Abdomino – Perineal Resection Surgery In India
Q What is a abdominoperineal resection ?
Surgery to remove the anus, the rectum, and part of the sigmoid colon through an incision made in the abdomen. The end of the intestine is attached to an opening in the surface of the abdomen and body waste is collected in a disposable bag outside of the body. This opening is called a colostomy. Lymph nodes that contain cancer may also be removed during this operation.
Some of the lowest part of your bowel, the rectum, is diseased and has to be taken out. Because the disease is so near to the opening in the back passage, this has to be taken out as well. If the back passage were left in place, you would be unable to control your bowel motions. You might also get complications from the underlying disease. A new opening for the bowel is made in the wall of your tummy. This is called a colostomy. The waste runs into a special stick-on plastic bag….
Conditions for which it is performed
Q. Who Requires Abdominal – Perineal Resection of the Rectum ?
Most patients requiring an abdominal – perineal resection of the rectum procedure have suffered irreparable damage to their bowels by injury or diseases (examples: diverticulitis and colon cancer). Healthcare treatments that rely solely on drugs are not always sufficient at resolving bowel damage, but can be beneficial…
Before the operation
Stop smoking and get your weight down if you are overweight. (See Healthy Living). If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital’s advice about taking the Pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to the hospital, take you home, and look after you for the first week after the operation….
Surgery procedure
You will have a general anaesthetic, and will be asleep for the whole operation. A cut about 40 cm (15 inches) long is made in the skin and muscle of the central lower part of the tummy wall. The lower bowel within reach is freed from its bed. Another cut is made around the back passage, which is also freed. The whole of the lower bowel is taken out….
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