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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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Medicana Sivas Hospital
Sivas, Turkey
Medicana Sivas Hospital located in Sivas, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- 24/7 Emergency Department
- 28.000 m2 Closed Area
- Capacity of 219 beds
- 7 Operating rooms
- 49 intensive care beds
- 15 newborn intensive care beds
- 5 Cardiovascular intensive care beds
- 4 coronary intensive care beds
- 28 observation beds
- It has started to serve with a capacity of 15 beds in the newborn intensive care unit with the investment of physicians and devices it has made, recently
- Hospitality services include- Standard and Suite rooms, fully-equipped with TV, Air conditioning system at room level, hairdresser, dialysis services, cafeteria, Place of worship, etc.
- Car Parking with a capacity of 75 vehicles
- The hospital cafeteria provides both cafe and food service in the hospital
Max Super Speciality Hospital, Saket
Delhi, India
Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.
Manipal Hospital, Hebbal
Bangalore, India
Manipal Hospitals, a group of Manipal Education Medical Group, is India’s leading multi-speciality network, comprising over 650 beds. Dedicated to clinical excellence, patient-centric care and ethical practices, it provides sophisticated diagnostics, surgery and home care services to both domestic and international patients, while also improving access to affordable healthcare for underprivileged communities.
Clear Medi Hospital, Karkardooma
Delhi, India
Clear Medi Hospital, Karkardooma located in New Delhi, India is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- There are 12 Linear Accelerators in all hospitals of Clear Medi Hospital, Delhi, India and more in the development stage.
- Over 25 surgical and medical specialties across all Clear Medi Hospitals
- Care Medi is one of the biggest Oncology care organisations in India.
- Hospital management solutions provided to over 15 partner healthcare organisations managing more than 300 beds.
- The organisation consists of offerings such as clinical manpower management and equipment management.
- Advanced radiology and nuclear medicine centres
- Professionally managed international patient care
- Clear Medi Hospital, Delhi has a capacity of 100 beds.
- Clear Medi is a multispecialty hospital.
- It is a NABH (National Accreditation Board for Hospitals & Healthcare providers) certified hospital.
- It has Oncology and Cardiac departments with an Intensive Care Unit.
- It also has fully equipped Operation Theatres.
- Clear Medi Hospital ensures coordination with patients and International Patient assistance
- It has an online Tumor Board with a number of Medical, Surgical and Radiation Oncologists.
Sheba Medical Center
Ramat Gan, Israel
Sheba Medical Center located in Tel-Hashomer, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Sheba Medical Center has a 1900 bed capacity.
- It also consists of as many as 120 departments and clinics.
- Sheba treats a large number of national and international patients from many Asian and European countries among others.
- International patient care services in Sheba are very strong, this also includes the travel, stay, transfer related coordination with translator services.
- The healthcare personnel working in Sheba Medical Center are fluent in English, documents are also available in this common denominator language.
- Rehabilitation services are available for long term recovery and return back to a normal life and activity. This could include conditions related to Orthopedics, Neurology, psychiatry, old age and injuries etc.
Acibadem Altunizade Hospital
Istanbul, Turkey
Acibadem Altunizade Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The indoor area of Acibadem Hastanesi - Altunizade, Istanbul, Turkey is one of the largest at 98,000 square meters.
- There are 550 beds and as many parking spots.
- 75 of the beds are in the intensive care unit.
- A hybrid operating room which has 3 diagnostic units at one location which is an amazing concept as at one time surgeries can be performed in 3 operating theatres.
- International patients are serviced well through a particular center for them where services related to therapy and diagnostics are done.
- Healthcare delivery in this part of the hospital can be availed in 16 different languages.
- Robotic Surgery and Cell Therapy Unit are representative of the high standards of technology present in the hospital.
