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.
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.
Different hospitals have different pricing policy when it comes to the cost of Abdominoperineal Resection in Malaysia. The Abdominoperineal Resection package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The Abdominoperineal Resection procedure in Malaysia includes the fees of the surgeon, hospitalization and anesthesia as well. Post-surgical complications, new findings and delayed recovery may have an impact on the total Abdominoperineal Resection cost in Malaysia.
There are many hospitals across the country that offer Abdominoperineal Resection to international patients. Some of the best hospitals for Abdominoperineal Resection in Malaysia include the following:
While the speed of recovery may vary from patient to patient, they are still required to stay for about 21 days after discharge. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.
Malaysia is one of the most popular countries for Abdominoperineal Resection in the world. The country offers the best cost of Abdominoperineal Resection, best doctors, and advanced hospital infrastructure. Some of the other destinations that are popular for Abdominoperineal Resection include the following:
|Saudi Arabia||USD 37500|
|South Africa||USD 37500|
|South Korea||USD 37500|
|United Arab Emirates||USD 15000|
|United Kingdom||USD 37500|
Apart from the Abdominoperineal Resection cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The extra charges may start from USD 50 per person.
Abdominoperineal Resection in Malaysia is offered in almost all metropolitan cities, including the following:
After Abdominoperineal Resection, the patient is supposed to stay for about 5 days in the hospital for recovery and monitoring. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.
There are more than 1 hospitals that offer Abdominoperineal Resection in Malaysia. These clinics have proper infrastructure for the treatment of patients who require kidney transplant. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Malaysia
Some of the leading hospital groups in Malaysia are:
These hospitals are more focused on providing quality treatment and are supported by the latest medical technologies and excellent infrastructure. The Malaysian healthcare system is advanced due to extensive support from the Malaysian government through investment in hospital’s medical infrastructure. The hospitals in Malaysia have shown tremendous improvements in the last ten years and are now on par with well-developed countries, having both well-trained staff and excellent hospital facilities.
What healthcare accreditation standards are followed in Malaysia? Presently, there are 12 JCI-accredited hospitals in Malaysia and all of them ensure that they meet global standards. MSQH, Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and Malaysian Medical Association have come together to raise the standards of healthcare in Malaysia. A set of well-defined parameters are in place to gauge the performance of hospitals in Malaysia and several rounds of evaluation are involved in the accreditation process.
Solid public-private healthcare collaboration and governmental participation have contributed to a strongly-built healthcare system in Malaysia, making it one of the most favored destinations for medical tourists. The quality of healthcare in Malaysia is at par with most developed countries due to its cutting-edge technology, advanced infrastructure, and skilled medical professionals. With world-class hospitals across Asia and beyond, Malaysia has reported high success rates in cardiology and fertility treatments. Malaysia has a rich culture and several heritage spots which make it one of the most popular medical tourism destinations in the world.
The doctors in Malaysia have deep expertise in their specialty area and most of them are trained internationally before they start work in their home country. Malaysia has a very stringent evaluation process for doctor’s certification and all medical professionals have to complete three years of service in the public sector to ensure they have achieved an extreme level of professionalism. Although the doctors in Malaysia have expertise in performing a wide range of procedures, they have delivered excellent results in IVF and cardiology. Medical tourists under Malaysian Healthcare Travellers Program (MHTP) are eligible for applying for eVISA for traveling to Malaysia and living in the country for a period of 30 days.
Malaysia offers all medical tourists the facility of applying for eVisa for traveling to the country for treatment and reside there for a period of 30 days. A person can get eVisa through online platforms and its validity expires in 3 months. To apply for an eVisa, a candidate will require:To apply for an eVisa, a candidate will require:
Two attendants can accompany the patient to Malaysia under Medical Attendant Visa.
Malaysia is known for providing some popular procedures, with high success rates, such as prostate surgery, cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy. Cancer treatment through gene therapy is becoming popular in Malaysia as this novel technique guarantees reduced treatment costs, shorter treatment time, minimal adverse effects of current chemo-drugs. With a high success rate of 55 to 60, IVF in Malaysia is much affordable and performed using the latest technology. Malaysia has highly trained orthopedic doctors who have reported high success rates in procedures like shoulder replacement, knee replacement surgery, and hip replacement.
Some of the leading medical tourism destinations in Malaysia are
With highly trained and qualified doctors and a large pool of multispecialty hospitals, Malaysia offers a great medical travel experience. Both Penang and Kuala Lumpur are the centres of attraction for medical tourists as they are serviced by airlines from around the world; have a number of reasonably-priced hotel rooms and an excellent public transportation system. These cities are most preferred by medical tourists because of many other reasons like a large number of hospitals, rich culture, scenic value, availability of translators, and safety of tourists.
A medical tourist traveling to Malaysia needs to get below vaccines:
You should take pre-exposure vaccination against rabies before traveling to Malaysia. Children are at greater risk of rabies. Make sure you get vaccinated for Japanese encephalitis before you travel to Malaysia because this is a common disease there. Anyone traveling to Malaysia from a region with a high risk of Yellow Fever, he/she needs to produce International Certificate of Vaccination.
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