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International Patient CareBest Hospital for Abdominoperineal Resection with Sacrectomy for Malignant Disease with Expert Oncologist Care
Abdominoperineal resection with sacrectomy for malignant disease at Medicover Hospitals is performed using an open surgical approach. Our team of oncologists, with qualifications like MS, MCh, and DM, ensures precise surgical care. This approach often results in reduced blood loss during the procedure.
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What is Abdominoperineal Resection With Sacrectomy for Malignant Disease?
Abdominoperineal resection with sacrectomy is a surgical procedure to remove the rectum, anus, and part of the sacrum (lower back bone). This surgery is performed to treat malignant diseases, such as cancer, affecting these areas. It involves removing cancerous tissues to prevent the spread of the disease. The procedure may also include the removal of surrounding lymph nodes.
This surgery is necessary for treating advanced colorectal cancer or other malignancies in the pelvic region. If left untreated, these conditions can lead to severe complications, including the spread of cancer to other organs. Modern surgical approaches, such as minimally invasive techniques and robotic-assisted surgery, are available for performing abdominoperineal resection with sacrectomy. These methods aim to reduce recovery time and improve surgical outcomes.
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Complete Guide To Abdominoperineal Resection With Sacrectomy For Malignant Disease
Everything you need to know about the procedure, preparation, and recovery
Abdominoperineal resection with sacrectomy for malignant disease Surgery Indications
Doctors recommend abdominoperineal resection with sacrectomy when malignant tumours affect the rectum and sacrum. This procedure is considered when other treatments are ineffective or when the cancer is locally advanced.
Locally Advanced Rectal Cancer
Patients may experience persistent rectal bleeding, pain, and changes in bowel habits. Imaging studies like MRI or CT scans reveal tumour invasion into surrounding tissues, including the sacrum. Surgery is advised when chemo procedure and radiation fail to control tumour growth.
Sacral Involvement by Tumour
Severe lower back pain and numbness in the legs may occur. MRI scans show tumour extension into the sacral region. When pain management and other therapies do not alleviate symptoms, surgical intervention is necessary.
Recurrent Rectal Cancer
Symptoms like rectal bleeding and pelvic pain return after initial treatment. Follow-up imaging confirms tumour recurrence with sacral involvement. Surgery is considered when recurrence is resistant to further non-surgical treatments.
Obstruction and Severe Symptoms
Patients may experience bowel obstruction, severe constipation, and abdominal pain. Diagnostic imaging shows tumour causing blockage and invading the sacrum. Surgery becomes essential when symptoms worsen despite conservative management.
Invasive Anal Cancer
Anal pain, bleeding, and changes in bowel movements are common. Tests reveal cancer spreading to the rectum and sacrum. Surgery is recommended when other treatments fail to control the spread.
How to Prepare for Abdominoperineal Resection with Sacrectomy for Malignant Disease?
Proper preparation is crucial for a successful abdominoperineal resection with sacrectomy. It helps minimise complications and ensures a smoother recovery.
- Medication Review: Consult your doctor about stopping NSAIDs, anticoagulants, and herbal supplements at least a week before surgery.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the procedure to ensure safe anaesthesia.
- Bowel Preparation: Follow your doctor's instructions for bowel cleansing, which may include laxatives or enemas the day before surgery.
- Clothing: Wear loose, comfortable clothing to the hospital to avoid discomfort after the procedure.
- Transportation: Arrange for someone to drive you home post-surgery as you may feel drowsy from anaesthesia.
- Medication List: Bring a list of your current medications, including dosages, to the hospital for reference.
- Pre-Surgery Exercises: Engage in any recommended pelvic floor exercises to strengthen muscles before surgery.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before the surgery to promote better healing.
Abdominoperineal Resection with Sacrectomy for Malignant Disease Surgery (Step-by-Step)
This surgery is performed by oncologists and typically lasts several hours. It is done under general anaesthesia to ensure the patient is asleep and pain-free.
- Preparation: The patient is positioned on the operating table. General anaesthesia is administered. The surgical area is cleaned and sterilised.
- Incision: A large incision is made in the abdomen, usually around 15-20 cm. Another incision is made in the perineal area. This allows access to the affected tissues.
