Abdominoperineal Resection in India

Abdominoperineal resection is a surgery that includes the removal of the anus, and a part of the sigmoid colon through the help of incision made in the abdomen and the perineum. The procedure is performed when the lymph nodes that contain cancer are situated very low close to the sphincter muscles, near to the anus. Rectum and lymph nodes also get removed. A colostomy is performed by forming a new opening in the abdomen for the bowel, as the end of the sigmoid colon is brought out permanently on the surface of the skin, called a Stoma. It is then attached to a plastic bag for collecting waste.

Abdominoperineal Resection in India

As the medical sector is evolving at a fast rate in India with all the latest medical advancements and technology, it is safe to say that India is now becoming one of the major medical tourists’ attractions across the globe. Among all the popular destinations for world-class medical facilities, India has the most number of clinics and skilled doctors to perform Abdominoperineal resection.

Treatment and Cost

10

Total Days
In Country

2 No. Travelers

5 Day in Hospital

5 Days Outside Hospital

Treatment cost starts from

USD 6500

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 India / Why should opt for India as a destination for your medical treatment?
India is a large country with a rapidly expanding system of healthcare. Like many other countries, there are public and private hospitals in India. This also includes healthcare at three levels.
  • The primary level of healthcare includes Sub Centres and Primary Health Centres.
  • At the secondary level are District Hospitals and smaller Sub-District hospitals. These are the first referral units, mostly from the primary healthcare centres.
  • Finally, the top level of health care provided is the tertiary level, which consists of Medical Colleges and Specialized Hospitals.
Since India boasts of housing a large number of people, the requirement for good healthcare and treatment in India is always there. And this also means prompt delivery of the service. Most of the treatment in India has to be offered at reasonable costs to enable people of all classes to access it. Hence, you can be assured that this country will be a great destination for your medical treatment whichever hospital in India you wish to choose.
What are the conditions of the hospitals in India? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
Here are some JCI certified hospitals in India:
  • Fortis Escorts Health Institutes, Delhi
  • Columbia Asia Referral Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Apollo Hospital, Chennai
  • Sri Ramachandra Medical Center, Chennai
  • Ahalia Foundation Eye Hospital, Kerala
  • Rajagiri Hospital, Kochi
  • Asian Heart Institute, Mumbai
  • Fortis Hospital, Mumbai
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • SevenHills Hospitals, Mumbai
  • Apex Heart Institute (A Unit Of TCVS Pvt)
  • Apollo Gleneagles Hospitals, Kolkata.
  • Fortis Hospitals Ltd, Mulund, Mumbai
  • Narayana Multispeciality Hospital Jaipur (A Unit of Narayana Hrudayalaya Ltd.)
Hospitals in India are ever-changing to accommodate more people with up to date technology. Hospitals in India also attract patients from other countries because of their diverse range of services. Apart from allopathy and conventional treatment procedures, the government of India, along with the hospitals in India also promote alternative medical treatment options like Ayurveda, homeopathy, and yoga. All in all, you will find great options for any kind of treatment in India.
Are the doctors/surgeons in India of the best quality?
Doctors and surgeons in India have to get through examinations and continue to uphold the standard of education that is provided to them. Since doctors get exposure to various patients during their course, they are able to diagnose and treat a wide range of diseases and illnesses. Therefore, one can rely on the doctors of India for their medical services.
What is the process for obtaining a medical visa in India?
The e-Medical Visa for India is an online travel authorization for foreign nationals who wish to seek medical treatment in the country. A medical Indian visa allows the holder to enter the country 3 times.

The e-Medical visa is a short term visa granted for medical treatment reasons. This type of visa is only granted to the patient and not to their family members.

Foreign nationals can acquire an India e-Medical visa by filling in an online application form. This simple process can be done from the comfort of the traveler’s home or office, avoiding a trip to an embassy or consulate.

Applicants must submit their basic personal information, including their full name, nationality, and date of birth. They must also provide a contact email address and phone number as well as their passport details. Finally, some security questions must be answered.

The form is quick and easy to fill out. The approved India medical visa is then delivered to the applicant’s email address within a few business days.
What support services does MediGence provide in India?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in India for medical treatment?
India is a beautiful country spread across the vast expanse of the Asian subcontinent. Most of the metro cities have hospitals, in India, with varying levels of infrastructure. Depending on your need and medical service, you can visit your choice of city.
The capital of India is Delhi and has many renowned hospitals like the All India Institute of Medical Sciences, Max Super speciality Hospital Fortis Hospitals, etc.
Other cities offering effective medical care include Bangalore, Chennai, Mumbai, and Hyderabad. These cities come under some of the major metro cities of India.

Our team of healthcare experts would be happy to assist you

Get In Touch
or call

(+1) 424 283 4838