Abdominoperineal Resection in Czechia

Treatment and Cost

10

Total Days
In Country

2 No. Travelers

5 Day in Hospital

5 Days Outside Hospital

Treatment cost starts from

USD 13500

Hospitals

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

Frequently Asked Questions

What is the health care infrastructure of Czechia / Why should opt for Czechia as a destination for your medical treatment?
Czechia is recognized for its strict rules and regulations which has kept the country in strict discipline. As an upside, the country has well-maintained regulations for every process and impressive medical healthcare facilities which has garnered thousands of visitors from across the world. The reasons for opting hospitals in Czechia is the astounding treatment options available at a very cost effective price range, which is undoubtedly affordable than most of the developed countries across the world. Besides the well-planned infrastructure, the treatment options and alternatives offered are tempting enough. Apart from that, the country also flaunts high success rates and has thus been able to cure some of the most complex diseases in the world.
What are the conditions of the hospitals in Czechia? Are they JCI certified. What is the quality of the support staff in the hospitals?
Contrary to a few decades back, the hospitals in Czechia have upgraded manifolds. The conditions of the multispecialty clinics have been modified to include the modern amenities and devices at large. This makes it ideally competent to the healthcare infrastructure in other developed countries making it capable of providing uncompromised treatment options to the medical tourists. A few of the hospitals and multispecialty clinics have earned due JCI certification and are thus, counted among the most trusted hospitals in the country. One of the most important aspects of availing healthcare benefits from any hospital is the quality of the support staff. Besides owning proficient doctors and surgeons, the efficiency of the support staff plays a major role on the health of the candidate. Keeping in mind the necessity, the staffs are well-trained to deal with every kind of situation thereby ensuring complete safety to the patients.
Are the doctors/surgeons in Czechia of the best quality?
One of the many reasons for the success of medical and health department of Czechia, is the supreme quality of the medical professionals. The doctors and surgeons providing treatments in Czechia are globally recognized for their service towards the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional career.
What is the process for obtaining medical visa in Czechia?
The Korean embassy follows a strict protocol for obtaining visa for travelling to the country. The necessary documents (photocopies and original) have been listed on their official website and should be strictly adhered to. However, one must definitely keep the documents at hand while applying for the same:
  • Two recent passport size photographs of the candidate not older than six months
  • Visa application fee which needs to be paid
  • Photocopy of the visa application fee paid
  • Confirmation of the duly filled visa application form
  • Civil status of the candidate
  • Copy of the entire travel itinerary
  • Proof of round ticket of flight as well as the accommodation reserved for staying
  • Other documents like birth certificate, residential proof, etc., which may also be required.
What support services does MediGence provide in Czechia?
Keeping in mind every travelling protocol listed by the government, MediGence ensures a hassle-free medical travelling experience in Czechia. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Medical travel and insurance query related support
  • Medical travel guidance
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Visa Assistance
  • Accommodations Assistance
  • Free Airport to Hospital Transfer
  • Rehabilitation and recovery services
Which are the best cities in Czechia for medical treatment?
There are several cities which provide impressive medical benefits and are open for both national and international tourists. However, the best cities in Czechia for medical treatment are:
  • Seoul
  • Busan
  • Daegu
  • Incheon

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