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Advanced Colorectal Surgery

UNIQUE FEATURES

A decade long experience in treating inflammatory bowel disorders like crohn’s disease and ulcerative colitis

Stenting done for acute obstruction of bowel

Preoperative tattooing of tumor is done prior to surgery to define proximal and distal extent of tumor.

EDS (Endoscopic sub-mucosal dissection) & EMR (Endoscopic mucosal resection) done for very early cancerous lesions.

The colorectal surgical unit mainly deals with surgical problems of colon, rectum and anus. The patient will come to colorectal surgeon for the symptoms of bleeding per rectum, altered bowel habits, generalized weakness, constipation, unable to pass flatus and motion.

Laparoscopy was a major breakthrough in the field of colorectal surgery as presently, most of the colorectal surgeries are performed laparoscopically in comparison to olden days where colorectal surgeries were carried out by making long incisions. Laparoscopy has brought tremendous improvement in management of these patients. We offer laparoscopic colonic and rectal resections to most of the patients who present with carcinoma colon and rectum.

We pat ourselves on the back for having successfully performed about 700 colorectal surgeries in the past decade. We offer Laparoscopic right hemicolectomy, Laparoscopic left hemicolectomy, Laparoscopic anterior resection, Laparoscopic Low AR, Laparoscopic APR, Laparoscopic pan colectomy with anal ‘J’ pouch.

Advanced Colorectal Surgery FAQ

Constipation is described as having less than three bowel movements per week or passing hard, dry, lumpy stools with difficulty. Although occasional constipation is common, few people experience constipation for a long time, which hinders their day-to-day activities. Constipation symptoms are less than three bowel movements per week, hard, dry, lumpy stools, straining during the passage, feeling of fullness even after the stool passage, and blockage sensation in the rectum.
Sedentary lifestyle.
Lack of fibre-rich diet.
Lack of adequate hydration.
Diabetes mellitus.
Neurological conditions like multiple sclerosis, spinal cord injury, neuropathies, stroke.
Weak pelvic muscles.
Hypothyroidism.
Overstress and anxiety.
Consume plenty of fluids.
Eating a fibre-rich diet, including fruits, vegetables, and whole grains.
Avoiding junk food, processed meat, and dairy products.
Regular exercise.
Keeping regular bowel habits.
Stress management.
The most common causes of bleeding in the stools are piles, fissure in ano, fistula in ano, and other reasons are ulcerative colitis, carcinoma rectum/sigmoid colon/ descending colon. Rarely the vascular abnormalities in the large intestine also present with bleeding in the stools.
An intestinal obstruction occurs when a small or large intestine is blocked either due to luminal lesions or external mass causing compression. The blockage can be complete or partial. When the intestinal obstruction occurs, it prevents the passage of food or fluids or gastric juice and other contents leading to distension of intestinal loops proximal to the blockage. The symptoms may vary according to the blockage level; if the blockage is more at the stomach or upper part of the small intestine, vomiting and pain will be predominant symptoms. Suppose the blockage is in the distal portion of the small intestine. In that case, the vomitus will be greenish coloured (bilious) with gradual distension of the abdomen, colicky pain in the stomach, and unable to pass gas and stools. If the blockage is in the large intestine, the vomitus will be feculent with other associated symptoms like abdominal distension, pain, and unable to pass flatus and stools.
Patients will be thoroughly examined, initial vitals assessed, x-ray abdomen, and ultrasound examination done initially to determine obstruction status. If a patient is dehydrated, then IV fluids and other supportive treatments start. A nasogastric tube will be passed through one of the nares into the stomach to evacuate the contents. Further CECT abdomen will be done to assess the status of blockage; whether it’s a partial or complete blockage, partial blockage in some instances may recover with conservative medications and adequate rest. On the contrary, the complete blockage will need emergency surgery and resection of the involved intestinal segment and rejoining the ends to establish continuity. After the surgery, nasogastric drainage will be continued for another 2 to 3days till the bowel starts functioning. The patient will be assessed daily, gradually started on diet as he/she recovers. The entire resected specimen will be sent for the pathological examination, which will determine whether the patient may or may not need other medications.
African-Americans have a high risk of developing ca colon.
Older age - > 50years.
Patient with a previous history of ca colon.
Family history.
Certain inherited syndromes.
Specific genetic mutations can run in families like familial adenomatous polyposis and hereditary nonpolyposis colorectal cancer.
Inflammatory bowel diseases like ulcerative colitis and Crohn’s.
Low fibre and high-fat diet.
Sedentary lifestyle.
Obesity.
Diabetes mellitus.
Smoking and alcohol intake.
Radiation therapy for other cancers.
Following are the ominous signs one should not neglect.
Recent onset constipation or altered bowel habits.
Blood in stools.
Generalised tiredness.
Significant weight loss.
Loss of appetite.
Persistent abdominal discomfort.