Our MAKO robotic knee surgery, getting Julie back on the ski slopes in no time

JClarke MAKO_3

It was Julie’s friend, a physiotherapist, who first spotted a problem with Julie’s knee. It had been troubling Julie since an operation some years ago. It was now misshapen and causing considerable pain, stopping her doing the things she loved like skiing and walking.

Julie, 59, went to see Professor Fares Haddad, one of the UK’s leading orthopaedic surgeons at The Princess Grace Hospital. He arranged for X-Rays and scans of her knee, and recommended a partial knee replacement.

Professor Haddad explained to Julie that she would be suitable for a new technique which was unavailable elsewhere in the UK in which surgeons use a new piece of technology called the MAKO robot. Generating a 3D plan of the knee, MAKO helps surgeons perform more precise procedures which are less invasive, leaving a smaller scar and less tissue damage, and slashing recovery times as a result.

The pre-assessment process was quick and efficient and Julie’s surgery was over in less than two hours. She was up and walking the next day, and continued physiotherapy over the following four months.

Before her surgery in November, Julie had set herself the goal of joining her family on the ski slopes again and, in March this year, her wish came true.  Since her operation she has also been able to return to doing all the things she loves – cycling, running, and walking the dog.

Professor Haddad says: “These days, we continue to improve quality of life and maintain activity levels for elderly patients in severe pain due to arthritis, but we also deal increasingly with younger patients suffering with joint problems who want to get back to sport or want to keep working in active occupations, and Julie is a great example of this.”

“In our initial consultation Julie told me that skiing was a priority for her, so I suggested a MAKO-assisted surgery. The MAKO robotic arm is equipped with state-of-the-art technology which gives us the accuracy that innovation can bring with surgical control – so once I had made a decision about how to proceed, the robot executed it perfectly. Until now this has not been possible.

“The accuracy of this technique and the fact that it reduces soft tissue damage, meant reduced pain and swelling and faster recovery times for Julie, so she was able to get back to the sport much more quickly and more easily.”

Julie adds: “I feel very lucky to have had the opportunity to be treated by Professor Haddad and the MAKO robot at The Princess Grace Hospital. It was a seamless process and I felt comfortable that I was in safe hands – the operation had me back on my feet in no time.

“The follow up care from The Princess Grace was also first class – one of Professor Haddad’s Clinical Nurse Specialists was always on the other end of the phone to reassure me and I received fantastic support from the physiotherapy team.”

Professor Haddad

Professor Fares Haddad, is a Professor of Orthopaedic & Sports Surgery and Consultant Orthopaedic Surgeon at The Princess Grace Hospital, Divisional Director at University College Hospitals and Director of the Institute of Sport Exercise and Health. Professor Haddad also leads on Clinical Governance for The Princess Grace Hospital.

After qualifying from Middlesex Hospital and University College Hospital, he completed his postgraduate training at the St. Bartholomew’s, Royal Free and Royal National Orthopaedic Hospitals in London. He then undertook Specialist Fellowship Training in Hip and Knee reconstruction and Sports Medicine in Gainsville and Los Angeles in the USA and Vancouver, Canada.

His clinical and research interests centre around hip and knee reconstructions including complex and revision joint replacements and lower limb arthroscopy, ligament injuries and reconstructive surgery.

To book an appointment call 020 7908 8001

Centre of Excellence for digestive conditions

London Digestive CentreThe Princess Grace Hospital has launched a specialist centre dedicated to treating common and complex digestive and gastrointestinal disorders.

The London Digestive Centre will treat a diverse range conditions from common Acid Reflux through to more complex and acute disorders of the pancreas and liver, including cancer.

Situated in the heart of London’s world-renowned medical district our new centre of excellence will provide patients with access to a wide range of high quality digestive services, offering a seamless diagnostic and treatment experience, with a complete holistic approach to patient care.

The purpose-built facility combines the clinical expertise from The Princess Grace Hospital together with world renowned consultants, to ensure patients have quick access to appointments and treatments at a time suited to them.

The London Digestive Centre is also supported by experienced Clinical Nurse Specialists, Dietitians and the latest medical equipment and technology including MRI, CT and Fibro scanners, as well as pioneering new cancer treatments through Nano-Knife.

Onsite services also include Private GPs and patients can also book appointments for Ear, Nose and Throat consultants.

Professor Ameet Patel, Consultant General Surgeon and Medical Director of the London Digestive Centre said:

“With this integrated approach to digestive healthcare, we’re able to ensure patients get the care they need as soon as possible. As consultants, we are able to cross-refer to each other when appropriate, and being in one location means that we can liaise with each other efficiently.”

Benefiting from 40 years of clinical innovation and pioneering treatment from The Princess Grace Hospital, patients can be assured that they are getting the best possible treatment for all their digestive and gastrointestinal disorders.

