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- Lower GI surgery
Mr Praminthra Chitsabesan offers a general surgical and coloproctology service. He is a specialist in the areas of all abdominal wall hernias, both simple and complex, haemorrhoids, faecal leakage, incontinence and prolapse.
His particular area of expertise is in bowel problems. His main areas of interest are advanced laparoscopic (keyhole) techniques in the treatment of colonic and rectal (bowel) cancer, Inflammatory Bowel Disease and Diverticula disease. He sees patients with Irritable Bowel Syndrome, Change of Bowel Habit and rectal bleeding as well as iron deficiency anaemia.
Mr Chitsabesan is a specialist in the management of pelvic floor disorders such as faecal leakage, incontinence and prolapse, having gained experience in three established pelvic floor units. He is a member of the pelvic floor MDT at York performing laparoscopic procedures for rectal prolapse, rectocoeles and intusscueption and is a member of one of the few nationally accredited mesh salvage centres. He also specialises in disease of the anus and anal canal including haemorrhoids (piles), fissures and fistula.
He is a specialist in the area of abdominal and groin hernias, offering a comprehensive laparoscopic and open approach to the management of these hernias including Complex Abdominal Wall Reconstruction and the treatment of hernias within a Divarification of the Recti (the unsightly bulge women often have after pregnancy in the upper abdomen) using minimally invasive techniques.
He has taught on a variety of clinical courses for these areas also.
Mr Chitsabesan performed his undergraduate studies at Oxford University and then Newcastle University and completed his basic and higher surgical training in the North East Deanery. He completed his training as a Laparoscopic and Advanced Malignancy Colorectal Fellow at the world-renowned specialist centre for Colorectal Cancer and Pseudomyxoma peritonei, at Basingstoke Hospital, North Hampshire.
Currently, Mr Chitsabesan is the colorectal lead for York NHS trust but is also the Humber, Coast and Vale Colorectal cancer lead and an Honorary Senior Lecturer at HYMS.
He has been trained in advanced laparoscopic colorectal procedures by two national preceptors, and in advanced abdominal malignancy and low rectal cancers at an international referral centre. He performs keyhole operations transanally to remove rectal polyps and cancers and is a member of one of the five teams chosen nationally to undergo training in new minimally invasive cancer technique- Transanal Total Mesorectal Excision, or TATME.
Mr Chitsabesan has an interest in optimising urgery and patient risk factors and chaired the Yorkshire Bowel cancer Improvement programme- Peri-Operative Care, Risk Stratification and Optimisation of Patients for Major Surgery, Wakefield, November 2017 and the UK Anaesthesia & Surgery Collaborative- Optimising neuromuscular block management to improve surgical outcomes- York, April 2018.
Areas of interest
Abdominal Pain; Abdominal Problems; Abdominal Swelling; Altered Bowel Habits; Anal Abscess; Anal Fissure; Anal Tear; Anterior Resection; Anus and Rectum; Bowel (Faecal) Incontinence; Bowel Cancer; Bowel Disease; Bowel Obstruction; Cholecystectomy; Coeliac Disease; Colon cancer; Colonoscopy; Colorectal Cancer; Colorectal Surgery; Constipation; Crohn's Disease; Diagnostic Endoscopy/gastroscopy; Diarrhoea; Diverticulitis; Epigastric pain; Flexible Sigmoidoscopy; Gallstones; Gastrointestinal Tract; Haemorrhoidectomy; Haemorrhoids; Incontinence; Indigestion (Dyspepsia);Irritable Bowel Syndrome; Polypectomy; Rectal Bleeding; Rectal Prolapse; Stomach Ulcer; Ulcerative Colitis; Upper Gastrointestinal Endoscopy
Current NHS consultant posts held
Consultant General & Colorectal Laparoscopic Surgeon, and Colorectal lead, York Hospital, York NHS Trust
Colorectal Lead for Humber, Coast and Vale Cancer Alliance
Honorary Senior Lecturer, Hull York Medical School
NHS Right Care General Surgery Advisor for GI pack
Core trainee Facilitator, Yorkshire and Humberside Deanery
Director for Yorkshire Colorectal and Abdominal Wall reconstruction Cadaver Courses
PhD and continuing post-doctoral work
My premier research accolade is my doctorate. I have successfully completed an innovative PhD programme revolving around clinical teaching/training. I have become proficient in conducting high quality qualitative research, using several unique methodologies that are used in both quantitative and qualitative research.
