May 2010

Shoulder Injury

Unfortunately, Tan Arulampalam has suffered a fracture dislocation of his right shoulder. This occurred on Wednesday, 21st April and although successfully treated at Colchester Hospital, further intervention was required. An MRI scan showed what appeared to be a loose fragment chipped off the glenoid. This was confirmed on CT scan images. Tan underwent shoulder arthroscopy and open reduction and internal fixation by Mr Jeremy Stanton ( and Mr. Matt Hynes. Tan will be in a sling for 4 weeks and after intensive rehabilitation be back performing surgery towards the latter part of June or early July. A regular update will be available on this section of the website. NHS patients treated at Colchester Hospital should not suffer any interruption in their treatment. Those patients treated at the Oaks as Private Patients or under the NHS Choose and Book Scheme will be given the choice of procedures being carried out by one of Mr. Arulampalam's colleagues or, for the less urgent procedures, waiting for Mr. Arulampalam’s return.

Royal Society of Medicine Section of Coloproctology Meeting – Cracow

CracowTan will be presenting to the Royal Society of Medicine Section of Coloproctology Overseas meeting in Cracow, Poland. This is a joint meeting with the Polish Coloproctology Club and the local host Professor Roman Herman.The talk is entitiled "Complicated Diverticulitis, when and if to operate – young, old or immunocompromised". For mor information go to,menu,eng,rsm,0,0,1728,scientific_programme,ant.html

Transanal Endoscopic Microsurgery (TEMS)

Tan will be offering a TEMS service from August 2010. This modality can offer patients a minimally invasive approach to dealing with polyps and tumours in the rectum. There is the opportunity to avoid major resectional surgery and avoid a stoma in certain circumstances.

Hot Topic: Colon Cancer

This is a very common condition affecting nearly 23,000 people in the UK. Excellent information can be obtained from

CracowThe fundamental changes in management that have taken place over the last few years are related to early diagnosis (bowel cancer screening programme and patient/ physician awareness), improved access to imaging (CT, MRI and PET scans), laparoscopic surgery, novel chemotherapy and immunological agents. Excellent information can be obtained from the charity Beating Bowel Cancer UK ( on whose Medical Board I sit. Patient information can be found at