Laparoscopic Colectomy & Rectal Resections
Colon resection is the surgical removal of all or part of the colon (the large intestine). The diseased portion is removed through an incision in the abdomen and the healthy ends are reconnected. If the entire colon is removed, the procedure is called a colectomy.
Patients who undergo open colon resection often endure a week-long hospital stay, significant post-operative pain due to a long surgical incision, and a six-week recovery. Fortunately, for most patients, a laparoscopic approach is available. Laparoscopic techniques offer less post-operative pain and smaller incisions/scars as well as the possibility of a shorter hospital stay and faster recovery. Laparoscopic colon resection typically involves three to four incisions of about 1/4-inch each. One incision will need to be extended to 2 inches for specimen removal.
For some patients it is necessary to let the colon heal before the ends can be sewn together. In those cases an opening is made in the upper part of the colon through the abdominal wall. A bag fitted around the opening collects waste from the intestine. In most cases the colostomy is only temporary.
Rectopexy (Rectal Prolapse Surgery)
Prolapse is a common condition in which one or more organs move from its normal position and may protrude out of the body or cause pain or pressure within the affected area. Women are most often affected by prolapse after childbirth, and may experience rectal and vaginal prolapse at the same time. Older women who have had a hysterectomy are also at risk. Surgical treatment may be performed to correct prolapse and restore the organs back to their normal position.
Rectal prolapse surgery may be performed through the anus or the abdomen, and can use laparoscopic means, depending on each patient’s individual condition. We most often utilize a laparoscopic approach that involves small incisions in the pelvic area to correct all types of prolapse. These procedures are performed under general anesthesia and require a short hospital stay.
Colon cancer refers to cancer of the large intestine (colon) while rectal cancer refers to cancer of the last 6 inches of the colon (rectum). Cancers affecting either of these organs are collectively called colorectal cancer.
Colorectal cancer occurs when some of the cells that line the colon or the rectum become abnormal and grow uncontrollably. Most cases of colorectal cancer begin as small, benign clumps of cells called polyps. Over time some of these polyps may become cancerous.
In colorectal cancer surgery, the cancerous part of the colon or rectum is removed, along with some normal tissue on each side to ensure no cancer is left behind. Your surgeon will usually be able to reconnect the healthy portions of your colon or rectum. However, if this is not possible (for example, if the cancer is at the outlet of your rectum) ,you may need a permanent or temporary colostomy. This involves creating an opening in the wall of your abdomen for the elimination of body waste into a special bag. For those patients who qualify, laparoscopic techniques offer less post-operative pain and smaller incisions/scars as well as the possibility of a shorter hospital stay and faster recovery.
Treatment for Hemorrhoids
Hemorrhoids should only be treated if they are painful or cause complications. To choose an appropriate treatment, the cause or causes need to be determined. Making changes to diet and fluid intake, toilet habits and exercise can relieve symptoms and prevent recurrence of the problem. Relief can also be found by treating related problems that irritate the hemorrhoid and affected areas (such as diarrhea and constipation).
Beyond this, treatment depends on the type and severity of the hemorrhoid as well as how it has responded to any previous treatment. Hemorrhoids are divided into four grades or stages depending on their history. Grade I and II hemorrhoids are usually treated non-surgically, while Grades III and IV are more likely to require surgical correction.