Continuous Intra-operative  Nerve Monitoring (cIONM)

Spire Southampton in conjunction with James Kirkby-Bott are the only site in the region routinely using continuous intra-operative nerve monitoring (cIONM) during every operation.

This cutting edge technology  improves voice preservation and airway protection. It continually monitors nerve function and warns James of changes in wave signal that precede functional nerve damage that causes altered voice and recurrent chest infections.

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Extensively trained in Endocrine Surgery

Mr Kirkby-Bott is extremely knowledgeable and experienced in the science and practice of thyroid and parathyroid surgery, having performed over 1,000 thyroid lobe and parathyroid gland excisions.

He trained at 2 of the most prestigious endocrine surgery units in the world: Hammersmith Hospital, London and CHRU, Lille, France.

He is very passionate about using outcomes to improve quality innovations in surgery. Combining surgical outcomes with his extensive experience leads to the best advice and even better surgical outcomes.

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Real-time PTH in surgery

Mr Kirkby-Bott is now utilising real-time PTH monitoring in Thyroid and Parathyroid surgery (IOPTH) at the Spire Southampton. IOPTH is key to improving outcomes.

Using localisation studies and IOPTH can improve parathyroid surgery success from 94% (localisation only) to 99% with localisation and IOPTH.

Using IOPTH in total thyroidectomy can predict low calcium due to too little PTH hormone being produced. Doing this during surgery can help decision making to try and preserve parathyroid function long term.

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