Best Hospitals for Abdominoperineal Resection

Abdominoperineal Resection is a surgery for Rectal Cancer or Anal Cancer. When cancer is located very low in the rectum or the anus, a surgery needs to be performed to remove the anus, rectum, and sigmoid colon to cure, that process is called as Abdominoperineal Resection. 

Ones they are removed a permanent colostomy gets created to pass out the waste from the body. This is done by an incision in the abdominal section of human anatomy. The extent of removal is directly proportional to the amount of damage caused.

Ideal Candidate for Abdominoperineal Resection

The patients who are suffering from the tumor of the lower section of the digestive system may notice some symptoms which could be a signal of rectal cancer such as changes in bowel habits, changes in stool consistency, blood in the stool and abdominal discomfort. 

Diverticulitis is yet another reason which causes the doctors to decide to operate on a patient and perform abdominoperineal resection. This is an extreme measure taken by any doctor and the complications are quite a lot.

Most people do not have such a diseased condition that cannot be treated by the usual medicinal means. But in severe conditions, the surgery is required for the living of the patient.

Factors affecting the cost of Abdominoperineal Resection 

Below mentioned are the factors affecting Abdominoperineal Resection cost (APR):

  • Healthcare Complications in Patients
  • Type of Surgery required, Laparoscopic APR or Open APR Surgery
  • Choice of Hospital
  • Location of Hospital
  • Surgeons’ Fee
  • Medical Care
  • Duration of Stay

Treatment and Cost

21

Total Days
In Country
  • 5 Day in Hospital
  • 2 No. Travelers
  • 16 Days Outside Hospital

Treatment cost starts from

USD 6500

143 Hospitals


Fortis Hospital, Shalimar Bagh is a super-speciality hospital which occupies a unique place when it comes to providing world class patient care. The hospital is equipped with 262 beds and is expanded over a total area of 7.34 acres. It provides the highest quality of medical care via its team of doctors, technicians, nurses, and management professionals.

Infrastructure & facilities:

  • PET-CT
  • Radiation Oncology: VERSA HD - Elektra (Linac) for Intensity Modulated Radiation Therapy (IMRT), Volumetric Modulated Arc Therapy, Image
  • Guided Radiation Therapy, Stereotactic Radiotherapy, Brachytherapy
  • EUS, 3D Laparoscopic system, Capsule Endoscopy
  • Fibro Scan, Stereotactic Frame for Neurosurgery, ERCP
  • Cardiac Catheterization Lab with Hybrid Operating Room
  • Flat Panel Cath Lab
  • Endo Bronchial Ultrasound
  • 100-Watt Holmium Laser, lithotripsy
  • Flexible Ureteroscope
  • NABH Accredited Hospital
  • NABL Accredited Lab
  • High-tech labs
  • Advanced intensive care units
  • Modular operation theaters
  • Luxury rooms for patients
  • Consultation available on Call / Email / Skype
  • Visa and Travel assistance
  • Local transport available as per the requirements of patients
  • Provision of ambulance/car pickup at airports
  • Rehabilitation facilities wherein experts train you for the therapies and exercises
  • Patient dropped to airports in car / ambulance
  • Fully Air-conditioned Deluxe-Suite rooms
  • Hassle-free discharge as per your flight timings
  • One of Asia’s largest Bone Marrow Transplant Centre
  • Advanced Robotic Surgery Systems
  • Liver Transplant | Kidney Transplant | Heart Transplant
  • Cancer Centre | Centre for Chest and Respiratory Diseases
  • Centre for Child Health | Centre for Critical Care
  • Centre for Bone Marrow Transplant

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DOCTORS IN 14 SPECIALITIES

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Dharamshila Narayana Superspeciality Hospital is the most preferred destination for abdominoperineal resection in India. The hospital uses various endoscopic and laparoscopic procedures for the treatment of several conditions of abdomen. Abdominoperineal resection is performed for anal cancer which involves removal of the rectum, anus, and parts of the sigmoid colon via an incision made in the abdomen.

