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Laparoscopic Assisted Intestinal Resection

Laparoscopic Assisted Intestinal Resection

Laparoscopic assisted intestinal surgery�is a "minimally invasive" procedure commonly used to treat diseases of the gastrointestinal tract. Unlike traditional surgery on the colon or other parts of the intestines where a long incision down the center of the abdomen is required, laparoscopic surgery requires only small "keyhole" incisions in the abdomen.� The person undergoing the procedure experiences less pain and scarring after surgery and a more rapid recovery.

Laparoscopic surgery is used to treat conditions including:

  • Crohn's disease
  • Colorectal cancer
  • Diverticulitis
  • Familial polyposis
  • Bowel incontinence
  • Rectal prolapse
  • Ulcerative colitis
  • Colon polyps that is too large to remove by colonoscopy
  • Chronic severe constipation that is not successfully treated with medication
BRIEF ABOUT THE PROCEDURE

In laparoscopic surgery, three or more incisions roughly 5-10 mm are made in the abdomen as access ports. The laparoscope and surgical instruments are inserted through these ports which transmit a picture of the abdominal organs on a video monitor, allowing the operation to be performed.

Laparoscopic intestinal surgery can be used to perform the following operations:

Proctosigmoidectomy:�Surgical removal of a diseased section of the rectum and sigmoid colon used to treat cancers and noncancerous growths or polyps, and complications of diverticulitis.

Right Colectomy or Ileo-Colectomy:�In this surgery the right side of the colon is removed. During an ileo-colectomy, the last segment of the small intestine - which is attached to the right side of the colon, called the ileum, is also removed. This surgery is used to remove cancers, noncancerous growths or polyps and inflammation from Crohn's disease.

Total abdominal colectomy:�Surgical removal of the large intestine, which is used to treat ulcerative colitis,Crohn's disease, familial polyposis and possibly constipation.

Fecal diversion:�Surgical creation of either a temporary or permanent ileostomy (opening between the surface of the skin and the small intestine) or colostomy (opening between the surface of the skin and the colon). The surgery treats complex rectal and anal problems, including poor bowel control.

Abdominoperineal resection:�Surgical removal of the anus, rectum and sigmoid colon that is used to remove cancer in the lower rectum or in the anus, close to the sphincter (control) muscles.

Rectopexy:�A procedure in which stitches are used to secure the rectum in its proper position in cases of rectal prolapse.

Total proctocolectomy:�This is the most extensive bowel operation performed and involves the removal of both the rectum and the colon. If the surgeon is able to leave the anus and it works properly, then sometimes an ileal pouch can be created so that you can go to the bathroom. An ileal pouch is a surgically created chamber made up of the lowest part of the small intestine (the ileum). However, sometimes, a permanent ileostomy (opening between the surface of the skin and the small intestine) is needed particularly if the anus must be removed, is weak, or has been damage

The average hospital stay for a laparoscopic rectopexy ranges from 1 to 2 days and for a laparoscopic bowel resection is 2 to 3 days.

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