Colorectal Surgery

Colorectal Surgery: Advanced Solutions for Colon, Rectum, and Anus Disorders

Colorectal surgery treats conditions affecting the colon, rectum, and anus, offering both open and minimally invasive procedures. Common treatments include colectomy, polypectomy, ileostomy/colostomy, strictureplasty, anoplasty, and hemorrhoidectomy. Innovative techniques like the Compression Anastomotic Ring-locking Procedure (CARP) are increasingly preferred for improved outcomes.

When Is Colorectal Surgery Needed?

• Removal of polyps that are hard to extract during non-surgical tests.
• Treatment for conditions such as colorectal cancer, familial polyposis coli, ulcerative colitis, and diverticulitis.
• Correcting structural issues like rectal prolapse or severe inflammation.                                                                                                                                                                                                                                               

Types of Colorectal Surgeries

Minimally Invasive Laparoscopic Procedures

• Laparoscopic Appendicectomy
• Laparoscopic Hemicolectomy (Right/Left)
• Laparoscopic Rectopexy for rectal prolapse
• Laparoscopic or Open Total Colectomy and Ileostomy
• Restorative Proctocolectomy with IPAA

Surgery for Colorectal Cancer

• Removal of cancerous sections of the colon or rectum.
• Rectal Cancer Treatment: May involve permanent colostomy or use of surgical staplers to preserve the anal sphincter. Advanced techniques include APPEAR (Anterior Perineal PlanE Ultra-low Anterior Resection) and Total Mesorectal Excision (TME).
• Early-stage rectal cancers are addressed with local resection or transanal endoscopic microsurgery.

Surgery for Familial Adenomatous Polyposis (FAP)

• This hereditary condition requires the removal of the entire colon and rectum to prevent malignancy. Options include:
  • Total abdominal colectomy with ileorectal anastomosis.
  • Total proctocolectomy with ileal pouch-anal anastomosis (IPAA).
  • Prophylactic surgeries are usually performed during adolescence.

Surgery for Ulcerative Colitis

• Severe or unmanageable ulcerative colitis may require surgical intervention such as:
  • Total colectomy with ileostomy for emergencies (e.g., toxic megacolon, massive GI bleeding).
  • Total proctocolectomy with ileoanal pouch for elective cases or cancer risk.

Surgery for Diverticulitis

• Surgery is performed for complications like colonic obstruction, fistula formation, or repeated infections. Treatments include partial colectomy and anastomosis. Surgery is recommended for:
  • Persistent or severe diverticulitis.
  • Abnormal fistula formation.
  • Patients with weakened immune systems.

Why Consider Laparoscopic Surgery?

• Minimally invasive with smaller incisions.
• Faster recovery and shorter hospital stays.
• Lower risk of complications compared to open surgery.

Colorectal surgery is a critical intervention for managing complex gastrointestinal conditions. With advancements in surgical techniques, patients benefit from safer procedures, faster recoveries, and improved quality of life. Consult trusted colorectal surgeon Dr. Himanshu Yadav at Agra to explore the best treatment options for your condition.