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DOCTORS IN 11 SPECIALITIES

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Star Hospitals located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Star Hospitals, Hyderabad, India is 130.
  • The hospital has Intensive Care Units which are upgraded with the latest technologies.
  • International patient care services are applied to make the process of medical travel easier for international patients.
  • Centres of Excellence across disciplines such as Cardiac Sciences, Renal Sciences, Critical Care, ENT, Spine Surgery etc.
  • A radiology centre which has been digitised.
  • There are Centers of Excellence for prominent specialties such as cardiac care and neurosciences, there are a total of six.

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DOCTORS IN 12 SPECIALITIES

6+

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Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.  

Let’s see some of the features of the infrastructure:

  • Spread over 15 acres, the hospital has 710 beds.
  • 6 beds dedicated to bone marrow transplant units with very strict infection control practices.
  • 64-Slice Scan coupled with data acquisition which provides highest temporal resolution
  • One of the hospitals to be using Da Vinci Robotics Surgery System
  • In South Asia, the Spect-CT and Pet-CT got their first installation at Indraprastha Apollo Hospital in India
  • Technologies such as PET- MR, BrainLab Navigation System, PET-CT, Portable CT Scanner, Tilting MRI, NovalisTx, Cobalt based HDR Brachytherapy, Hyperbaric Chamber, DSA Lab, Fibroscan, 3 Tesla MRI, Endosonography, 128 Slice CT scanner are all installed at the hospital.
  • The Cancer Institute at Indraprastha Apollo is equipped with a highly advanced Radiation Oncology Center with ClinaciX, NovalisTx, and HDR-Brachytherapy.
  • It is equipped with the largest Sleep Lab in Asia, & has one of the largest Dialysis Units in India.
  • A large number of ICU beds than any other Private Hospitals in India.
  • WIFI is accessible across the whole campus.

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DOCTORS IN 14 SPECIALITIES

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BLK-Max Super Speciality Hospital located in New Delhi, India is accredited by NABL. Also listed below are some of the most prominent infrastructural details:

  • 6,50,000 square feet area
  • Tertiary care multidisciplinary hospital
  • 125 critical care beds
  • 650 bed capacity
  • 17 operation theatres
  • 300 renowned consultants
  • 1500 healthcare providers
  • 150 super specialists
  • Outpatient services done in 80 consultation rooms
  • Ambulatory and Interventional services are present near to each other
  • Specialised birthing suites
  • Among one of the biggest Bone Marrow Transplant Centre in Asia
  • Application of cutting edge equipment such as,
    • TomoTherapy System
    • Robotic Surgery System
    • Computer Navigation System
    • Endoscopy Suites
    • MRI
    • CT Scan
    • Bronchoscopy Suite
    • Nuclear Medicine
  • Centres and facilities for various kinds of procedures such as,
    • Liver Transplant
    • Kidney Transplant
    • Heart Transplant
    • Centre for Bone Marrow Transplant
    • Cancer Centre
    • Centre for Chest & Respiratory Diseases
    • Centre for Child Health
    • Centre for Critical Care
    • Institute for Digestive & Liver Diseases
    • Heart Centre
    • Centre for Neurosciences
    • Institute for Bone, Joint Replacement, Orthopaedics, Spine and Sports Medicine
    • Centre for Plastic & Cosmetic Surgery
    • Centre for Renal Sciences & Kidney Transplant
    • Radiology & Imaging Institute

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DOCTORS IN 14 SPECIALITIES

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Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more

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SPECIALITIES

6+

FACILITIES & AMENITIES


Fortis Hospital located in Noida, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital has a capacity of as many as 200 beds.
  • There are also 7 operation rooms.
  • Emergency trauma unit of the hospital is an epitome of excellence.
  • The laboratories are made to make diagnosis and analysis a strong part of the treatment process.
  • Numerous organ transplants have been performed and continued to be performed in this healthcare organization.
  • The dialysis unit of the Fortis Hospital Noida is definitely worth a mention, as is its position as a referral hospital for renal ailment treatments.
  • The critical care procedures of the hospital are a major attraction.
  • The hospital has a smoothly functioning 24/7 Emergency centre and its Cardiac Centre for Excellence is well renowned.

