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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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Apollo Multispecialty Hospitals
Kolkata, India
Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:
- International patient Center
- Focus on research and innovation
- Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
- Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
- Health Insurance coverage available
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- Minimally Invasive Cardiac Surgery
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- 128 Slice PET CT
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Manipal Hospital, Yeshwantpur
Bangalore, India
Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Super-specialty healthcare facility
- Started operations in July 2008
- Video consultations with specialists
- Various health checkup packages available
- Technological applications in healthcare and healthcare delivery
- Many ancillar services available like
- ICU, NICU
- Physiotherapy
- Referral lab
- Teleradiology / telemedicine
- Pharmacy
- Imaging facilities
- Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Fortis Hospital
Kolkata, India
Fortis Hospital & Kidney Institute, Kolkata, is a 60-bed specialised centre for Urology and Nephrology, serving patients across Eastern India. Since its inauguration in 1999, the institute has pioneered advanced treatments like lithotripsy, laparoscopic donor nephrectomy, PCNL, and Holmium Laser prostate surgery, and has performed over 570 kidney transplants. Spread over 6 floors, it offers 4 operating theatres, a 12-bed dialysis unit, 24-hour renal emergencies, and a fully equipped laboratory, providing comprehensive, patient-focused care in renal and urological health.
Medicover Hungary
Budapest, Hungary
Medicover Hungary located in Budapest, Hungary is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 3000 sqm with Customer Parking lot
- 3 clinics in Budapest
- Healthcare Outpatient Facilities for outpatients nationwide
- Well-equipped Operation Theatres
- Diagnostic center equipped with the state-of-the-art modern diagnostic tools such as CT, MR, Ultrasound, X-ray equipment
- Spacious and Comfortable Single rooms are available for patients, equipped with refrigerator, restroom, Television, etc.
Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
- Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
- Capacity of 470 patient beds
- Oncology Center
- Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
- 25 Operating rooms
- Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
- Helicopters enabling the transfer of the patient at the most emergency cases
- The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
- Prayer Room
- 5-starred cafeteria/restaurant
Zulekha Hospital Sharjah
Sharjah, United Arab Emirates
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Zulekha Hospital Sharjah located in Sharjah, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Zulekha Hospital Sharjah is present over a 290,000 square feet area.
- The hospital stands today with a bed capacity of 185.
- The hospital also has a Cardiac Catheterization Laboratory and radiology as well as laboratory services.
- There is an ICU and Neonatal ICUs.
- There are facilities for Dialysis and advanced technological applications such as Minimal Invasive surgeries.
- In Zulekha Hospital Sharjah Bariatric procedures, Joint Replacement, Specialised Cancer Care, Cardio Thoracic and Vascular Procedure, Plastic and Reconstructive Procedure are performed.
- It also specialises in Pediatric Cardiology, Pulmonology and Chest Diseases, etc.
- Teleconsultation services as well as an international patient care center with related assistance for medical travelers are functioning in Zulekha Sharjah.
Ruby Hall Clinic
Pune, India
Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Ruby Hall Clinic brought in Intensive Care and Coronary care units as early as in 1969.
- It was the pioneer in terms of having achieved the first successful Kidney Transplant and test tube baby in Pune and being the initiator for Cobalt Therapy to ensure Cancer treatment.
- Imaging advancement is being used in the hospital which is highly advanced known as Positron Emission Tomography.
- Ruby Hall Clinic is in the possession of two cardiac cath labs and Linear Accelerators.
- There are as many as 550 in-patient beds which is inclusive of 130 ICU beds.
- Air Ambulance services are provided by the hospital.
- There is a multi-organ transplant centre which began operations in the year 1997 and a Neuro Trauma stroke centre.
- There is also the presence of an independent Stroke Trauma Unit which is fully equipped and enabled with the right units and healthcare personnel.
Assuta Hospital
Tel Aviv, Israel
Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Annual numbers for Assuta Hospital group
- 92,000 surgeries
- 683,000 healthcare examinations, ambulatory treatments
- 440,000 imaging tests
- 4,000 (approx.) cardiac catheterization diagnosis, treatments
- 16,000 (approx.) IVF treatments
- 500 (approx.) kinds of surgical procedures
- Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
- Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
- Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
- 15 Operating Theatres
- 200 plus beds
- Resuscitation units
- 2 monitoring laboratories
Yashoda Hospital, Malakpet
Hyderabad, India
Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed facility
- High-tech labs, modular operation theaters
- Advanced medical equipement
- Dedicated rooms for patients with all facilities
- State-of-art technology
- 24/7 blood bank
- State of the art Cardio-Thoracic Center with the latest CATH LAB Equipment & Modular steel operation theatre
- Neurosurgery department equipped with an operating microscope, high-speed drill & stereotaxy
- 24-hour Emergency services to take care of all kinds of trauma and other orthopedic emergencies
- Pulmonology department equipped with modern gadgets.
- One of the best PFT labs and bronchoscopy units
- Nephrology services include Renal Biopsy, AV Fistulas, AV Grafts & Permanent Catheter Insertions, Hemodialysis; Temporary Access For Dialysis; Peritoneal Dialysis
- Has a comprehensive cancer care unit following a trans-disciplinary & multi-modality approach
- State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
- Airport Transfer Service
- Scheduling Of All Medical Appointment
- Processing Of Medical Second Opinion
- Provide Language Interpreter
- Special Dietary Needs / Religious Arrangement
- Coordination Of Admissions Process
- Cost Estimates For Anticipated Treatments
- Foreign Exchange service
- Billing and Finance Related Service
- Providing Information Of Patient’s Relatives Back Home
Anadolu Medical Center
Kocaeli, Turkey
Anadolu Medical Center located in Kocaeli, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- The Medical Center is present over an area of 188.000 square meters. This is inclusive of the indoor area which is 50 thousand square meters.
- Let us also have a look at some of the important infrastructure pointers of this hospital.
- Bed capacity of 201
- Outpatient Clinic at Ata?ehir
- Bone Marrow Transplantation Center that opened its doors in June 2010
- Developed and using latest technologies such as IMRT and Cyberknife
- Multidisciplinary care
- An OECI-designated clinical cancer centre
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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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