4.93

Mr Kirana Arambage is an experienced consultant gynaecologist who specialises in complex endometriosis, benign gynaecology and advanced minimal access gynaecological endoscopic surgery. Since 2014, he has been based at the Endometriosis Care and Research Centre at John Radcliffe Hospital, Oxford which is one of the busiest BSGE accredited endometriosis centres in the UK.

His sub-specialities include complex endometriosis and endometriosis (stage 1-4) involving other pelvic and abdominal organs, extra-pevic endometriosis (endometriosis outside the pelvis), pelvic pain, menstrual and post-menopausal disorders, hysterectomy, hysteroscopy, cystectomy, oophorectomy and fibroid removal (myomectomy).

Mr Arambage first qualified with an MBBS in 2002 from Sri Lanka before going on to complete RCOG specialist training in Eastern and London postgraduate deaneries. He then got selected to complete RCOG accredited specialist training modules in advanced laparoscopic/hysteroscopic surgery at the John Radcliffe Hospital, Oxford in 2012 through competitive national recruitment. He also achieved a master's degree in advanced gynaecological endoscopy from the University of Surrey with a merit pass.

He is also the current Honorary Secretary of the British Society for Gynaecological Endoscopy (BSGE) and has contributed to the training, BSGE/ESGE guidelines on the management of fluid distension media in operative hysteroscopy as well as the Cochrane review of laparoscopic surgery for endometriosis.

Mr Arambage has a passion for medical education and spends time teaching at the University of Oxford where he is an honorary senior clinical lecturer. He is the preceptor for Oxford advanced laparoscopic training programme over the last few years and has been training other consultants too. He worked as the lead for gynaecological endoscopic simulation and training for Oxford postgraduate deanery (HEETV) and oversaw speciality registrar (ST1-ST7) training over the last 5 years.

He has published work in his specialists areas and invited to speak nationally and intenationally.

Mr Arambage frequently (weekly basis) carries out the following procedures:

• Laparoscopic excision of recto-vaginal endometriosis +/- shaving of bowel endometriosis
• JOINT cases in Laparoscopic removal of endometriosis from bladder/ureteric/bowel/diaphragmatic/liver and abdominal wall (Caesarean section scar/port site) jointly with other specialists in urology, colorectal surgery, Hepatobiliary surgery, thoracic surgery and plastic surgery.
• Hysterectomy laparoscopic/open/vaginal
• Myomectomy (removal of fibroids) Laparoscopic/open irrespective of the location of the fibroids +/- in-bag morcellation to avoid upgrading any cancers
• Laparoscopic ovarian cystecomy and salpingectomy (removal of tubes) and oophorectomy (removal of ovaries)
• Laparoscopic excision of pelvic endometriosis
• Laparoscopic extensive adhesiolysis
• Operative hysteroscopy including TCRE/TCRF and resection of polyps
• Diagnostic hysteroscopy +/- insertion of mirena IUS

Mr Arambage has a particular interest in:

• Advanced Minimal Access Gynaecology
• Severe endometriosis involving other organs
• Extra-pelvic endometriosis
• Complex benign gynaecology

Prizes and Awards;

• Bernhard Baron Travelling Scholarship - RCOG member's award - To observe a centre of excellence for endoscopic surgery Royal Melbourne Hospital, Australia. (11/2015)
• Cochrane Incentive grant 2013 - Duffy JMN, Arambage K, Correa FJS, Olive D, Farquhar C, Garry R, Barlow D, Koninckx PR, Jacobson TZ; Cochrane review on Laparoscopic Surgery for Endometriosis (01/2014)
• BSGE travel scholarship 2013 : for the training under Prof. A. Wattiez in Strasbourg - IRCAD- Endometriosis Centre/EITS in Strasbourg, France (04/2013)
• BSGE Medical bursary 2013 for MSc in Advanced Gynaecological Endoscopy - University of Surrey (04/2013)
• Best video presentation – Bronze prize – BSGE, ASM in Norwich (05/2014)
• Muttukrishna S, Naidu M, Baru J, Arambage K, Sathanandan M (2007). "Serum Inhibin B and AMH in disorders in permatogenesis" - Runners up research prize BHR Trust (11/2004)