Colorectal Surgery

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). 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.

Colorectal Surgery, General Surgery

Anal Fistula: Surgery is the Best Bet

Colorectal Surgery, General Surgery / kapoorcmc

Anal Fistula Surgery Surgery is typically essential to deal with anal fistula as they normally do not heal on their own. There are a number of different procedures. The very best alternative for you will certainly rely on the position of anal fistula and also whether it’s a solitary channel or branches off in various instructions. Occasionally you might require to have a first evaluation of the location under general anaesthetic (where you’re asleep) to assist figure out the best treatment. This is called Examination under Anaesthesia. This can be done during the main surgery too. Proper communication and consents will have to be obtained about possible options to be used. Your colorectal surgeon will talk to you concerning the choices available and which one they really feel is one of the most suitable for you. There are a few procedures, which became popular but long term results showed high recurrence rates and thus they fell by the way. Surgical treatment for an anal fistula is typically executed under general anaesthetic. In most cases, one day overnight stay in the hospital is required afterwards. Also See: Fistula Doctor in Chandigarh The main goal of fistula surgery treatment is to heal the fistula while avoiding damage to the sphincter muscle mass, the ring of muscular tissues that open up as well as shut the rectum, damage to which might possibly cause loss of control (anal incontinence). The most commonly used procedures are: Fistulotomy One of the most common type of surgical treatment for rectal fistulas is a fistulotomy. This includes cutting along the whole size of the fistula to open it up so it recovers and heals from within. A fistulotomy is one of the most effective treatment for lr fistulas that do not go through a lot of the sphincter muscle mass, as the risk of incontinence is least in these cases. If the specialist needs to cut a portion of anal sphincter muscle mass throughout the procedure, or the risk of incontinence is thought to be high, another procedure might be advised instead. Seton surgery If a considerable portion of rectal sphincter muscular tissue is involved, a seton surgery will be done, which is inserted into the fistula tract running across the muscle. The rest of the fistula tract is excised and the wound laid open. A seton is an item of medical string that’s left in the fistula for several weeks to keep it open. This allows it to drain and also assists it heal, while preventing the damage to the sphincter muscles. Loose setons permit fistulas to drain, however they do not cure them. They help in draining all the pus and infection over a span of weeks or months. Subsequently another surgery is required to use a tighter seton, which cuts the tract gradually over days or weeks. This way the sphincter gets time to heal and thus maintain continence. At time, this may require numerous procedures that the doctor can go over with you. It may involve using a combination of the procedures depending upon the type of fistula. At times, The procedure involves opening up a little section of the fistula each time. Advancement flap surgery An advancement flap treatment might be considered if your fistula travels through the rectal sphincter muscular tissues and other procedures have not given good results. This entails cutting or scraping out the fistula as well as covering the hole where it went into the bowel with a flap of tissue extracted from inside the rectum, which is the final part of the digestive tract. This is used very selectively as it carries a high recurrence rate. It may be used in conjunction with seton surgery. Other Procedures There are some other procedures being used for treatment of anal fistulas recently and the long term success rates are either awaited or not very good. A few have shown good results in simple fistula. Some of the procedures are meant for specific fistulas and some just are alternate procedures. A few like fibrin glue, fistula plug and endoscopic ablation have shown higher recurrence rates. LIFT and laser ablation procedures will need more time to show long tern results, but could be used selectively for specific fistulas. At this time, best results are shown by fistulotomy or seton techniques, but as said before the choice of surgery to be employed depends on the number, length, association with abscess, previous surgeries and underlying diseases. At times, a combination of procedures give the best result. Risks of anal fistula surgery Like any type of type of therapy, therapy for anal fistulas brings a number of risks. The primary risks are: Infection as this is a high bacteria colonized area because of the passage of stools. Recurrence of the fistula– the fistula can occasionally persist despite surgical treatment Faecal incontinence— this is a potential danger with the majority of types of rectal fistula treatment, although severe incontinence is uncommon and also every effort is certainly made to prevent it. Things to remember about Fistula Surgery

