Intestinal Resection Surgery In India

Intestinal Resection Surgery

Resection surgery may be used to remove strictures, either one long stricture or a group of strictures that are close to one another, or it may be used to remove severely diseased portions of the small or large intestine. The goal of the surgery is to keep as much of the healthy bowel as possible. In particular, removing long segments of the small intestine is avoided because it can lead to nutritional deficiencies.

Partial resection of the colon is not typically used to treat ulcerative colitis, as the disease tends to return in the section of the colon that is left. A total colectomy, with or without the creation of an internal pouch, is the surgery most often used to treat ulcerative colitis…

Procedure

During a resection, general anesthetic is used. The surgery may be done either through open surgery or laparoscopic surgery, but open surgery is far more common. Laparoscopic surgery is typically used only in cases where the diseased section of intestine is located in the ileum, and there are no other complications.

In open surgery, one large incision will be made. The diseased section of the bowel is clamped off and removed. After the diseased portion of the intestine is removed, the two healthy ends are attached together (called anastomosis). In laparoscopic surgery, 3 to 4 small incisions are used. The abdomen is filled with gas so the surgeon can better see the abdominal cavity and a camera is inserted through one of the incisions.

Risks : -

Blood clots in the legs that may travel to the lungs Breathing problems Heart attack or stroke Infection, including in the lungs, urinary tract, and belly…

Small Intestine Surgery

Surgery to remove a diseased or cancerous part of the small intestine (small bowel, duodenum, jejunum, and/or ileum). The surgery can be performed through a traditional, open incision, or using a laparoscopic technique, involving several smaller “keyhole” incisions.

Reasons : -

This procedure may be done to treat the following conditions : -

Bleeding, infection, or ulcers due to inflammation of the small intestine Cancer Crohn’s disease Intestinal blockage Injury Precancerous polyps…

Depending on what type you have, your surgeon will make 1 or more incisions (cuts) in your belly. In a laparoscopic colectomy, the surgeon uses a camera to see inside your belly and small instruments to remove the part of your large bowel. You will have 3 to 5 small cuts in your lower belly. The surgeon passes the medical instruments through these cuts.

You may also have a cut of about 2 to 3 inches if your surgeon needs to put a hand inside your belly. Your belly will be filled with gas to expand it. This makes the area easier to see and work in. Your surgeon will remove the diseased part of your large bowel. The surgeon will then sew the healthy ends of the bowel back together. This is called resecting. Then your cuts will be closed with stitches. For open colectomy, your surgeon will make 6-inch cut in your lower belly. The surgeon will find the part of your colon that is diseased. The surgeon will put clamps on both ends of this part to close it off. Then the surgeon will remove the diseased part. If there is enough healthy large intestine left, your surgeon will sew or staple the healthy ends back together. Most patients have this done. If you do not have enough healthy large intestine to reconnect, your surgeon will make an opening called a stoma through the skin of your belly. Your large intestine will be attached to the outer wall of your belly. Stool will go through the stoma into a drainage bag outside your body. This is called a colostomy…

Please log on to : www.indiahospitaltour.com

Send your query : Get a Quote

We Care Core Values

We have a very simple business model that keeps you as the centre.

Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.

What is the intestine?

The intestine is the portion of the alimentary canal extending from the stomach to the anus. The intestine is a long, tubular organ consisting of two parts:

* Colon or large intestine
* Small intestine

The large intestine is about 3.5 meters long. The large intestine is divided into 6 parts: caecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. The inner surface of large intestine is covered with mucous and is convoluted. The large intestine is responsible for absorption of water and excretion of solid waste material

The small intestine is about 6 meters long. It is divided into 3 sections: duodenum, jejunum, and ileum. This part is where the most extensive part of digestion occurs. Most food products are absorbed in the small intestine.
What is laparoscopic intestinal surgery?

The introduction of laparoscopic removal of the gall bladder (Laparoscopic Cholecystectomy)

in the late 1980s revolutionized the surgical management of many abdominal operations. It offered less discomfort to the patient and faster recovery. But it was only the delay in the development of proper instruments that prevented Colon and Rectal Surgeons from performing laparoscopic intestinal surgery until 1991.

Today, laparoscopic surgery is an increasingly popular option for people with intestinal conditions, who may need sections of the bowel repaired or removed. Laparoscopy is a minimally invasive procedure in which the surgeons operate through very tiny holes (approximately 1/2-inch wide) instead of large incisions (8- to 12-inch wide). While recovery from open surgery for intestinal disease, takes an average of six weeks, people who have undergone laparoscopic surgery tend to feel back to normal in just three weeks.

