Foundation Trust. He is an Honorary Senior Clinical Lecturer at the University of Oxford.

He has completed RCOG accredited, specialist training in Advanced Laparoscopic/Hysteroscopic (key-hole surgery) Surgery at John Radcliffe Hospital following his postgraduate medical training in the London and Eastern deaneries. He has also completed an MSc in Advanced Gynaecological Endoscopy, with Merit, based at the University of Surrey.

Mr Arambage won BSGE and RCOG Bernhard Baron travelling fellowship to train in centres of excellence in France (Strasbourg, Rouen) and in Australia (Royal Women's Hospital - Melbourne).

He provides pelvic ultrasound scans which allow him to offer ONE-STOP clinics for most conditions.

He is a senior member of the council on the British Society.

Mr Arambage is a co-author for the latest Cochrane review of the surgical treatment of endometriosis. He is also co-authored European guidelines on the management of distension media in operative hysteroscopy and the RCOG consent guideline for laparoscopic surgery. He has written book chapters.

He has chaired and presented in many national and international conferences.

These activities help him achieve his goal of driving innovation and providing the safest, evidenced-based care in the field of benign gynaecology.

Areas of interest

Clinical interests
• Endometriosis / pelvic pain
• Stage 4 / advanced endometriosis involving bowel, bladder, ovaries and ureters / frozen pelvis
• Menstrual, premenstrual and menopausal disorders
• Ovarian cysts
• Fibroids
• Scans - pelvic and endometriosis
• One-stop clinics
• Laparoscopic Excision of rectovaginal/bladder/ureteric endometriosis with extensive adhesiolysis
• Open/Vaginal/Laparoscopic (keyhole) Hysterectomy
• Fertility surgery
• Fibroid removal/Myomectomy
• Laparoscopic ovarian cystectomy/oophorectomy
• Hysteroscopy / biopsy / polypectomy
• Tuba surgery
• Mirena / coil insertions
• Family planning / Contraception
• Endometrial ablations/resections.
• Cervical smear
• Gynaecological biopsies
• Ovarian screening
• Management of miscarriage

Other interests
Charity work – Endometriosis UK (A trustee and a medical advisor)

Personal interests
Family trip

Medical secretaries

Fiona Goulthorp
07863 573987
01865 590576
gynae.secretary.ka@gmail.com

Anaesthetists worked with

Dr Godwin D'Souza Fee Assured
Dr Simon J M Raby Fee Assured
Dr Suni Halder Fee Assured

Dr Mark Crowley Not Fee Assured
Dr Vipul Jain Fee Assured
Dr David Pigott Not Fee Assured

About me

Current NHS consultant posts held

Consultant Gynaecologist
John Radcliffe Hospital
Oxford University Hospitals NHS Foundation Trust (Mar 2014 – present

Research interests

Endometriosis clinical studies
Gynecological endoscopic simulation

Personal interests

Playing badminton/cricket
Family trips
involve in charity work in the UK and overseas

Awards received

Bernhard Baron Travelling Scholarship - RCOG members award 2016
Cochrane Incentive grant 2013 - Duffy JMN, Arambage K, Correa FJS, Olive D, Farquhar C, Garry R, Barlow D, Koninckx PR, Jacobson TZ; Cochrane review on Laparoscopic Surgery for Endometriosis
BSGE travel scholarship: for the training under Prof. A. Wattiez in Strasbourg - IRCAD - Endometriosis and advanced MAS Centre/EITS in Strasbourg, France
Best video presentation – Bronze prize – BSGE, ASM in Norwich

(Additional) Languages spoken

Publications

Brierley, G, Arshad, I, Shakir, F, Visvathanan, D, Arambage, K. Vascular injury during laparoscopic gynaecological surgery: a methodological approach for prevention and management. The Obstetrician & Gynaecologist (2020); https://doi.org/10.1111/tog.12664

Umranikar, Sameer & Saridogan, Ertan & Clark, Thomas & Miligkos, Dimitrios & Arambage, Kirana & Torbe, Emma. (2018). BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy. The Obstetrician & Gynaecologist. 20. 10.1111/tog.12503.