Burjeel Hospital, Abu Dhabi
Abu Dhabi, United Arab Emirates
Burjeel Hospital, Abu Dhabi located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 209 bed capacity 14-beds in the Intensive Care Unit
- 64 Slice CT, High End MRI, Neuro-navigation Surgical Systems
- 3.0 Tesla MRI
- Neuro-physiology
- Specialized physiotherapy
- Well managed rehabilitation services
- 10 operating theatres
- Royal Suites and Presidential Suites available
- It comprises the most advanced treatment related equipment.
- It is adorned with cutting edge diagnostic equipment.
- Personal attention is given and there is an empathetic approach to healing, the hospital terms it the 'art of healing'.
- Customised services are provided to International patients.
- Centers of excellence
- Cardiology
- Pediatrics
- Ophthalmology
- Oncology
- IVF
- Gynecology & obstetrics
- Orthopedics & sports medicine
- Shoulder and upper limb unit
- Burjeel vascular centre
- Bariatric & metabolic surgery
VPS Rockland Hospital
Gurgaon, India
VPS Rockland Hospital located in Gurugram, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Well-designed compact 103-bed hospital expanding over120,000 square feet
- Well equipped modular operation theatres, intensive care unit, interventional Cath lab, and in-patient rooms ranging from economy to luxury
- Offers a bouquet of services like Internal Medicine, Obstetrics & Gynaecology, Surgery, Pediatrics
- High-end diagnostic services like 1.5 T MRI and 128 slice CT Scan
- Advanced non-invasive assessment with echo & TMT machines
- State of the art cardiac Cath-Lab
- Appointment Scheduling
- Treatment packages
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Visa assistance
- Pick and drop facility from/to the Airport
- Foreign exchange facility
- Registration with the Foreigners Regional Registration Office
- Dedicated Neuro-Intensive care unit managed by expert intensivists
- Accommodation arrangements post discharge
- Highly advanced instruments for deep brain stimulation, stereotaxy, micro-neurosurgery, pediatric neurosurgery & neurophysiology
- Most advanced dialysis machines and advanced diagnostic and therapeutic facilities
- Renal replacement therapy for hemo-dynamically unstable patient
- Technologically advanced endoscopy suite
- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant post discharge
- Tele-consults post discharge
- 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
Acibadem University Hospital Atakent
Istanbul, Turkey
Acibadem University Hospital Atakent located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Spread over an area of 60,000 square meters
- It has 300 wards with 8 operating rooms
- It has an inpatient treatment capacity of 278
- Intensive care unit bed capacity is of 29 beds
- The healthcare organisation has several kinds of infrastructure for services such as free parking, cafeteria, Wi-Fi, hairdressing salon, ATM, ergonomic hospital beds, and prayer rooms.
- The hospital has both standard single rooms and double rooms (24 in number) for the patients.
- The hospital wards are also equipped with metal handrails, emergency cords, and call buttons for patients with mobility issues.
- The latest medical technology is present here to treat patients such as MR-LINAC linear accelerator, The da Vinci robot, and TrueBeam Linear Accelerator.
- The diagnostic department of the hospital has the following equipments:
- MRI 3 Tesla
- Full-body MRI
- Spect CT
- Flash-CT
- Ductoscopy (early diagnosis of breast duct cancer)
- DSA digital angiography
- Endoultrasonography (EUS)
- Ultrasonic echography
Lenmed Ahmed Kathrada Private Hospital
Johannesburg, South Africa
Apart from in-detail treatment procedures available, Lenmed Ahmed Kathrada Private Hospital located in Johannesburg, South Africa 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:
- 254 bed capacity
- 24 Hour Emergency section
- Cardiac Catheterisation Laboratory
- Clinical Trial Centre
- Sports Medicine Centre
- Centre of Excellence for Strokes
- 24 hour trauma and emergency
- Many medical specialties
- Option of Minimally invasive laparoscopic surgery in Gynaecology, Urology and General Surgery
- Patient shuttle facility
- International patient coordinators
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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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