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Colon and Rectal Surgery : What does the Colon and Rectal Surgery do?

 

what is Colon and Rectal Surgery

MedStar Health' physicians are specifically trained in the latest techniques for the diagnosis and treatment of diseases of the colon and rectum. We provide symptomatic relief and treatment for hemorrhoids, fissures, diverticular disease, and polyps, among alternative conditions.

Our surgeons offer advanced surgical and minimally invasive (laparoscopic) choices. In fact, Hurley’s large intestine surgeons are among the area’s most eminent suppliers of laparoscopic procedures. These minimally invasive options not solely treat disease, they additionally need a smaller incision (which improves cosmetic results), facilitate preserving traditional viscus function, cut back post-operative pain and also the would like for analgesic medication, and speed recovery. Not all patients are candidates for laparoscopic or other minimally invasive forms of surgery. You and your operating surgeon are going to be ready to verify the foremost acceptable treatment choices for your specific condition.

 
what is  Colon and Rectal Surgery
Colon and Rectal Surgery

medical term Colon and Rectal Surgery

Colorectal surgeons are professionals in their subject, focusing at the physiology of the lower digestive tract. The term “colorectal” is a combination of the phrases colon and rectal. This region of the body includes the colon, rectum, pelvic ground, and anus, often called the small gut.

Colorectal surgical treatment is associated with a more risk for infections than maximum different surgical specialities and is considered an outlier for surgical website online infections (SSI). Reducing the occurrence of infections, especially SSIs, remains a first-rate project in colorectal surgery. Prevention of SSIs may be achieved by way of several techniques, including optimized preoperative patient training, perioperative bowel instruction, strict adherence to antibiotic prophylaxis suggestions, extended intraoperative oxygen transport, wound irrigation, maintenance of intraoperative normothermia, and postoperative glycemic manage. Prevention of urinary tract infections can be accomplished via early urinary catheter removal and sterile intraoperative catheter placement. Respiratory infections can be prevented by using smoking cessation, early postoperative mobilization, pulmonary care with use of incentive spirometry, coughing and deep respiratory, oral care, and head-of-bed elevation.

Our surgeons address the following conditions:

  • Anal cancer

  • Anal condyloma

  • Anal Fissure

  • Anal Fistula

  • Anal incontinence

  • Anal sphincter repair

  • Anorectal disease:

  • Colon cancer

  • Diverticular disease

  • Hemorrhoids

  • Hereditary colon and rectal cancer

  • Inflammatory bowel disease (IBS)

  • Polyps

  • Rectal cancer

  • Rectal prolapse

Our technology, as well as our approach to treatment, is ready-made to the particular needs of every individual patient. We provide the best level of comfort and minimally invasive techniques that scale back recovery time, minimize hospital stay, and facilitate a return to traditional daily activity.

Surgeries performed by MedStar Health colon and rectal surgeons include:

  • Colectomy

  • Colostomy

  • Endoscopic surgery

  • Hemorrhoidectomy

  • Ileal pouch anal anastomosis (J-pouch)

  • Inflammatory bowel disease (IBD) surgery

  • Internal sphincterotomy

  • Rectopexy

  • Resection

What Does a Colorectal Surgeon Do?

These professionals are unique due to the fact they have got certification to diagnose and deal with all conditions that affect the decreased digestive tract up to and together with surgical treatment. Since intestinal troubles can also impact different areas of the frame, colorectal surgeons might also deal with the liver, urinary tract, and lady reproductive machine.

Education and Training

As professionals of their area, colorectal surgeons commit to rigorous schooling. This includes:

  • Completing 5 years of education in general surgery

  • Passing a written examination that qualifies them as specialists

  • Passing an oral examination that certifies them as a surgeon

  • Attending a 1-year residency with an emphasis on colon and rectal surgery

Upon passing their examinations with the American Board of Surgery, they can then complete their certification exams with the American Board of Colon and Rectal Surgery.

Reasons To See a Colorectal Surgeon

There are loads of situations that could affect your decreased digestive tract. After you share your issues together with your primary care doctor, they will refer you to a colorectal healthcare professional for an authentic diagnosis. From there, you’ll be capable of investigating your treatment options. 

The most commonplace reasons to seek the care of a colorectal health practitioner consist of:

Cancer

This is the increase of unusual cells in the colon, rectum, or anus, which might also negatively affect your capacity to digest food or produce a bowel movement. When left untreated, cancer can spread to different areas of the body.

