Dr. Theekshana Pathirana – Breast and Cancer Surgeon

This audit is intended to provide an overview of the scope of my operative practice during the reporting period. Case numbers may vary over time according to referral patterns, institutional service requirements, and multidisciplinary treatment pathways. Surgical outcomes depend on many factors, and treatment recommendations are individualised following multidisciplinary discussion.

Specialty

Cases

Six-Month Operative Audit – Specialty Distribution (JAN 2026 TO JUNE 2026)

Breast & Oncoplastic Surgery 57 24.9%

Thyroid & Endocrine Surgery 35 15.3%

Colorectal & Upper GI Oncology 29 12.7%

Head & Neck Oncology 26 11.4%

Soft Tissue, Skin & Sarcoma Surgery 21 9.2%

Peritoneal Surface Malignancy 9 3.9%

Urological Oncology 9 3.9%

Other Major Oncological Procedures 43 18.8%

Total 229 100%

Breast and Oncoplastic Surgery

Breast surgery represents the largest component of my current practice, including both benign and malignant breast disease.

Representative procedures include:

Breast-conserving surgery (wide local excision)
Sentinel lymph node biopsy
Level I–III axillary surgery
Skin- and nipple-preserving techniques where appropriate
Therapeutic mammoplasty
Oncoplastic breast conservation
Volume replacement using perforator flaps

Advanced reconstructive techniques performed include:

LICAP (Lateral Intercostal Artery Perforator) flap
MiCAP (Medial Intercostal Artery Perforator) flap
LTAP (Lateral Thoracic Artery Perforator) flap
Matrix rotation flap
Batwing mammoplasty
Round block mammoplasty
Wise-pattern therapeutic mammoplasty
Lateral mammoplasty
Latissimus dorsi flap reconstruction

Head and Neck Oncology

My practice includes the surgical management of oral cavity and head and neck malignancies, including complex ablative surgery with regional and free-flap reconstruction.

Procedures include:

Composite oral cavity resections
Mandibulectomy
Maxillectomy
Neck dissection
Parotid surgery

Reconstructive techniques include:

Pectoralis major myocutaneous (PMMC) flap
Radial forearm free flap
Nasolabial flap
Local advancement and rotational flaps

Thyroid and Endocrine Surgery

I perform a broad range of thyroid surgery for both benign and malignant disease.

Representative procedures include:

Total thyroidectomy
Hemithyroidectomy
Completion thyroidectomy
Revision thyroid surgery
Thyroid bed exploration
Thyroid cancer surgery with selective neck dissection

Colorectal and Peritoneal Oncology

My operative practice includes major gastrointestinal cancer surgery such as:

Low anterior resection
Ultra-low anterior resection
Right and extended right hemicolectomy
Hartmann's procedure
Ileostomy formation and reversal
Cytoreductive surgery for peritoneal malignancy
Oesophagectomy

Soft Tissue, Sarcoma and Skin Oncology

Management includes:

Soft tissue sarcoma
Melanoma
Complex skin cancers
Extremity reconstruction
Chest wall reconstruction

Reconstructive procedures include:

Parascapular flap
Intercostal artery-based flap
V-Y advancement flap
Bilobed flap
Triple rhomboid flap
Local rotational flaps
X-plasty