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Gastrointestinal surgery (upper and lower)

Laparoscopic Colectomy

Colectomy is the most common procedure performed to remove the cancer cells. It is the surgical resection of all or part of the large intestine. It is also called large bowel resection. Colectomy is performed under general anesthesia by open surgery method or by laparoscopic method. The procedure takes about 1 to 4 hours.

Laparoscopic colectomy is a minimally invasive technique where several small incisions are made rather than one large incision. Three to five small incisions are made on the lower abdomen. A laparoscope, a telescopic video camera is used to see the inside of the abdomen, is inserted through an incision. Small surgical instruments are passed through other 2 incisions and colon is removed. Carbon dioxide (CO2) gas is filled in the lower abdomen and expanded for easy access and the diseased part of the colon is removed. The healthy ends are reattached and all the incisions are closed with the sutures.

Complications of colectomy procedure include infection at the site operated, bleeding, and damage to nearby organs.

Some of the ways to prevent the colon cancer include high fiber diets and vitamins, avoid smoking and alcohol consumption, lose weight in case you are obese, and a healthy life style can lessen risk of colon cancer.

Laparoscopic Rectopexy

Laparoscopic rectopexy is performed to treat rectal prolapse. This is a condition in which the rectum protrudes through the anus, causing symptoms such as fecal incontinence (bowel leakage), rectal bleeding and mucous drainage. Laparoscopic rectopexy restores the rectum to its original anatomical position.

Laparoscopic rectopexy is performed under general anesthesia. Your surgeon makes small incisions in your lower abdomen and inserts a laparoscope (a small tube containing a camera at one end) through one of the incisions to visualize the internal structures of the abdomen. Surgical instruments are placed through the remaining incisions to perform the surgery. Your surgeon then locates the rectum and separates it from the surrounding structures, lifting it into the correct position in the pelvis. Your rectum is then sutured to secure it in place. Sometimes, a mesh may also be used to hold the rectum in position. Your surgeon then closes the incisions.

As in all surgeries, laparoscopic rectopexy may be associated with side effects such as bleeding and infection, mesh piercing the vagina or bowel, obstructed defecation and fecal incontinence.

Laparoscopic Low Anterior Resection

The rectum is the last section of the digestive tract, present at the far end of the large intestine (bowel). It acts as a storage area for feces until it can be passed out through the anus. Laparoscopic low anterior resection is performed to remove cancer present in the lower two-thirds of the rectum.

During the laparoscopic surgery, your doctor makes small incisions in your abdomen to insert the laparoscope (special instrument guided by a camera) and surgical instruments. The surgeon removes the lower part of the rectum containing the tumor and the left side of the bowel, along with a length of healthy tissue on either side of the tumor. The two ends of the bowel are then rejoined with the help of sutures or staples. The incisions are then closed with the help of “skin glue” or dissolvable sutures. In cases where a large portion of the bowel is removed and cannot be rejoined, an ostomy is performed to create a stoma (small hole in your abdomen) in order to help you remove the waste products from your body.

As with all surgeries, laparoscopic low anterior resection may be associated with certain complications such as temporary stoppage of bowel activity, leakage of stool at the joined section of the bowel, damage to the bowel and reduction in the storage capacity of the rectum.

Nondiscrimination Statement:

Cahaba Valley Surgical Group, P.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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