Hemicolectomy cost in South Africa

When a part of the large intestine or colon gets affected by cancer, the process of removing that part by surgery is called Hemicolectomy.  

It is mainly required to treat the cancer of vowels or the type of Crohn's disease. The surgical process includes the removal of the infected area of the bowel and replacing it with a new part which may be grafted from the skin or an artificial implant.  

It is mostly an advanced measure that is taken when the part of the colon cannot be cured by the means of any medicinal measure. It also depends on how much the damage is and the extent of infection in the colon. 

Ideal Candidate for Hemicolectomy

When a person is suffering from some acute condition of the stomach then he or she is an eligible candidate for Hemicolectomy.

Mostly in the case of bowel cancer, doctors prefer to use the surgical technique of hemicolectomy. The conditions of ulcerative colitis also make the patient an ideal candidate for the procedure of hemicolectomy. The other conditions include Crohn's disease, polyps or growths, and diverticulitis. 

The polyp growth in the stomach is the one that requires close attention as they don’t normally get cured by the traditional medicinal procedure. There are several methods that can achieve hemicolectomy and these are based on the complications of the patient.

Factors affecting the cost of Hemicolectomy 

Following are the factors which influence the cost of hemicolectomy:

  • Choice of destination
  • Type of hospital
  • Type of surgery, laparoscopic or open surgery
  • Experience and consultation fee of doctors and surgeons involved
  • The severity of the condition
  • Post-surgical complications
  • Any other lab tests or examination tests such as X-ray, ECG, etc
Treatment and Cost

21

Total Days
In Country

2 No. Travelers

5 Day in Hospital

16 Days Outside Hospital

Treatment cost starts from

USD 37500

Hospitals

About the Hemicolectomy

The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.

There are different types of colectomies such as complete colectomy,  right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.

Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:

  • Colon cancer
  • Crohn’s disease
  • Blockage of the colon
  • Precancerous polyps
  • Hereditary polyps
  • Benign tumours
  • Irritable bowel syndrome (IBS)
  • Gastrointestinal bleeding
  • Bowel twisting and obstruction
  • Ulcerative colitis
  • Appendicitis with inflammation of the cecum
  • Right-side colonic diverticular disease (diverticulosis)

A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.

Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:

  • Age
  • Diagnosis
  • Medical history
  • Personal preference

How is Hemicolectomy performed?

You will be informed by your surgeon about the type of surgical procedure that you will benefit you the most. You will be taken to the operating room, and blood pressure and breathing will be monitored.

Left Hemicolectomy Procedure

You will be positioned in lithotomy Trendelenburg (modified Lloyd-Davis) position and your both arms will be abducted on arm boards. The legs will be placed in stirrups and soft padding will be placed underneath to prevent pressure and injuries to the skin and nerves. 

After positioning, you will be given general anaesthesia so that you do not feel any pain during the procedure. Sometimes, a peripheral nerve block may also be given to control pain during and after the surgery.

  • In laparoscopic left hemicolectomy surgery, three to five tiny incisions are made in your belly, and a laparoscope is inserted from one of the incisions. Your surgeon can visualize the inside of your belly on the monitor by the camera of the laparoscope.
  • The laparoscope has a light that will aid in viewing. The other medical instruments required for the surgery will be inserted through the other incisions. Gas will be used to expand the belly and for clear viewing. A two to three inches cut will be made and the colon will be taken out for easy excision of the part and the ends of the remaining colon will be rejoined. A laparoscopic surgery is a minimally invasive procedure that ensures faster recovery as fewer traumas occur to the organs. It causes less pain as compared to open surgery.
  • In open surgery, a six to eight-inches long cut is made on your belly, and the diseased part of the colon is taken out using the surgical instruments. Lymph nodes are also removed. After removal, the healthy parts of the intestine are joined at the ends using stitches or they are stapled together. The joining of the parts of the intestine is called anastomosis. If there is no healthy part of the colon, then an opening called stoma is made in the belly with the remaining colon. This stoma will be connected to a drainage bag in which the metabolic wastes get collected. This drainage bag should be cleaned manually on a daily basis.
  • The stoma can be permanent or short-term, based on the condition of the colon. Despite the trauma, an open procedure is the safest and effective procedure. The total procedure can be completed in one to four hours.

Right Hemicolectomy Procedure

You will be positioned in the supine position initially and later you may be taken to the Trendelenburg position (lying by facing upwards on a tilted bed with pelvis higher than the head).

After positioning, you will be administered general anaesthesia and an additional epidural block for pain management. The catheter will be placed for monitoring the urine output during and after the procedure. The laparoscopic right hemicolectomy procedure or open surgery can be performed, depending on the condition of the colon.

