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Lap LAR and Ileostomy Treatment in Dhakuria

Lap LAR and Ileostomy

Lap LAR and Ileostomy Procedure in Dhakuria

Laparoscopic Lower Anterior Resection, abbreviated as Lap LAR, is a minimally invasive laparoscopic surgical procedure involving the removal of a part of your rectum. It is carried out by making small incisions in the abdomen and employing specialised surgical tools and a camera-equipped laparoscope. Once the diseased rectal portion is removed, the remaining part is reconnected to the colon with stapes or stitches, forming an anastomosis. Individuals may need an Ileostomy procedure after a LAP LAR.

Ileostomy

Patients may face difficulty passing stools through the rectum and anus after a Lap LAR and may necessitate an Ileostomy until they recover from the procedure. The end of the small intestine (ileum) is brought outside through the abdominal wall to create a stoma. This allows stools and gas to leave the body and pass through the opening, where they are collected in a plastic pouch.

Specialists in the Department of Surgical Gastroenterology at Manipal Hospitals, Dhakuria, West Bengal, ensure employing the mentioned procedures by utilising cutting-edge techniques, thereby prioritising patient well-being and optimal surgical outcomes.

 

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FAQ's

Laparoscopic Lower Anterior Resection (Lap LAR) is usually employed for patients diagnosed with stage II or III rectal cancer, although it is also used in treating stage I diseases. Some diagnostic tests employed by specialists to determine the feasibility of the procedure include the following: 

  • A colonoscopy is a diagnostic intervention comprising a long, flexible tube with a camera to visualise tumours present in either the colon or rectum

  • Biopsy

  • Blood tests, including complete blood count, organ function tests, and tumour markers, such as CEA (carcinoembryonic antigen)

Imaging tests, such as computed tomography (CT) of the chest, abdomen, and pelvis or magnetic resonance imaging (MRI) of the pelvis to rule out signs of metastasis (the ability of cancer cells to spread to other parts of the organ)

Several advantages or benefits are offered by the Laparoscopic Lower Anterior Resection (Lap LAR) procedure, some of which include:

  • Faster recovery periods
  • Shorter hospital stays
  • Less post-operative pain
  • Minimal complications
  • Reduced scarring and blood loss
  • Better cosmetic appearance

General instructions you can follow to prepare yourself for the Laparoscopic Lower Anterior Resection (Lap LAR) procedure include:

  • Inform our specialist if you are consuming any medications, including anti-coagulants, SGLT2 inhibitors, vitamin supplements, or other prescription or over-the-counter medications.

  • Notifying our specialists in case you are pregnant or have any cardiac device implantation, such as a Pacemaker. 

  • Fasting for a minimum of 8 hours before the procedure, although you can drink clear liquids 

  • Let our specialists know of any allergies induced by anaesthesia and/or other medications, and conditions such as sleep apnoea

  • Refraining from smoking, chewing tobacco, and drinking alcohol to prevent any peri-operative complications

  • Meeting with a wound, ostomy, and continence (WOC) nurse to familiarise yourself with caring for a colostomy bag if you undergo an Ileostomy post-Lap LAR

  • Performing bowel preparation to clear any stools prior to surgery

Possible risks that may arise when performing a Laparoscopic Lower Anterior Resection (Lap LAR) procedure include:

  • Intestinal obstruction
  • Ischaemic colitis, characterised by reduced blood flow to a part of the large intestine
  • Perianal abscess
  • Infection at the wound
  • Anastomotic leakage
  • Anastomotic stricture, identified as a narrowing of the intestines
  • Rectovesical fistula, determined as an abnormal connection of the urinary bladder and rectum 
  • Faecal incontinence or irregular bowel movements
  • Strangulation of the gastrointestinal tract
  • Pneumonia
  • Rarely, colon necrosis and prolapse

Probable complications that may occur during or after an Ileostomy procedure include:

  • Infection, which can be treated with antibiotics prescribed by our specialists
  • Dehydration
  • Bowel obstruction
  • Parastomal hernia, recognised as the protrusion of abdominal contents through the opening 
  • Stomal retraction or prolapse
  • Skin damage or irritation
  • Severe bleeding
  • Renal impairment
  • Formation of fistula
  • Necrosis
  • Electrolyte imbalance

Laparoscopic Lower Anterior Resection (Lap LAR) may usually take around 2-4 hours, although it can vary depending on individual factors and the severity of the condition. Our specialists will let you know the expected duration of the procedure based on your case report.

Whether an Ileostomy procedure is done permanently or temporarily depends on the procedure. Temporary Ileostomy facilitates healing after an injury or illness. Permanent Ileostomies are, however, performed as a lifesaving procedure. Specialists will do an Ostomy Reversal surgery in the case of a Temporary Ileostomy. Conditions that might require Temporary Ileostomies include Colorectal cancer of early and advanced stages, inflammatory bowel disease, and those who have undergone Familial Adenomatous Polyposis Surgery, while Permanent Ileostomies are usually addressed for severe cases of Crohn's disease, colonic motility dysfunction, or ruptured or blocked large intestines.

General instructions you can adhere to in taking care of your stoma after an Ileostomy procedure include:

  • Keeping your skin surrounding the stoma clean to prevent any infections

  • Changing your pouching system regularly and taking precautions while removing the pouching system. You will be advised on when to remove your pouching system

  • Watching for allergies or post-procedure symptoms, such as cramps for a prolonged period, nausea and vomiting, an unpleasant odour for more than a week, or a cut or injury to your stoma

  • Limiting the intake of foods that have strong odours, such as fish, eggs, and cheese. 

  • You might be recommended to consume anti-flatulent preparations or charcoal tablets to reduce odour

  • Eating a low-residue diet for a couple of months

  • Shaving your hair under your pouch system with caution to avoid skin irritation and enhance better adhesion of the pouching system

General instructions you can adhere to in taking care of your stoma after an Ileostomy procedure include:

  • Keeping your skin surrounding the stoma clean to prevent any infections

  • Changing your pouching system regularly and taking precautions while removing the pouching system. You will be advised on when to remove your pouching system

  • Watching for allergies or post-procedure symptoms, such as cramps for a prolonged period, nausea and vomiting, an unpleasant odour for more than a week, or a cut or injury to your stoma

  • Limiting the intake of foods that have strong odours, such as fish, eggs, and cheese. 

  • You might be recommended to consume anti-flatulent preparations or charcoal tablets to reduce odour

  • Eating a low-residue diet for a couple of months

  • Shaving your hair under your pouch system with caution to avoid skin irritation and enhance better adhesion of the pouching system

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