Minimally invasive surgery

Minimally invasive surgery aims at minimising tissue damage to improve the recovery and the surgical outcome.

Other benefits of minimally invasive surgery include:

- Less blood loss
- Less pre-operative pain
- Less scarring
- Shorter hospital stay

Most minimally invasive procedures are performed by a surgeon (a foot specialist) under local anaesthesia or regional block with sedation. This has the additional advantage of preventing complications due to general anaesthesia. The surgery is performed through one or more small incisions, about 1cm long. A thin, pencil-thick, instrument with a tiny camera and light source is inserted through one of the incisions that transmit the images of the surgical area on a monitor. Special surgical instruments, used to cut, shave, remove tissue or bone are inserted through the other incisions. This coupled with the use of an operating microscope, and other imaging modalities (for guidance) enhances the surgeon's precision, reduces the surgical trauma and improves the outcome of the procedure.

Minimally invasive surgery can be used for various orthopaedic procedures that include:

- Removal of scar tissue, loose bodies, bone spurs, inflamed synovial membrane and cartilage
- Treatment of cartilage damage, ligament tear, fracture, dislocations and joint instability
- Joint reconstruction

NICE guidance on minimally invasive bunion surgery

Ankle pain can be distressing, especially if you're not sure what options are open to you. If you're wondering if surgery could help you, book an appointment.

* Routine private appointments either face to face or remotely are available

Call the urgent appointments hotline 0333 050 8662


Hear what our patients have to say

Patient stories

Mr Ajis is a great surgeon, he listens to any concern you may have and explains what is going to happen also gives great care... He suggested a fairly new procedure that wasn't available on the NHS but he pushed me through and he and his team have worked wonders, I am now healing very well and pain-free in my ankle after 6 years!

Written by a patient at BMI Goring Hall Hospital

Mr Ajis was very informative and reassuring about my surgery. He was professional at all times and allowed time for me to have all my questions answered without feeling rushed.

Written by a patient at BMI Goring Hall Hospital

I saw Mr Ajis after sustaining a fracture of my 5th metatarsal which had not healed after a year. The pain was unbearable. He saw me promptly and took the time to explain my condition with the help of x-ray images with assurances that he could fix the problem. I was advised by other clinicians to be patient and wait for the fracture to heal on its own. Mr Ajis said that healing would be highly unlikely without intervention. After numerous emails and 'phone calls to him he constantly...

...spent the time reassuring me and patiently going over the intended procedure. To date after seeking advice and guidance from Mr Ajis, his secretary and the Physio Team and the insertion of a plate my fracture has united I walk well, without pain and I have joined a walking group. In summary, he is the best foot consultant the South of England can provide. In fact, I travelled from both the IoM and the IW to West Sussex to see him.