Christian is an NHS and Private Obstetrician and Gynaecologist working in Central London with 30 years experience in Obstetrics and Gynaecology. As well as caring for pregnant women he also specialises in complex Laparoscopic surgery, Endometriosis and Urogynaecology. He founded and runs one of the few nationally recognised Specialist Endometriosis units within the UK. He qualified at Guy’s Hospital in 1984 and has trained and worked ever since in London teaching hospitals. After passing his specialist exams (MRCOG) in 1991 he was honoured with the Fellowship of Obstetrics and Gynaecology (FRCOG) in 2005.
He currently practices privately at OBGYN Matters and continues to work part-time in the NHS at the Homerton University Hospital.
During his career he was drawn towards areas of medicine that were more intensive and practical. He realised that it is the, patient contact, team work, operating and teaching that drives him. As a result he has focussed his attention on building his communication, practical and surgical skills to the highest possible standard. He does not want to give patients routine care, he wishes to give them extraordinary, personalised care and excellent outcomes.
Many Gynaecological operations may be performed using Laparoscopic surgery, his aim is where possible to perform simple and complex gynaecological surgery using Minimal Access Techniques in order to maximise surgical outcome, minimise hospital stay and shorten the recovery period. He also believes that where open surgery is necessary this needs to be performed gently and with finesse in order to minimize complications and speed recovery. Moreover, he has learned that successful surgery requires teamwork, careful patient communication and detailed preoperative assessment; to understand patient needs, to build trust and to set obtainable surgical goals.
His long career to date has enabled him to train many juniors and to work closely with many different specialists, and of course patients. His primary reason for becoming a doctor was to go into a career where he felt that he could make a difference, to him it is not simply a job, it is a vocation.
There are two broad areas to his practice:
Working in top London Teaching Hospitals for many years Christian has had the opportunity to work in many specialist clinics dealing with all aspects of Gynaecology. As a result he has in depth knowledge in many areas including, endometriosis, fibroids, pelvic floor problems (prolapse and incontinence) as well as Menopause, Hormone replacement therapy (HRT) and period problems. Many of these issues can be resolved by careful history taking, listening, examination, proper counselling and conservative management. Where surgery is required he aims to perform this to the highest possible standard. Many Gynaecological operations may be performed using Laparoscopic surgery, where possible he performs simple and complex gynaecological surgery using Minimal Access Techniques in order to maximise surgical outcome and minimise hospital stay and patient morbidity.
The more complex Laparoscopic (keyhole) surgery procedures he performs are for advanced, Stage IV, endometriosis (excision), deep infiltrating endometriosis (DIE), recto-vaginal endometriosis, prolapse, fibroids and hysterectomy. The great advantages of this type of surgery are less pain, a shorter hospital stay, a quicker recovery, minimal scars and better long-term outcomes. This combination is particularly important to women who are keen to get on with their lives and resume normal activity.
All of his surgery is fertility sparing.
In order to maintain standards, he performs around 200 major and 300 minor operations a year. He continues to practice part-time in the NHS and take part in a continuing medical education programme (CME) from the Royal College of Obstetricians and Gyneacologists (RCOG). He also lectures and teaches surgical skills both in the UK and abroad and attends national and international meetings, to ensure that he is up to date in his opinions and practice.
He manages and run a specialised Endometriosis Centre. This is one of the few units within the UK that has formal accreditation from the British Society of Gynaecological Endoscopy (BSGE). In order to obtain this one has to comply with all National regulations, provide externally audit-able data, have regular multidisciplinary meetings, perform large numbers of complex cases and provide long term outcome data.
His experience in Obstetrics spans 30 years of working in top London hospitals. He sees it as a real privilege to look after pregnant women and to ensure that they feel confident, safe and informed throughout their pregnancy. Patient centred care, where treatment is individualized to each pregnant woman and her partner, is an important part of this. Primarily he wants the mother and baby to be safe but he also wishes to deliver a memorable experience for the woman and her partner. He still find childbirth a truly amazing experience and doesn't think that this feeling will ever leave him. He feels the same way now as he did when he performed his first delivery as a medical student in 1983!
Individual women and their partners often have views on how they wish to be managed antenatally and are encouraged to make safe birth choices. Wherever possible these choices are taken into account, to offer women the birth experience they desire. He is happy to support all birth choices as long as they do not lead to increased risk for the mother or baby.
His knowledge in Obstetrics is kept up to date by his NHS practice. For the last 19 years he has worked in a unit with close to 6000 deliveries each year. The Homerton hospital is in a very socially deprived area of London where as well as having many normal pregnant women we also have to deal with serious complications on a regular basis. He is often called in personally when Obstetric emergencies do occur because he always remains calm under pressure and is considered by his colleagues to be very experienced in the management of emergency situations.
In Private Practice the vast majority of women have low risk pregnancies and his focus is on risk reduction, early recognition of problems and prevention of possible complications. Nonetheless, emergencies can occur and his patients may feel reassured that he will be able to deal with these should they arise.