Laparoscopic Colorectal Surgery in India

Introduction

Laparoscopic colorectal surgery is being performed with increasing frequency in the United States and other countries, though the use of minimally invasive techniques in colorectal surgery has lagged behind its application in other surgical fields. Since the first laparoscopic colostomy was described in 1991, a great deal of controversy has surrounded its use, particularly in the treatment of colorectal cancer. Several important new studies have highlighted the benefits and safety of laparoscopic colorectal surgery, making it now the preferred approach in the surgical treatment of many colorectal diseases.

Laparoscopic Colorectal Surgery

By Laparoscopic colorectal surgery now it is possible to safely and effectively remove sections of the colon (large intestine, large bowel), rectum, and small intestine (small bowel). This procedure involves three or four small cuts in the abdominal wall through which the camera and operating instruments are inserted and then a moderate sized cut is made through which the resected bowel is removed.

Conditions for Laparoscopic Colorectal Surgery

Laparoscopic approach is appropriate for a wide range of diseases which include:

• Colorectal cancer,
• Diverticulitis,
• Crohn’s disease of the small and large intestines,
• Ulcerative colitis,
• Benign and malignant colon and rectal polyps, tumors and malignancies (cancer)
• Colon polyps and many others.

In fact, most colon resections can now be done using laparoscopic techniques. Although laparoscopic technique has many benefits, it may not be appropriate for some patients. Patient can consult the doctor for the most appropriate treatment option.

Symptoms of Colorectal Diseases

Symptoms of colorectal diseases include:

• Bleeding from the rectum,
• Abdominal pain,
• Change in bowel habits (new diarrhea, constipation, stool size, etc.),
• Weight loss,
• Anemia, cramping, vomiting, fever, among many others.

Preparations for Laparoscopic Colorectal Surgery

Patient will have opportunity to go through the details of the operation including the intended benefits, alternative procedures and potential risks.

• Preoperative preparation includes blood work, medical evaluation, chest x-ray and an EKG depending on your age and medical condition.
• Blood transfusion and/or blood products may be needed depending on your condition.
• The rectum and colon must be completely empty before surgery. Usually, the patient must drink a special cleansing solution. You may be on several days of clear liquids, laxatives and enemas prior to the operation.
• Follow your surgeon's instructions carefully. If you are unable to take the preparation or the antibiotics, contact your surgeon.
• If you do not complete the preparation, it may be unsafe to undergo the surgery and it may have to be rescheduled.

Laparoscopic Colorectal Surgery Procedure

Following steps are involved in performing laparoscopic colorectal surgery:

• Laparoscopic surgery involves insufflating the abdomen with carbon dioxide gas, which pushes the abdominal wall away from the intestine and allows the surgeon to work
• Dissection is performed with specially constructed thin instruments that are placed into the abdomen through small incisions, referred to as ports.
• A laparoscope (a tiny telescope connected to a video camera) is inserted through the cannula, giving the surgeon a magnified view of the patient's internal organs on a television monitor.
• Several other cannulas are inserted to allow the surgeon to work inside and remove part of the colon. The entire procedure may be completed through the cannulas or by lengthening one of the small cannula incisions.

After Laparoscopic Colorectal Surgery

After the procedure, it is important to follow doctor's instructions. Although many people feel better in a few days, but patient’s body needs time to recover.

• Patients are encouraged to be out of bed the day after surgery and to walk. This will help diminish the soreness in your muscles.
• Patient will probably be able to get back to most of normal activities in one to two weeks time. These activities include showering, driving, walking up stairs, working and engaging in sexual intercourse.

Some additional post operative instructions will be given to the patient if required. These steps help patient recover faster and resume normal activities.

Benefits of Laparoscopic Colorectal Surgery

Benefits of procedure vary from patient to patient. Some common benefits of Laparoscopic colorectal surgery are:

• Shorter hospital stay
• Shorter recovery time
• Less pain from the incisions
• Faster return to normal diet
• Faster return to work or normal activity
• Better cosmetic healing

Laparoscopic colorectal surgery patients are fully recovered in a fortnight; however open surgery may take a while. In practical terms, the laparoscopic approach associated with less pain, a faster recovery, earlier return of bowel function, a shorter hospital stay, possible immune benefits, and smaller scars, making it the preferred method for intestinal resection.

Risks and Complications with Laparoscopic Colorectal Surgery

Complications are possible with any surgical procedure. The following are some complications related to laparoscopic colorectal surgery:

• Reaction to anesthesia
• Intestinal obstruction due to scar tissue
• Leakage from the bowel
• Inadvertent injury to adjacent organs such as adjacent bowel, however this is rare.

Patients don’t have to worry as the complication rate is as low as 0.5%.

Alternative for Laparoscopic Colorectal Surgery

The alternative treatment option is conventional open surgery. This procedure is performed on patients who are not eligible for laparoscopic technique. This procedure is performed through large incisions. The abdominal wall is held apart with a metal retractor. A drain or small tube is usually placed in the abdomen to draw away any oozing fluids around the operation site. The abdomen is closed in layers and the patient watched for any problems developing while waiting for the bowel to resume function so that they can eat and go home.

Laparoscopic Colorectal Surgery India

There are many reasons to select India for the treatment options. As it is one of the best medical tourist destinations across the world.

• Medical tourism is not new to India. Even the British are encouraging their people to utilize the Indian medical facilities to relieve their overburdened system.
• India’s growing reputation as a preferred health and medical destination sees it welcoming visitors from around the world seeking remedies for a range of medical needs. These include both critical health services as well as cosmetic and remedial care.
• Medical charges and hospitalization costs here are very competitive compared to those in many developed countries, and expertise ranks among the best in the world.
• Most private hospitals in India offer accommodation ranging from comfortable to luxurious, including private rooms and suites.
• Medical expertise in India ranks among the best in the world and most private hospitals in the country have internationally recognized quality and standards.

Some of the common countries from which patients travel to India for surgery are:

Laparoscopic Colorectal Surgery Cost in India

In India the cost of the laparoscopic colorectal surgery is very low in comparison with other countries. Low cost and quality is a major reason that international patients visit India. Many international patients look for a low cost option as they don’t have medical insurance and the cost of the treatment in their own country is very high. So, they search for countries where they can get the quality treatment at low cost. The table below shows the cost difference in India and other countries.

Laparoscopic Colorectal Surgery in India with Forerunners Healthcare

Patients just have to send a detailed query regarding the Laparoscopic colorectal surgery procedure to get it done in India. Within 24 hour our patient coordinator will contact you and resolve all your queries related to treatment in India.

Flights from your requested Airport will be booked for you; patient coordinator from Forerunners Healthcare will discuss your preferred budget, time and date of departure and complete all of the necessary arrangements on your behalf.

Forerunners Healthcare have alliance with the leading travel agent and tour operators in India and thus offer the best deals on Air booking for India and can arrange a comfortable and convenient air travel for you anywhere in India.

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