Who is Dr. Rajeev Kapoor?

Dr. Rajeev Kapoor is a highly experienced colorectal, cancer and general surgeon based in Chandigarh and Mohali with over 30 years of clinical expertise in advanced surgical care, minimally invasive procedures, and multidisciplinary patient management.

What surgical conditions does Dr. Rajeev Kapoor treat?

Dr. Rajeev Kapoor provides surgical care for a range of conditions including colorectal cancer, colon cancer, rectal cancer, anal cancer, appendiceal cancer, hernias, gallbladder disorders, hemorrhoids, fistula, fecal incontinence, and complex abdominal conditions.

What advanced surgical techniques does Dr. Kapoor use?

Dr. Kapoor uses advanced techniques such as minimally invasive laparoscopic surgery, robotic surgery, Total Mesorectal Excision (TME), sphincter preserving resections, and other modern surgical approaches to ensure better recovery and functional outcomes.

Where does Dr. Rajeev Kapoor practice?

Dr. Rajeev Kapoor practices at Fortis Hospital and Fortis Cancer Hospital in Mohali (Punjab), which offers state-of-the-art facilities, advanced imaging and diagnostics, and multidisciplinary surgical care.

How can I book an appointment with Dr. Rajeev Kapoor?

You can book an appointment with Dr. Rajeev Kapoor by using the contact form on the website, calling the clinic or hospital contact number, or clicking the 'Book An Appointment' button available on the homepage.

What types of cancer surgery does Dr. Kapoor perform?

Dr. Rajeev Kapoor performs cancer surgeries for colon cancer, rectal cancer, anal cancer, ovarian cancer, uterine cancer, sarcomas and other oncological conditions with a focus on individualized treatment planning.

Does Dr. Kapoor offer emergency surgical care?

Yes, Dr. Kapoor provides emergency surgical care for acute conditions such as trauma, appendicitis, bowel obstruction, and other urgent surgical needs as part of multidisciplinary care within Fortis Hospital.

What is included in patient care and support?

Patient care includes comprehensive diagnosis, integrated treatment planning with oncologists and specialists, post-operative support, stoma therapy assistance, and education on recovery, diet, pain management and lifestyle.

Colorectal Surgery - Colorectal Cancer Surgeon in Chandigarh

Anorectal Abscess or Perianal Abscess: Its always an emergency

Anorectal Abscess, Colorectal Surgery / kapoorcmc

Many glands are found within the body’s rectum. If one of these glands ends up being blocked, it can get contaminated, and an abscess can develop. An abscess is a collection of pus and if that collection is found near the anal opening, it is called perianal or anorectal abscess. Signs and symptoms of anorectal abscess Symptoms of an anorectal abscess or perianal abscess Pain or pain near the anus or buttocks Exhaustion High temperature Evening sweats Bowel irregularity or uncomfortable bowel movements Swelling or soreness near the rectum Lump or uncomfortable hard cells near the anus Discomfort in the lower abdomen Pus drain near the rectum or butts Cause of the anorectal or perianal abscess These problems might increase your chances of establishing an anorectal abscess: Pregnancy Diabetes Crohn’s disease or ulcerative colitis, inflammatory diseases of the bowel Specific medicines, such as radiation treatment medicines for cancer cells treatment Medicines that subdue the immune system after an organ transplant Foreign body in the rectum Rectal cracks, or chronic fissures, pertaining to bowel irregularity that continues for a long period of time. Sexually transmitted disease (STD). Since an abscess can occur in different parts of the body, it is important to first understand what an abscess is and how it develops. How to diagnose anorectal abscess Colorectal surgeon can identify an anorectal abscess by looking externally at the rectum and also with an electronic anal exam. This test entails the healthcare provider inserting a gloved, lubricated finger into your rectum. A speculum can be placed to permit the entire anal location to be seen. In some circumstances, a healthcare provider will certainly require to do a proctosigmoidoscopy. This is an examination in which an adaptable tube with a light and a camera is placed in the anus to see the area. In various other circumstances, an MRI, CT scan, or ultrasound might be required to figure out where the area of the abscess. Treatment of anorectal abscess or perianal abscess Anorectal abscess is treated by giving an incision in the skin near the rectum so the pus can drain. Anaesthesia is required and one night hospital admission may also be required. Usually an Examination under Anaesthesia is done in operation theatre, before proceeding to drain the abscess. At times the pus is accompanied by anal fistula. A draining seton is inserted to ensure that the pus keeps draining and definite anal fistula surgery is done after a few weeks. What happens after the anorectal abscess is drained About fifty percent of individuals with an anorectal abscess will develop an anal fistula. This is an irregular opening in the skin near the anus. Pus bursts from the abscess as well as permeates out intermittently. A fistula generally needs surgical treatment to repair it. Discomfort, infections, and reoccurrence are various other feasible complications of anorectal abscess. Precautions You can reduce your possibilities of creating this condition by handling diabetic issues, STDs, and also other risk aspects. If you have inflammatory bowel condition, such as Crohn’s, medicines are usually needed to aid stay clear of anorectal troubles like abscess.