Colorectal Surgery

Anal Fistula: The Best option is Seton Surgery

Colorectal Surgery / kapoorcmc

An anal fistula is a little passage that communicates in between the lumen of the digestive tract and the skin near the rectum and anal canal. They’re normally the result of an infection near the anus triggering a collection of pus (abscess) in the anal glands. When the pus drains out, it can leave a tiny track behind. Signs and symptoms of an anal fistula skin irritation around the rectum a continuous, throbbing discomfort that might be even worse when you take a seat, walk around, poo or coughing smelly discharge from near your anus passing pus or blood when you move your bowel swelling as well as inflammation around your anus and also a high temperature (fever) if you have an abscess difficulty controlling defecation (faecal incontinence) in some cases Fistula could be visible as a hole in the skin near your anus, although this may be difficult for you to see on your own. Diagnosis of anal fistula a more physical as well as anal exam a proctoscopy, where an unique telescope with a light on completion is made use of to look inside your anus an ultrasound check, MRI scan or CT scan Causes of anal fistulas Most fistulas develop after an anal abscess. This will happen if the abscess does not recover effectively after the pus has receded. Other causes of anal fistulas consist of: Crohn’s disease — a long-term condition in which the gastrointestinal system ends up being involved Diverticulitis– infection of the small pouches that can stick out of the side of the large intestinal tract (colon). Hidradenitis suppurativa– a lasting skin condition that causes abscesses and also scarring. infection with TB or HIV. Complication of surgical procedure near the anus. Treatment of anal fistula. Anal fistulas usually call for surgical procedure as they hardly ever recover if left unattended. Since the area has lot of bacteria and cannot be rested, the post operative recovery takes time. The main options consist of: There are plenty of procedures advised; however the best results are with the following procedures Fistulotomy— a procedure that involves cutting open the whole size of the fistula so it recovers into a flat scar and is done with smaller fistulas. Seton surgery — where an a surgical thread called a seton is positioned in the fistula and left there for numerous weeks to assist healing prior to further treatment is executed to treat it or used as a cutting seton to save the sphincter damage thus preserving continence. Patients require to remain in hospital over night after surgery, although some may require to remain in healthcare facility for a couple of days. Important tips for Anal Fistula Colorectal surgeon should be consulted sooner than later. Anal fistula need surgery for treatment. Multiple staged procedures (surgeries) may be required depending on the presence of pus, number of openings and history of previous surgery. Loss of work days are minimal, though patient may nurse a post-operative wound which heals gradually Post-operative dressings are very well managed by the patients once guided well.

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, Haemorrhoids Surgery

What to Do About Painful Haemorrhoids

Colorectal Surgery, General Surgery, Haemorrhoids Surgery / kapoorcmc

About Painful Haemorrhoids There are blood vessels in the last portion of your intestines. When these vessels become swollen or large, these are called haemorrhoids. These can cause a variety of symptoms in more than 20 percent of populace. Pain is one of the most commonest symptom. The pain, discomfort as well as distress of piles can be embarrassing, but if you’re experiencing this condition, know that you’re not the only one. However, there are real treatment choices to attend to the signs and symptoms and also prospective problems of this common ailment. The very best and latest therapy strategy to resolve your painful piles and also promptly ease your signs and symptoms is available now. Signs and symptoms as well as causes of haemorrhoids. Piles are of two kinds, internal and outside. Apart from pain, piles can also feature symptoms that include bleeding, itching and prolapse The commonest cause of piles is because of straining during defecation from chronic irregular bowel movements or diarrhoea. Doing a lot of hefty training and exercises can result in haemorrhoids, as well as they generally establish during pregnancy and delivery. These are common in both the gender and more frequent as you age. Also See: Piles Doctor in Chandigarh At-home therapy options for painful haemorrhoids If you just have mild signs, you could be able to treat your painful haemorrhoid in the house. Begin by drinking plenty of water and enhancing the quantity of fibre in your diet plan. If you’re spending lot of time on the toilet and straining as well, try to limit this habit. Warm water immersion can also help. If the pain persists consult a colorectal surgeon. Quick management for painful haemorrhoids There is no reason, why one should some remain in pain because of haemorrhoids.. Amongst your treatment alternatives for haemorrhoids are rubber band ligation or urgent surgery due to a thrombosed external haemorrhoid, which can be very painful. Relying on the intensity of your condition, the decision is taken. At times a properly conducted non-surgical treatment can ward of the painful emergency and subsequently the haemorrhoids are dealt with according to their merit. These include traditional haemorrhoidectomy to eliminate outside and inner piles, in addition to minimally intrusive and incision-less banding of haemorrhoids. Stapling can be used for prolapsing haemorrhoids. This procedure is reserved for very few but is very useful at times. Thus it is prudent to consult a colorectal surgeon at the earliest especially for painful haemorrhoids as this pain can be very excruciating and does not allow the patient to sit comfortably. Tips for Painful Haemorrhoids

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. 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. It has various parts, which are listed in the diagram below. 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

