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Surgery Name | Cost | Room-Category | Hospitalization |
---|---|---|---|
Abdominoperineal Resection cost in India | $5200 | Single | Patient - 2 days stay in a single room. |
Inclusion | Exclusion | ||
|
1.Overstay more than package days, |
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.
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.
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