My advice: GO FOR IT!!
I have been a Polyp sufferer for years and have seen several ENT consultants who were all wary of the operation using an electric Microdebrider – there is a danger of breaching your brain cavity etc. When they told me I would need a CT scan and general anaesthetic I wasn’t keen either. Read more
After much research I found Polypvac website in the US and contacted them via email – they were really helpful and kept me in the loop regarding getting Polypvac into the UK. They eventually put me in touch with their distributor in the UK who in turn informed me that Mr Karagama had one of the devices. I immediately contacted Mr Karagama and booked myself in as all the information I could find on the Polypvac was hugely positive.
On the day of the procedure my wife and I drove from Gloucestershire up to Cheadle where I had an initial examination using an endoscope to see the extent of the polyps which I was shown on the screen. I was then taken to a treatment room and readied for the procedure – Mr Karagama was fantastic – he was SO careful about local anaesthetic to ensure I wouldn’t feel a thing. Most of the anaesthetic was liquid or spray form with two very small injections at the end high up in my nose however I didn’t feel them at all thanks to the other anaesthetic. The machine itself is small and simply connects to a suction/vacuum system and is very quiet. It took about 30-40 minutes from start to finish and I left with a cotton wool swab under my nose to catch a small amount of bleeding. I took paracetamol on the way home and that evening but have not needed any since! Mr Karagama prescribed a nasal flush that I use morning & night for a couple of months to clear out any mucus etc. I haven’t had any nose bleeds or other issues since.
Last week I attended a follow up appointment and Mr Karagama put the before and after endoscope footage side by side on the screen and the difference is amazing. I am now using a steroid spray twice a day for a couple of months to hopefully prevent re-growth and also assist my sense of smell to return (fingers crossed!!)
What really sticks in my mind is the comments Mr Karagama said at the end of the procedure
- he has carried out hundreds of polypectomies in the past but never been able to talk to the patient during the procedure as they are under general anaesthetic
- he was able to prod and poke the Polypvac against the lining of my nose in certain places and with a certain amount of force that he wouldn’t dream of doing with the electric option as ‘it’s like a drill’!!
If my polyps do return I wouldn’t hesitate in repeating the procedure.
I hope this gives you a degree of comfort and wish you every success if you have it done.
Name : NT
Location : Alexandra Hospital
Condition Treated : Nasal Polyps
Date seen: 1/06/17
After initial consultation I wanted to have procedure using Poly vac which could be carried out under local anaesthetic because last time I had an operation under General made me feel unwell. Mr Karagama had performed this procedure and made me feel at ease. He also advised me that they have an alternative machine would be used for the larger Polyps if required. After consultation I was booked into to have a CT scan the following week when date for operation was booked in for the 16th June. The actual procedure took about 45mins, only a sensation of pressure was felt during the operation and I was always asked how I felt throughout. When local anaesthetic was injected some went down your throat and numbed the area which felt a little strange. I was kept in recovery for a while just to ensure no excessive bleeding and then taken back to my room. Mr Karagama came to see me and said that all had gone very well and he wanted to see me in 2 weeks for follow up and I was discharged a few hours later.
My operation was carried out 2 weeks after first consultation which was excellent and on final meeting 4 weeks on with Mr Karagama he washed out my sinuses where he examined the nose. The operation had gone as well has could be expected and no further visit was required. Mr Karagama asked for permission to use the video recording to show my procedure to which I agreed.
The staff at the Alexendra hospital were very welcoming and professional, the facilities were very good which made my stay pleasant.
I Narinder Timana agree for you to display my comments on your website.
I arrived at Mr Karagamas consulting room having been unable to eat anything other than pureed and sieved foods for six months. I had lost a considerable amount of weight and at the time of the consultation I weighed seven and a half stone.
My diet was very restricted. I was receiving liquid nutrition on prescription. I felt weak and unable to live the busy life I had previously enjoyed. I was convinced that this was how it would be for me for the foreseeable future as the dietician at the local hospital told me he has patients who have lived with this condition for many years. Mr Karagama quickly diagnosed Dysphagia (swallowing problems) due to cricopharyngeal spasm (where the crycopharyngeal muscle has gone into spasm) .
He knew exactly what to do and listed me for a Panendoscopy and balloon dilation of the cricopharynx.
The procedure took approximately 45 minutes in theatre. I understand that normally it would be done under a general anaesthet ic. Because I have a phobia related to G.A. I asked if it could be done with local anaesthesia. Although this was an unusual request, Mr. Karagama, had the confidence and experience to say that he could do the operation with local anaesthesia and mild sedation if needed.
The theatre staff were all very professional. The anaesthetist administered local anaesthetic with a throat and nasal spray. A nurse held my hand. Because I was conscious throughout, Mr. Karagama explained each stage of the procedure to me as he went along . The procedure is carried out by inserting a balloon into the affected area of the throat and inflating it with water to stretch the muscle which has spasmed. For the second half of the procedure he advised me to have mild sedation which the anaesthetist administered via a cannula in my hand, it felt like the after effects of drinking a large glass of wine. The operation was soon over and I was taken to a recovery room . An hour later I was pinching myself as I could not believe that I was able to sit up in bed and eat a bowl of soup containing small chunks of cooked vegetables I
Mr Karagama came to see me after the operation and said I should try to eat whatever foods I fancied. Approximately two hours after the operation, I left hospital and travelled home. I am now eating normally and regaining my strength and vitality.I think that many sufferers of dysphagia are unaware that this treatment is available in the U.K.
Not only is Mr Karagama a brilliant ENT Surgeon he is also a very caring and empathetic person. I am so thankful that I was fortunate enough to be referred to him.