Colon Cancer Surgery, Colorectal Cancer, Colorectal Surgery, Colostomy, Ileostomy, Permanent Stoma, Rectal Cancer, Rectal Cancer Surgery

Avoid Permanent Colostomy or Ileostomy

Colon Cancer Surgery, Colorectal Cancer, Colorectal Surgery, Colostomy, Ileostomy, Permanent Stoma, Rectal Cancer, Rectal Cancer Surgery / kapoorcmc

Colon and rectal cancer survivors can lead an energetic way of life after surgical treatment, and also most can avoid the need for a colostomy bag with innovative operations available There is an increase in colon and rectal cancer in people those in their 20s to 40s; millennials have actually seen a 1.3% annual boost in colon cancer as well as a 2.3% annual rise in rectal cancer from the mid-1990s. This is an extremely active population that is in prime of their lives, building families and also occupations. When they get cancer, they are worried about getting an ileostomy or a colostomy — a surgically created opening in the body that directs faeces into an external waste collection receptacle called a colostomy bag. Both colostomy or ileostomy are also referred to as a stoma Contrary to common belief, about 80% to 90% of patients who have surgical procedure to get rid of a rectal or colon cancer will not require a permanent ileostomy or colostomy. The mix of advanced imaging technology as well as sophisticated investigation permits us to identify cancers earlier and also remove them with even more accuracy, typically eliminating the need for a colostomy bag. For colon cancer, it is rare that a person will require a permanent ileostomy or colostomy. Those at greater risk can consist of people in bad general health and wellness prior to surgery as well as those that need emergency surgical treatment. How sophisticated rectal cancer surgery can avoid a permanent stoma Sphincter-sparing surgical treatment is an innovative procedure in which we remove a cancer that is close to the anus without needing to operate on the sphincter. One research study showed that from 1990 onward for 20 years, 67% to 73% of people who had rectal cancer cells got sphincter-sparing surgical treatment. Executing this technique calls for knowledge, skill and dexterity far beyond a general surgeons skills. Colorectal surgeon have that requisite skill. Before performing the sphincter-sparing surgery for rectal cancer, we need to initially find the cancers relationship to the anal sphincters. If there is a chance to go beyond the tumour for 2 cm without damaging the sphincter, permanent colostomy is avoided. Once the part of rectum containing the cancer is eliminated, along with the fat as well as lymph nodes that surround the anus, the colorectal surgeon will reconnect the colon to the cut end of the rectum. This avoids cutting into the sphincter and removes the requirement for an irreversible colostomy in most patients. Special equipment to connect the two ends is used, which is called stapling devices. Multiple kind of these stapling devices are available and are chosen according to the patients requirement. Ileostomy may be required, but it is temporary and reversed after 12 weeks. It will depend on the patient’s anatomy and how much rectum we got rid of, a short-term ileostomy typically is required as the body heals. Timing to connect back will also depend upon on whether the person needs to receive further chemotherapy treatment and when the person feels strong sufficient to undertake a 2nd surgery. Living an active life with an ileostomy or colostomy If you are among the little percent of individuals who do need a permanent ileostomy/colostomy, we’ll review your current activity level before surgical treatment and also give thorough guidelines on exactly how to keep your way of life with a stoma. To help attain these outcomes, a team strategy along with a stoma therapist is utilized to plan each person’s care. Looking after a temporary or permanent ileostomy or colostomy Dealing with a stoma takes some getting used to, but everyone gets used to it. One of the greatest problems is whether a stoma be apparent to others; in the majority of scenarios, it is not visible. Stoma nurses are professionals in ileostomy care. They’ll educate you in correct cleaning and also upkeep methods, along with offer suggestions to adjust your wardrobe and regular activities as you accommodate to your new routine. When you return house, you will have accessibility to Stoma Care nurse who will certainly help you in taking care of the ileostomy or colostomy. A colostomy irrigation protocol followed daily removes the need for wearing a colostomy bag for almost all patients with a permanent colostomy. Highlights