Laparoscopic surgery is used to treat :

* Inflammatory bowel disease (IBD), most often classified as ulcerative colitis or Crohn’s disease. Crohn’s disease is a chronic inflammatory disease of the intestine while Ulcerative colitis is a chronic inflammation of the colon.
* Colon polyps, which are fleshy growths that occur on the inside lining of the large intestine
* Diverticulitis, a condition in which small, pea-size pouches form in the walls of the intestines and they become infected and inflamed
* Colorectal cancer
* Bowel incontinence
* Rectal prolapse, a condition in which rectum prolapses and protrudes from anus.

Open surgery and laparoscopic surgery

Traditionally, abdominal surgery has been performed in an open manner and what that means is the patient has a reasonably large incision, which varies in size between four and 10 inches long. It’s usually in the midline of the abdomen, so it runs from the pubis at the lower midline of the abdomen up to the navel. The length depends on the extent of surgery and the extent of bowel that one has to free up or take out. When the surgery’s performed laparoscopically, three or four access ports are put, which are little plastic tubes that go into the abdomen that are positioned through incisions less than half-an-inch long. Then through these access ports we put in a camera, which is less than a half-inch in diameter, which is used to see what’s going on inside the abdominal cavity. Through the other access ports we put in very fine little surgical instruments, about 5 millimeters in diameter. We use those instruments to free up the bowel and then we make an incision of four to six centimeters in size (around two inches) to remove the bowel.
How are less invasive procedures performed?

Laparoscopic surgery is a minimally invasive approach to common surgical problems in the abdomen. Many surgical problems that traditionally were performed through large incisions are now accomplished through small keyhole incisions that result in much less surgical trauma and postoperative pain. Aastha has its expertise in Laparoscopic procedures. Our surgeons have the experience in performing many basic and advanced procedures with the Laparoscopic approach.

Laparoscopic intestinal surgery can be used to perform the following operations :

Proctosigmoidectomy- Surgical removal of a diseased section of the rectum and sigmoid colon. This is used to treat cancers and non-cancerous growths and complications of diverticulitis.

Right colectomy or Ileocolectomy- Surgical removal of a section of the colon that is adjacent to the small intestine. This is used to remove cancers, non-cancerous growths or polyps, and inflammation from Crohn’s disease.

Total abdominal colectomy- this is the surgical removal of the large intestine. It is done to treat ulcerative colitis, Crohn’s disease , and familial polyposis.

Faecal diversion- This is surgical creation of an ileostomy (opening between the surface of the skin and the small intestine) or colostomy (opening between the surface of the skin and the colon). It is done to treat complex rectal and anal problems, including poor bowel control.

Abdominoperineal resection- Surgical removal of the anus, rectum and sigmoid colon. This is used to remove cancer in the lower rectum or in the anus, close to the sphincter (control) muscles.

Rectopexy- A procedure in which stitches are used to secure the rectum in its proper position. It is done to correct rectal prolapse.

Total proctocolectomy- This is the most extensive bowel operation performed and involves the removal of both the rectum and the colon. However, often a permanent ileostomy, in which the ileum is attached to the stoma, is needed particularly if the anus must be removed, is weak, or has been damaged.

Before the surgery

Once the diagnosis of the disease is established, the patient has to consult the surgeon for the treatment. The surgeon will take a detailed case history and a general physical examination will be performed. He will suggest the course of the treatment. All patients are generally asked to go for a blood check. Depending on the age and general health, they may also have an ECG, a chest X-ray, lung function tests done.

The rectum and colon must be completely empty before surgery. The patient will be advised to take a laxative medicine, an evening before the surgery.Usually, the patient must drink a large volume of a special cleansing solution. Antibiotics by mouth are commonly prescribed.

During the surgery

Most minimally invasive intestinal procedures start the same way. Carbon Dioxide gas is used to distend the abdominal (peritoneal) cavity. The surgeon gains access to the abdomen using a trocar. A trocar is a narrow tube-like instrument. A laparoscope (a tiny telescope connected to a video camera) is inserted through the trocar, giving the surgeon a magnified view of the patient’s internal organs on a television monitor. Up to 4 additional trocars are inserted for special instrumentation.

Sometimes the surgeon may decide to convert the laparoscopic operation to an open one. The decision to perform the open procedure is a judgment decision made by the surgeon either before or during the actual operation and is strictly based on patient safety.

After the surgery

Although many people feel better in just a few days, remember that the body needs time to heal. Patients are encouraged to be out of bed the day after surgery and walk. This helps to diminish the soreness in muscles. Minimally invasive procedures offer faster recovery. So the patients are able to get back to their normal activities in one to two weeks time. But patients are advised to come regularly for follow ups.

For more information, kindly visit :
http://www.aasthahealthcare.com/Laparoscopic-Intestinal-Surgery-Surgical-Treatment.htm

————————————