Mr Ammar Al Midani

MD FRCS FEBS FACS

Consultant Renal Transplant & Vascular Access Abdominal Wall Reconstruction & Hernias Surgeon

Mr Ammar Al Midani is a consultant surgeon with a distinguished subspecialty in renal transplantation and vascular access surgery, encompassing complex graft procedures, fistula repairs, and laparoscopic insertion of peritoneal dialysis catheters. His expertise extends to APKD nephrectomies and intricate renal transplants, particularly in patients with multiple prior transplants and surgeries. He provides comprehensive care for renal transplant recipients, ensuring optimal access creation, seamless surgical outcomes, and meticulous post-transplant follow-up.

In addition to his transplant work, Mr Al Midani serves as a consultant in emergency general surgery at the Royal Free Hospital, where he leads the abdominal wall reconstruction and incisional hernia pathway for renal patients in collaboration with the plastic surgery team. He is also deeply engaged in the management of morbid obesity in the context of renal transplantation, aiming to improve transplant accessibility. He spearheads the UK's first Tier 3 weight management programme for renal patients—KFit—which integrates GLP-1 therapy, psychological support, dietary guidance, and physiotherapy through a multidisciplinary team approach.

Academically, Mr Al Midani holds the position of Honorary Associate Professor at University College London (UCL), where he leads renal transplant surgery education for year 4 medical students. At the Royal College of Surgeons of England (RCS), he serves as an MRCS examiner, faculty member for the START and CCrISP surgical courses, and course director at the Royal Free Hospital.

Qualifications:

FRCS Fellowship of General Surgery/ transplant general surgery /subspecialty transplant, Royal College of Surgeons of England, RCS, United Kingdom

FACS Fellowship of American College of Surgeon, American College of Surgeon ACS, United States of America

FEBTS Fellowship of the European Board of Transplant, European Board of Transplant Surgery, Prague, Czech Republic

MRCS(Ed) Membership of Royal College, Royal College of Surgeon of Edinburgh, Scotland

DU (Diplôme D’Universite') Laparoscopic Surgery, Strasbourg University, France

Arab Board of Surgery, The Arab Board of Health Specializations, Jordan

Master Degree of Surgery, Damascus University, Syria

MD Diploma, Damascus University, Medical School, Syria

Hospital Locations

Royal Free Hospital

Year qualified

1999

Languages spoken

English, Arabic and French

Specialities

Renal transplant
Vascular access surgery
Abdominal wall reconstruction
Hernia surgery
Emergency general surgeon
Leading K-fit programme (pre-kidney transplant weight loss clinic)

Memberships

Royal College of Surgeons of London (RCS)
American College of Surgeons (ACS)
British Transplant Society (BTS)
Middle East Society of Transplantation (MESOT)
Medical Defense Union (MDU)

Registration and licensing

GMC:6137681

Procedures offered

Renal transplant surgery – deceased and live donor. (519 –overseas –the UK)
Exploration of kidney transplant for bleeding or repair surgery.
Transplant nephrectomy.
Native polycystic nephrectomy –pre-transplantation.
Access surgery (vascular)complex ( graft )and simple fistula formation and repair.
Laparoscopic /open peritoneal dialysis catheter insertion.
Open Inguinal, umbilical and paraumbilical hernia repair
Incisional hernia repair + abdominal wall reconstruction for renal patients.
Emergency General Surgery: Laparotomy and exploration post kidney transplant.
Laparoscopic cholecystectomy including hot gallbladder pathway, Laparoscopic appendectomy Laparoscopic PD catheter insertion and adhesionlysis
Cystoscopy and JJ stent removal.

Clinical interests

Complex renal transplant and vascular access surgery.
Comprehensive management of renal transplant recipients.
Continuity of care by creating optimum access for renal patients.
Uneventful kidney transplant surgery and post-transplant follow-up
Management of morbid obesity before and after renal transplant
Improving access to transplantation by reducing morbid obesity in renal recipient.
Abdominal wall reconstruction incisional hernia and open hernia repair.

