- Bupa Platinum consultant
- Fee assured
- Awaiting verification
- Open Referral network
- Lower GI surgery
- Video and telephone consultations
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.
Currently, Mr Chitsabesan is the Humber, Coast and Vale Colorectal cancer lead and an Honorary Senior Lecturer at HYMS and Board Member and Trustee for the British Hernia Society.
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.
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; Hernias; Haemorrhoidectomy; Haemorrhoids; Incontinence; Indigestion (Dyspepsia);Irritable Bowel Syndrome; Polypectomy; Rectal Bleeding; Rectal Prolapse; Stomach Ulcer; Ulcerative Colitis; Upper Gastrointestinal Endoscopy
- Kim Barnes
- General Surgery Secretary 4th Floor admin York Hospital Wigginton Road York YO31 8HE
- 07756 179156
Anaesthetists worked with
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
Board Member for British Hernia Society
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 â€˜training the trainersâ€™ 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
Health Related Quality of Life in Abdominal Wall Hernia â€“ letâ€™s ask patients what matters to them. HERN-D-21-00414 â€“ awaiting outcome
Some thoughts pertaining to quality of life. Smith, O., Chitsabesan, P. & Chintapatla, S.
A multistage process leading to the development of a structured consent form and patient information leaflet for complex abdominal wall reconstruction (CAWR).Asarbakhsh, M., Smith, O., Chitsabesan, P., MacLeod T, Lim P and Chintapatla
The York Pathway â€“ a structured approach to complex abdominal hernia patient care. Smith O, MacLeod T, Lim P, Chitsabesan P and Chintapatla HERN-D-20-00321R1. Hernia (2021)
Outcomes following emergency colorectal cancer presentation in the elderly
P. J. Webster, N. Tavangar Ranjbar, J. Turner, A. El-Sharkawi, G. Zhou, P. Chitsabesan.
Non-anaemic iron deficiency should be investigated with the same priority as iron deficiency anaemia in fast track colorectal clinicsâ€”retrospective cohort study Talal Majeed, Joshua Solomon, Romassa Siddiq Ali, Praminthra Chitsabesan.
Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study STARSurg Collaborative.
Incidental adenocarcinoma in patients undergoing surgery for stricturing Crohnâ€™s disease. Kristo I, Riss S, Argeny S, Maschke S, Chitsabesan P, and Stift A.
Students' participation in collaborative research should be recognised. STARSurg Collaborative.
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.
Intraoperative complications have a negative impact on postoperative outcomes after rectal cancer surgery. Riss S, MittlbÃ¶ck M, Riss K, Chitsabesan P, Stift A.
Surgical recurrence after primary ileocolic resection for Crohn's disease. Riss S, Schuster I, Papay P, Herbst F, MittlbÃ¶ck M, Chitsabesan P, Stift A.
High-pressure anal fibrillation identifies anal fissures that respond to botulinum toxin. Moon A, Chitsabesan P, Plusa SM
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)
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
York NHS Trust Safety and quality data shows I have a low readmission and reoperation. Feedback from patients is excellent.
For colonoscopy my caecal intubation rate is 99% with high patient comfort scores despite a low need for sedation or painkillers
- MBBS Newcastle University 1997
- MA Oxford University 1994
- PhD Newcastle University 2009
- FRCS Royal College of Surgeons, England 2010
- Certificate of Medical Education Newcastle University 2004
- Laparoscopic and Advanced Colorectal Malignancy Fellowship Basingstoke Hospital, North Hampshire 2012
Reference number 4421269
Professional bodies (positions held - last 3 yrs)
- Colorectal Lead Humber Coast and Vale Alliance 2018
- Board Member British Hernia Society 2020
Affiliations / memberships
Royal College of Surgeons of England
British Hernia Society
Association of Coloproctology of Great Britain and Ireland
- Nuffield Hospital York, Haxby Road, YORK, YO31 8TA
- 13:00 - 19:00
- 07756 179156
- Nuffield Hospital York, Haxby Road, YORK, YO31 8TA
- 08:30 - 12:30
- 07756 179156
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 Kim Barnes, private secretary on 07756179156 or the Nuffield Hospital, York on 01904 715000
Information for healthcare professionals (Bupa patients only, last 12 months)
Rigid sigmoidoscopy (including proctoscopy and biopsy) - (5-50)
IV sedation administered by operator - (5-50)
ExCon - Further Discretionary Payment - (1-5)
Diagnostic colonoscopy, includes forceps biopsy of colon and ileum - (1-5)
Therapeutic colonoscopy with snare loop biopsy or excision of lesion - (1-5)
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