Colorectal Surgery, General Surgery, Rectal Prolapse

Do you have Rectal Prolapse – Learn about its Management

Colorectal Surgery, General Surgery, Rectal Prolapse / kapoorcmc

What is rectal prolapse? Rectal prolapse occurs when one component or all of the wall of the rectum slides out of anal opening, often sticking out of the rectum. There are two sorts of rectal prolapse: Partial prolapse (likewise called mucosal prolapse) Partial prolapse is most typical in children younger than 2 years. Total prolapse The whole wall surface of the rectum slides out of location as well as generally protrudes of the anus. Initially, this might occur just during bowel movements. At some point, it may take place when you stand or stroll. As well as sometimes, the prolapse rectum might stay out of your body constantly. Rectal prolapse is most typical in kids as well as older adults, specifically women. What creates rectal prolapse? Lots of things boost the chance of developing rectal prolapse. Risk factors include: Cystic fibrosis. Surgery on the anus as an infant Poor in nutrition Pushing during bowel movements Irregular bowel movements. Damage caused by surgical treatment or childbirth. Weak point of pelvic flooring muscle mass that takes place naturally with age. What is the clinical presentation of rectal prolapse? The initial signs of anal prolapse may be:. Leak of faeces from the rectum (faecal incontinence). Leakage of mucus or blood from the rectum (wet anus). Other signs and symptoms of rectal prolapse include:. Bright red tissue that protrudes of the anus. A sensation of having full bowels and also an urgent demand to have a bowel movement. The feeling of not being able to clear the bowels entirely. Rectal discomfort, itching, irritation, as well as bleeding. How is rectal prolapse investigated and diagnosed? Usually it is a clinical diagnosis. A good history is always useful. Photographs help a lot ad these days camera phones are a great help. A physical exam, which includes inspecting the rectum for loosened tissue and also to learn exactly how strongly the rectal sphincter contracts are important. Investigations include sigmoidoscopy, a colonoscopy, or a barium enema are required. A sweat test in children for cystic fibrosis may be required, when it is recurring. Treatment of Rectal Prolapse Prolapse in children often tends to disappear by itself. You can aid keep the prolapse from returning by pushing the prolapse right into place as quickly as it occurs. You can likewise have your youngster use a potty-training bathroom techniques to ensure that she or he does not push or put pressure while having a defecation. In adults, there are lot of situations requiring different means. Some of them are: You can press the prolapse back into area. Prevent bowel irregularity. Consume plenty of water, as well as eat fruits, veggies, and various other foods that contain fiber. Kegel exercises to help enhance the muscle mass of the pelvic location. No pushing while having a bowel movement. A stool softener Surgery for Rectal Prolapse Individuals that have a total prolapse or who have a partial prolapse that does not go away will certainly need surgical procedure. Surgical treatment entails affixing the rectum to the pelvic flooring or the sacrum. Sometimes the redundant colon or rectum may have to be removed. There are lot of procedures as none is hundred percent effective. Recurrence rates after surgery can be as 80 percent in some individuals. Laparoscopic or robotic surgery can be done for rectal prolapse Points to remember

Anal Incontinence, Colorectal Surgery, Fecal Inconntinence, General Surgery, Survivor story

Faecal Incontinence has a Cure – Successful Outcomes Possible

Anal Incontinence, Colorectal Surgery, Fecal Inconntinence, General Surgery, Survivor story / kapoorcmc

Ritika (name changed) underwent surgery for a fistula of the anal area in 2020. She noticed that she was unable to hold stools and had to rush to the toilet. Many a times she had accidental leakage of stools without her knowing about it. The problem persisted for 6 months, while she was advised perianal exercises. She was becoming a social recluse and was finding it very difficult to concentrate at work. She looked up on google and thought that her control over passage of stools was compromised and it occasionally happens after fistula surgery. Most common causes of faecal incontinence Ritika had actually developed faecal incontinence after surgery. This condition is also called anal or bowel incontinence too. There are lot of cause of this condition, the commonest being after prolonged labour during childbirth. It can also happen after trauma to perianal area or after perianal surgery for some other causes. There are plenty of other causes, but the above three mentioned are the most common. Diagnosis of faecal Incontinence She presented to us in July, 2020 and we found that she was suffering from moderate fecal incontinence along with fistula in ano. On clinical exam, we found that her anal sphincter was disrupted at the site of previous surgery. This circular anal sphincter is a muscular ring, which gives us our control over passage of stools depending upon circumstances. Since her muscle was partially cut, she was unable to contract the muscle completely, leading to incontinence. We got a MRI and anal manometry done and that confirmed our clinical diagnosis. We counselled Ritika about the need for surgery to repair the muscle as well surgery for fistula in ano. “It was a non brainer. My life had become hell and I was always afraid of moving out of the house or going to the market for shopping. My relationship with my husband had also suffered and thus there was an overall tension all around me”. Ritika was also apprised of need for staged surgery because of the fistula and also counselled about her wound and need for dressings in the post-operative period. She was also advised certain exercises to strengthen the torn muscle. Also See: Fecal Incontinence Surgeon in Chandigarh Surgery for faecal incontinence The surgery Ritika required was anal sphincter repair along with seton surgery for fistula in ano. This surgery is called sphincteroplasty. The anal sphincter as described above is a very small ring shaped muscle. Its repair needs very careful dissection, freeing from the hard surrounding scar tissues and preserving the blood and nerve supply to the muscle. The muscle is then repaired with an overlap of edges and ring is restored. Subsequently, the anal opening has to be sculptured. Surgery has the best results, though at time redo surgery has to be done. If there is a complete tear in the muscle, then a diversion colostomy is also required temporarily. This colostomy helps in diverting the faecal matter away from the operated area, thus facilitating rest and less infection to the repaired wounds. Recovery after surgery for faecal incontinences Ritika had a partial tear and thus we could do the surgery without faecal diversion. The procedure took almost two hours and Ritika was discharged in two days. She did very well for both her surgeries and did not require any further surgery. In almost three weeks, once her wounds had healed and sutures out, Ritika could already feel the difference. She was fully continent in almost three months’ time. “Life has a different meaning now. I can move out of the house and can travel freely. I am also thinking of having a baby and waiting to get a yes from my surgeon.” Ritika says when she visited us early this year. She is doing fine and has full control over passage of her stools. Summary Up to 5% of the population suffers from this malady in some for There is reluctance to take opinion because of shyness, shame or anxiety. Faecal incontinence can be managed surgically. Situations, where the sphincter can be repaired gives the best results. The improvement in the continence can range from 30 to 90%. One should consult a colorectal surgeon for this surgery.

