What are Total ColectomyTotal colectomy is a surgical procedure involving the complete removal of the colon (large intestine) from the body. This procedure may be necessary to treat conditions such as inflammatory bowel disease (Crohn's disease or ulcerative colitis), colorectal cancer, familial adenomatous polyposis (FAP), or severe complications of diverticular disease. Total colectomy may be performed as an elective or emergency procedure, depending on the underlying condition and the patient's clinical status.
Symptoms- Chronic abdominal pain or discomfort
- Persistent diarrhea or bloody stools
- Rectal bleeding or blood in the stool
- Unexplained weight loss
- Fatigue or weakness
- Abdominal distension or bloating
NotesTotal colectomy is a major surgical procedure that requires careful patient evaluation, surgical planning, and post-operative management. The decision to perform total colectomy depends on various factors, including the underlying condition, extent of colonic involvement, and the patient's overall health and preferences. Pre-operative assessment may include imaging studies, laboratory tests, and medical optimization to ensure the best possible outcomes.
ProceduresThe total colectomy procedure involves several key steps. First, the surgeon makes an incision in the abdomen to access the colon and surrounding structures. The colon is carefully dissected free from its attachments to adjacent tissues, blood vessels, and the rectum. Special attention is paid to preserving important structures such as the blood supply to the remaining intestine and the nerves controlling bowel function. Once the colon is completely mobilized, it is removed from the body. Depending on the indication for surgery and the patient's clinical status, the surgeon may perform additional procedures such as ileorectal anastomosis (connecting the small intestine to the rectum), ileostomy (creating a stoma in the abdomen for waste removal), or creation of a pouch from the small intestine to serve as a reservoir for stool storage (ileoanal pouch). The integrity of any anastomosis is carefully inspected to ensure proper alignment and blood flow before closing the surgical incision.
- Pre-operative assessment and preparation of the patient
- Administration of anesthesia and positioning of the patient on the operating table
- Surgical incision and exposure of the abdomen
- Dissection and mobilization of the colon from surrounding structures
- Removal of the colon
- Optional additional procedures (ileorectal anastomosis, ileostomy, pouch creation)
- Inspection of any anastomosis for integrity and blood flow
- Closure of the surgical incision and placement of surgical drains, if necessary
Risk- Bleeding or hemorrhage
- Infection at the surgical site or within the abdomen
- Anastomotic leak or dehiscence (separation)
- Bowel obstruction or ileus
- Development of hernia at the incision site
- Adverse reactions to anesthesia or medications
Advantages- Removal of the diseased colon
- Resolution of symptoms related to the underlying condition
- Prevention of complications such as bowel obstruction or perforation
- Opportunity for improved long-term outcomes and quality of life
Includes- BED CHARGE,OT CHARGE,SURGICAL TEAM FEES,MEDICINE
Procedure Fee : ₹60000 ₹66000 (Inclusive of all charges)
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