NHS referrals

6yearwonder

New Member
I’m having a nightmare with my scar from a previous closed excision with 2 chronic wounds, 1 new one and a serious infection. My dr is trying to refer me to to see miss senapati and there’s nothing they can do for me now and the process is really draining me physically and mentally. Has any one any experience in how long the referral to her takes ? Also which hospital is best as I was advised she works from st marks now aswell. Also any experiences of seeing her private for consultation then moving to nhs for treatment. I’m really stuck at a loss and feeling really poorly with this and avoiding another botched job by a local surgeon again
 

6yearwonder

New Member
Yeah they’ve said they’re working on a quarter of capacity at the moment. It’s just really scary because even private appointments aren’t on at the moment and my infection is getting worse and not responding to antibiotics.
 

aleximo

New Member
Hi I saw Miss Senapati both privately and on the NHS. An NHS referral could take a couple of months. Having used her on a number of occasions (with two ops) I would say the link up with a good colorectal surgeon and plastic surgeon yeilded the best results, which wasn't the case with Miss Senapati. I eventually got referred to St Georges in London after tiring of going the 70 mile round trip to Portsmouth general. At St Georges I was treated by Miss Owen (colorectal) and Mr Saour (plastic surgeon). On my last op it was just Mr Saour.

Privately Ms Senapati worked out of one of the private Spire hospitals (can't remember which one). You can see her for a private one time appointment for a couple of hundred of pounds if things are difficult.
 

6yearwonder

New Member
Hi I saw Miss Senapati both privately and on the NHS. An NHS referral could take a couple of months. Having used her on a number of occasions (with two ops) I would say the link up with a good colorectal surgeon and plastic surgeon yeilded the best results, which wasn't the case with Miss Senapati. I eventually got referred to St Georges in London after tiring of going the 70 mile round trip to Portsmouth general. At St Georges I was treated by Miss Owen (colorectal) and Mr Saour (plastic surgeon). On my last op it was just Mr Saour.

Privately Ms Senapati worked out of one of the private Spire hospitals (can't remember which one). You can see her for a private one time appointment for a couple of hundred of pounds if things are difficult.
yeah I’ve finally got into contact with her private secretary for a private consultation with the hope ofkeeping on her nhs list for surgery. She’s now working out of st marks in London too which is really close to me. If you don’t mind me asking what was the problem with your ops with her.This has put all the stops on my life for 7 years now and I don’t think I could cope with any more issues and setbacks. And also what was the procedure at St. George’s that you had and how were the results?
 

aleximo

New Member
yeah I’ve finally got into contact with her private secretary for a private consultation with the hope ofkeeping on her nhs list for surgery. She’s now working out of st marks in London too which is really close to me. If you don’t mind me asking what was the problem with your ops with her.This has put all the stops on my life for 7 years now and I don’t think I could cope with any more issues and setbacks. And also what was the procedure at St. George’s that you had and how were the results?
I would say she is very good at what she does and I don't think you should rule her out. From what I recall she undertook two different procedures on separate occasions. The first was a cleft lift with stitches (under local anesthesia!) and second was the typical PS procedure where the wound is left open. For me I think the problem was the wound healing process rather than PS being the overarching issue coupled with the travel, the last time I saw her I had only just fully healed up and she saw it fit to discharge me (which I was dying for her to do as the trips to Portsmouth were really a pain the proverbial). However, I had issues about 4 or 5 months later after and then decided to go local again. I found that Miss Senapati had made suggestions that I didn't expect her to make, without remembering the specifics, about how best to address the overall PS issue more so saying that it could take continuous ops to deal with this, its a disease so it may just not go away etc. etc, but I suppose she is the expert in this, so who was I to question it.

Miss Owen knew Miss Senpati so I think a lot of the Colorectal surgeons are on somewhat the same playing field when it comes to PS. Miss Owen was the one that suggested they work alongside the plastic surgeon to address the issue and so far that has worked best for me given the number of ops I had previous to seeing her. Again I had cleft lift / shift, excised poorly healing skin, shifted the cleft then stitched me up - not the conventional way to dealing with PS, but it has eventually addressed the issue with use of hydrocortisone cream and prior to the last laser hair treatment (as I think the root cause is hair!). I have made a separate thread on how to use the cream below if you want to take a look.

https://www.pilonidal.org/xfforums/...uffering-this-absolutely-worked-for-me.15146/
 

6yearwonder

New Member
I would say she is very good at what she does and I don't think you should rule her out. From what I recall she undertook two different procedures on separate occasions. The first was a cleft lift with stitches (under local anesthesia!) and second was the typical PS procedure where the wound is left open. For me I think the problem was the wound healing process rather than PS being the overarching issue coupled with the travel, the last time I saw her I had only just fully healed up and she saw it fit to discharge me (which I was dying for her to do as the trips to Portsmouth were really a pain the proverbial). However, I had issues about 4 or 5 months later after and then decided to go local again. I found that Miss Senapati had made suggestions that I didn't expect her to make, without remembering the specifics, about how best to address the overall PS issue more so saying that it could take continuous ops to deal with this, its a disease so it may just not go away etc. etc, but I suppose she is the expert in this, so who was I to question it.

Miss Owen knew Miss Senpati so I think a lot of the Colorectal surgeons are on somewhat the same playing field when it comes to PS. Miss Owen was the one that suggested they work alongside the plastic surgeon to address the issue and so far that has worked best for me given the number of ops I had previous to seeing her. Again I had cleft lift / shift, excised poorly healing skin, shifted the cleft then stitched me up - not the conventional way to dealing with PS, but it has eventually addressed the issue with use of hydrocortisone cream and prior to the last laser hair treatment (as I think the root cause is hair!). I have made a separate thread on how to use the cream below if you want to take a look.

https://www.pilonidal.org/xfforums/...uffering-this-absolutely-worked-for-me.15146/
Thank you so much for coming back to me about this. I did have a deeper look into the specialists who offer cleft lifts and found one who has a very keen interest and performs the bascom procedure successfully aswell as caring for the physical appearance that as a women matters to me lol. I think I would have to have a conversation to them similar to what you had as not only is it the unhealing wounds but also a lot of scar tissue and my skin around it is very thin and weak so I’ll need a similar approach. I think the deciding factor on this was not just that I might have a shorter waiting time but also that because they advocate and rather perform the cleft lift to the book for patients that’s half the battle fought and I’m decided that’s what I will need by now. I will look into the cream and save the link as I’m not at that point yet but luckily hair isn’t so much the problem for me it seems to be more the depth of my cleft so hopefully the shallowing and shift of it with give me a fighting chance to finally beat this!! And a cleft lift under local!!! That just made me shudder! Having my embedded stitches out after a closed excision was enough nightmare fuel for me I don’t know how you sat through that. I hope you successfully keep on healing and have finally seen the end of this.
 

6yearwonder

New Member
have you tried pico dressings negative pressure they are good at healing these wounds
it was suggested but since lockdown I’ve had had a new sinus and most of my scar breakdown. I’ve had pocket under my scar like there’s a gap between the skin that’s healed and what’s underneath so I’m going to need surgery anyway and it looks like a cleft lift would be my best option.
 

Spokm34

Very Helpful
My wound is 2cm deep no sinus track's my issue is it keeps reopening which is frustrating but I'm on the pico dressings now through private hospital it's healing it up well but if it fails again after this than cleft lift it is with Asha Senapati but at my local not all the way in Portsmouth. She is now based at St Mark's hospital in Harrow
 
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