Colorectal Surgery, Diverticular Disease, General Surgery

Diverticular Disease and Its Complications

Colorectal Surgery, Diverticular Disease, General Surgery / kapoorcmc

Diverticular disease or Diverticulosis is the general name for a condition that involves little bulges, or sacs called diverticula that develop from the wall of the large intestine (colon). Although these cavities can be present throughout the colon, they are most generally found in the sigmoid colon, the portion of the colon closest to the rectum. The various variants are as below: Diverticulosis: The presence of diverticula without connected problems or problems. The condition can result in complications consisting of diverticulitis, perforation, stricture (a narrowing of the colon that does not easily allow stool pass), fistulas (abnormal connection or tunnelling between body parts), as well as blood loss. Diverticulitis: When one of the diverticula or diverticula gets inflamed and infected, resulting in fever and abdominal pain. Complications of Diverticulitis Abscess formation (an abscess is a collection of pus walled off by the body) Peritonitis due to perforation of the colon (peritonitis is inflammation of the abdominal cavity, causing life-threatening infection that spreads within the abdominal cavity, and can trigger individuals to become fairly unwell. Anal bleeding Colonic stricture Fistula formation (Abnormal connection of the colon with surrounding structures including urinary bladder, rectum, vagina or the skin). Causes of Diverticular disease. One of the most generally approved theory for the development of diverticulosis is related to high pressure within the colon, which triggers weak locations of the colon wall to bulge out and also create the sacs. A diet low in fibre and high in red meat may likewise contribute. Currently, it is not well recognized exactly how these sacs end up getting infected and also result in diverticulitis. Signs of Diverticular disease Most individuals with diverticulosis have no signs and symptoms or problems. Nevertheless, people with diverticulitis might experience lower abdominal discomfort, high temperature, or anal blood loss. Diagnosis of Diverticular Disease. Diverticulosis often creates no symptoms, and thus, tests are done. It is typically identified throughout routine testing evaluations, such as colonoscopy or CT Scan. However, patients with diverticulitis are often symptomatic as well as consequently diverticulitis may be detected during work up of the person’s signs and symptoms. A few of the tests helpful are: CT Scan MRI abdomen Colonoscopy Treatment of Diverticular Disease Most individuals with diverticulosis have no signs. Nevertheless, as a preventative action, individuals are recommended to eat a diet high in fiber, fruits, and also veggies, as well as to restrict red meat, if discovered incidentally. Most situations of diverticulitis can be treated with antibiotics in tablet form or intravenously (IV). Diverticulitis with an abscess might call for treatment with antibiotics and a drain placed under radiologic guidance so that the pus can be drained. While lifestyle changes and medications are often effective in managing diverticular disease, some patients may eventually require Diverticular Surgery to address severe complications such as abscesses, perforations, or repeated attacks. Surgical treatment for diverticular disease: There are situations where surgery is indicated. These are: Perforation of a diverticula leading to generalized infection in the tummy. If an abscess cannot be successfully drained with a drain inserted with the help of ultrasound. Severe cases that do not respond to optimal medical treatment, that includes a hospital stay and also intravenous antibiotics. People with immune system issues (pertaining to a body organ transplant or chemotherapy). A colonic stricture or fistula. Intestinal bleed A background of multiple attacks, a patient can undergo elective surgical procedure in order to avoid future attacks. Surgical treatment for diverticular disease generally involves removal of the afflicted part of the colon, and also may or might not entail a colostomy or ileostomy, where a part of the intestine brought out through the abdominal wall to drain right into a bag. A decision regarding the sort of procedure is made with your surgeon on a case-by-case basis. Important Points:

