What a colorectal surgeon treats
Colorectal surgery covers conditions of the colon, rectum, anus and pelvic floor. The service can include diagnosis, non-surgical care, planned or emergency operations, cancer pathways and support for bowel function. Scope should be described only after confirming Dr. Yadav’s current services and hospital roles.
Large-intestine anatomy
Symptoms that may require assessment
Conditions evaluated
Piles, fissure and fistula
Common anorectal conditions with different treatment pathways.
Rectal prolapse
Prolapse assessment and selected surgical options.
Diverticular or inflammatory conditions
Multidisciplinary and surgery pathways where relevant.
Polyps and colorectal cancer
Endoscopy, pathology, staging and treatment planning.
Bowel obstruction or perforation
Urgent hospital assessment.
Functional and pelvic-floor problems
May need specialised investigation or referral.
Diagnosis and investigations
History and examination
Bowel pattern, bleeding, pain and relevant family history.
Endoscopic reports
Colonoscopy or sigmoidoscopy where clinically indicated.
Imaging and laboratory tests
Selected according to the suspected condition.
Multidisciplinary review
Cancer or complex disease may need team planning.
Non-surgical and multidisciplinary management
Dietary and bowel-habit changes, medicines, pelvic-floor support, endoscopic treatment, oncology care or observation may be appropriate. Surgical assessment does not mean surgery will be recommended.
When surgery may be recommended
Surgery may be discussed for obstruction, perforation, cancer, severe or recurrent inflammation, prolapse, persistent fistula, advanced haemorrhoids or another condition that has not responded to appropriate care. The timing and operation are individual.
Verified colorectal operations
Colon resection — verify
The affected segment and reason for surgery must be specified.
Rectal surgery — verify
Pelvic anatomy, sphincter preservation and oncology planning may be relevant.
Anorectal procedures — verify
Link to piles, fissure and fistula pages.
Rectal prolapse operations — verify
Abdominal or perineal approaches depend on the patient.
Emergency bowel surgery — verify
Requires hospital and critical-care support.
Stoma-related procedures — verify
Include only with a verified counselling and support pathway.
Laparoscopic and open approaches
| Approach | Possible use | Important note |
|---|---|---|
| Laparoscopic | Selected planned operations | May convert to open for safety |
| Open | Complex, urgent or unsuitable laparoscopic cases | Incision and recovery vary |
| Perineal or local approach | Selected anorectal or prolapse operations | Indication depends on anatomy and health |
Stoma planning and support
Some colorectal operations may require a temporary or permanent stoma. Good care includes pre-operative explanation, site marking where available, equipment support, skin care, discharge training and a clear follow-up route. Do not hide the possibility or present it as inevitable.
Preparation
- Review endoscopy, biopsy and imaging reports.
- Optimise nutrition, anaemia and health conditions.
- Follow bowel preparation and antibiotic instructions only when prescribed.
- Discuss stoma possibility and support.
- Plan recovery, work and help at home.
Recovery
Nutrition and bowel-function information
Bowel frequency, urgency, consistency and food tolerance can change after colorectal surgery. Advice should be tailored to the operation and any stoma. Persistent vomiting, abdominal swelling, inability to pass stool or gas, heavy bleeding or dehydration needs prompt review.
Risks
Potential benefits
- Treatment of obstruction, cancer or severe disease
- Potential symptom and function improvement
- Planned pathology and follow-up pathway
Risks and limitations
- Bleeding, infection, leak or abscess
- Bowel obstruction, hernia or blood clots
- Urinary, sexual or bowel-function change
- Temporary or permanent stoma
- Further treatment may be needed
Cost factors
Frequently asked questions
No. Bleeding can have several causes. New, persistent or unexplained bleeding should be assessed rather than assumed to be piles.
No. Medicines, bowel-habit measures, endoscopic treatment, surveillance or multidisciplinary care may be appropriate.
A stoma brings bowel to the abdominal surface so waste passes into a bag. It may be temporary or permanent depending on the operation and findings.
Some operations may use a laparoscopic approach. Suitability depends on diagnosis, anatomy, urgency and expertise.
[Verified colorectal procedure list and facility support need confirmation.]