Liver conditions are a core focus of Dr. Appou's HPB surgical practice at Fakeeh University Hospital, Dubai Silicon Oasis. He treats the full range of liver disease, from liver cysts and liver abscess to benign and malignant liver tumors, including hepatocellular carcinoma and colorectal liver metastases. Complex cases are reviewed through the multidisciplinary tumor board, with liver resection performed using open or laparoscopic techniques based on the extent of disease.
Pancreatic disease requires multidisciplinary planning and complex surgery at Fakeeh University Hospital, Dubai Silicon Oasis. Dr. Appou manages the full spectrum of pancreatic conditions, including pancreatitis, pancreatitis-related jaundice, pancreatic cysts and IPMN, pancreatic cancer, neuroendocrine tumors, and ampullary and periampullary cancers, with complex procedures performed by HPB-trained specialists.
Gallbladder and biliary conditions are among the most frequently treated in Dr. Appou's surgical practice at Fakeeh University Hospital, Dubai Silicon Oasis. He manages the full spectrum, from gallstones and biliary colic to acute cholecystitis, bile duct stones, obstructive jaundice, gallbladder polyps, and gallbladder cancer. Each patient receives a structured diagnostic assessment, with surgery performed using open, laparoscopic, or robotic techniques based on individual needs.
Dr. Appou treats all hernia types at Fakeeh University Hospital, Dubai Silicon Oasis, from straightforward inguinal and umbilical repairs to complex recurrent cases. He performs TAPP, TEP, open mesh, and robotic-assisted repairs, selecting the right technique for each patient based on hernia type, anatomy, and surgical history. His personal recurrence rate is approximately 2%, and each patient receives a structured diagnostic assessment before surgery is planned.
Jaundice in adults is rarely a condition in itself, it is more a warning sign that something is wrong with the liver, bile ducts, or pancreas. Early investigation is essential to establish the cause and begin timely treatment. Dr. Appou assesses the full range of jaundice presentations at Fakeeh University Hospital, Dubai Silicon Oasis, promptly and with structured diagnostic pathways, ensuring patients presenting with yellow skin or eyes, dark urine, or pale stools are never left waiting for answers or timely referral.
Bile duct disease spans a wide spectrum from stones that remain in the duct after gallbladder removal, to strictures, injuries, and cancer requiring complex surgical reconstruction. Accurate diagnosis is essential before any intervention, using detailed imaging, ERCP, and MRCP to guide precise treatment planning. Dr. Appou brings specialist biliary surgical training from two of the UK's leading HPB centers, North Hampshire Hospital in Basingstoke and the Royal Free Hospital in London, to every case he manages at Fakeeh University Hospital, Dubai Silicon Oasis, supported by a multidisciplinary team.
Acid reflux, GERD (GORD), and hiatus hernia are closely linked conditions that exist on a spectrum from occasional heartburn to chronic esophageal damage. Left unmanaged, persistent reflux can progress to Barrett's esophagus and esophageal cancer. Dr. Appou takes a personalized approach at Fakeeh University Hospital, Dubai Silicon Oasis, working through options from lifestyle changes and medication to laparoscopic fundoplication and hiatus hernia repair.
Acute and emergency general surgery covers conditions that develop suddenly and carry real risk if left untreated, from strangulated hernias to ruptured appendices to blocked bowels. With 35+ years of emergency surgical experience, including 18 years as an NHS Consultant, Dr. Appou provides urgent assessment and treatment for these time-sensitive conditions at Fakeeh University Hospital, Dubai Silicon Oasis, minimizing delays to surgery.
Minor surgical procedures require the same precision and attention to technique as any operation, with careful excision and wound closure determining whether a lesion recurs or heals well. Dr. Appou manages the full spectrum of minor surgical conditions at Fakeeh University Hospital, Dubai Silicon Oasis, from sebaceous cysts and lipomas to ingrown toenails, and chronic wound management. Most procedures are performed as day cases under local anesthesia, with minimal downtime.
Conditions affecting the stomach and esophagus range from motility disorders such as achalasia cardia to esophageal and gastric cancers requiring major surgical resection. Dr. Appou's Upper GI surgical expertise, developed over 35 years including 18 years as an NHS Consultant at Raigmore Hospital, covers the full range of benign and malignant esophageal and gastric conditions. Management is coordinated through the multidisciplinary team at Fakeeh University Hospital, with access to advanced imaging, endoscopy, and surgical platforms.
Spleen conditions and splenectomy form part of Dr. Appou's broader HPB and general surgical practice at Fakeeh University Hospital, Dubai Silicon Oasis. He manages splenic conditions arising in the context of complex HPB surgery, hematological disease, or trauma, including splenomegaly, splenic tumors, and traumatic splenic rupture, using both open and laparoscopic approaches. Patients who have undergone splenectomy receive structured guidance on post-splenectomy vaccination and long-term precautions, in line with current published guidelines, including timely vaccination against encapsulated organisms.
Appendicitis is one of the most common acute surgical emergencies, and appendectomy is among the most frequently performed operations in general surgery. Dr. Appou performs laparoscopic and open appendectomy at Fakeeh University Hospital, Dubai Silicon Oasis, with emergency and elective surgery for recurrent or interval appendicitis, guided by clinical examination and imaging.
Colorectal conditions, including colon cancer, diverticular disease, bowel obstruction, and colorectal polyps, require careful surgical assessment and, in many cases, bowel surgery. Dr. Appou manages these conditions using both open and laparoscopic approaches at Fakeeh University Hospital, supported by the hospital's oncology and gastroenterology teams. Patients presenting with a change in bowel habit, rectal bleeding, or abdominal pain are assessed through a structured diagnostic pathway with appropriate imaging and endoscopy.
Dr. Appou provides minimally invasive and laser surgical treatment for a range of anorectal and perianal conditions at Fakeeh University Hospital, Dubai Silicon Oasis. With a focus on patient comfort and rapid return to daily activity, he manages hemorrhoids, anal fissure, anal fistula, pilonidal sinus, and perianal skin tags using modern techniques that minimise recovery time and postoperative discomfort. Both chronic and acute anorectal presentations are assessed and treated with precision.