Before your operation you will meet your surgeon to discuss any risks or benefits of your operation. You will also have a consult with the clinical oncologist to discuss and prescribe any radiotherapy treatments.
On the day of the operation you will meet your anaesthetist and radiographer.
During your operation the TARGIT IORT will be delivered by the radiotherapist and medical physicist team.
A large of team will be care for you during your operation, including an anaesthetist, radiotherapist, medical physicists, surgeons, theatre nurse and support workers.
The TARGIT IORT Surgeons
Mr Nathan Coombs BM BSc (Hons) FRCS FRCS (Gen Surg)
Mr Nathan Coombs is a senior consultant breast surgeon with 20 years experience. Based at Swindon’s Great Western Hospital and the Shalbourne Suite, he first became involved in IORT in November 2012 and treated the first patient in Wiltshire in 2015. He graduated from Southampton University and has worked in the NHS since 1992. He completed an 18 month fellowship at Sydney’s Breast Cancer Institute where he gained expertise in minimally invasive breast cancer techniques and researched extensively about hormone therapy and breast cancer risk.
As a trained endocrine and general surgeon, he also specialises in thyroid surgery and complex hernia operations. He is the director of The Hernia Clinic and is the main surgeon for laparoscopic (keyhole) hernia surgery in the region.
Professor Jayant Vaidya
Professor Jayant Vaidya is a breast cancer expert who specialises in the diagnosis and treatment of diseases of the breast. He is a Consultant Surgeon at the Whittington, Royal Free and University College London Hospitals.
Professor Vaidya is very active in many research projects for breast disease and breast cancer. With his PhD thesis at University College London, he pioneered the concept of targeted intraoperative radiotherapy (TARGIT or IORT), to deliver radiotherapy to women at the time of surgery as opposed to the usual three- or four-week course of post-operative radiotherapy.
Professor Vaidya qualified in surgical oncology (MBBS MS DNB) from the Bombay University and the National Board. His PhD is from London University and he is a Fellow of the Royal College of Surgeons, FRCS, UK.
Professor Michael Douek
Michael Douek is Professor of Surgical Oncology and Breast Surgeon at King’s College London and Honorary Consultant Surgeon at Guy’s and St Thomas’ Hospital. He has a research interest in developing and evaluating novel techniques for cancer surgery. Besides developing a novel magnetic technique for sentinel node biopsy and lesion localization, he is one of the pioneers of intra-operative radiotherapy for breast cancer. He is currently Chief Investigator of a number of internationl clinical trials. In 2015, he was awarded a prestigious Hunterian Professorship by the Royal College of Surgeons of England.
Michael is a Member of Council of the Association of Breast Surgery (UK), Member of Council of the British Association of Surgical Oncology / Association of Cancer Surgery (BASO/ACS) and a committee member of the British Breast Group. He is also an examiner for the European Board of Surgery examinations.
The TARGIT IORT Oncologist
Dr Shiroma De Silva-Minor
Dr Shiroma De Silva-Minor is a consultant clinical oncologist, based at Oxford University Hospitals and the Great Western Hospital, Swindon.
Dr De Silva-Minor has expertise in the management of breast cancers (and prescribes both radiotherapy and chemotherapy). She has trained at nationally and internationally renowned cancer centres (including the Royal Marsden Hospital and Princess Margaret Hospital, Toronto, Canada) and has over 10 years of experience as a consultant.
The Medical Physics Team
Peter (left), Ruth, Thiya and Frances (right) are the team who deliver the precise radiotherapy dose during your operation. They have been providing IORT treatments at the Great Western Hospital since March 2015.