Exploring ward-based clinical teaching behaviour and characteristics, PhD thesis 2009
I am Principle Investigator in several NHIR portfolio research projects and am developing research links with both York and Hull Universities.
Mr Chitsabesan places a high priority on training and has led on several ‘training the trainers’ courses and been faculty on a variety of specialised surgical, clinical and non-technical skills courses, such as Pelvic Floor Masterclasses, Complex Abdominal Wall Reconstruction and Laparoscopic colorectal and inguinal hernia courses in different regions. I am a current director for the colorectal and hernia cadaveric CADSIM courses in the Yorkshire Deanery and a Core Trainee Facilitator.
He and his team have been nominated for the 2019 Royal College of Surgeons Innovation in Surgical Education awards.
Awards for recent presentations of work:
Laparoscopic adhesiolysis and combined laparoscopic / cystoscopic approach for removal of bladder erosion and mesh. Best video presentation, ALSGBI Nov 2018
A comparison of frailty phenotype and comprehensive geriatric assessment in geriatric surgical patients. Best Oral Poster Presentation, ASGBI 2018
(Additional) Languages spoken
- French - Basic
Prognostic value of preoperative neutrophil-to-lymphocyte ratio in Crohn’s disease. Stanislaus Argeny, Stift A, Bergmann M, Mittlböck M, Maschke S, Yang Y, Chitsabesan P and Riss S. February 2018. Wiener klinische Wochenschrift 130(20) DOI: 10.1007/s00508-018-1322-3
Incidental adenocarcinoma in patients undergoing surgery for stricturing Crohn’s disease. Kristo I, Riss S, Argeny S, Maschke S, Chitsabesan P, and Stift A. World J Gastroenterol. 2017 Jan 21; 23(3): 472–477.(Published online 2017 Jan 21)
The type of loose seton for complex anal fistula is essential to improve perianal comfort and quality of life. Kristo I, Stift A, Staud C, Kainz A, Bachleitner-Hofmann T, Chitsabesan P, Riss S. First published: 8 June 2016. Special Issue: A special look at Outcomes June 2016. Volume 18, Issue 6 Full publication history DOI: 10.1111/codi.13335.
Intraoperative complications have a negative impact on postoperative outcomes after rectal cancer surgery. Riss S, Mittlböck M, Riss K, Chitsabesan P, Stift A. Int J Surg. 2014;12(8):833-6. Epub 2014 Jul 9.
Surgical recurrence after primary ileocolic resection for Crohn's disease. Riss S, Schuster I, Papay P, Herbst F, Mittlböck M, Chitsabesan P, Stift A. Tech Coloproctol. 2014 Apr;18(4):365-71. Epub 2013 Aug 28
High-pressure anal fibrillation identifies anal fissures that respond to botulinum toxin. Moon A, Chitsabesan P, Plusa SM Colorectal Dis. 2013 Aug;15(8):1007-10
Feasibility and cost analysis of clerically delivered triage of colorectal referral. Raghavendra GKG, Chitsabesan P, Waydia S, Bradburn D and Mills S J. Accepted Annals of the Royal College of Surgeons of England, Submission 894, Oct 2011
Surgically placed wound catheters (SPWC) and local anaesthetic infusion in breast surgery: Efficacy and safety analysis. Raghavendra GKG, Ashok K, Sreenivasa R, Chitsabesan P, McLean NR, Youssef and M Carr M. Meta-analysis Breast Disease (BD0739) Breast Dis. 2011 Sep 30. [Epub ahead of print]
Bilateral adrenal haemorrhage in the post-operative setting. Ascherl B, Chitsabesan P and Cundall J. Darlington and County Durham Medical Journal 2009, Vol. 3. No 2
Describing clinical teachers’ characteristics and behaviours using critical incidents and repertory grids. Chitsabesan P, Corbett S, Spencer JA and Barton JR. Medical Education 2006; 40: 645–653
Courses offered to GPs
Red flag symptoms for colorectal cancer, The use of Faecal Immunohistochemial Testing in Fast Track Colorectal patients,
Complex Abdominal Wall Reconstruction
Treatment of Haemorrhoids
Managing faecal Incontinence in Primary Care
Reference number 4421269
- Haxby RoadYORKYO31 8TA
- 13:00 - 19:00
- 07807 118169
- Haxby RoadYORKYO31 8TA
- 08:30 - 12:30
- 07807 118169
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.
In the event of an urgent query following treatment, Bupa members should use the following contact details
Please contact Sarah Hunter on 07807 118169 or the Nuffield Hospital York on 01904 715000