To book your appointment please contact 0203 411 2820


Irritable Bowel Syndrome (IBS)



IBS is a common condition of the digestive system, causing bloating, stomach cramps, diarrhoea and even constipation. Likely to affect one in five people, IBS usually develops between the ages of 20-30 and is a lifelong condition, and affects twice as many women than men.(1)

There are many causes of IBS with some experts linking digestive problems and sensitivity of the gut as the main reasons, and some may not experience symptoms for months, with only sudden flare-ups.

Though there is no absolute cure for IBS, management and treatment options are available and can help towards living a normal life.

The London Digestive Centre, our specialist facility for gastroenterology, is purpose built to provide a seamless patient pathway and optimal care for IBS and other more complex conditions.

Our world-renowned consultants and on-site Clinical Nurse Specialists provide consultation and management options and our diagnosis and screening facilities offering imaging results typically within 48hrs.

To understand more about The London Digestive Centre, or to book an appointment visit: The London Digestive Centre



1 source http://www.nhs.uk/conditions/Irritable-bowel-syndrome/Pages/Introduction.aspx

Pioneering treatment for hip and knee pain (Osteoarthritis)

MAKOThe Princess Grace Hospital is proud to be the first hospital in the UK to offer robotic assisted procedures for those needing partial hip and knee replacements and the first to offer total knee replacements due to osteoarthritis, in the UK.

8.75 million people in the UK have sought treatment for Osteoarthritis1 .  It is the most common form of arthritis in the UK and affects 33% of those 45 years and over. Though osteoarthritis can cause pain in all joints within the human body, it is mostly found in the knee and hips (over 6.5 million people in the UK1).

Many people suffering from osteoarthritis, do not necessarily need joint surgery, and can usually be treated with creams, painkillers, injections or even treatments such as Transcutaneous Electrical Nerve Stimulation (TENS) which can ease symptoms of pain.

For those suffering from degenerative arthritis however, sometimes surgery is the only option.

MAKO Robotic-Arm Assisted technology

Our MAKO robot allows our specialist orthopaedic surgeons to remove the diseased bone from the hip or knee whilst preserving the surrounding healthy bone and tissue. It also allows our surgeons to place in the implants more accurately and with minimal differences in length compared to traditional methods.

Whilst currently not substituting conventional methods of hip and knee replacements, the MAKO robot does have its advantages:

  • Smaller surgical incisions
  • Fewer complications due to the pre-planned surgical pathway
  • Less pain and faster recovery times, getting you mobile and returning to your active life
  • Longer lasting implants resulting from accurate placement, giving greater patient satisfaction and less return visits for replacements

How does the MAKO procedure work?

Before the surgery, you will have a CT scan which generates a 3D virtual model of the area to be operated on. This model is used to create a surgical plan, unique to you, and will indicate the optimal size and placement of your implants.

During the operation, the robotic system guides the surgeon, preventing them from moving outside the pre-defined boundaries of the plan (however, the surgeon can alter this ‘in surgery’ as necessary based on real-time information).

For more information about partial hip or knee replacements using our MAKO robotic system contact the Orthopaedic Centre London.

¹Osteoarthritis facts and figures 

The Princess Grace Hospital and Al Zahra Hospital Dubai, collaborate to enable access to advanced healthcare in UAE

PG_AZHD_2017The Princess Grace Hospital and Al Zahra Hospital Dubai, collaborate to enable access to advanced healthcare across the United Arab Emirates (UAE)
The Princess Grace Hospital, part of HCA Healthcare UK, recently visited the Dubai World Trade Centre to participate in the Arab Health 2017 conference, and confirm their partnership with Al Zahra Hospital Dubai to provide access to advanced healthcare across the UAE.

The conference running from 28th January to 1st of February 2017 is the largest healthcare event in the Middle East and North Africa regions, with over 4,000 of the world’s leading healthcare companies in attendance.

The Princess Grace Hospital and Al Zahra Hospital Dubai have teamed up to enable access to advanced healthcare in the UAE, reducing the need for outbound travel for healthcare, and to help establish Dubai as a hub for healthcare needs across the Middle East region.

The partnership sees The Princess Grace Hospital support Al Zahra Hospital Dubai in providing the same high quality, advanced cancer care for patients in Dubai, as they would if they were traveling abroad, increasing access and potentially increasing medical tourism in the region.

Among the treatments on offer being discussed is Hyperthermic Intraperitoneal Chemotherapy (HIPEC), a form of highly concentrated, heated chemotherapy used to directly treat the abdomen (unlike conventional chemotherapy treatment which circulates throughout the body) during surgery.

Charlotte Tempest, CEO of the Princess Grace Hospital commented:
‘We want to build and develop on the existing relationship between The Princess Grace Hospital and Al Zahra Hospital Dubai, both hospitals can benefit and work together to provide patients with the latest advanced technologies and treatment, and ensure continuity of care’

Patients will also benefit from the knowledge and expertise of the two hospitals, the advances in treatment and the developments in technology allowing for previously unmanageable conditions to be treatable.

