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The advantages of low anterior resection include the removal of abnormal or cancerous tissue from the distal rectum, as well as the ability to preserve bowel continuity after surgery and maintain normal bowel function.
If you notice blood in your stool, have ongoing changes in your bowel habits, if you unexpectedly lose weight, if your stomach hurts, or if you’re diagnosed with rectal cancer, you should talk with your doctor.
In preparing for low anterior resection surgery, you’ll need to have a medical evaluation; have laboratory tests completed (blood work); have an imaging scan performed (X-ray/MRI); have a colonoscopy; be on a bowel prep diet prior to surgery; and have an assessment of your anesthesia needs.
During the operation, the surgeon removes the diseased part of the rectum and reconnects the remaining healthy part of the colon. This will enable the patient to have a functioning colon after surgery. Low anterior resection surgery can be done through open surgery, laparoscopic surgery, or robotic-assisted surgery with the patient under general anesthesia.
- Surgery duration: 3 to 5 hours
- Hospital stay: 5 to 8 days
- Full recovery: 6 to 8 weeks
- Infection and bleeding
- Anastomotic leakage
- Bowel or bladder dysfunction
- Blood clots
- Temporary or permanent stoma
- Sexual dysfunction
It includes complete removal of rectal cancer or diseased tissue, preservation of bowel continuity, avoidance of permanent colostomy in many patients, improved survival and disease control, and better quality of life
After surgery, patients are typically instructed to begin walking within 24 hours. The patient's diet will be gradually transitioned from liquid to solid foods. Controlling the patient's pain level, caring for the surgical site, and monitoring bowel function will be essential areas of follow-up. Most patients can return to their normal activities after approximately 6-8 weeks of regular postoperative follow-up and care.
LAR has a high overall success rate for treating rectal cancer, with five-year survival rates typically above 80% for local and early-stage cancers, and local recurrence rates of less than 10%-15%, particularly with the application of advanced surgical techniques such as TME.
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Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
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Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Medeor 24X7 Hospital
Dubai, United Arab Emirates
Medeor 24X7 Hospital located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Radiology Department- fully equipped and offers advanced diagnostic imaging technologies such as the 1.5 tesla MRI, high end 160 CT Scan and dual detector X ray
- 24*7 Emergency Services
Medeor 24X7 International Hospital, Al Ain
Abu Dhabi, United Arab Emirates
Medeor 24X7 International Hospital, Al Ain located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- All rooms are equipped with necessary amenities like TV, fridge, adjustable beds, telephone, etc.
- Prefabricated Operation Theatres
- Central Sterile Services Department to prevent infections from spreading
- Operation theatres
- Pre and Post-operative wards
- Physical, cultural and spiritual needs have been taken into consideration, with separate waiting areas for men and women
- Diagnostic imaging services with Al Ains one and only 640 Multi Slice CT and separate female radiology department with mammography and bone mineral densitometry
- Separate isolation rooms for patients with infectious disease
- Fully equipped labor rooms for mother & child care
- 24*7 Emergencies
- GP Clinics
- In-house Pharmacies
- Cafeteria/Restaurants
- Valet parking
Medical Park Gebze Hospital
Kocaeli, Turkey
Medical Park Gebze Hospital located in Kocaeli, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Established in an area of 17,000 sqm
- Capacity of 118 beds
- 49 Intensive Care Units
- Physical Therapy and Rehabilitation Department
- Microsurgery Department
- 24*7 Emergency Department
- Laboratory
- Angiography Unit
- Neonatal ICU (NICU)
- Coronary Intensive Care Unit
- General Intensive Care Unit (ICU)
Clinique Internationale Marrakech
Marrakesh, Morocco
Apart from in-detail treatment procedures available, Clinique Internationale Marrakech located in Marrakesh, Morocco has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A resuscitator for cardiac conditions