Cancer, Colon Cancer Surgery, Colon. Cancer, Colorectal Cancer, Colorectal Surgery, Survivor story

Survivor Story: Colon Cancer Surgery – During and After

Cancer, Colon Cancer Surgery, Colon. Cancer, Colorectal Cancer, Colorectal Surgery, Survivor story / kapoorcmc

This is a story of one of my patient about her fight with colon cancer. She wanted to write and I encouraged her to put her experience in words. She did so, but decided that she wanted her name be changed. It all began in 2016. Sonia, a 46-year-old, mom of a then 20 year old was working full time awakened with what she assumed was a stomach ache that just didn’t want to disappear. Throughout the day it seemed to get worse and by that night she could not walk. Her husband was away on a business trip and thus her daughter, who was in Delhi university returned and took her to the hospital. Also See: Colon Cancer Surgeon in Chandigarh Diagnosis of colon cancer Lot of tests were done and the CAT Scan found a mass in her right colon which looked like a tumour. She remained in the hospital for seven days. As she writes, “Ten days of worry, testing, scans, surgical treatment and also a lot of bonding with the nurses”. During that time, a colonoscopy confirmed that the tumour had actually shut off her colon, a Pet scan validated that it had grown past the colon walls and also into the lymph nodes. So she had what we call cancer of the right colon. Once a cancer is diagnosed with colonoscopy and biopsy, the PET CT assesses the entire body for any spread. After these tests, we stage the tumour by giving it a number. Thus Sonia had stage 3 of right sided cancer of the colon and required urgent colon cancer surgery as the lesion was obstructing her ascending colon. This is called a obstructing colon cancer is normal parlance. Colon Cancer Surgery Laparoscopic surgical treatment removed the tumour, 24 cm of colon and also 21 lymph nodes. She recovered well to go home and to be followed up in the OPD. Her case was discussed in hospital tumour board and her cancer was labelled as a Stage III Colon Cancer. Her final biopsy had shown some small vessel infiltration. She was referred to medical oncologist, who made a decision that even though the nodes weren’t impacted, it would be only a short time prior to they would certainly have been, so they decided to give her chemotherapy. This is what Sonia says “Up until this point, I had been living with an extremely worn out sensation at all times as well as taking medication for chest allergy due to the fact that I was having a difficult time capturing my breath. However it turned out I was extremely anaemic and B-12 deficient. My haemoglobin was so low. After the surgery, I felt better as I had received blood transfusions. My pain was gone and since there was no big incision for my surgery, I started feeling good and cheerful” Colon cancer chemotherapy Chemotherapy treatment started a month later and consisted of 5FU, Leucovorin and Oxalliplatin. She writes “life was far from typical. I needed to take added iron tablets as well as have B-12 shots. I got on 3 types of anti-nausea drug. My hair fell from the chemo, I had consistent nose and anal bleeds but had the ability to maintain my composure as well as a will to survive.” So all patients of stage 3 and 4 with colon cancer receive chemotherapy after colon cancer surgery. Some patients of stage 2 also receive chemotherapy after colon cancer surgery as they have some bad prognostic markers. Sonia had obstruction as well as some small vessel infiltration with tumour and thus was earmarked for chemotherapy. The chemotherapy is started about 4 weeks after the surgery and the wounds are completely healed. In the interim a port is inserted to deliver chemotherapy. Sonia writes “I still had fatigue however, I had to will myself to try as well as live a rather regular life. Strolling was difficult as a result of the wooziness. I fell a number of times due to the enduring neuropathy in my feet. I had several issues with my power port but in the end everything worked well. Throughout this experience I utilized the expression “It’s all excellent” as my reply when asked just how I was doing.” Also See Rectal Cancer Surgeon in Chandigarh Colon cancer surveillance Sonia will be followed up every 3 months for five years, with proceeded checks up to 10 years. Sonia has persuaded her friends to go for screening and all have lately been checked out by their doctors. Colon cancer presents in many ways. Sonia had a complicated presentation as she developed intestinal obstruction because of colon cancer. Colon cancer surgery remains the mainstay of treatment. Laparoscopic surgery is the preferred method to do surgery. The surgeries include right, extended right or left hemicolectomy. Chemotherapy is given after surgery for some stage 2, stage 3 and stage 4 colon cancers. Preoperative chemotherapy may be used in stage 4 cancers before surgery is planned. Survival is very good in colon cancer and one should not give up hope. Sonia’s story should be a great motivator for all patients with colon cancer.

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