Colorectal Surgery

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Colorectal Surgery

Term Colorectal is related to various health issues related to the bowel movements & malignancy which occur in anal as well as rectum region of an individual. There are different scenarios & various problems that individuals might experience when it comes to bowel movements, the information below will show a complete study of the most common various issues related to the bowel, anus & rectum.

What is Colorectal Surgery?

Colorectal Surgery repairs all types of damages to colon, rectum & anus through a variety of procedures caused by diseases of the lower digestive tract. Having little or great long-term consequence to patients, this surgery also involves the pelvic floor to repair hernias. This is an unavoidable option for colorectal cancer, Crohn’s disease, ulcerative colitis & in some cases of diverticulitis quite often resulting in reconstruction of the intestinal tract.

Other bowel conditions requiring surgery include fissures, hemorrhoids, bowel incontinence, rectal prolapsed, or injury, obstruction & ischemia compromising blood supply. Pelvic floor disorders like a rectocele & perineal hernia are also treated through Colorectal Surgery. These surgeries are meant to repair tears, tighten sphincter muscles & remove blockages. Surgical removal of damaged area most often is able to return normal bowel function.

Common Colorectal Disorders

Hemorrhoids: Hemroids or Hemorrhoids are commonly called as piles. This condition can easily be treated & are preventable despite being very painful & unpleasant.

Anal Fissures: Generally the tears & cracks in anal canal or in anus are known as anal fissures. They might be chronic or acute. General causes of anal fissures are trauma.

Anorectal Fistulae: An unusual way that leads from the rectum or anus generally to the skin located near the anus is known as an anorectal fistula.

Severe Constipation: The definition varies from person to person. For some, it is an experience of infrequent bowel movements & for others, it refers to straining in passing stools.

Fecal Incontinence: The inability of controlling bowel movements means unexpected leaks of feces from rectum commonly termed as fecal incontinence.

Rectal Prolapsed: The condition in which normal attachments of the rectum is lost from inside of the body & leads to the telescope via the anus is known as rectal prolapsed.

Imperforate Anus: This defect which is presented as congenital from birth leads to blockage of the opening of anus is called as the imperforate anus.

Crohn’s Disease: This disease is an inflammatory bowel disease or IBD leads to intestinal tract inflammation commonly termed as Crohn’s disease.

Colorectal Cancer: Colorectal cancer is a term for cancer which occurs either in the rectum or in the colon.

Anal Cancer: Anal cancer is a rare health issue which occurs in the opening of the anus or at the end of rectum.

Rectal Repositioning: It is surgery in which the rectum & sigmoid colon will locate, & then rectum will be freed from their surroundings & properly positioned inside the pelvis.

Colorectal Surgery in India with TRAVCURE

TRAVCURE is associated with internationally reputed & accredited hospitals in India for colorectal surgery. We help you to assist in finding right doctors with opinions on medical conditions.

Cost of Colorectal Surgery in India

The overall cost of colorectal surgery including the cost of colon cancer surgery, travel, treatment, stay is very low compared to the cost in western countries.

Colorectal Cancer Surgery Aftercare

Although quite important, complete healing after colorectal cancer surgery is normally expected without any complications. Postoperative care apart from medications usually involves monitoring pulse, blood pressure, respiration & temperature. The amount of time for recovery after colorectal surgery may vary depending upon the prior overall health of the patient. Since diet affects colorectal conditions, dietary changes must be encouraged to prevent recurrence. Best colorectal surgeons in India are trained & experienced to give you exemplary healthcare results.

Medical Solutions for Colorectal Disorders

Strictureplasty

Strictureplasty is surgical procedure generally performed in response to scarred tissue build-up within the intestinal wall. This condition is normally caused by prolonged inflammatory bowels like in Crohn’s disease. The scarred tissue accumulates within as result of repeated damage causing a stricture. This narrowing can eventually enforce fissures & ulcers at site causing additional damage. Strictureplasty surgery is meant to restore free flow without bowel resection. This process may be repeated in multiple locations along bowel in a single surgical session. Strictureplasty is extremely helpful for patients who have earlier undergone bowel resection.

Internal-Lateral Sphincterotomy

This operation is performed on internal anal sphincter muscle for chronic anal fissure treatment. Internal anal sphincter is one of the two muscles comprising anal sphincter controlling passage of feces. Designed to help lower resting pressure on internal anal sphincter, Sphincterotomy allows faster healing by improving blood supply to the fissure. This surgical procedure is very effective & has shown great results for patients with chronic anal fissures. Generally used when medical therapies have failed, Sphincterotomy is minor operation & which can be normally carried out under general or local anesthesia.

Open Colostomy

Open Colostomy is a surgical procedure meant to create an opening through abdomen for colon or large intestine. Usually performed after injury to colon or rectum or bowel surgery, it can be permanent or temporary depending upon situation. Colostomy surgery is an ideal solution while treating many different diseases & medical conditions including birth defects like missing or blocked anal opening known as Imperforate Anus. This surgical procedure also comes useful in serious infections like diverticulitis & inflammation on little sacs of colon, complete or partial bowel or intestinal blockage, wounds or fistulas in perineum & inflammatory bowel disease. Open Colostomy is immensely important for patients suffering from colon or rectal cancers.