Supramaniam, Prasanna & Mittal, Monica & Davies, Rebecca & Lim, Lee & Arambage, Kirana. (2018). Didactic lectures versus simulation training: a randomised pilot evaluation of its impact on surgical skill. Gynaecological Surgery. 15. 10.1186/s10397-018-1053-5.

Duffy JMN, Arambage K, Correa FJS, Olive D, Farquhar C, Garry R, Barlow D, Koninckx PR, Jacobson TZ; Cochrane review on Laparoscopic Surgery for Endometriosis – published on Cochrane database 04.2014

Horace Roman, Kirana Arambage, Geoffroy Pasquier, Emmanuel Huet, Benoit Resch Deep rectal shaving followed by transanal disc excision (STARR procedure) in large deep endometriosis of lower rectum - Journal of Minimal Invasive Gynaecology 01/2014

Bignall, Jenine & Arambage, Kirana & Vimplis, Sotirios. (2014). Endometriosis: A rare and interesting cause of recurrent hemorrhagic ascites. BMJ case reports. 2014. 10.1136/bcr-2013-010052.

Horace Roman, Kirana Arambage, Geoffroy Pasquier, Emmanuel Huet, Benoit Resch - video article on combined laparoscopic and hysteroscopic approach to bladder endometriosis – Journal of Minimal Invasive Gynaecology 01/2014

Wedisinghe L, Jayakody K, Arambage K, Wernicke's encephalopathy: a preventable cause of maternal death. Br J Hosp Med (Lond) 72(1):31-4 (2011)

Tsivos D, Arambage K, Malik F, Hagan P, Lee C (2009) A life-threatening uterine inversion and massive postpartum haemorrhage caused by placenta accrete during Caesarean section in a primigravida: a case report. Cases J. 2009 Feb 12;2(1):138.

Muthukrishna S, Yusuff H, Naidu M, Baru J, Arambage K, Sathanandan M (2007). Serum anti-mullerian hormone an inhibin B in disorders of spermatogenesis. Fertil. Steril. (87)

Courses offered to GPs

1) Current management and early diagnosis of endometriosis
2) management of menstrual symptoms
3) One-Stop clinic for patients with abnormal PV bleeding problem
4) Early pregnancy bleeding
5) Latest on Fibroid management
6) Let's refresh - clinically related laparoscopic pelvic anatomy and pathology

About my work

My qualifications & training

My private practice

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

Q1800
Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion) - (5-50)

Nuffield Health The Manor Hospital (5-50)
Q1701
Laparoscopic excision of endometriosis, +/-ureterolysis - (5-50)

Nuffield Health The Manor Hospital (5-50)
P3190
Laparoscopic excision of recto-vaginal endometriosis including rectal shave, +/-ureterolysis - (5-50)

Nuffield Health The Manor Hospital (5-50)
T4300
Laparoscopic adhesiolysis (including biopsy) - (5-50)

Nuffield Health The Manor Hospital (5-50)
Q2230
Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q1280
Introduction of a mirena coil - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q1281
Removal and/or replacement of an embedded / migrated Mirena coil (as sole procedure) - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q0790
Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis - (1-5)

Nuffield Health The Manor Hospital (1-5)
P0320
Marsupialisation of bartholin cyst - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q4400
Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q1802
Hysteroscopy with resection of fibroids (excluding morcellation) +/- insertion of Mirena coil - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q1700
Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) +/- Mirena coil insertion - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q0740
Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis - (1-5)

Nuffield Health The Manor Hospital (1-5)
J0900
Diagnostic laparoscopy (including any biopsy) - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q2231
Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral - (1-5)

Nuffield Health The Manor Hospital (1-5)
Q0230
Cauterisation of lesion of cervix uteri (+/- loop diathermy, colposcopy or polypectomy) - (1-5)

Nuffield Health The Manor Hospital (1-5)
M4514
Endoscopic examination of bladder (rigid cystoscopy) including any biopsy - (1-5)

Nuffield Health The Manor Hospital (1-5)
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