1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is an abdominoperineal resection?
An abdominoperineal resection is a surgery in which the anus, rectum, and sigmoid colon are removed. This procedure is most often used to treat cancers located very low in the rectum or in the anus.
During abdominoperineal resection
Once the anus and rectum are removed, a colostomy is created. A colostomy involves bringing a portion of the colon (large bowel) to an opening at the surface of the skin. This new opening, called a stoma, allows waste to pass out of the body. The stoma usually measures from 1 to 1½ inches in diameter. A pouch, or stoma appliance, is worn to collect stool and gas from the colostomy. This pouch is worn at all times since there is no longer conscious control of the elimination of waste products from the body. Once the laparoscopic camera is in the abdomen, the surgeon makes 2 to 5 more small incisions. Surgical instruments are inserted through ports placed in these incisions.
Preparing the sigmoid colon and rectum for removal
Your surgeon will complete several steps before removing the anus, rectum, and sigmoid colon. First, the main blood vessels that serve the diseased sections of the bowel are divided. Next, the surgeon frees the sigmoid colon and rectum from their attachments to the surrounding structures. The sigmoid colon is then separated from the remaining large intestine.
Preparing the anus for removal
After the sigmoid colon and rectum have been prepared for removal, one of the surgeons operates on the area between the legs (perineal region) to cut away the anus. Finally, the anus, rectum, and sigmoid colon are removed from the body.
Making the stoma
The surgeon makes the stoma at the site of one of the existing incisions, usually on the left side of the abdomen. First, a small disk of skin is removed from the incision site. The open end of the colon is pulled through the incision to the surface of the skin. The stoma is stitched (sutured) in place. The abdominal cavity is then rinsed out. A small temporary drainage tube is inserted into one of the lower abdominal incision sites. Finally, your surgeon will carefully inspect the abdominal cavity before stitching the incisions closed.
Hospital stays after a laparoscopic abdominoperineal resection average from 5 to 7 days. You are fitted with a pouch immediately after surgery. However, it takes a few days for your digestive system to become active again, which is signaled by the passage of gas and then stool through the stoma. Your diet is slowly increased from ice chips to liquids to solid foods as your intestines start functioning. While you are recovering in the hospital, your Enterostomal Therapy (ET) nurse will demonstrate how to care for your stoma. You will also receive instructions and be coached through the process of managing your stoma for after your return home.
Rectal cancer, abdominoperineal resection, surgery. Abdominoperineal resection (APR) completely removes the distal colon, rectum, and anal sphincter complex using both anterior abdominal and perineal incisions, resulting in a permanent colostomy.
Low anterior resection (LAR) and abdominoperineal resection (APR) are the two primary operations for surgical resection of rectal cancer. Abdominoperineal resection involves removing the tumor along with the anal canal and sphincter complex, creating a permanent end colostomy.
On average the operation will take somewhere between 2 and 3 hours. You will probably be asleep for between 2 and 3 times the duration of the operation. Depending on how quickly you recover and how well you adapt to managing your stoma bag you are likely to remain in hospital for 5-10 days.
You should be able to drink fluids soon after a bowel resection. A few days later, you can start to eat real food. Your doctor may tell you to start with soft foods like cooked vegetables, bananas, avocados, mashed potatoes, and tender proteins.
You will need to empty your pouch about 6 –8 times per day. Never let a pouch become more than half full. It is best to empty the pouch when it is 1/3 full. A full pouch is heavy and can loosen the seal on the wafer causing a leakage.
We recommend eating 6 times per day, or every 2 to 3 hours. Eat foods that are easy to swallow and digest. These usually consist of soft, moist foods such as soup, gelatin, pudding, and yogurt. Avoid gummy foods such as bread and tough meats, as well as spicy, fried, or gas-producing foods.