Colorectal Surgery, General Surgery

Colectomy Surgery in Chandigarh | Colon Resection Surgery, Treatment

Colorectal Surgery, General Surgery / kapoorcmc

Colectomy Surgery – What I Need to Know about it Colectomy Surgery in Chandigarh – Colectomy is a surgical procedure used to eliminate a part or all of the large intestine (colon). Your colorectal surgeon may advise a colectomy to deal with inflamed colon triggered by Crohn’s disease or colitis. It can additionally be done to deal with colon cancer as well as severe constipation. There are plenty of other reasons for which partial or complete colectomy is done; let’s find out below. What is the colon? The colon is another name for the big intestine. Some doctor call it the large bowel. The colon appears like a long, winding tube. It covers from right side of your belly to the left, making a square-like form. It extends almost 5 feet in size. It begins where the small intestine (ileum) finishes, and goes across the belly to end at the anus. What is the role of colon: It assists your body digest food. Following are the steps of food movement in the colon: Food goes into the colon from the small intestine. As food moves via the colon, water gradually gets taken in. Not absorbed food waste heads to the rectum as stool. Stool exits the body with the rectum when you poop or faeces or poo Why is a colectomy done? There are various diseases for which this procedure is done. As specified above, the removal of colon could be partial, segmental or complete. Several diseases for which it is done are: Ulcerative colitis Crohn disease Amoebic colitis Ischaemic colitis Colon Cancer Diverticulitis and its complications Vascular malformation causing bleeding Chronic constipation Other infections causing colitis Colonic obstruction called intestinal obstruction Volvulus Intussception Multiple polyps In many cases, colorectal surgeon may advise colectomy surgical procedure as the best method to treat an illness, such as colon cancer. Other times, colectomy is considered as a less-invasive treatment choice, when medicines fail to control the disease. Less commonly, doctors may require to carry out a colectomy to remove a blockage or stop haemorrhaging in your colon. Also See: Colon Cancer Surgeon in Chandigarh What is a total colectomy? Many nomenclatures are used based on the area of the colon gotten rid of through a procedure. During a total colectomy, a colorectal surgeon removes the whole colon. What is a partial colectomy? Partial colectomy describes any kind of colectomy surgical treatment that involves removing one part of the large intestine. Kinds of partial colectomy surgical procedures consist of:. Hemicolectomy: Right or left part of the colon is removed Extended Right Hemicolectomy: Right colon along with a part of left colon is removed. Proctocolectomy: A colorectal surgeon gets rid of some or all of the colon plus the rectum. Sigmoidectomy: This procedure entails removing the bottom area of the colon. This section, the sigmoid colon, is next to the rectum. It’s also called sigmoid colectomy. High Anterior Resection: In this part of sigmoid colon and upper rectum are removed. What is a laparoscopic or Robotic colectomy? Colorectal surgeons perform the abovementioned surgeries by various methods. These are: Open surgery: A specialist makes one or even more long incision to enter the abdomen to remove or repair the colon. Laparoscopic colectomy: A specialist makes numerous tiny incisions. Long, advanced, flexible tools (with a video camera) is inserted inside the tummy via these cuts. The camera presents amplified pictures from inside your body onto a TV monitor by the side of the operating table. The surgeon does the surgery as required. A small incision is used to remove the resected colon. Robotic Colectomy: This is another latest method to do the surgery. It’s done through small incisions and long flexible instruments, but the instruments are help by a robot controlled by the surgeon. Surgeon gets a 3D vies from his console. The procedure remains the same as described in laparoscopic surgery. Also See: Rectal Cancer Surgeon in Chandigarh What’s the distinction in between a colectomy and a colostomy? Not all colectomy surgeries need a colostomy. If your specialist can reconnect both ends of healthy colon cells, no colostomy is required. Many a times, a colostomy is required along with the colectomy and it could be a temporary or a permanent colostomy. What is a colostomy: It involves making an opening (called a stoma) in the abdominal wall surface when the healthy and balanced end of the colon is brought out as a stoma. The waste matter is collected in a plastic bag (called a colostomy bag) covering the stoma. This water-proof bag accumulates waste from the digestive system tract. You will need to empty this bag throughout the day. Is a colostomy irreversible? Not always. Many people just require a colostomy momentarily while their colon heals. During a second operation, your colorectal. surgeon reconnects the colon and also removes the colostomy bag. In specific situations, a colostomy is permanent. How much time is taken for a colectomy? Colectomy surgical treatment may take as low as one hr or longer than 4 hours. Much depends on what the surgical treatment entails, including how much colon needs to be removed. What are the prospective dangers or complications of colectomy? Issues are usually rare. They can occur after any type of surgery. Possible difficulties of colectomy consist of: Blood loss. Infection. Blood clots. Leak from a joint connecting two parts of the colon Injury to neighbouring organs, such as the small intestine or bladder. What can I anticipate after colectomy? Recuperation from colectomy surgery is different for every person. A great deal relies on why one required a colectomy as well as what the treatment entailed. Recuperation might include minor or large modifications in how your body functions. These adjustments may be short-lived (for a short time) or long-term (long-lasting). All these issues will be explained by your surgeon. Key Points about Colectomy * Colectomy or variants are major surgical procedures. * They are mostly safe as well as effective. * laparoscopic/robotic surgery has made post-operative recovery