Arab Health 2017 news report:


Our Day Unit sees its 10,000th patient!

Princess Grace HospitalSince its refurbishment in 2013, The Princess Grace Hospital Day Unit has transformed, with state-of-the-art facilities now available to our patients. Our patient satisfaction rates have never been higher and our dedicated staff recently celebrated our 10,000th patient through the door since the refurbishment.

The Unit is available for patients receiving treatment for a variety of conditions and means that they do not have to stay in hospital for longer than is necessary. The refurbishment was patient-centred and has led to increased privacy and dignity as we now have separate rooms with en-suites, as opposed to curtained cubicles. Furthermore, the installation of state-of-the-art technology, such as Smartglass doors, ensures that we are able to provide our patients with the best care. Smartglass allows the glass surrounding the room to be frosted or clear at the flick of a switch, meaning that the patient can be monitored by nursing staff but can gain instant privacy if required. Returning patients have commented that they find the Unit more comfortable now and feel like they are in a hotel bedroom instead of in a hospital environment.

Sharon Stringer, Clinical Nurse Manager of the Unit, said “I have worked across both inpatient and outpatient functions during my career as a nurse and find working on the Day Case Unit very rewarding. Support from departments throughout the hospital ensures that we are able to match our patients’ expectations and provide a high level of care to get them to theatre and recovery quickly and safely meaning that they can be discharged home the same day. The multidisciplinary team are well-drilled and energetic, which means that we can efficiently gather all required information from a patient and smoothly guide them through their treatment plan. For 2017 we aim to build on our previous successes and identify innovative ideas to enhance our patients’ experience.”

For more information about our facilities and services, please visit our website here.

Patient story – Mr Babbage

28702After being reassured two years earlier that potential problems with his prostate were nothing to worry about, Peter Babbage, 58, from the Cotswolds, received the news he feared.

Despite having no symptoms, pain or discomfort, results of a test to measure his prostate specific antigen (PSA) were abnormally high and an MRI scan and biopsy revealed he had advanced prostate cancer.

Through his private health insurance from work, Peter who is a keen cyclist, contacted Professor Roger Kirby, the Professor of Urology at The Princess Grace Hospital. Within two days Peter had an appointment and his tests and examinations confirmed the diagnosis. Peter was advised that his best option was to have his prostate removed – an operation known as a prostatectomy.

The Princess Grace Hospital has the latest high-tech equipment to carry out this procedure. The da Vinci robotic surgical system, allows surgeons to remove the prostate with small keyhole incisions and with greater accuracy than traditional surgery. This means less pain and a better recovery for patients. The two-hour procedure, performed under general anaesthetic, was carried out on a convenient day for Peter and went without a hitch.

Peter was only in hospital for a short period and says the care he received was fantastic.

‘The entire experience was quite amazing,’ says Peter, who is married with two children. ‘The treatment at the hospital was fantastic, the food was excellent and the nurses were absolute angels and very compassionate. There was very little discomfort and I was out of bed the same day and by the following day, I was climbing flights of stairs.

‘If you need to have this operation done, my advice to other men would be to go ahead and not give it a second thought. You hear some bad stories about prostate surgery and its after-effects but it was nothing like that. I was walking a couple of miles a day after two days, and within three weeks of the operation I was pretty much back to normal. Soon I should be able to get back to my great passion cycling.’

For further information about Robotic Surgery at The Princess Grace Hospital, please visit here.

Running Tips for Beginners

Dr Courtney Kipps, Consultant in Sports and Exercise Medicine at the Institute of Sport Exercise and Health (ISEH), provides guidance about taking up running.

Women stretching

Experts state that running regularly can help to increase your life expectancy and that even jogging and short runs are beneficial. Additionally, running can reduce the risk of heart disease and other chronic diseases, such as bowel cancer and type 2 diabetes.

In the article Dr Kipps answers some of the most common questions from people thinking about taking up running for the first time, including whether it is safe to run if you have high cholesterol or blood pressure and if you can run with arthritis.

New to running? Below are some top tips:

  • Warm up thoroughly and stretch after every run
  • Start off with two to three runs a week
  • Don’t run on consecutive days and never increase frequency by more than 10% each week
  • Improve flexibility through stretching and low-impact exercises such as yoga

MAKO Knee Replacement

In the new issue of The Independent Practitioner, Professor Haddad discusses the role of robotic technology in surgery.

At The Princess Grace Hospital we are proud to be able to offer our patients the latest innovations during their treatment. We are therefore glad to announce that we are the first private hospital in the UK to offer partial knee replacements using the MAKO robotic arm.

For more information about robotic orthopaedic surgery at The Princess Grace hospital, please visit our website here.