Ruth from kenya who visited india in October 2021 for her Medical Treatment . She shares her true experience of her medical Journey in Artemis Hospitals. This hospital ... Read More
Mr. Ruth from Kenya
Mr. Jimmy Komo from Nairobi , Kenya . He was suffering for 12 years from back pain which could not be diagnosed in his country. Mr. Jimmy decided to travel to india to get himself treated . Mr. Jim ... Read More
Mr.Jimmy Komo from Nairobi , Kenya , He was suffering from 12 years from back
Master. Andrew Maina was diagnosed to have retinoblastoma ( Eye Cancer) in Kenya. Patient's family decided to travel to india with the assistance of satyug healthcare for retinoblastoma t ... Read More
Master. Andrew Maina
Patient's Feedback in his own words
My name is Mirsodik Djuraev and I am from Uzbekistan. I was diagnosed with lower rectal cancer in Uzbekistan. after that, some of ... Read More
Patient Mrs. Caroline Njeri from Kenya, she had a neck tumor (supraglottic mass) due to which she was facing difficulty in swallowing food. she came to India for her surge ... Read More
Patient Mrs. Caroline Njeri |Robotic Neck Tumor Removal Surgery
I am Issa Ahmed Kayed from Yemen and I live in the State of Qatar and I had been suffering from a kidney stone for more than 5 years and then I met one of my friends who had a treatment India ... Read More
Mr. Eissa Ahmed Qaid Saleh Qatar | Dr. H. S. Bhatyal Advisor | Urology & Renal Transplantation
Aslam Walekum Everyone
My name is Meethaq and I am from Taiz city Yemen I was suffering from kidney disease or kidney failure. I had recommended my doctor that i will require a ki ... Read More
Meethaq Abdullah | Yemen | Kidney Transplant| Max Super Specialty Hospital New Delhi |
I am sadallah Ali Ali Almanai Al Radaei from sanaa, Yemen, I was sick and I was looking treatment option in india. I found a medical tourism company called satyug medical tourism.Mr. Vikram from sa ... Read More
Mr. Sadallah Ali Ali Almanai
Patient Mohammed Abdullah Al Khamisi 52 years old man from Yemen underwent for hernia surgery at Blk Super Speciality Hospital by Dr.V.P. Bhalla. Patient wife is also operated for ... Read More
Mohammed Abdullah Al Khamisi | Yemen
I am from Uzbekistan I have been suffering from knee pain for many years and have come to India to seek healing. In 20.01.2020 I came to hospital and 21.01.2020 surgery was done then my condi ... Read More
Mrs. Masudakhan Sharobova | Uzbekistan
Bis I’m Abdurrahman Mohsen ali saeed. I work in Saudi Arabia. I have been suffering from a condition of penile induration and hour glass deformity also known as (Uncontrolled DM and Dys ... Read More
Abdurrahman Mohsen ali saeed | Yemen
A 16 years old male , Mr Jeremy Wanyolke from Kenya get new life in India by successful SCOLIOSIS CORRECTION Surgery . Patient was diagnosed a case of ADOLESCENT IDIOPATHIC SCOLIOSIS( Lateral ... Read More
Mr Jeremy Wanyolke | Kenya
My Name is FLORENCE WAIRIMU NJIHIA , I came to india in november 2019 to brinng my mother here in india for medical treatment. we have been here for 4 months. When I came here , We find a gentlemen ... Read More
Mrs. Agnes Nyambura Njihia | KENYA
Mrs. Mary Popoola 63 years from Nigeria underwent to Total Knee Replacement at BLK Super Specialty Hospital New Delhi undercare of Dr. Bhushan Nariani - Director Centre for Orthopaedics, Join ... Read More
Mrs. Mary Popoola | Nigeria
Earlier my mother weight was around 140KG and she even didn't able to come to the first floor of the house due to her excess weight not able to walk a little bit her day to day activities were affe ... Read More
Mati Mishra from Saharanpur
Mrs. Anne Ngamau ,50 years old lady from Nairobi , Kenya was a patient of leukemia ( Blood Disorder ) underwent successful Bone Marrow Transplant procedure in indie under care of
Mr. Ali Qasem ,56 years old man from Yemen, He came to Dr, kaul with 20% heart function and more than 3 artery blockage gets Better Quality life After Angioplasty in India Mr. patient is havi ... Read More
Mr. Ali Qasem from Yemen
Mr. Abdulelah Saad Ahmed Safwan is attendant of patient who was having Acute myeloid leukemia (AML) disease blood disorder underwent successful bone marrow transplant under care of Dr. Dharma ... Read More
Mr. Abdulelah Saad Ahmed Safwan | BLK Super Specialist Hospital, New Delhi
Make an Appointment
Contact us any suitable way and make an appointment with the doctor whose help you need! Visit us at the scheduled time.