Laparoscopic Colorectal Surgery In Delhi By Dr. Neeraj Goel, Colorectal Surgeon

1. LaparoscopicColorectalSurgery WhatIsLaparoscopic ColorectalSurgery? Laparoscopiccolorectalsurgeryis theprocedureusedtomanagethediseases relatedtocolonandrectum.Thesurgeryis performedwhenthenon-invasive methods arenot enoughtotreattheconditions. Thedoctorwillevaluateyour conditiontodetermineifyouareeligibleforundergoinglaparoscopiccolorectal surgery.Obesity,largetumour,historyofdevelopmentofscartissueaftersurgery may reduce youreligibilityforlaparoscopic surgery. WhatAre TheComplicationsIfTheColorectalDiseases Are NotTreated? The complications due to untreated colorectal diseases depends upon the type and severity of the disease. Colon cancer, if left untreated, may result in life-threatening complications.Further,thecolonpolyps,ifnottreated,mayprogresstocause cancer. Untreated inflammatory bowel syndrome increases the risk of colon cancer, bloodclots,and eye,skin and jointinflammation.

2. WhatAreTheVarious DiseasesTreatedWith Laparoscopic ColorectalSurgeryInDelhi? • Doctorsmaytreatseveraldiseaseswiththelaparoscopic colorectalsurgery.Your doctorwilldecideyoureligibilityforundergoingthesurgery.Someofthe diseases • are: • Inflammatoryboweldiseases:Patientswiththisconditionhaveinflammationinthe liningofthecolon.Thesurgeon mayremovetheinflamedsectionof thecolon.The • twotypes of inflammatoryboweldiseases areulcerative colitisandCrohn’s disease. • Coloncancer:Thecancerofthecolonmaybeprimaryorsecondary.Theprimary • coloncancerinitiatesinthecolon.Thesecondarycancerstartsintheotherorgan andmetastasizetothecolon.Thesurgeonremoveseitherthecompletecolonorthe cancerouspartof colon. • Rectalcancer:Presenceofcanceroustissues in therectumis knownasrectal cancer.The doctormay performlaparoscopicsurgerytomanagethiscondition. • Rectalprolapse:Rectalprolapseis theconditioninwhichtherectumdisplaced • fromits positionandprotrudesthroughtheanus.Thesurgeonperforms thelaparoscopic surgery toputtherectumback to itsoriginalposition. • Diverticulitis:Diverticulumistheconditionistheformationofpouchesonthewalls • ofthecolon.Generally,theconditiondoesnotrequiretreatment.However, insome casesthesepouchesgetinflamed.Thisconditionisknownasdiverticulitis.Some cases of diverticulitisrequiresurgery. • WhatAre TheVariousLaparoscopicColorectalSurgeries Available InDelhi? • TherearevariouslaparoscopiccolorectalsurgeriesavailableinDelhi.Someof themare: • TotalColectomy:Duringthissurgery,thesurgeonsremovethecompletecolon. • Afterremovingthecolon,thesurgeonconnectstherectum withthesmallintestine. • TotalProctocolectomy:Duringthisprocedure, thedoctorremovesthe snus, rectum,andcolon.Thedoctorformsastomaandattachesitwithsmallintestine. • LaparoscopicRighthemicolectomy:Rightsideofthecolon is ascendingcolon. • Duringthisprocedure,thesurgeonremovestherightpartof thecolon.Thesurgeon then attachesthesmall intestinewithremaining part ofcolon. • Laparoscopiclefthemicolectomy:Leftsideofthe colonisdescendingcolon.The • doctor removestheleftpartduringleft hemicolectomyandattachedtheremaining colonwithrectum.

3. LaparoscopicSigmoidectomy:Duringthissurgery,thesurgeon removesthe sigmoidcolonandattachesthedescendingcolontorectum. • Laparoscopiclowanterior resection:Duringthisprocedure,thesurgeonremoves • the sigmoidcolonandapart ofrectum.Thesurgeonthenattachesthedescending colonwiththeremainingpart ofrectum. • Laparoscopicabdominoperinealresection:Completesigmoidcolon oritspart, • anus and rectum are resected during this procedure. The remaining sigmoid colon is attached tothestoma. • What Are The Advantages OfLaparoscopic Colorectal Surgery? • Thereareseveraladvantagesoflaparoscopiccolorectalsurgeryascomparedto • traditionalsurgery.Thelaparoscopiccolorectalsurgeryresultsin minimalincision andlesstissuedamage.Therecoverytimeafterthisprocedureislessascompared totraditionalsurgery.Further,thescarsremainedafterthesurgeryarealsolessas compared to open surgery. The risk of complications in laparoscopic colorectal surgeryislessascompared to traditionalsurgery. • What ToExpectBefore The Laparoscopic Colorectal Surgery? • Youshouldprepareyourselfforthecolorectal surgery.Followallthe instructionsof • yourdoctorstrictly.Further,seekalltheinformation fromyourdoctoraboutthe outcomeand risksassociatedwiththeprocedure.Thedoctormayadviseyoutotake only the liquid and stop taking solid food a day before the surgery. Inform your doctor aboutthemedicinesyou aretaking.Yourdoctormayaskyouto discontinuecertain medicines.The doctormayalsoprescribelaxativeto clearyourcolon. • HowTheDoctor PerformsLaparoscopicColorectal Surgery? • Thehealthcareteamshiftsyouintotheoperationtheatreaftercomprehensively • examiningyourhealth.Intheoperationtheatre,anintravenouslineisattachedto yourarm. The doctoradministersdrugs andIV fluid throughthisline.

4. Anesthesiologistwilladministeranesthesiatomakeyousleep.Acatheter isalso attachedto yourbladderthatdrainstheurineduringthesurgery. Thesurgeonmakes3-5 smallincisionsintoyourabdominalcavity.Thesurgeonmay injectcarbondioxidethroughtheportstolifttheabdominalwalls.Thiswillhelpthe surgeontovisualizetheinternalorgansmoreclearly.Thesurgeontheninsertsa laparoscopethroughtheincision. Throughthe other incisionsites,thesurgeon insertstheinstrumentsandperformsthesurgerybyvisualizingthemonitor.Ifthe surgery is for colon resection, the surgeon creates a relatively large incision to take thecolonout.After thesurgeryiscompleted,thedoctorclosesthe incisionwiththe stitchesandplaces thebandage to securethewound. Youmay stay in thehospitalfor2-4days.Thedoctormay prescribepain medicationsandantibiotics.Thehealthcare team willmonitoryourconditionand ensure thatthereare nocomplications. WhatAreThe ComplicationsOf LaparoscopicColorectal Surgery? Thecomplicationsoflaparoscopicsurgerieshavelesscomplicationsthanopen surgery.Someofthecomplicationsoflaparoscopiccolorectalsurgeryare infection,bloodclot,riskofanesthesia,injurytonearbyorgans,bloodclots, pneumonia,urinarytract infection,herniaformation,smallbowelobstruction,and development of fistula. How Should I Get More Information About The Laparoscopic ColorectalSurgeryInDelhi? Detailedinformationaboutyourdiseaseandtreatmentoptionswillhelpyouto understandyourconditionbetterandhelpsyoutotakeinformeddecision.Fillthe belowformto knowmore details about thelaparoscopic colorectalsurgery.