Colorectal diseases are very common. Some cause symptoms such as abdominal pain or rectal bleeding and others may progress silently, detectable only through screening strategies. In both cases, it is important to identify the cause of symptoms to diagnose cancers.
Studies have shown that early screening and treatment of colon and rectal diseases can significantly help to survive in cases of colorectal cancers.
From screening and diagnosis through treatment and beyond, the health care sector provides care for people with every type of colorectal disorder, including inflammatory bowel disease, intestinal obstruction, diverticular disease, haemorrhoids/piles, pilonidal sinus, perianal abscess, fistulas, fissures, etc.
Hemicolectomy/ Subtotal colectomy
This is a surgical procedure that involves removing the damaged part (that can include a part or major part of Colon) and reattaching the healthy parts of the colon. This surgery is performed to treat colon cancer and benign bowel diseases such as Crohn's disease and chronic diverticulitis.
Surgery is often recommended to remove the tumour or part of the large intestine for colon cancer and in some cases, a bowel disease surgery may be needed to remove the diseased or damaged section of the large intestine.
Total Colectomy with Ileorectal Anastomosis
Total Colectomy (TC) with Ileorectal Anastomosis (IRA) is used as a surgical solution for a variety of colonic diseases including benign Inflammatory bowel diseases, Polyposis or multiple synchronous cancers. This procedure is to remove the whole colon and join the ileum (the last part of the small intestine) directly to the rectum. This surgery is carried out either through open surgery or laparoscopic (keyhole) surgery.
Total proctocolectomy with ileoanal pouch:
This surgical procedure removes the large intestine and most of the rectum, and an internal pouch or reservoir is created using the small intestine to store stool which is connected to the anus. This is commonly suggested when there is inflammatory bowel disease, colon or rectal cancer, familial polyposis, bleeding in the intestine, birth defects that have damaged your intestines and Intestinal damage from an accident, injuries, etc. The surgery is done in one, two or three stages.
Laser treatment for Fistulas/fissures/piles/pilonidal sinus:
Laser treatment is often carried out for the conditions like piles, fissures, fistula in anus, pilonidal sinus and varicose veins in the legs. This method offers several benefits than traditional surgery as it is effective in improving the symptoms and reducing post-operative pain.
The affected area is simply treated with laser energy in a precise and focused manner and the problem is solved within a few minutes. This process is less invasive, less painful, with minimal or no scarring and helps in early recovery. Patients can resume their normal lives immediately after the surgery.
Excision with flap rotation for recurrent pilonidal diseases:
This is a surgical procedure involving excisions of the diseased tissues down to the sacral fascia. It is recommended for patients usually with a history of recurrent pilonidal sinuses where other methods have failed. Various rotational flaps like, Limberg Flap, Karyadakis flap, and Bascom's procedure are being done depending upon the extent and location of sinuses. Because of their low complication, recurrence rate and higher postoperative quality of life these flaps are recommended in recurrent cases.Authored by Dr. Shabnam Bashir
About Dr. Shabnam Bashir
Dr. Shabnam Bashir has time and again proved her extensive and versatile expertise as a Colorectal Cancer Surgeon. This is validated by the successful cases of patients that she has dealt with.Read More