Diverticulitis

This inflammatory condition, which affects the colon, is a kind of diverticular disease — a not unusual circumstance wherein small sacs or bulges known as “diverticula” form within the big gut, on its partitions. Diverticulitis is while this kind of sacs or bulges is perforated, or torn. Complications from a diverticulitis attack can be extreme, together with bleeding and infection. Sometimes, you’ll only need a medicinal drug to recover, but some cases can also require surgical procedure.

Ulcerative Colitis

An inflammatory ailment that impacts the rectum and colon, ulcerative colitis is generally dealt with medically. This circumstance can come and go, but if scientific management isn’t sufficient, you could need a surgical procedure.

Crohn’s Disease

Primarily defined as an inflammatory ailment, Crohn’s disease can lower your frame’s potential to digest meals, absorb vitamins, and remove waste.

Hemorrhoids

This circumstance is very common following strenuous activity or being pregnant and beginning. Blood vessels may also swell and protrude thru sensitive pores and skin, appearing as a blood clot either inside or out of doors of the anus.

Fecal Incontinence

This condition can also have any range of contributing elements, all of which lead to an inability to manipulate the passing of fuel or bowel actions. Similar to constipation, it is able to be a sign of an extra critical situation.

Colectomy

An ostomy is a surgical treatment in which your Dr. creates a hole in your parties and pulls one finish of the colon through the gap. Surgeons perform colostomy procedures to treat a variety of colon and body part conditions.

 A colostomy procedure basically alters however your body excretes waste and unclean matter. whereas you'll want your time to urge wont to living with a colostomy, you will realize that you simply will live a full life, complete with all the activities you enjoyed previously. The realm wherever the new opening sits is termed a stoma. This is where waste matter will exit your body.

 When you have an ostomy, you'll want a colostomy bag that collects the waste from your body. The bag lies outside of your body. Before you're discharged, a trained ostomy nurse will teach you the way to worry for your stoma and manage the bag.

 

The colostomy is either temporary or permanent:

  • Temporary colostomies are performed for specific conditions that allow for the reattachment of the colon at a later point in time. This allows the affected area to heal because the stool is not passing through the area. Once the affected area has healed, you undergo a colostomy reversal procedure.

  • Permanent colostomies are used in cases of chronic disease, such as Crohn’s disease and diverticular disease. Your surgeon may also remove the infected area of the colon or rectum.

Endoscopic surgery

Endoscopic surgery is performed by mistreating a scope, a versatile tube with a camera and light-weight at the tip. This permits your sawbones to ascertain within your colon and perform procedures while not creating major incisions, allowing easier recovery time and fewer pain and discomfort. Snaring is the most typical operation that may be performed through any of the endoscopes. A snare may be a wire shaped sort of a lasso that's coiled over a neoplasm and tightened; then the wire is galvanized to stop hemorrhage because it cuts through.

 scrutiny procedures are most frequently used for diagnosis.

Hemorrhoidectomy

Your doctor may initially suggest nonsurgical treatments for hemorrhoids, together with mode changes and medications. If you tried home treatments and did not feel ample relief, you {will} be a candidate for surgery. Surgery for hemorrhoids is called a surgical procedure. Throughout a hemorrhoidectomy, your doctor will place you beneath local anesthesia and build incisions around your orifice to get rid of the hemorrhoids. A hemorrhoidectomy is mostly a patient procedure, that means you'll head home an equivalent day. you'll feel some tenderness round the incisions. surgical procedure usually provides the most effective long results for hemorrhoids.

  • Procedure for prolapse and hemorrhoids (PPH), also known as stapled hemorrhoidectomy is a minimally invasive procedure to treat hemorrhoids and prolapse. During PPH, your doctor will use a circular stapling device to reposition the hemorrhoidal tissue back to its original position in the anus and trim the tissue that is causing pain. PPH reduces the blood flow to the hemorrhoids, causing them to shrink. PPH is a highly effective procedure, but surgeons must undergo special training to perform it effectively.

  • In addition to PPH, your surgeon may use rubber band ligation, where a rubber band is placed around the hemorrhoid to cut off its blood supply and destroy the tissue.

Ileal pouch anal anastomosis (J-Pouch)

Ileal pouch anal anastomosis (IPAA), conjointly known as the J-pouch procedure, could be a procedure to form a pouch from the top of your bowel and fix the pouch to the anus. If you wish to have your intestine (colon) removed, IPAA restores your stool function. Surgeons perform this procedure for patients who require their large intestine removed throughout a procedure called a colectomy, or colon resection. Patients will live while not a colon, however bowel management may be problematic. This procedure helps restore control over bowel function.

IPAA is a life-altering procedure. However, you're in knowledgeable hands at MedStar Health. Our entire medical team will work with you before, throughout and after your surgery to facilitate you manage life with a J-pouch. Most patients notice that after an amount of adjustment, they're ready to come to and revel in all of their favorite activities.

