Mr Harpaul Flora

Personal profile

Harpaul (Paul) is a Consultant Vascular surgeon with a special interest in endovascular and advanced laparoscopic, or keyhole, surgery. He qualified in 1995 from The London Hospital Medical College, University of London with a distinction in his Masters in Surgery and went on to train throughout the major vascular centres in London.

He went on an advanced laparoscopic fellowship in Hong Kong sponsored by Ethicon and the Circulation Foundation prior to taking up his appointment as a Consultant Surgeon at St Barts and The Royal London NHS Trust in 2007. He has published widely within Vascular and General surgery literature and has presented his work both nationally and internationally. He remains actively involved in teaching both at undergraduate and postgraduate level and has a wide-ranging clinical vascular practice as well as holding roles in senior management. 

His interests are in minimally invasive surgery; in particular, endovascular aortic aneurysm surgery and he is currently developing laparoscopic and thoracoscopic techniques in vascular surgery. He was the first surgeon in the UK to perform the Barostim procedure for the regulation of hypertension. He also has specific interests in varicose veins (EVLT, Venefit and glue) deep venous disease, carotid disease, stroke, diabetic foot disease, peripheral arterial disease, Thoracic outlet syndrome and vascular tumours.

He continues to maintain an interest in General Surgery. He has appeared on various radio shows, the BBC news and the Mail on Sunday. He is now the director for AAA screening program in North East London and overall Clinical network director for vascular surgery in Barts Health NHS Trust.

Professional Memberships

  • Fellow of the Royal College of Surgeons of England
  • Vascular Society
  • Association of Laparoscopic Surgeons of GB and Ireland
  • British Hernia Society
  • British Association of Endocrine and Thyroid Surgeons

Clinical Interests

General surgery
  • All types of minor surgery including skin, subcutaneous, ingrown toenails and microsclerotherapy
  • Hernia treatment and surgery
  • All abdominal wall hernias treated with conventional and laparoscopic techniques
Vascular surgery
  • Varicose veins and thread veins: EVLT and VNUS treatments; injection sclerotherapy
  • Carotid artery disease 
  • Aneurysms: all aortic and peripheral aneurysms using both key hole and conventional open techniques, aneurysm screening
  • Peripheral arterial disease
  • Leg pain - intermittent claudication, popliteal artery syndrome
  • Leg ulceration
  • Leg swelling- DVT, venous insufficiency, lymphedema
  • Pelvic pain - venous congestion
  • Upper limb pain - thoracic outlet syndrome
  • Hyperhidrosis or excessive sweating: scalp, axillary, palmar
AV malformations, other vascular tumours, soft tissue swellings and masses. Lumps and bumps to limbs, torso and neck.

Endocrine surgery

  • Thyroids, parathyroid & adrenal glands

Current NHS and /or University Posts

  • Consultant Surgeon, St Barts and The Royal London NHS Trust, London
  • Honorary Senior Lecturer, QMUL
  • Director for AAA screening program in North East London
  • Clinical Director of Vascular surgery at Barts Health NHS trust
  • Network Director of Vascular surgery at Barts Health NHS trust
  • Clinical Director of Vascular surgery at Barts Heart Centre, Barts Health NHS trust
  • Steering group for laparoscopic AAA repair

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