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31

DOCTORS IN 12 SPECIALITIES

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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

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DOCTORS IN 14 SPECIALITIES

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Fortis La Femme is a unique facility, which is inspired by the belief that a woman is a special person with all special needs. Their patient-sensitive services are offered in a world-class facility with an elegant ambience with value-added conveniences. The hospital has modern infrastructure which contributes to the delivery of effective treatment with ease and accuracy. It also has also modern facilities for international patients which makes it an excellent health care center in India.

  • Level III Neonatal Intensive Care Unit
  • Has 38 beds with the latest medical amenities
  • State of the art labor suite
  • Human Milk Bank
  • Mamma Mia Services
  • 4 Modular state of the art OTs
  • USG with 3D probes
  • Image Intensifier based fluoroscopy system
  • Intensity Modulated Radiation Therapy
  • 3 DRT for targeting tumors more precisely
  • In-house blood bank facilities
  • Advanced laboratories dedicated for various tests and investigations
  • High-tech operating theatres with modern facilities
  • State-of-the-Art ICUS
  • Radiology and Diagnostic Facilities including 64 Slice CT scanners, high-end Ultrasound facilities, 3Tesla MRI machines
  • Transplant Co-ordinators and Counsellors to take care of all your needs
  • Special rooms and wards for transplant patients
  • Translators of major languages both international and national
  • Trained nursing staff for your preoperative as well as post-operative care
  • Streamlined helplines and unit managers to track treatment needs
  • Use of Renaissance Robotic Technology
  • Internet Access (Wi-Fi)
  • Lab Services
  • Dialysis Services
  • Cafeteria
  • Rooms (Deluxe, Suit, Single, 3-Bedded, Double, 4-Bedded)
  • Home care services
  • ATM
  • Parking
  • Laundry Services
  • Money Transfer & Currency Exchange

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DOCTORS IN 7 SPECIALITIES

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Medicana Konya Hospital located in Konya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Providing services in a closed area of 30.000 m2
  • It has a total of 80 physicians (including 32 specialist physicians), 37 academicians, 8 practitioners, 1 psychologist and 2 Dieticians
  • General and Neonatal Intensive Care Units
  • Total bed capacity for 223 beds with 49 in general intensive care, 7 in cardiovascular surgery intensive care, 9 beds in coronary intensive care unit, 41 in NICU and 117 service beds
  • Operating rooms are equipped with the latest medical technologies & state-of-the-art equipment like IT, MRI (1.5 Tesla), Mammography, Ultrasonography, etc.
  • Laboratories and Imaging Units
  • UHA Unit for International Patients
  • Pharmacies on Duty
  • Hospital rooms are categorized as Standard rooms and Suite rooms
  • Rooms are fully equipped with basic needs of a patient and their relatives, like TV, Mini Fridge, Nurse call system, telephone, central air conditioning ventilation system, etc.
  • 24-hour cafeteria
  • Parking lot
  • Mens & Womens Place of worship

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DOCTORS IN 9 SPECIALITIES

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International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 3 Basements and 5 Floors Building
  • International Healthcare Center
  • Korean Traditional Medicine Hospital
  • Hybrid Operation Theatres
  • Conference Rooms
  • Seminar Rooms
  • Auditorium
  • Intensive Care Units
  • Hospice ward
  • Chapel
  • Emergency Medical Center
  • Pathology
  • Outpatient Pharmacy
  • 15 Professional Treatment Centers
  • 35 Clinical Departments
  • Transplant Centers
  • Admission & Discharge Center
  • Counseling office
  • Convenience Store
  • Animal Laboratories
  • Parking in basement
  • Food court for patients & visitors
  • Coffee Shop
  • Free Wi-fi is available throughout the Hospital premises

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DOCTORS IN 9 SPECIALITIES

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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

