Mr John Keating - Wellington General & Colorectal Surgeon
Mr John Keating is a specialist general, colorectal and laparoscopic surgeon.
I trained in London, Auckland, Sydney and Wellington and have been a consultant colorectal and general surgeon in Wellington since 1997. I am a medical advisor to the Wellington Office of the New Zealand Familial Gastrointestinal Cancer Service.
Clinical areas of interest
Familial colorectal cancer
Surgery for inflammatory bowel disease
Laparoscopic hernia and gallbladder surgery
What is General Surgery?
The role of a general surgeon varies but in broad terms general surgery can be said to deal with a wide range of conditions within the abdomen, breast, neck, skin and vascular (blood vessel) system.
While the name would suggest that the focus of general surgery is to perform operations, often this is not the case. Many patients are referred to surgeons with conditions that do not need surgical procedures, but merely require counselling or medical treatment.
The colon and the rectum are part of the digestive tract that processes the food we eat. Together they make up the large intestine or large bowel and are located in the abdomen between the small intestine and the anus. The colon is about 1.8m long and absorbs water and nutrients from food. The rectum is the last segment of the large intestine and is about 20 -25cm long. This is where waste material is stored before it passes out of the body through the anus.
A colorectal surgeon is a general surgeon who has had further training and specialises in the diagnosis and treatment of diseases of the colon, rectum, and anus.
What is Laparoscopic Surgery?
Laparoscopic (or keyhole) surgical procedures are performed through several small cuts (incisions) usually only 5-10mm long, rather than through one large incision.
A long, narrow surgical telescope (laparoscope) that has a tiny camera and light source attached, is inserted through one of the incisions so that the surgeon can view the inside of the body on a TV monitor.
The surgeon then passes specially designed surgical instruments through the other incisions and carries out the procedure using the TV monitor to guide the instruments.
Laparoscopic surgery is usually associated with less blood loss during surgery and less pain and scarring following surgery. In most cases, time spent in hospital is less and overall recovery time from the operation is less than with conventional open surgery.
General, Colorectal and laparoscopic Surgeon
When you come to your appointment, your surgeon will ask questions about your illness and examine you to try to determine or confirm the diagnosis. This process may also require a number of tests (e.g. blood tests, x-rays, scans etc). Sometimes this can all be done during one visit, but for some conditions this will take several follow-up appointments. Occasionally some tests are arranged even before your appointment to try to speed up the process.
Once a diagnosis has been made, your surgeon will discuss treatment with you. In some instances this will mean surgery, while other cases can be managed with medication and advice. If surgery is advised, the steps involved in the surgical process and the likely outcome are usually discussed with you at this time.
Procedures / Treatments
Colonoscopy is the examination of your colon (large bowel) using a colonoscope (long, flexible tube with a camera on the end).… More
Liver & Biliary System Disorders - Including Gallstones
General surgery covers some disorders of the liver and biliary system.… More
Gastrointestinal Disorders - Including Haemorrhoids
Conditions of the gut dealt with by general surgery include disorders of the oesophagus, stomach, small bowel, large bowel and anus.… More
A hernia exists where part of the abdominal wall is weakened, and the contents of the abdomen push through to the outside.… More
This is cancer that begins in your colon or rectum.… More
Colectomy (Bowel Resection)
Laparoscopic: several small incisions (cuts) are made in the abdomen and a narrow tube with a tiny camera attached (laparoscope) is inserted.… More
An opening is made in the skin of the abdomen (stomach) to allow drainage of stools (faeces) from the colon into a collection bag on the outside.… More
Laparoscopic: several small incisions (cuts) are made in the abdomen (stomach) and a narrow tube with a tiny camera attached (laparoscope) is inserted.… More
Skin conditions dealt with by general surgery include lumps, tumours and other lesions of the skin and underlying tissues.… More
Mr Keating is a Southern Cross Affiliated Provider for:
- Follow-up consultations
- Hernia Surgery
- Gallbladder surgery
- Skin Lesions
Patient parking is provided at both Southern Cross & Bowen Hospitals
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This page was last updated at 6:32PM on September 3, 2019. This information is reviewed and edited by Mr John Keating - Wellington General & Colorectal Surgeon.