Laparoscopic Sigmoid Colectomy

Laparoscopic Sigmoid Colectomy is a keyhole procedure which is utilized to remove parts of the left side of colon which is also known as sigmoid colon. Normally performed on patients with colon cancer or for other non-cancerous conditions like diverticular disease & Crohn’s disease, it is often a part of prolapsed rectal procedure. Normal surgeries last between 2-3 hours which involves cutting away blood vessels & lymph nodes of the diseased portion of the bowel. Pieces of the removed bowel are subsequently sent to the pathology department for careful examination.

Ileostomy

Ileostomy is normally used to remove waste materials out of body especially in cases where colon & rectum are not functioning properly. Where ileum is the lower portion of the small intestine & stoma meaning an opening, Ileostomy is perfectly termed for an opening in the belly wall. As an associate procedure to many other colorectal surgical interventions like small bowel resection, total abdominal colectomy & total proctocolectomy, Ileostomy can be used for a short or long period of time. Temporary Ileostomy generally means removal of diseased portions large intestine while a part & rectum still remain. Ileostomy will be helpful by allowing the rest of your intestine to rest for some time. When this service is no more required the doctor will perform another surgery to reattach both ends of the intestine. In cases where all of the large intestine & rectum are removed, Ileostomy is created for long-term. Some of the many problems which typically lead to Ileostomy include inflammatory bowel diseases like ulcerative colitis, Crohn’s disease, colon or rectal cancers, familial polyposis, birth defects involving intestines, & accidents or intestinal emergencies.

High-Intensity Focused Ultrasound (HIFU)

High-Intensity Focused Ultrasound or HIFU is also known as Focused UltraSound (FUS). This medical procedure involves high-intensity focused ultrasound energy locally heat & destroy damaged or diseased tissue through ablation. This hyperthermia therapy uses high temperatures to treat diseases in a non-invasive method. HIFU ablation procedure is widely used as treatment for prostate cancer through a trans-rectal probe relying on heat developed through focused ultrasound waves onto prostate to kill tumors. Largely performed under ultrasound imaging guidance which permits treatment planning along with minimal indication of energy deposition, HIFU is also useful for ablation of the entire prostate gland including prostatic urethra. It is generally an outpatient procedure which lasts between 1-3 hours. While offering palliative care as well, HIFU is also immensely useful in treatment of various cancers by destroying solid tumors of the testes, kidneys, rectum, pancreas, liver, breast, brain & bone.

Hemorrhoidectomy

Performed under general or spinal anesthesia, Hemorrhoidectomy is performed to remove hemorrhoids. Normally incisions are made in tissue around hemorrhoid where swollen vein inside is tied to prevent bleeding. The hemorrhoid is subsequently removed & the wound sewn or left open. Performed as outpatient, you are likely to go home the same day. Another similar Stapled Hemorrhoidectomy procedure uses a circular stapling device to remove affected tissue. No incision is made in this method. Patients undergoing stapled surgery feel less pain post operation compared to the traditional procedure. However, some bleeding is normal after both forms of surgery, especially with the first bowel movement.

Fistula & Fissure Repair

Anal fissures cause a vicious cycle where patient in anticipation of pain resist urge to defecate whereby stools become larger & harder subsequently resulting in more pain. Anal fistula treatments largely depend upon the location of fistula, evidence of large abscess or sepsis & other troublesome findings on physical examination. Surgical approach is largely dependent on the condition of patient & is often reserved in cases where conservative treatments have failed to bring successful results.

Rectal Prolapse Surgery

This is a medical condition where the last several inches of the large intestine stretch abnormally & protrude from anus. Rectal Prolapse Surgery is designed to move back protruding rectum in its proper place. Performed in troubled chronic cases where there is difficulty in pushing rectum back in place, or when there is leakage of stool or fecal incontinence or obstructed bowel movements, Rectal Prolapse Surgery requires patients stay in hospital from one to several days. Some common Rectal Prolapse Surgery risks include infection, bleeding, bowel obstruction, damage to nerves & organs nearby or worsening of constipation.

Proctitis Treatment

Proctitis is inflammation of lining inside rectum which is a muscular tube connecting with the end of colon. Stools normally pass through this way out of the body. This medical condition can cause rectal pain along with continued sensation of bowel movement. These symptoms can either be short-lived or chronic. Common among people having inflammatory bowel diseases or sexually transmitted infections, Proctitis can also be a side-effect of radiation therapy in certain cancers. Other Proctitis signs & symptoms include feeling of fullness & passing of mucus through rectum, diarrhea or pain with bowel movement.

Solitary Rectal Ulcer Syndrome

This medical condition occurs when an ulcer or sore develops in the rectum. Although rare, Solitary Rectal Ulcer Syndrome is found to occur among people suffering from chronic constipation. This condition generally results in straining & bleeding during bowel movement. Contrary to suggestion in the name, Solitary Rectal Ulcer Syndrome is found to have more than one ulcer in some cases. Treatments in these cases range from change in diet to fluid intake & surgery as last resort.

Sigmoidoscopy

Sigmoidoscopy is a minimally invasive medical examination of large intestine from rectum through the end-part of colon. Two types of Sigmoidoscopy in practice include the Flexible Sigmoidoscopy & Rigid Sigmoidoscopy. Flexible Sigmoidoscopy which is the preferred procedure is generally used to find underlying causes of abdominal pain, constipation or diarrhea. This examination is also utilized to search for malignant & benign polyps & early signs of cancer in descending colon & rectum. Physicians are easily able to detect inflammation, intestinal bleeding, ulcers & abnormal growths by using flexible Sigmoidoscopy.

 

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