 

Benefits

The advantage of the J-pouch is that it eliminates the need for the permanent gap (stoma) and waste bag. The procedure preserves the anus, and also the internal pouch is the storage place for stool. This enables you to keep up viscus management and eliminate waste through the anus.

Procedure

In the procedure:

  • Your surgeon removes your large intestine and creates the pouch from the small intestine. He or she then creates a temporary ileostomy, which you will have for 2 months, during which time your bowel and the new pouch have time to heal.

  • After two months, you have a second operation, and your surgeon reverses the ileostomy. The pouch is now where stool will collect. You retain control of the anal muscles, allowing you to eliminate waste normally.

  • After the procedure, you will probably have more bowel movements compared to those without a pouch, but it does not greatly interfere with your quality of life.

Inflammatory bowel disease (IBD) surgery

Inflammatory bowel malady (IBD), that primarily includes inflammatory bowel disease and Crohn’s disease, causes flare-ups of intense internal organ pain which will need hospitalization. Your doctor will most likely initially advocate style changes and medications to alleviate symptoms of IBD. However, if you are not noticing relief through medical procedure methods, you'll be a candidate for a surgical procedure.

Surgeons perform surgery to get rid of the colon (colectomy) to treat lesion colitis and Crohn’s disease. The surgery is very effective against ulcerative colitis, solidifying the disease and removing the chance of colon cancer. For Crohn’s disease, the surgery can offer semi permanent relief from flare-ups, lasting as long as a few years. Unfortunately, there's no cure for Crohn’s disease, and also the disease sometimes returns.

Internal sphincterotomy

Surgeons typically perform an indoor sphincter muscle otomy to treat associated fissures (small tears within the mucosa lining of the rectum). Fissures often resolve on their own, through dietary changes and medications. However, if you have got not found relief through medical procedure methods, you will be a candidate for an internal sphincterotomy.

The interior sphincter is the muscle in your body that opens and closes to permit stool to pass from the body. The goal of an internal sphincterotomy procedure is to stretch or cut the internal sphincter to weaken the muscle temporarily, permitting it to heal.

 During associate internal sphincterotomy, your doctor will use an area anesthetic to numb the area, or a spinal anesthetic, that numbs the whole lower body. In some cases, general anesthesia could also be used. they'll create atiny low incision within the internal sphincter muscle to cut back pressure on the muscle.

 detain mind that a sphincterotomy doesn't shut the particular fissure. Anal fissures should heal on their own; a sphincterotomy lessens the spasms and relaxes the muscle, therefore permitting the fissure to heal and close.

Rectopexy

Rectopexy is a surgical treatment to treat body part prolapse. Some patients with gentle cases of rectal prolapse may notice relief by sterilizing their diet or victimizing laxatives or stool softeners. However, if these strategies didn't adequately improve your symptoms, you will be a candidate for rectopexy. This procedure repositions the inner structures and secures them in place.

Before Surgery

Prior to rectopexy, you might} have to be compelled to endure a bowel-cleansing regimen, thus your systema alimentarium is freed from stool for the procedure. Throughout rectopexy, your medico will create an incision on your abdomen, separate the body part from the encircling tissues, and elevate the rectum and suture it to the sacrum, or lower backbone, probably employing a mesh-like material to supply further reinforcement. Your surgeon may perform this surgery in conjunction with anterior surgical procedure surgery, during which a part of your colon (large intestine) is removed.

After Surgery

Following your surgery, you will ought to provide your body time to heal. Our medical team will discuss the recovery amount with you. You may need to follow a diet till your gut performs normal, prohibit activities that place strain on your abdomen, together with lifting, and avoid coughing and straining throughout bowel movements. Complete recovery takes approximately four to six weeks.

Resection

A resection is a surgery to get rid of all or a part of a pathological organ or tissue.

 Abdominoperineal (Rectal) Resection: This surgery is performed to treat anal and distal body part cancer. The anus, body part and part of the sigmoid flexure are removed to incorporate the attending vessels and body fluid nodes. The top of the colon is then brought through a gap created within the parties (this is termed a colostomy).

tiny internal organ Resection: This surgery is performed to remove Crohn' disease, cancer, ulcers, benign tumors, and polyps. This surgery removes a little of the little intestine. The surgeon can take away the pathological elements of the tiny internal organ and stitch the healthy parts back together. If necessary, a gap to the surface of the body known as an operation is formed.