Colorectal Surgery, Rectovaginal Fistula

Rectovaginal Fistula: Diagnosis and Management

Colorectal Surgery, Rectovaginal Fistula / kapoorcmc

What is a Rectovaginal Fistula A rectovaginal fistula is an irregular link in between the lower part of your large intestine– your rectum– and also your vagina. Digestive tract components can leak via the fistula, enabling gas or stool come out through your vagina. The problem may create psychological distress and also physical pain, which can influence self-confidence and affection. Cause of Rectovaginal Fistula • Injury during childbirth• Obstructed labour• Rectal or Anal canal cancer• Ovarian or Uterine Cancer• Cervix cancer• Crohn’s disease or various other inflammatory bowel condition• Radiation therapy or cancer in the pelvic location• Complication arising with surgical treatment in the pelvic location• Faecal Impaction• Vaginal Injuries• Perineal injuries Clinical Presentation of a Rectovaginal Fistula Passage of gas, stool or pus from your vaginal canal Smelly vaginal discharge Recurrent vaginal or urinary tract infections Irritability or pain in the vulva, vagina and also the location between your vaginal canal and also anus (perineum). Pain during intercourse. Anal Incontinence Perianal Abscess Pelvic Abscess Diagnosis of Rectovaginal Fistula Physical examination Your physician will certainly execute a physical examination to attempt to locate the rectovaginal fistula as well as look for a any tumour mass, infection or abscess. It includes checking your vaginal canal, rectum as well as the location in between them (perineum) with a gloved hand. Unless the fistula is really low in the vaginal area as well as easily visible, your medical professional might make use of a speculum to see inside your vagina. A tool similar to a speculum, called a proctoscope, may be inserted into your rectum and also anus to check. A biopsy might be taken at the same time. If you want to explore what actually causes this condition and the treatment options available, you can check our detailed guide on rectovaginal fistula causes, symptoms, and treatment. Investigations for location Rectovaginal Fistula One might not locate a fistula through the physical exam. Other tests might be required to find and also assess a rectovaginal fistula. These examinations can additionally help your clinical team in preparing for surgical treatment. Contrast tests for Rectovaginal fistula A vaginogram or a barium enema can aid determine a fistula situated in the upper potion of rectum. These examinations make use of a dye material to show the vagina or the bowel on an X-ray image. Blue dye examination. This test includes placing a tampon right into your vagina, after that infusing blue color dye into your rectum. Blue staining on the tampon shows a fistula. CT Scan. A CT scan of your abdomen and pelvis gives a lot more information than does a conventional X-ray. The CT check can help situate a fistula as well as establish its reason. Magnetic vibration imaging (MRI). This examination can show the place of a fistula, whether other pelvic body organs are included or whether you have a lump. Anorectal manometry. This examination measures the level of sensitivity and also feature of your anus and can give information about the rectal sphincter as well as your capacity to control stool passage. This examination does not locate fistulas, yet may help in planning the fistula repair service. Anorectal ultrasound. This procedure uses sound waves to produce a video clip image of your anus as well as rectum. Your physician inserts a slim, wand-like instrument into your rectum and rectum. This examination can examine the structure of your anal sphincter and may reveal childbirth-related injury. Other examinations. If your physician believes you have inflammatory digestive tract illness, he or she may get a colonoscopy to see your colon. During the treatment, your medical professional can take small examples of tissue (biopsy) for laboratory evaluation, which can aid validate Crohn’s illness. Treatment of Rectovaginal Fistula Treatment for the fistula depends upon its reason, dimension, area and also effect on bordering tissues. Surgery is the mainline of treatment. Surgery has to be planned meticulously. Antibiotics or chemotherapy may have to be given before definitive surgery is planned. There are high chances of failure of repair of rectovaginal fistula in the presence of infection or residual cancer. Surgical procedures for Rectovaginal Fistula Prior to a procedure can be done, the skin and also various other cells around the fistula have to be healthy and balanced, without infection or swelling. Your doctor might recommend waiting 3 to six months prior to having surgical treatment to ensure the surrounding cells is healthy and also see if the fistula closes on its own. Surgery to shut a fistula is usually done by a colorectal surgeon as well as a gynaecologist. The objective is to remove the fistula tract and close the opening by stitching healthy and balanced layers of tissues. Surgical options consist of: Diversion stoma or colostomy: Carrying out a colostomy before repairing a fistula to divert stools via an opening in your abdominal area rather than with your rectum. This is temporary in nature but may be required for up to 6 months or more. The type of surgery is dependent on the cause of the fistula. It may involve utilizing a tissue graft taken from a neighbouring part of your body or folding a flap of healthy and balanced tissue over the fistula opening, repairing the anal sphincter muscles if they’ve been harmed by the fistula and removal of the cancer. Outcome after surgery for Rectovaginal Fistula The outcome will depend on many factors. It is a complex surgery and may be done in stages. The repair is not done in the presence of infection or cancer. At time radiotherapy has damaged the surrounding tissues so much that there are high chances of the surgery to fail. Thus lot of discussion and counselling of the surgery are required with the patient and family. Good outcomes are expected in cases of trauma, childbirth related injuries and non-malignant conditions. Success rates can vary between 50 to 80 percent in the best of situations. Surgery should be done by a team of experienced colorectal and gynaecologists.

