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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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Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
- Lounge for visitors
- Internet Access: The whole facility is Wi-Fi enabled
- Travel Desk: Provides an all-round patient care.
- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
- Gastroenterology
- Integrated Liver Care
- Womens Health
- Child & Adolescent Health
- Multi Organ Transplant
- Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
- Streamlined Application of Therapeutic Technology
- Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
- ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
- Completely digital Anesthesia facility
- Pharmacy which possesses completely Automated Drug Dispensing
Pushpawati Singhania Research Institute
Delhi, India
Pushpawati Singhania Research Institute located in New Delhi, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed hospital with state-of-art infrastructure
- Advanced medical equipment
- High-tech labs
- Modular operation theaters
- Cath labs with Clarity Platform, 128 channel CARTO 3 version 4 with ICE mapping facility, FD 10 Prucka 2D EP system
- High-end Intensive Coronary Care Unit
- Dedicated Pre-Post Cath Unit
- Multislice CT Scan, 1.5 Tesla MRI
- 24 *7*365 functional cardiac Cath lab & operation theatre
- Fifteen bedded Coronary Care Unit
- 3D, 4D Echo & Trans-oesophageal Echo, Non Invasive cardiology (Holter, TMT, Echo, 24hrs ambulatory BP Monitoring
- Radio Frequency Ablation like Complex Arrhythmia such as ischemic VT, AF with 3 D Mapping imaging
- RFA using ICE Intra-cardiac Echo
- Well-equipped inpatient and intensive care services
- Ultra-modern Blood Bank Facility
- Advanced Physiotherapy center, 24/7 Emergency &Trauma services
- Gastroenterology department equipped with Capsule endoscopy, Endoscopic retrograde cholangiopancreatography, Single balloon enteroscopy, High resolution esophageal and anorectal manometry, Endoscopic ultrasound, and hydrogen breath test
Sustained low-efficiency daily dialysis and Continuous Renal Replacement Therapy - Exhaled Nitric oxide (FeNO) and allergy testing for the management of asthma
- Conventional PAP/ Liquid PAP/ HPV-DNA test for the patients with the High risk of cervical cancer
Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
- Fully-equipped patient rooms
Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
- 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
- 3 Laboratories
- Organ Transplantation Center
- IVF Center
- Genetic Center
- Stroke Center
- Breast Health and Disease Center
- Oncology Center
- Da Vinci Robotic Surgery Center
- Bone Marrow Transplantation Center
Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
- 54 Departments
- Hotel-like patient rooms
- Intensive care units consisting of 33 beds
- Hyperbaric Oxygen Center inside the hospital
- PYXIS computerized medicine system working with fingerprint
- Social waiting areas
- Indoor and Outdoor Cafeterias & Restaurants
NMC Specialty Hospital
Abu Dhabi, United Arab Emirates
NMC Specialty Hospital located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 104 Patient Rooms/Wards
- 7 Operating Rooms
- Laboratory endowed with centrally computerized System
- 24-hour Emergency Department
- 24-hour Pharmacy
- 24-hour Ambulance Services
- Radiology Department offering state-of-the-art equipment, including MRI (1.5 Tesla), 64-slice spiral CT Scanner, 4-D Ultrasound with color Doppler, Bone Densitometry, Digital Mammogram with CAD System, and Digital X-Ray Systems with fully integrated PACS
NMC Specialty Hospital, Al Nahda
Dubai, United Arab Emirates
4.7 ( 2 Reviews )
NMC Specialty Hospital, Al Nahda located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 72 Patient Rooms
- 10 ICU Beds
- 10 NICU Beds
- 4 Operation Theatres
- Well-equipped Laboratory
- Radiology Department
- Smaller Medical Centers and Clinics in Dubai
- Advanced Technology used by the Hospital- a patient friendly closed MRI (1.5 tesla), 64 Slice - Dual Source Siemens Definition MDCT CT scanner, 4-D Ultrasound with Color Doppler, Digital Fluoroscopy, Mammogram, and Digital X - Ray systems backed by a fully integrated PACS system
- 24-hour In-house Pharmacy
- 24-hour Ambulance services
Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
- The center has as many as 6 institutions:
- Ichilov General Hospital
- Ted Arison Medical Tower
- Dana-Dwek Children's Hospital
- Sammy Ofer Heart & Brain Building
- Adams Health Science & Rehabilitation Building (in the planning stage)
- Lis Maternity and Women's Hospital
- Patient Care Numbers (annual) are as follows:
- 400,000 patients
- 36,000 surgeries
- 220,000 ER visits
- 12,000 births
- The bed capacity of the center is 1300.
- Good success rates during treatment for the majority of conditions.
Max Smart Super Speciality Hospital
Delhi, India
3.9 ( 2 Reviews )
- Max Smart Super Speciality Hospital, Saket, New Delhi, is a 250-bed tertiary care hospital known for advanced medical technology and patient-centred care.
- The hospital offers services across 22+ specialities, including Cardiac Sciences, Orthopaedics, Urology, Neurology, Neurosurgery, Paediatrics, Obstetrics, and Gynaecology.
- It is a regional hub for complex procedures such as neurovascular interventions, targeted cancer treatments, heart surgeries, kidney and liver transplants, and bariatric care.
- Equipped with a 3.0 Tesla MRI, 256 Slice CT Angio, Cath Labs, Digital Orthopaedic Suite, and advanced diagnostic tools, and supported by 275+ doctors and 606+ trained staff, Max Smart Saket provides high-quality, multidisciplinary care for domestic and international patients.
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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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