Low Anterior Resection: during this operation, a part of the body part is removed, however it's rejoined (anastomosed). Entailed in this operation is dissection deep into the pelvis. Anastomoses at this deep level are at raised risk to leak, thus often, an ostomy is created on top of to prevent the pressure of bowel movements. Another risk within the deep girdle dissection is injury to nerves that serve the bladder and sex organs, which could cause later dysfunction.

Laparoscopic Colon surgery: many techniques in laparoscopic colon surgery are being employed to treat body part cancer. The endoscope could be a lighted hollow instrument accustomed to examining abdominal organs once more established by a little abdominal incision. Laparoscopic colon resection uses this minimal-access approach for removing cancerous tissue and body fluid nodes.

native Full-Thickness Resection of the Rectum: terribly early-stage rectal cancer may be treated by cutting through all layers of the body part to get rid of the cancer and a few close traditional tissues.

 

A colon and rectal surgery is a procedure that involves the removal of diseased parts of the large intestine (colon) or rectum There are many reasons why someone may need to undergo this type of surgery including treatment for cancer diverticulitis inflammatory bowel disease (IBD) .hemorrhoids ulcerative colitis Crohn's disease or other problems with the digestive system

Colon and rectal surgery is an operation to treat diseases of the colon and rectum During the procedure a surgeon removes a part of the intestine or rectum and then closes the wound with stitches or surgical staples.

How long is recovery after colon surgery?

Recovery time after colon surgery depends on the type of procedure performed For example patients who undergo a colectomy may have a longer recovery time than those who have had a colostomy The length of your hospital stay will also depend on the type of procedure you have and complications that arise during surgery The most important factors for a successful recovery include: Following your surgeon's instructions carefully Taking prescribed medications as directed Performing exercises as recommended Managing any pain or discomfort with over-the-counter medications such as acetaminophen and ibuprofen or prescription painkillers Resting as much as possible while you recover at home.

How serious is colorectal surgery?

Colonoscopy is a medical procedure in which a long flexible tube called a colonoscope is inserted into the rectum and advanced all the way to the large intestine or colon Colonoscopy is used to examine the inside of your colon and rectum for signs of diseases such as cancer The video above shows a colonoscopy A colonoscopy can detect cancer when it is still small and more treatable If a polyp (a growth on the inner wall of the colon) is found during your exam it may be removed during the same procedure Some polyps may also be destroyed using heat cold or electric current A biopsy of tissue from a polyp may also be taken to.

How long does a colorectal surgery take?

Colon surgery can take anywhere from a few hours to several days The length of time depends on: The condition being treated The complexity of the surgery Whether an open or closed procedure is used Open procedures are usually longer because they involve making larger incisions Closed procedures also called "keyhole" surgeries are minimally invasive and have shorter recovery times Examples include laparoscopic surgery where tiny incisions are made and robotic-assisted surgery where devices like miniature cameras are used to perform the procedure.

What is the success rate of colon surgery?

Colon surgery can be a very effective treatment for colon cancer but it’s not always successful The success rate of colon surgery depends on many factors including the stage of cancer at the time of diagnosis and whether there's been any spread to other parts of the body If all of the cancerous tissue is removed during surgery and no cancer cells are left behind the survival rate is very good If the cancer has spread to nearby lymph nodes or other parts of the body survival may be lower The Five-Year Survival Rate for patients with Colon Cancer is 74%.

Does a colon resection shorten your life?

There is no evidence that a colon resection shortens your life If you have a history of colon cancer or polyps you may be at higher risk for another cancer in your colon or rectum so your doctor will likely recommend regular exams to check for any new growths The actual procedure itself does not put you at an increased risk for developing other health problems.

Is colectomy a major surgery?

Colectomy is a surgery (also referred to as a colectomy) that removes all or part of the colon In this procedure the colon is removed due to disease and/or cancer; it is also performed as a last resort in treating severe ulcerative colitis A colostomy is created during this procedure which is when the end of the. The small intestine (the ileum) is surgically attached to an opening (stoma) created in the abdominal wall The stoma allows stool to pass into a collection bag outside the body.

How do you poop after a colectomy?

Step 1: Relax Urinating after a colectomy is quite similar to urinating before a colectomy and most people are able to use the bathroom successfully as soon as they get home after surgery If possible try not to have an enema or take a laxative before surgery Step 2: Use the bathroom Take off all of your clothes and sit on the toilet Try not to strain but go at your own pace It might be uncomfortable at first but it will get easier over time Step 3: Wash yourself Use warm soapy water to cleanse the area where your colon used to be Rinse off with cool water pat dry with a towel.

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Colon and Rectal Surgery : What does the Colon and Rectal Surgery do?

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