Speciality
Laparoscopic Intestinal Surgery Treatment
 What is the intestine?
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What is laparoscopic intestinal surgery?
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How are less invasive procedures performed?
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What are the advantages of the minimally invasive technique?
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What is the intestine? |
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The small intestine is about 6 meters long. It is divided into 3 sections: duodenum, jejunum, and ileum. This part is where the most extensive part of digestion occurs. Most food products are absorbed in the small intestine. |
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What is laparoscopic intestinal surgery? |
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The introduction of laparoscopic removal of the gall bladder (Laparoscopic Cholecystectomy)
in the late 1980s revolutionized the surgical management of many abdominal operations.
It offered less discomfort to the patient and faster recovery. But it was only the
delay in the development of proper instruments that prevented Colon and Rectal Surgeons
from performing laparoscopic intestinal surgery until 1991.
Today, laparoscopic surgery is an increasingly popular option for people with intestinal conditions, who may need sections of the bowel repaired or removed. Laparoscopy is a minimally invasive procedure in which the surgeons operate through very tiny holes (approximately 1/2-inch wide) instead of large incisions (8- to 12-inch wide). While recovery from open surgery for intestinal disease, takes an average of six weeks, people who have undergone laparoscopic surgery tend to feel back to normal in just three weeks. Laparoscopic surgery is used to treat
Open surgery and laparoscopic surgeryTraditionally, abdominal surgery has been performed in an open manner and what that means is the patient has a reasonably large incision, which varies in size between four and 10 inches long. It's usually in the midline of the abdomen, so it runs from the pubis at the lower midline of the abdomen up to the navel. The length depends on the extent of surgery and the extent of bowel that one has to free up or take out. When the surgery's performed laparoscopically, three or four access ports are put, which are little plastic tubes that go into the abdomen that are positioned through incisions less than half-an-inch long. Then through these access ports we put in a camera, which is less than a half-inch in diameter, which is used to see what's going on inside the abdominal cavity. Through the other access ports we put in very fine little surgical instruments, about 5 millimeters in diameter. We use those instruments to free up the bowel and then we make an incision of four to six centimeters in size (around two inches) to remove the bowel. |
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How are less invasive procedures performed?Laparoscopic surgery is a minimally invasive approach to common surgical problems in the abdomen. Many surgical problems that traditionally were performed through large incisions are now accomplished through small keyhole incisions that result in much less surgical trauma and postoperative pain. Aastha has its expertise in Laparoscopic procedures. Our surgeons have the experience in performing many basic and advanced procedures with the Laparoscopic approach.Laparoscopic intestinal surgery can be used to perform the following operations : |
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Proctosigmoidectomy - Surgical removal of a diseased section of the rectum and sigmoid colon. This is used to treat cancers and non-cancerous growths and complications of diverticulitis. Right colectomy or Ileocolectomy - Surgical removal of a section of the colon that is adjacent to the small intestine. This is used to remove cancers, non-cancerous growths or polyps, and inflammation from Crohn's disease. Total abdominal colectomy- this is the surgical removal of the large intestine. It is done to treat ulcerative colitis, Crohn's disease , and familial polyposis. Faecal diversion- This is surgical creation of an ileostomy (opening between the surface of the skin and the small intestine) or colostomy (opening between the surface of the skin and the colon). It is done to treat complex rectal and anal problems, including poor bowel control. Abdominoperineal resection- Surgical removal of the anus, rectum and sigmoid colon. This 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. It is done to correct rectal prolapse. Total proctocolectomy- This is the most extensive bowel operation performed and involves the removal of both the rectum and the colon. However, often a permanent ileostomy, in which the ileum is attached to the stoma, is needed particularly if the anus must be removed, is weak, or has been damaged.
Sometimes the surgeon may decide to convert the laparoscopic operation to an open one. The decision to perform the open procedure is a judgment decision made by the surgeon either before or during the actual operation and is strictly based on patient safety.
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What are the advantages of the minimally invasive technique?Because surgeons operate through 3 to 5 tiny openings instead of a long incision, many patients experience less pain, less scarring and a shorter hospital stay. In most cases, a quicker return to work and other normal activities can also be expected. In addition, these patients often eat solid foods sooner and experience a quicker return of bowel function. So to enumerate all advantages once again, they are: |
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The intestine is the portion of
the alimentary canal extending from the stomach to the anus. The intestine is a
long, tubular organ consisting of two parts :
