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The average cost of Abdominoperineal Resection in Johannesburg approximately starts from USD 5000 - USD 15000

Cost of Abdominoperineal Resection in Major Cities of South Africa

City	Minimum Cost (USD)	Minimum Cost (ZAR)	Maximum Cost (USD)	Maximum Cost (ZAR)
Cape Town	USD 5000	89850	USD 15000	269550
Johannesburg	USD 5000	89850	USD 15000	269550

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Abdominoperineal resection (APR) is a type of 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 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.

APR is done to correct rectal cancer, particularly tumors that are very low in the rectum and near the anus. It's also used for anal cancer or severe inflammatory bowel disease. The intention is to excise the diseased rectum and anus to avoid the spread of cancer or disease.

If rectal bleeding persists, bowel habit changes for more than a few weeks, unexplained abdominal pain arises, there is unintended weight loss, or any signs and symptoms of bowel obstruction are noted by the doctor.

Preparation involves imaging (MRI, CT, or PET scans) to stage the disease, and bowel prep before surgery. You’ll meet with a stoma care nurse to learn about colostomy care. Medications like blood thinners may be stopped, and pre-op clearance is obtained.

It is a major surgical procedure done under general anesthetic conditions, where the anus, the rectum, and the sigmoid colon are removed through the abdominal and perineal incisions, and the surgeon forms a permanent colostomy, bringing the end of the colon through abdominal wall. Depending on the case, it applies to open surgery or minimally invasive methods such as laparoscopy or robotic surgery.

The surgery usually takes 3 to 5 hours; the complexity and requirements of other procedures may affect this time.

Bleeding
Delayed wound healing
Urinary or sexual dysfunction
Hernia

APR is efficacious in excising the cancer or diseased tissue and is curative for early cancers. It eliminates bleeding, obstruction, and pain symptoms, and increases survival if cancer is eliminated.

Generally, recovery follows hospital admission early for 5-10 days. They are observed for complications while provision is made for pain management to advance normal food intake. Early activities are encouraged to prevent clot formation. Post-discharge, colostomy care is essential, and patients get education from ostomy nurses. Complete recovery may take 6-8 weeks or longer. Follow-ups with oncology review, scans, and possibly chemotherapy or radiation will continue.

The prognosis of a patient undergoing APR is closely tied to the stage of cancer at the time of surgery. The procedure is carried out in fairly localised disease states, and clear margins warrant a high survival rate and effective cancer control.

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Explore Hospitals ( 1 )

Lenmed Ahmed Kathrada Private Hospital

Johannesburg, South Africa

Apart from in-detail treatment procedures available, Lenmed Ahmed Kathrada Private Hospital located in Johannesburg, South Africa has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

254 bed capacity
24 Hour Emergency section
Cardiac Catheterisation Laboratory
Clinical Trial Centre
Sports Medicine Centre
Centre of Excellence for Strokes
24 hour trauma and emergency
Many medical specialties
Option of Minimally invasive laparoscopic surgery in Gynaecology, Urology and General Surgery
Patient shuttle facility
International patient coordinators

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Process Involved for Abdominoperineal Resection in Johannesburg

Consultation: Evaluation of diagnosis and APR appropriateness.
Preoperative Evaluation: A thorough assessment that includes imaging tests (CT, MRI, colonoscopy), as well as a physical examination.
Talking about Treatment: Provide a thorough description of the surgical process, including possible risks (bleeding, infection, problems with wound healing).
Planning a surgery: Go over the surgical procedure: rectum and anus removal, colostomy formation.
Following surgery Follow-up: Consistent follow-up to monitor healing and handle issues.

Rectal cancer
Anal cancer
Crohn’s disease

Patients with advanced anal or rectal cancer that is close to the anus are advised to do this.
Also taken into consideration are various rectum or anus-related disorders that are not susceptible to less invasive treatment.
Usually done when other therapies are failing or when the malignancy is too near the anus to heal it.

cancer or disease removal, raising the chances of survival.
Colostomy formation for evacuation of post-surgical waste.
Relief from bleeding, incontinence, and discomfort.
Improved quality of life after the illness was eradicated and its symptoms were controlled.

Surgical Oncologist
Medical Oncologist

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Frequently Asked Questions

Abdominoperineal Resection cost in Johannesburg starts from about $37500. While there are wide range of hospitals offering Abdominoperineal Resectionation, international patients should always seek JCI-Certified Hospitals in Johannesburg for the best results.

Abdominoperineal Resection package cost in Johannesburg has different inclusions and exclusions. Some of the best hospitals for Abdominoperineal Resection offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Abdominoperineal Resection in Johannesburg.

There are many hospitals that perform Abdominoperineal Resection in Johannesburg. The following are some of the most renowned hospitals for Abdominoperineal Resection in Johannesburg:

Lenmed Ahmed Kathrada Private Hospital

While the speed of recovery may vary from patient to patient, they are still required to stay for about 16 days after discharge. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.

Johannesburg is considered to be one of the best places for Abdominoperineal Resection in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. there are a select few destinations that provide comparable quality of healthcare for the procedure. Some of such cities are:

Cape Town

Apart from the cost of Abdominoperineal Resection, the patient is also required to pay additionally for daily meals and guest house accommodation. These include the cost of accommodation and meals outside hospital. The per day cost in this case may range from 35 USD.

After the Abdominoperineal Resection surgery takes place, the average duration of stay at the hospital is about 5 Days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

Out of all the hospitals in Johannesburg, there are about 1 Hospitals best hospitals for Abdominoperineal Resection in Johannesburg. These hospitals have the required expertise as well as infrastructure available to handly patients who need Abdominoperineal Resection. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Abdominoperineal Resection patients.

Some of the most sought after doctors for Abdominoperineal Resection in Johannesburg are:

Dr. Nirasha Chiranjan

Author

Dr. Vijita Jayan

BPT, MPT (Neuro)

18 Years of Experience

With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.. View More

Reviewer

Dr Prateek Varshney

Surgical Oncologist

15 Years of Experience

Dr. Prateek Varshney is a renowned Surgical Oncologist. He has experience of more than 15+ years in surgical Oncology. He is currently practicing as a consultant at Metro Mass Hospital and Cancer Institute. He was also previously associated as a consultant with Sir Ganga Ram Hospital and as a professor at Gujarat Cancer Research Institute. View More

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Abdominoperineal Resection Cost in Johannesburg