Colorectal Surgery, Laparoscopic Surgery, Robotic Surgery

Minimally Invasive Surgery for Colorectal Diseases

Colorectal Surgery, Laparoscopic Surgery, Robotic Surgery / kapoorcmc

Minimally Invasive Surgery for Colorectal Diseases – It is also known as Key Hole Surgery. Many diseases as well as conditions of the colon and anus are treated surgically. A surgeon may use typical (open) or minimally invasive strategies relying on the specific situation. Minimally invasive colon and also rectal surgical treatment is a consistently evolving field. Each year brings new info based on additional improvements and raising use of these methods. Open versus minimally invasive colon and rectal surgery In typical open abdominal surgical treatments, doctors generally make a cut 6 to 12 inches in length, big sufficient to supply adequate visibility, offer accessibility to the abdominal organs and also allow the use of hand-held surgical instruments. Minimally invasive surgeries have been created to do operations via smaller incisions, minimizing the pain and also healing complications associated with lengthy incisions. Minimally invasive surgery can be made use of to effectively treat a range of common benign and also malignant colon and also anal conditions. All minimally invasive methods require advanced surgical skills as well as customized equipment. Colorectal surgeons have had progressed training in minimally invasive surgical procedure. All minimally invasive surgical procedures are executed with the patient asleep under an aesthetic. All the techniques listed here are considered “minimally invasive,” however might differ somewhat in their total benefits and also negative aspects. Laparoscopic surgery The doctor makes numerous tiny cuts about half inch in dimension. Throughout laparoscopic procedures, an electronic camera is positioned inside one of the cuts, allowing the doctor to check out the within the abdominal area on monitors or tv displays For many colon and also anal operations, 2-4 small cuts are needed. Co2 gas is utilized to blow up the abdominal area in order to give the specialist area to work. To perform the surgical procedure, unique instruments are put via the various ports inserted through these small incisions, permitting the surgeon to operate inside the abdomen by checking out the electronic cameras. For lots of colon and also rectal procedures, one a little larger incision (about 2-4 inches in size) need to be made in order to remove a piece of intestinal tract which has the disease and has been resected. When a part of the surgical treatment is done with this smaller sized laceration this may be called “laparoscopic-assisted surgery.” IT can be effectively used for colon and rectal cancers. Robotic surgical treatment or robotic-assisted surgical procedure This method permits a colorectal surgeon to control a robot that holds the surgical instruments. Similar to laparoscopic surgery, a camera as well as specialized instruments are placed through small incisions. The doctor works from a console in the operating room where they have a 3D sight of the surgical area and also control instruments attached to the robot. An innovative computer system translates the activities of the surgeon’s hands to the robot, which then moves the surgical tools. Robot surgical treatment is gaining popularity primarily for rectal operations since the robotic tools are well equipped to operate in the narrow pelvis where laparoscopic surgery is more difficult. Advantages of minimally invasive surgery. Cuts are a lot smaller sized than those made use of in traditional surgical procedure. Decreased postoperative discomfort. Shorter hospital remains. Lowered requirement for prescription pain drugs. Earlier go back to regular tasks. Much less noticeable scarring. It is very important to note that outcomes are similar between open and minimally invasive procedures. Nevertheless, minimally invasive surgery uses potential advantages in the early post-surgery recuperation period. Dangers of minimally invasive surgery. The danger of complications is similar to that of traditional open surgery. Every surgery, whether minimally invasive or traditional, brings some risk of problems. Risks usual to both open and minimally invasive colon and anal surgical treatment include blood loss, infection, post-operative digestive tract obstruction as well as leak from a intestinal anastomosis (reconnection). Other threats, such as heart problems, pneumonia and embolism exist with any major surgical procedure requiring general anaesthesia. Periodically, a specialist will experience conditions throughout surgery that would certainly make proceeding with minimally invasive surgical treatment dangerous. In this scenario, the incision is enlarged to permit traditional surgical strategies to be made use of to complete the operation. This is referred to as a “conversion” to typical or “open” surgery. Minimally invasive surgical procedure is not appropriate for all clients or problems. Conclusion: Technology has brought about changes in how surgery is done. Laparoscopic surgery has been around for almost 30 years now. Robotic Surgery is a newer modality and been around for almost five years. Considerable training and experience are required for these procedures like for any other surgical experience. Open surgery is still the backbone of any procedure especially when minimally invasive surgery is difficult or not possible. However, majority of cancers of the colon and rectal tumours are nowadays operated with minimally invasive techniques. Also See Colectomy Surgery in Chandigarh Cervical Cancer Surgery in Chandigarh

Colorectal Cancer, Colorectal Surgery, General Surgery, Rectal Bleeding, Rectal Cancer

