Overview
Colorectal Surgery Repairs damage to the colon, rectum, and anus through a variety of procedures that may have little or great long-term consequence to the patient. It may also involve surgery to the pelvic floor to repair hernias.
Colorectal Surgery is performed to repair damage to the colon, rectum, and anus, caused by diseases of the lower digestive tract, such as cancer, diverticulitis, and inflammatory bowel disease (ulcerative colitis and Crohn's disease). Injury, obstruction, and ischemia (compromised blood supply) may require bowel surgery. Masses and scar tissue can grow within the rectum, causing blockages that prevent normal elimination of feces. Other diseases such as diverticulitis and ulcerative colitis can cause perforations in the rectum. Surgical removal of the damaged area or areas can return normal bowel function.
Colorectal Surgery:
Colorectal Surgery Repairs damage to the colon, rectum, and anus through a variety of procedures that may have little or great long-term consequence to the patient. It may also involve surgery to the pelvic floor to repair hernias.
Complication Of Lap Colonic Surgery Are The Same As Conventional Surgery Namely:
- Bleeding.
- Anastomotic leak.
- Infection.
It has been observed that bowel function returns much earlier in lap surgery. Thus feeding is started much earlier and hospital stay is shorter. The reason for early return of peristaltic activity is lack of handling and non-exposure to outside atmospheric air. Flatus, faeces and feeds (three F's) of colonic surgery are much faster in M.I.S.
Conditions
- Rectal bleeding
- Anal symptoms
- Abdominal mass
- Change in bowel habit
- Suspicion of colorectal pathology
- Pilonidal disease
- Faecal incontinence
- Rectal prolapse
- Surgery for ulcerative colitis and crohn's disease.
What are the advantages of Laparoscopic Colorectal Surgery ?
The proven benefits of laparoscopic colorectal surgery compared to the traditional open approach include : -
- Less postoperative pain
- Smaller incisions and scars
- Shorter hospital stay
- Quicker return to normal activity
- May result earlier bowel function
- May result in earlier tolerance of solid food
Treatment
The 4 main types of treatment for Colorectal Cancer are : -
- Surgery
- Radiation therapy
- Chemotherapy (often called just "chemo")
- Targeted therapies (called monoclonal antibodies)
Risks
Potential risks of colorectal surgery are those of any major surgery and usually occur while the patient is still in the hospital. The patient's general health prior to surgery will also be an indication of the potential for risk. Of special concern are cardiac problems and stressed immune systems.
Psychological complications may result from ostomy surgery because of the fear of the social stigma attached to wearing a colostomy bag. Patients may also be depressed and have feelings of low self-worth because of the change in their lifestyle and their appearance. Some patients may feel ugly and sexually unattractive and may worry that their spouse or significant other will no longer find them appealing. Counseling and education regarding surgery and the inherent lifestyle changes are often necessary.
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