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Cost of Subtotal Proctocolectomy in Major cities of India
| City | Minimum Cost (USD) | Minimum Cost (INR) | Maximum Cost (USD) | Maximum Cost (INR) |
|---|---|---|---|---|
| Ahmedabad | USD 3600 | 335592 | USD 8550 | 797031 |
| Bangalore | USD 4000 | 372880 | USD 9500 | 885590 |
| Chennai | USD 4000 | 372880 | USD 9500 | 885590 |
| Delhi | USD 4000 | 372880 | USD 9500 | 885590 |
| Faridabad | USD 4000 | 372880 | USD 9500 | 885590 |
| Ghaziabad | USD 4000 | 372880 | USD 9500 | 885590 |
| Gurgaon | USD 4000 | 372880 | USD 9500 | 885590 |
| Gurugram | USD 4000 | 372880 | USD 9500 | 885590 |
| Hyderabad | USD 4000 | 372880 | USD 9500 | 885590 |
| Kochi | USD 4000 | 372880 | USD 9500 | 885590 |
| Kolkata | USD 4000 | 372880 | USD 9500 | 885590 |
| Mohali | USD 3600 | 335592 | USD 8550 | 797031 |
| Mumbai | USD 4000 | 372880 | USD 9500 | 885590 |
| Noida | USD 4000 | 372880 | USD 9500 | 885590 |
| Pune | USD 3600 | 335592 | USD 8550 | 797031 |
| Rajkot | USD 3600 | 335592 | USD 8550 | 797031 |
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A subtotal proctocolectomy is done to completely remove the Colon and Rectum that has been severely damaged by Inflammation, Cancer, Polyps and/or is at significant risk of being life-threatening.
- Persistent abdominal pain
- Chronic diarrhea or bloody stools
- Unexplained weight loss
- Bowel obstruction symptoms
- Failure of medical treatment
A subtotal proctocolectomy will be performed under General Anaesthesia, typically using minimally invasive techniques. The surgeon will cut out the Colon and Rectum, and will most likely create either a stoma or an internal pouch to allow for continued elimination of waste products.
A patient preparing for a subtotal proctocolectomy will be required to complete several tests to ensure medical fitness for surgery, including bowel preparation, laboratory tests, MRI, and Colonoscopy. A patient should stop eating and drinking, as well as taking certain prescription medications, as directed by the surgeon.
- Infection or bleeding
- Anastomotic leakage
- Bowel obstruction
- Blood clots
- Stoma-related complications
- It includes removing diseased colon and rectum, provides long-term relief from severe bowel symptoms, prevents progression of colorectal cancer and precancerous conditions, reduces the risk of life-threatening bowel complications, improves overall quality of life, restores bowel function through reconstruction or stoma, and eliminates chronic inflammation and bleeding.
The average duration of a subtotal proctocolectomy is 3-6 hours, depending on the surgeon's approach and any complications that may arise during surgery.
The overall success rate for patients who have undergone subtotal colectomy and Ileorectal Anastomosis (STC-IRA) is estimated at 80-95%. Overall, success is defined as the patient's satisfaction with the functional outcome of the procedure, specifically the avoidance of a permanent stoma and/or the achievement of bowel function that meets the patient's acceptable standards.
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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.
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+99Process Involved for Subtotal Proctocolectomy in Pune
- Preoperative Assessment: The patient receives the following before surgery: imaging studies, blood testing, and anesthetic evaluations, as well as bowel preparation and nutrition optimisation.
- During the Surgical Procedures: Surgery is performed in an operating room under general anesthesia; however, most surgeries can also be completed with minimally invasive techniques such as laparoscopic surgery or robotic-assisted surgery. Surgeons will remove the majority of the patients' colon and rectum, and depending on the patient's needs, either create a stoma or an internal pouch.
- Postoperative Management: Patients will be closely monitored for complications in the hospital until they are able to resume solid foods, at which point they will transition to liquid and soft foods.
- Ulcerative colitis
- Crohn’s disease of the colon
- Colorectal cancer
- Familial adenomatous polyposis (FAP)
- Severe colonic bleeding or perforation
- Open Subtotal Proctocolectomy
- Laparoscopic Subtotal Proctocolectomy
- Robotic Subtotal Proctocolectomy
- Staged Proctocolectomy
- Severe ulcerative colitis not responding to medical treatment
- Crohn’s disease affecting the colon
- Colorectal cancer involving large sections of the colon
- Familial adenomatous polyposis (FAP)
- Severe bowel bleeding or perforation
- Medically fit for major abdominal surgery
- Suitable after detailed clinical evaluation
- Colonoscopy and biopsy
- CT scan or MRI of the abdomen
- Ileostomy or colostomy
- Ileal pouch-anal anastomosis (IPAA)
- Removes diseased colon and rectum
- Provides long-term relief from severe bowel symptoms
- Prevents progression of colorectal cancer and precancerous conditions
- Reduces risk of life-threatening bowel complications
- Improves overall quality of life
- Restores bowel function through reconstruction or stoma
- Eliminates chronic inflammation and bleeding
- Reduces dependence on long-term medications
- Subtotal proctocolectomy removes diseased bowel, relieves severe symptoms, and prevents disease progression.
- Most patients experience improved quality of life with proper rehabilitation and follow-up care.
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