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DOCTORS IN 10 SPECIALITIES

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Manipal Hospital, Hebbal located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • A 90 bed capacity multi specialty hospital.
  • The infrastructure of this hospital matches international standards in areas of expertise as medical, nursing and surgical protocols.
  • International patient care services are a big draw of this hospital.
  • There are several other specialised services that are given by the Columbia Asia Hebbal, Bangalore, India.
  • Pharmacy
  • Intensive Care Unit
  • Radiology
  • Labor and delivery suite
  • Ambulance
  • Emergency room
  • Laboratory
  • Operation theater
  • Various special clinics
  • Preventive Healthcare screenings and check ups
  • Laboratory services
  • Diagnostic imaging services:
  • Digitized radiography
  • Ultrasound & color doppler
  • Echocardiography
  • Digitized mammography
  • CT Scan
  • Conventional radiology
  • Picture archival communication system
  • MRI
  • Teleradiology
  • Operating theatres for major & minor surgery and Central sterile services department
  • Ambulatory and Daycare services
  • Labor and delivery suite
  • Neonatal intensive care
  • Nursery
  • Pediatrics
  • Intensive care
  • Isolation care
  • Multidisciplinary specialist outpatient clinics

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DOCTORS IN 13 SPECIALITIES

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Liv Hospital Ulus located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The Istanbul center consists of 154 beds, 8 operating rooms, and 50 clinics
  • Boasts of most experienced and talented Robotic surgeons in the world and is the only hospital in Turkey to receive the Robotic Surgery Center of Excellence certification
  • Highest form and techniques in Radiation Oncology among Hospitals in Turkey
  • Highly advanced Cancer treatment techniques like Immunotherapy, Nuclear Medicine, Robotic Surgery, etc
  • Specialized treatments like Box Technique, Zygomatic Implants
  • IVF Center
  • Hair Transplant Clinic
  • Check Up Center
  • Stem Cell Center
  • Emergency Department
  • Diabetes Polyclinic
  • Pediatric Ear, Nose & Throat Clinic

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DOCTORS IN 12 SPECIALITIES

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FACILITIES & AMENITIES


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


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DOCTORS IN 12 SPECIALITIES

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About the Abdominoperineal Resection

Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.

Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function.  AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.

Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.

How is Abdominoperineal Resection performed?

  • APR surgery starts with the administration of general anaesthesia. This ensures that patient remains asleep during the perineal resection.
  • Then the surgeon makes a small cut near the belly button and inserts a laparoscope. A laparoscope has a tiny camera on one end. It is inserted through the cut so so that the inside can be seen.
  • Once the laparoscopic camera is in the abdomen, the surgeon makes two to five more small cuts in the abdomen.
  • Surgical instruments are inserted through ports placed on these cuts.
  • The surgeon completes several steps before removing the rectum, anus, and sigmoid colon.
  • The surgeon releases the sigmoid colon and rectum from their attachment to the surrounding structures after dividing the main blood vessels that serve the tumour sections of the bowel.
  • The sigmoid colon is separated from the remaining large intestine after the separation.
  • After the sigmoid colon and rectum are removed, the surgeon operates perineal region to cut away the anus.
  • Finally, the anus, rectum, and sigmoid colon are completely removed from the body.
  • After perineal resection, the surgeon creates the stoma. It is known as a colostomy. The stoma is made from one of the surgical cuts usually placed on the left side of the abdomen.
  • To create a stoma, the surgeon removes a small disk of skin from the area around the cut.
  • The open end of the colon is pulled through the cut on the surface of the skin.
  • The surgeon then stitches the stoma in the place and the abdominal cavity is rinsed out.
  • A small drainage tube is inserted into one of the lower surgical cuts. This drainage tube will promote healing of the tissue inside the abdomen.
  • Finally, the surgeon carefully inspects inside the abdominal cavity and the stitches are used to close the cuts.

Recovery from Abdominoperineal Resection

Recovery of the patient depends on individual circumstances and general health of the patient. A patient may be required to stay in the hospital for three to seven days. However, some patients may need more time to recover.

You can walk and stand on the first day after AP resection and resume most of the usual activities shortly after the surgery. In fact, increased activity reduces the risk of blood clots and also improves breathing. A physical therapist will often visit you during your hospital stay and will help regain your strength after the surgery. After getting discharged from the hospital, avoid lifting more than 5 to 10 pounds for 4 weeks, as this allows the incisions to heal. It also decreases the risk of developing a hernia.

Patient Stories

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