  • In the minimally invasive laparoscopic right hemicolectomy procedure, small incisions are made in your belly and a laparoscope will be inserted through the incisions. The right side of the colon and last part of the small intestine will be removed during the procedure along with the lymph nodes. The remaining part of the small intestine and the colon are joined with sutures or staples. The excised part of the colon is removed by making an incision in the belly.
  • In the open surgery for diverticulosis and other conditions, a long cut is made on the belly and the procedure is carried out by opening the abdomen. The right side of the colon is cut and removed and the remaining parts of the intestine are joined by sutures or surgical staples. Usually, this procedure may not require a stoma outside the belly. The procedure is completed in two to three hours.

During the hemicolectomy procedure, your surgeon may take any of the following approaches:

  • Remaining parts of the colon are rejoined (anastomosis)
  • Stoma may be created on belly (colostomy)
  • Joining of the small intestine and the anus (ileoanal anastomosis)

Recovery from Hemicolectomy

  • A hospital stay of two to three days may be required for a laparoscopic surgery and a three to seven days stay is required for an open surgery.
  • You will be placed on an intravenous drip for 24 hours and nothing will be given by mouth.
  • You will be allowed to take clear liquids after 24 hours of the procedure.
  • A catheter will be placed for draining the bladder, and it will be removed after a few days.
  • The sutures and staples on the belly will be removed after 14 days of the surgery.
  • You should avoid heavy lifting and heavy physical activities for up to six weeks.
  • You should avoid spicy foods and take small and frequent meals.
  • You should walk after 24 to 48 hours of the procedure to avoid respiratory problems.
  • Depending on the progress of your recovery and the evidence of bowel excretion, you will be discharged.
  • You should visit the surgeon as per the scheduled follow-up visits so that the condition of the bowel can be assessed.

Patient Stories

Frequently Asked Questions

How much does Hemicolectomy cost in South Africa?

USD 37500 is the starting cost of Hemicolectomy Surgery in South Africa. There many COHSASA certified hospitals in South Africa that offer Hemicolectomy

What are the factors affecting the cost of Hemicolectomy in South Africa?

The Hemicolectomy package cost in South Africa varies from one hospital to another and may offer different benefits. The top hospitals for Hemicolectomy in South Africa covers all the expenses related to the pre-surgery investigations of the candidate. The Hemicolectomy cost in South Africa includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. There are many things that may increase the cost of Hemicolectomy in South Africa, including prolonged hospital stay and complications after the procedure.

Which are some of the best clinics in South Africa for Hemicolectomyt?

Hemicolectomy in South Africa is offered by multiple hospitals across the country. For quick reference, the following are some of the leading hospitals for Hemicolectomy in South Africa:

  1. Life Kingsbury Hospital
  2. Ahmed Kathrada Private Hospital
How many days does it take to recover post Hemicolectomy in South Africa?

Upon discharge from the hospital after Hemicolectomy in South Africa, the patients are advised to stay for about 21 days for recovery. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.

Which are some of the other popular destinations for Hemicolectomy?

South Africa is one of the most popular countries for Hemicolectomy in the world. The country offers the best cost of Hemicolectomy, best doctors, and advanced hospital infrastructure. Some of the other destinations that are popular for Hemicolectomy include the following:

CountryCost
CzechiaUSD 10500
GreeceUSD 37500
IndiaUSD 5000
IsraelUSD 16000
LebanonUSD 37500
MalaysiaUSD 15000
PolandUSD 9500
Saudi ArabiaUSD 37500
SingaporeUSD 37500
South AfricaUSD 37500
South KoreaUSD 37500
SwitzerlandUSD 37500
ThailandUSD 18000
TunisiaUSD 37500
TurkeyUSD 9000
United Arab EmiratesUSD 14000
United KingdomUSD 37500
How much are the other expenses in South Africa apart from the cost of Hemicolectomy?

Apart from the cost of Hemicolectomy, the patient is also required to pay additionally for daily meals and guest house accommodation. The extra charges may start from USD 50 per person.

Which are the best cities in South Africa for Hemicolectomy Procedure?

The following are some of the best cities for Hemicolectomy in South Africa:

  1. Durban
  2. Cape Town
  3. Lenasia
  4. Johannesburg
How many days does one have to spend in the hospital for Hemicolectomy in South Africa?

The patient has to spend about 5 days in the hospital after Hemicolectomy for proper recovery and to get clearance for discharge. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.

What is the average rating of Hospitals in South Africa offering Hemicolectomy?

The average rating for Hemicolectomy hospitals in South Africa is 2.9. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer Hemicolectomy in South Africa?

There are more than 2 hospitals that offer Hemicolectomy in South Africa. The above mentioned clinics have the required infrastructure and a dedicated unit where patients can be treated. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.

Who are the best doctors for Hemicolectomy in South Africa?

Some of the renowned medical specialists for Hemicolectomy in South Africa are:

  1. Dr. Nirasha Chiranjan
  2. Dr. Ronelle De Villiers
  3. Dr. Koos Bouwer
  4. Dr. Bernard Donde
  5. Dr. Omondi Ogude
  6. Dr. Sudeshen Naidoo

FAQ's Related to South Africa

Which are the popular multispecialty hospital groups in South Africa?

