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Colorectal Surgery

Colorectal surgery refers to surgical procedures aimed at treating diseases and conditions affecting the colon (large intestine), rectum, and anus. This field of surgery addresses a range of issues from benign conditions to cancers and inflammatory diseases.

Common Conditions Treated by Colorectal Surgery:
  • Colorectal Cancer: Cancer that originates in the colon or rectum.
  • Diverticulitis: Inflammation or infection of small pouches (diverticula) that can form in the walls of the colon.
  • Inflammatory Bowel Disease (IBD): Includes Crohn's disease and ulcerative colitis, which cause chronic inflammation of the digestive tract.
  • Hemorrhoids: Swollen blood vessels in the rectum or anus.
  • Anal Fissures: Small tears in the lining of the anus.
  • Rectal Prolapse: A condition where the rectum protrudes through the anus.
  • Fistulas: Abnormal connections between the rectum and other organs or the skin.
  • Constipation: Severe, chronic constipation that does not respond to other treatments.
Types of Colorectal Surgery:

1. Resection:

  • Partial Colectomy: Removal of part of the colon affected by disease.
  • Total Colectomy: Removal of the entire colon, often performed for severe cases of IBD or cancer.
  • Rectal Resection: Removal of part or all of the rectum.

2. Colostomy and Ileostomy:

  • Colostomy: Creation of an opening (stoma) in the abdominal wall to divert stool from the colon into a colostomy bag.
  • Ileostomy: Similar to colostomy but involves diverting stool from the ileum (the last part of the small intestine).

3. Hemorrhoid Surgery:

  • Hemorrhoidectomy: Surgical removal of hemorrhoids.
  • Stapled Hemorrhoidopexy: A minimally invasive procedure to remove hemorrhoids.

4. Fistula Surgery:

  • Fistulotomy: Surgical procedure to open and clean a fistula tract.
  • Seton Placement: Placement of a surgical thread to keep the fistula open and allow it to heal.

5. Anal Sphincter Repair:

  • Sphincteroplasty: Repair of damaged anal sphincter muscles, often used to treat incontinence.

6. Rectal Prolapse Surgery:

  • Perineal Rectosigmoidectomy: Removal of the prolapsed rectum and part of the colon.
  • Abdominal Rectopexy: Repositioning and securing the rectum and/or colon from the abdominal approach.

7. Surgical Treatment for Diverticulitis:

  • Diverticulectomy: Removal of the affected diverticula and possibly a portion of the colon.

8. Laparoscopic (Minimally Invasive) Surgery:

  • Many colorectal surgeries can be performed using laparoscopic techniques, which involve small incisions and the use of a camera and special instruments. This method often results in quicker recovery, less pain, and minimal scarring compared to open surgery.
Benefits of Colorectal Surgery:
  • Symptom Relief: Alleviates symptoms such as pain, bleeding, and obstruction.
  • Disease Management: Helps manage or cure conditions like cancer, IBD, or diverticulitis.
  • Improved Quality of Life: Many patients experience significant improvements in quality of life and return to normal activities following recovery.

Overall, colorectal surgery can be a vital intervention for various conditions affecting the lower digestive tract, aimed at improving health outcomes and quality of life for patients.