- Team for emergencies consisting of cardiologist and physician specialising in emergencies
- 250 healthcare personnel with over 50 doctors
- Many therapeutic sections covered in treatment
- Clinique Internationale Marrakech, Marrakesh, Morocco provides latest diagnostic and treatment related facilities present
- 5 Operating Theaters
- 3 resuscitation units
- 2 blocks of cardiovascular catheterization
- 100 bed capacity
- Special suites with a comfort section
- A neonatal pediatric resuscitation section
Parkside Private Hospital
London, United Kingdom
Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
- 4 Operating Rooms
- 69 registered beds
- 21 Outpatient Consulting rooms
- 4 minor procedure rooms
- 11-bed day unit
- Endoscopy suite
- Pathology Laboratory
- Pharmacy
- Cafeteria/Restaurant
- Car Parking
NMC As Salama Hospital
Al Khobar, Saudi Arabia
Apart from in-detail treatment procedures available, NMC As Salama Hospital located in Al Khobar, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- Technology Advancement- Hospital has an ultrasound unit, a mammogram, a CT scan unit, and an X-ray imaging unit
- Laboratory
- 60 Private bedrooms
- Operating rooms
- Labor and Delivery Units
- Isolation rooms
- 2 Dental clinics
- Special Care Units
- 24*7 Emergency Services
- Intensive Care Unit
- Pharmacy
- Cafeteria
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+99Process Involved for Low Anterior Resection
- Preoperative evaluation and imaging: The individual has blood tests, colonoscopy, CT or MRI scans to measure the dimension, location and axial spread of the tumour. This information will assist the surgical team in preparing the safest and highest probability of success surgical technique.
- Bowel Preparation and anaesthesia assessment: The bowel is cleaned with prescribed laxatives, and the patient must fast before surgery. The anaesthetist assesses the patient to ensure safety for general anaesthesia.
- Surgical Excision of Rectal Segment Containing Disease/Tumour: The surgeon removes the section of rectum that contains the disease/tumour via open, laparoscopic or robotic methods while the patient is under general anaesthesia.
- Rejoining of Healthy Portions of the Bowel: After the surgical procedure, the surgeon rejoins the healthy ends of the colon and rectum. In some instances, a temporary stoma will be created to protect the perineum and maintain bowel continuity.
- Postoperative Recovery and Monitoring: During the recovery period, healthcare providers will closely monitor the individual for pain management, bowel function, and infection/leakage, and will gradually increase the amount of food consumed and allow physical activity.
- Follow-Up and Rehabilitation: Patients will return to the facility for scheduled follow-up appointments to ensure the healing process is going well, that bowel function is normal, and that the patient is on track for a full recovery.
- Rectal cancer
- Large rectal polyps
- Severe inflammatory bowel disease
- Rectal strictures or obstruction
- Non-healing rectal ulcers
- Open Low Anterior Resection
- Laparoscopic Low Anterior Resection
- Robotic-Assisted Low Anterior Resection
- Condition: Diagnosed with Severe Rectal Cancer (Rectum) or Rectal Disease, which requires Surgical Removal
- Tumor location: Lower or Middle Rectum (candidate for preserving Sphincter Surgery)
- Candidate for Total Abdominal Surgery (healthy enough to have a history of Major Abdominal Surgery)
- Lung Function, Heart Function, and Kidney Function are Adequate (medical clearance assessment)
- Surgical staples for bowel reconnection
- Absorbable sutures for internal tissue closure
- Temporary drainage tubes for fluid removal
- Temporary ileostomy or colostomy
- Lymph node dissection
- Tumor biopsy
- Stoma closure surgery (if required)
- Complete removal of rectal cancer or diseased tissue
- Preservation of bowel continuity
- Avoidance of permanent colostomy in many patients
- Improved survival and disease control
- Better quality of life
- Complete removal of diseased rectal tissue
- Preservation of normal bowel function
- Reduced cancer recurrence risk
- Improved digestion and quality of life
- Long-term disease control
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