Areas of Expertise
Professor David Lloyd performed one of the first cholecystectomies in the UK in 1991 and has now undertaken more than 10,000 laparoscopic procedures. He is considered an expert in the field with an international reputation. His skills have allowed him to develop surgical techniques to perform keyhole surgery upon many other conditions. In addition to gall bladder surgery, hernia surgery and surgery for groin pain, conditions involving adhesions, spleen disorders and other abdominal organs can be treated with keyhole techniques. Professor David Lloyd has an extensive list of publications relating to laparoscopic surgery.
SpleenProfessor David Lloyd has performed more than 300 laparoscopic splenectomies and has one of the largest practices in the UK and Europe. His techniques have been published together with the results of one of the largest series of splenectomies done in the UK. Although it is usually an innocent organ lying high up in the back of the abdomen it can enlarge or cause blood problems. Removing the spleen using keyhole techniques (laparoscopic splenectomy) can be done safely and relatively quickly. Most patients stay in hospital 24 – 48 hours and return to normal activities at 10 – 14 days.
Hernia (Inguinal)Professor David Lloyd has a national and international reputation because of his experience in laparoscopic hernia surgery and his interest in groin anatomy and groin pain. He has performed more than 7000 laparoscopic hernia repairs and is considered a leading opinion in this field. Hernias occur more commonly in men due to a weakness caused by the descent of the testicle in the newborn although thousands of women also develop groin hernias. Nearly one hundred thousand inguinal hernias are performed every year in the UK. They can be either unilateral (affecting one side only) or bilateral (affecting both sides) and usually present as a bulge which can occasionally be painful but more often presents as a dull ache. The bulge is due to a small part of the intestine pushing through the weak area. It is recommended that all groin hernias should be repaired because of the very small risk of strangulation. This is when the bowel gets stuck and cannot be pushed back. This rare condition is treated urgently in hospital. Most hernias however are repaired on a routine basis and patients are admitted to hospital to undergo surgery as a day case. It is recommended that all groin hernias should be repaired using a mesh which can be placed on the outside of the muscle layer (open conventional surgery) or be placed internally, on the inside of the muscle layer, using keyhole (laparoscopic) techniques. The laparoscopic technique is associated with a quicker recovery and causes much less pain in the long term.
Professor David Lloyd lectures about groin anatomy and has even challenged the accepted definitions of groin hernias (View Video). He organises a National Hernia course several times a year to teach consultants how to perform hernia surgery safely and bring them up to date with modern methods of hernia repair.
LiverProfessor David Lloyd was appointed as a specialist in liver surgery at the University Hospitals Leicester in 1994, having spent over 3 years performing liver transplant surgery at the University of Chicago in the USA and nearly 2 years at the University of Hamburg, Germany. He has gained an international reputation in this field and has developed a microwave machine to treat liver cancer (View More). This machine has now been installed in over 100 of the top liver units in the world. He performed the first laparoscopic liver resection in the UK in 1997 and was one of the first British surgeons to publish his personal series in the Journal of Hepatobiliary Surgery. (View More).
He performs liver surgery regularly mainly treating patients with liver cancer, pancreas cancer and benign conditions such as liver cysts.
AdhesionsAdhesions can occur when the body attempts to repair itself following surgery, trauma or radiation. Scar tissue may form and connect tissues which shouldn't normally be joined thereby leading to complications. Cutting or dividing adhesions to release them is known as an 'adhesiolysis' and Professor Lloyd has many years of surgical experience in this field.
Hernia (Umbilical)Umbilical hernias occur around the navel/umbilicus and are very common at birth. Most umbilical hernias in infants can be left untreated but they can cause pain in adults and occasionally become very large. Small umbilical hernias (less than a few centimetres) can usually be left alone unless they cause painful symptoms. Larger hernias (measuring over 5 cm in diameter) should be repaired as they will gradually get bigger. The incidence of strangulation is small but nevertheless the occasional patient is admitted for emergency surgery. The overall risks of strangulation are extremely small but nevertheless most patients should have a surgical repair.
Small hernias can be treated through a small incision around the umbilicus without the use of a mesh although this philosophy may change. Larger hernias and those which come back (recurrent hernias) can be treated with open or laparoscopic surgery using a mesh.
Hernia (Incisional)Patients who undergo open abdominal surgery are at risk of developing a recurrent hernia through the muscular layer of the previous incision. These incisional hernias can become massive and require a fairly complex repair. Unless incisional hernias are very small the use of a surgical mesh should be used in every case. Small hernias (less than 10 cm diameter) can be repaired laparoscopically using a mesh but larger hernias are best treated with open surgery. For the majority of patients the surgery is very straight forward and patients can be discharged from hospital after 2 – 3 days. Larger hernia repairs can present quite a challenge for the surgeon as the repair operation can take 4 – 6 hours. Patients are often in hospital for weeks after this major surgery. Several times a year Professor David Lloyd organises a National Hernia course to train other surgeons on the techniques of both open and laparoscopic incisional hernia repair.