Published papers

Goal directed haemodyanmic therapy improves patient outcomes in kidney transplantation. Fabes, Jez; Al Midani, Ammar; Sarna, Aman; Hadi, Dina; Naji, Saqib; Banga, Neal; Jones, Gareth; Berry, Peter; Wittenberg, Marc. Prog Transplant 2023 Mar 20;15269248231164165.
Coronary stent-graft use to salvage a juxta-anastomotic arterial rupture complicating a case of radio-cephalic. Zhiyuan Lin, Neha Kallam, Ruhaid Khurram, Ammar Al Midani & Mohamed Khalifa. Case report CVIR Endovascular published on 20th August 2022.
Assessment of the potential transplant recipient. Heidy Hendra, David Mathew, Jeff Cove, Paramjit Jeetley, Clare Melikian, Aneesa Jaffer & Ammar Al Midani. Book Chapter, Primer on Nephrology, published on 28/05/2022 by Springer.
The value of perfusion fluid culture analysis in deceased donor renal transplants: a 10-year single-center experience. Ammar Al Midani, Lauren Hookham, Neal Banga, Gareth Jones, Sophie Collier Transplant Proceeding 2021 May 4;S0041-1345(21)00214-1
Stomach in a parastomal hernia: a rare complication of stomas. Onyekachi Ezekiel Ekowo, Ammar Al Midani , Yasser Abdulaal , Mohamed Boshnaq BMJ Case Rep .2020 Aug 18;13(8):e234325.
A rare presentation of e. Coli necrotising fasciitis in renal transplantation. Lucinda Cruddas, Ammar Al Midani, Neal Banga, Gareth Jones and Peter Butler. Experimental and Clinical Transplantation. 2019 Jan 21. doi: 10.6002/ect.2018.0316.
Low dose aspirin reduces the rate of renal allograft thrombosis in paediatric renal transplant recipients. Almidani A, Rudarakanchana N, Nagra A, Fidan K, Tugtepe H, Matthias M, Ridout D, Kessaris N, Experimental and Clinical Transplantation (ECT). 9 Aug 2019.
Vascular stapler for transection of pancreatic parenchyma in laparoscopic distal pancreatectomy: a single centre experience of 42 consecutive cases. Samir J. Sahay, Panagis M. Lykoudis, Ammar Al-Midani, Adam Haswell MBBS, Sakhawat H. Rahman. Am Surg.2019 Jun 1;85(6):e275-e276.
The use of thromboelastography (teg) to guide platelet infusion in patient with wiskott-aldrichsyndrome (was) undergoing renal transplantation. Ammar Almidani, Ciara Donohue; Peter Berry; Gareth Jones; Bimbi Fernando. Accepted for publication by Experimental and Clinical Transplantation (ECT), 7 April 2020.
Impact of urinary tract infections in kidney transplant recipients: a 4-year single-center experience. Ammar Al Midani, Sophie Elands, Sophie Collier, Mark Harber, Ali M Shendi. Transplant Proceeding, 2018 Dec;50(10):3351-3355. * Dmsa spect scan of dual transplanted pediatric kidneys in an adult recipient. Almidani A, Parvathareddy S, Al-Akraa M, Buscombe J, Burns A.,Saudi J Kidney Dis Transpl. 2011 Jan;22(1):139-41.
Fulminant hepatitis following primary herpes simplex virus infection. Al Midani A, Pinney J, Field N, Atkinson C, Haque T, Harber M.,Saudi J Kidney Dis Transpl. 2011 Jan;22(1):107-11. * Congenital hypoplasia of the right common iliac artery in a renal transplant recipient.Almidani A, Attar RA, Ahmad A, Othman MI, Bargouth I. Saudi J Kidney Dis Transpl. 2010 Nov;21(6):1137-9. * The management of urological complications in renal transplant patients. Al-Shaer MB,, Al-Midani A. Saudi J Kidney Dis Transplant 2005; 16(2): 176-180. Citation in 2013-2015.