There is Blood in my Stools … What should I Do

Colorectal Cancer, Colorectal Surgery, General Surgery, Rectal Bleeding, Rectal Cancer / kapoorcmc

What is rectal bleeding? Looking down right into a toilet and seeing blood can be alarming. If you’re experiencing rectal bleeding, you might see blood in a couple of various means– on your toilet paper as you wipe, in the water of the commode bowl or in your stools. It can be various shades, ranging from bright red to a dark maroon to black. The shade of blood you see can actually show where the bleeding might be originating from. Bright red blood usually indicates bleeding that’s low in your colon or rectum. Dark red or maroon blood can indicate that you have hemorrhaging from right colon or small intestine. Melena (dark, smelly as well as tar-like stool) typically indicates hemorrhaging in the stomach. In some cases, rectal blood loss isn’t noticeable to the naked eye and can only be seen through a microscope. This type of blood loss is typically discovered during a laboratory test of a faeces sample as a part of screening or test stone to diagnose anemia. Is rectal bleeding of concern? In some cases, anal blood loss can be a small symptom of a problem that can be conveniently dealt with. Piles, as an example, can cause you to experience rectal bleeding. This usually doesn’t last long and piles are frequently very easy to treat. Rectal blood loss can sometimes be a sign of a significant problem like colon or rectal cancer. It’s vital to track any kind of blood loss you are experiencing. If it’s hefty, frequent or triggering you to worry, call your doctor to check it out. How does anal bleeding appear? You may see or experience anal bleeding in a couple of different means, including: Seeing blood on your toilet paper when you clean. Seeing blood in the toilet water of the bathroom when you are making use of the restroom– the water in the bowl may look like it’s been dyed red. Noticing dark red, black or tarry poop while you are having a bowel movement. What are the signs and symptoms of anal bleeding? The symptoms of anal bleeding can differ depending upon what is creating the bleeding. Some signs and symptoms you may have with rectal blood loss can include: Feeling anal discomfort and/or pressure. Seeing bright red blood in or on your stool, undergarments, toilet paper or in the toilet dish. Having stool that’s red, maroon or black in shade. Having stool that has a tar-like appearance. Experiencing fatigue or restlessness. Feeling lightheaded or lightheaded. Fainting. In some very severe instances, anal bleeding can result in shock. The signs and symptoms of shock can include: Experiencing an unexpected decrease in your blood pressure. Having a rapid heart rate. Not being able to urinate. Slipping into unfamiliarity. What creates rectal bleeding? There are several reasons why you might experience rectal blood loss. The sources of rectal blood loss can differ from usual and also moderate conditions to much more severe as well as unusual problems that require immediate clinical therapy. Causes of rectal bleeding can include: Hemorrhoids Anal Fissure Anal abscess Anal Fistula Diverticulosis/Diverticulitis Inflammatory digestive tract condition (IBD) Large polyps Colon Cancer Rectal Cancer Can foods transform the shade of my stool in a similar way to rectal blood loss? There are certain foods that can make your stools an unusual colour. Foods like black licorice, beetroots, dark berries (blueberries and also blackberries) and red jelly can all make your stools appearance extremely dark. This can easily be confused for blood in your stool. If you observe extremely dark poop throughout a bowel movement, think back to what you consumed lately. There’s a chance that what you consumed could be the cause for the usually dark stool. Can constipation and straining result in anal bleeding? Yes it can. Straining can trigger rectal bleeding. This is commonly related to bowel constipation. Really hard faeces can actually cause the skin around your anus to tear, creating you to see blood. Dealing with constipation can aid prevent this from happening. What are the tests required to diagnose the cause of rectal bleeding? There are a number of means your doctor can utilize to review rectal blood loss to help determine the cause. These are: A physical exam of the rectum as well as anus. A colonoscopy. A sigmoidoscopy. A faecal occult blood examination Haemoglobin and other lab tests CT Scan Exactly how do I deal with rectal blood loss? For you, the only instruction is to go and consult a surgeon. For the most part, rectal bleeding can be dealt with by taking care of the cause of the blood loss. Once that condition has actually been dealt with, the bleeding usually quits. Treatment options can vary relying on the condition. Will anal bleeding vanish by itself? Depending on the cause of the bleeding, your rectal blood loss can in fact quit on its own. You need to pay attention to your body and maintain track of the blood loss. If it occurs one-time and then quits, remember of it, yet it more than likely isn’t an emergency. If you have heavy rectal blood loss or are on a regular basis seeing blood, connect to your doctor to get prompt care. Conclusion Blood in your stool could just be due to piles, but it could also be a sign of something more sinister and dangerous. The only way to be sure is to consult your doctor or a surgeon. People tend to be shy about talking of blood in ones stools or giving a stool sample and that may cause significant loss of blood as well as delay in diagnosing the cause. To develop the right treatment plan, a correct history should be provided. Nip the evil in the bud before it can create havoc.

Anal & Perianal Disorders

Colorectal Surgery