Some of the world-class multispecialty hospitals in South Africa are:

  1. Ahmed Al-Kadi Private Hospital
  2. Busamed Hillcrest Private Hospital
  3. Busamed Gateway Private Hospital
  4. Busamed Modderfontein Private Hospital
  5. Busamed Lowveld Hospital
  6. Lenmed Ethekwini Hospital and Heart Centre
  7. Busamed Paardevlei Private Hospital
  8. Life Bay View Private Hospital
  9. Lenmed Shifa Hospital

Below are some of the parameters which reflect the quality of these hospitals:

  1. Providing clear information about medicines to patients
  2. Effective engagement between nursing staff/doctors and patients;
  3. Suitability of the hospital environment for meeting the needs of patients
  4. Effectively managing pain.

The hospitals are bound to provide quality treatment as the government of South Africa has framed strict healthcare rules to ensure there is no quality lapse. The patient-centric hospitals are equipped with superior infrastructure, high-tech medical equipment, and highly trained and qualified doctors, providing a unique patient experience.

What healthcare accreditation standards are followed in South Africa?

Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA) are two healthcare accreditation bodies in South Africa. To ensure that integrated and coordinated care is provided, COHSASA develops as well as measures standards in all areas and departments of a healthcare facility. SafeCare program has been introduced by COHSASA, JCI, and SafeCare Foundation to use internationally recognized standards to improve health care delivery. Hospitals and clinics that initially and meet standards are awarded two-year accreditations and as the journey in excellence continues, awards of longer duration are given.

Why should I opt for healthcare in South Africa?

A large number of medical tourists visit South Africa every year due to low-cost treatment and modern infrastructure. Some other factors which contribute to the growth of medical tourism in South Africa are use of cutting-edge technology, new facilities provided by hospitals, doctors trained overseas, and a large number of accredited hospitals. Liberal laws for the use of stem cells in South Africa have helped it attract a large number of medical tourists for advanced medical treatment. The hospitals in South Africa aim to destress your medical holiday by dealing with all of the organization and administrative tasks, as well as provide intensive care and assistance on a 24/7 basis.

How is the quality of doctors in South Africa?

With quality at their core, the well-trained and highly qualified doctors in South Africa provide world-class treatment. Majority of doctors in South Africa have received rigorous training in countries like Cuba and Australia which makes them competent in dealing with even the most complicated cases with great ease. The doctors have reported a high success rate in dental procedures and fertility treatments. South Africa has world-class doctors due to several reasons like their education at reputed colleges, adherence to global standards, patient-centric approach, and incorporation of the human touch in treatment.

How to obtain a medical visa in South Africa?

You can avail a medical visa to South Africa and stay in the country for 90 days to seek treatment. Further extension of the duration of the stay is decided by the High Commission of the country where the patient belongs from. People must apply for a temporary residency permit if they require medical treatment for longer than three months. An application for a visa is not accepted more than 30 days prior to departure and the validity of a visa begins from the date of issue by the Consulate of India in South Africa and not from the date of travel. Below documents are required for applying for a medical visa:

  1. Passport
  2. Passport-sized photographs
  3. Online Application form
  4. Full return flight reservation
  5. Proof of stay in South Africa
  6. Signed official medical letter from medical institution
  7. Signed medical letter from a recognized local practitioner
What are the popular procedures available in South Africa?

South Africa is known to offer some procedures with high success rates, such as total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. Cosmetic surgery and infertility treatment are some of the other popular procedures in South Africa which have a high success rate. Egg donation program is available at the majority of fertility clinics and you can opt for a surgical or non-surgical procedure, with quite low waiting times. The reasons for the popularity of these procedures are affordable treatment cost, speedy recovery, use of advanced technology, and highly trained doctors.

Which are the most popular cities in South Africa for medical treatment?

Some popular cities of South Africa that attract a huge number of medical tourists every year are Cape Town, Johannesburg, Pretoria, and Durban. Cape Town is a world-class tourism attraction and is home to a variety of people from different cultures, as well as some of the top-class doctors and state-of-the-art medical facilities in the world Most of these cities have an efficient public transportation system, cheap accommodation options, and connectivity through airlines. Johannesburg’s healthcare system is on par with Great Britain and the city’s public and private healthcare industry works closely with South Africa's medical schools to create internationally recognized medical specialists.

Is it mandatory to take vaccinations before going to South Africa?

Yes, you need to get vaccinated before travelling to South Africa. WHO and the National Travel Health Network and Centre have suggested the following vaccinations: Yellow fever, hepatitis A, rabies and tetanus, hepatitis B, typhoid, cholera. Make sure that infants of age 6 to 11 months get measles-mumps-rubella (MMR) vaccine before they travel to South Africa. People staying with friends or relatives or visiting smaller cities or rural areas should get typhoid vaccine. Vaccination guidelines change with time, so keep yourself updated with the travel advisory released by the government. You can also check with doctors or hospitals in South Africa for the required vaccines.

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