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.
James trained at 2 of the most prestigious endocrine surgery units in the world:
Hammersmith Hospital, London
CHRU, Lille, France
James is a leading surgeon using outcomes to improve quality innovations in surgery. These are big passions. Combining surgical outcomes with his extensive experience leads to the best advice and even better surgical outcomes.
Tool coming to Spire Southampton soon.
Real-time PTH monitoring in Thyroid and Parathyroid surgery (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.