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The word "Colorectal Surgery" is used broadly to refer to a variety of surgical techniques used to address lower gastrointestinal issues. Diseases of the colon, anus, and rectum are treated with this operation. Both adults and children can undergo the procedure, and it can be used to treat a variety of disorders, including severe constipation, Crohn's disease, anal fistulas, haemorrhoids, colon and rectal cancer, anal injuries, congenital impairments, and more. Numerous surgical procedures are available for use in Colorectal Surgery. Together, you and your surgeon will choose which course of action is appropriate for your particular medical condition and general health.
Open operations, which involve making a big incision in the belly, are still necessary for complex cases. However, minor cases are treated with laparoscopic and robotic surgeries, as they have the lowest risk of complications. The type of surgical procedure used has a considerable impact on the recovery period following Colorectal Surgery.
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Anyone experiencing discomfort or irregularities in the colon, rectum, or anus might benefit from Colorectal Surgery. In addition, the following factors also qualify someone for this surgery:
Lumps in the anal region
Bleeding in the rectal area
Having an anal fissure
Piles
Haemorrhoids
Colon cancer or rectal colitis
Intense abdominal pain
Anal discomfort
A person with the following conditions should not undergo Colorectal Surgery:
Previous abdominal surgery
Being overweight
Weakened immune system
Heart problems
Anaemia, bleeding disorders, or any other persistent diseases
Making the required preparations and being ready physically and psychologically for the procedure and the recovery time are essential before having Colorectal Surgery. The following are some essential preparations to consider:
Make an aftercare plan: Arrange for help with daily duties after the patient is released from the hospital.
Observe pre-surgery guidelines: Follow your doctor's recommendations on the pre-surgery diet and fasting schedule.
Health background and medications: Give a thorough history of all the medications you use, including prescriptions, over-the-counter medications, vitamins, and supplements, to your anesthesiologist. Talk about any recurring illnesses, allergies, and past experiences with anaesthesia or painkillers.
Comfortable clothes: When dressing for the hospital, choose comfortable, loose-fitting attire while keeping in mind any possible oedema or pain following surgery.
Colorectal Surgery is a major operation. The physician could carry out several scans and tests. Tests including blood and urine, EKGs (electrocardiograms), X-rays, ultrasounds, and more can be among them.
In most cases, local anaesthesia, intravenous sedation, or general anaesthesia are used during Colorectal Surgery. The abdomen is first cut open during the procedure. Depending on the issues that need to be treated, Colorectal Surgery can be performed in a variety of ways.
Here are some of the techniques that are most commonly used:
Colectomy: A Colectomy is the removal of all or a portion of the colon using open or laparoscopic surgery. During the operation, the surgeon makes an abdominal incision through which he or she may cut the colon entirely. The remaining segment of the digestive tract is then rejoined by the surgeon, or the intestine is connected to an incision made in the belly.
Colostomy: This operation involves cutting a hole in the abdomen through which the colon's end is diverted. A colostomy bag is often attached to collect the stool.
Anoplasty: Anal stenosis patients frequently have this surgery, which reconstructs the anus.
Hemorrhoidectomy: Haemorrhoids are removed surgically in a process known as a Hemorrhoidectomy. The physician creates incisions all around the haemorrhoid and ties off the enlarged vein during the treatment. After that, the haemorrhoid is removed, and the incision site is sutured.
The Ileal Pouch-anal Anastomosis (IPPA): It is a surgical procedure that removes the colon and rectum, creates a pouch from the small intestine, and attaches it to the anus. The surgeon creates a temporary opening in the abdominal wall to eliminate waste and then closes the opening.
Lateral Internal Sphincterotomy: The procedure is used to treat chronic anal fissures by cutting a small portion of the anal sphincter muscle, reducing pain and allowing healing.
Rectopexy: It is a procedure to repair rectal prolapse. To prevent the rectum from protruding, the surgeon positions it back into the pelvis during the surgery. After that, the rectum is sewn up to keep it in place.
Patients might spend one or two days in the hospital, depending on the type of operation. After Colorectal Surgery, the recovery period typically lasts six to eight weeks; however, it sometimes takes longer. A post-operative care package will be provided by the physician to guarantee fewer issues and a quicker recovery. To check on the patient's development, the doctor can additionally ask to return on the fifth or seventh day. In addition, further post-operative care consists of the following:
Do not engage in any physically demanding activity for four to six weeks.
Get enough sleep.
As directed by the doctor, take all recommended drugs on schedule. After surgery, try to walk.
Take a couple of weeks off from driving.
Maintain the location of the incision site clean and cover it with a dressing.
Use supplements containing vitamins A and C.
Maintain a healthy diet and workout schedule.
Give off smoking and drinking alcohol for a few weeks.
Colorectal Surgery carries various complications, similar to any other major operation, such as bleeding, infection, and anaesthesia response. Additional risks might include:
Blood clots
Bleeding at the site of the incision
Infection at the site of surgery
Leakage
Swelling surrounding the wound
Wounds
Bloating
Harm to a blood vessel or organ
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