- Resection: The surgeon uses instruments like a harmonic scalpel and bipolar cautery to remove the affected parts of the rectum and anus. The sacrum is also partially removed if necessary.
- Dissection: The surgeon carefully dissects the tissues, ensuring all malignant cells are removed. A curette may be used for precise tissue removal.
- Reconstruction: The remaining tissues are restructured. The surgeon may create a colostomy to allow waste to exit the body.
- Closure: The incisions are closed with sutures or staples. Dressings are applied to protect the surgical site.
- Recovery: The patient is moved to the recovery room. Vital signs are monitored as they wake from anaesthesia.
Who Performs Abdominoperineal resection with sacrectomy for malignant disease Surgery?
This surgery is performed by surgical oncologists. They specialise in removing cancerous tissues and have expertise in complex procedures involving the abdomen and pelvis.
Recovery After Abdominoperineal Resection with Sacrectomy for Malignant Disease Surgery
Recovery from abdominoperineal resection with sacrectomy is a gradual process. Patients should expect to stay in the hospital for a few days post-surgery. Full recovery may take several weeks, and following medical advice is crucial for optimal healing.
Day 1-3:
- Hospital stay with monitoring of vital signs.
- Pain management and initial mobilisation with assistance.
- Start with a liquid diet, gradually moving to soft foods.
Day 4-7:
- Transition to a soft diet including curd, dal-rice, and soups.
- Encouraged to walk short distances with support.
- Focus on wound care and hygiene.
Week 2-4:
- Increase in physical activity as tolerated.
- Introduce easily digestible foods like khichdi and moong dal.
- Continue with prescribed medications and follow-up appointments.
Week 5-8:
- Gradual return to normal diet, avoiding spicy and heavy foods.
- Resume light activities and consider returning to work or school, depending on recovery.
- Regular check-ups to monitor healing progress.
When to Seek Urgent Help:
- High fever or chills.
- Severe abdominal pain or swelling.
- Uncontrolled bleeding or discharge from the surgical site.
- Difficulty in passing urine or stool.
Contact your healthcare provider immediately if you experience any of these symptoms.
Benefits of Abdominoperineal Resection with Sacrectomy for Malignant Disease Surgery
This surgery is a treatment option for certain cancers affecting the rectum and sacrum. It aims to remove cancerous tissues and improve patient outcomes.
- Effective Cancer Removal: Targets and removes cancerous tissues in the rectum and sacrum.
- Prevention of Cancer Spread: Helps in preventing the spread of cancer to nearby organs.
- Improved Survival Rates: Offers a chance for extended survival in patients with specific cancers.
- Symptom Relief: Reduces symptoms like pain and bleeding associated with malignant disease.
Risks and Complications of Abdominoperineal resection with sacrectomy for malignant disease Surgery
While this surgery can be beneficial, it carries certain risks and complications. It is important to be aware of these when considering the procedure.
- Common - Infection: Risk of infection at the surgical site.
- Common - Bleeding: Potential for significant blood loss during surgery.
- Rare - Nerve Damage: Possible nerve injury leading to weakness or numbness.
- Rare - Bowel Dysfunction: Changes in bowel habits post-surgery.
- Rare - Urinary Issues: Difficulty with urination or urinary incontinence.
- Rare - Sexual Dysfunction: Potential impact on sexual function.
What is the Cost of Abdominoperineal Resection with Sacrectomy for Malignant Disease Surgery?
The cost of Abdominoperineal resection with sacrectomy for malignant disease surgery at Medicover Hospitals varies depending on the ward category chosen. Prices range from Rs. 101,000 to Rs. 381,000 across different ward types. The cost is influenced by the type of accommodation and facilities provided.
We offer transparent pricing with support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facility is available for convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Abdominoperineal resection with sacrectomy for malignant disease surgery cost at Medicover Hospitals?
The cost for this surgery at Medicover Hospitals ranges from Rs.101,000 to Rs.381,000, depending on the type of room and care required.
2. Is Abdominoperineal resection with sacrectomy for malignant disease surgery covered under health insurance at Medicover?
Yes, it is often covered by CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I need a colostomy bag after this surgery?
Yes, a colostomy bag is typically required after this surgery as the rectum is removed. It helps in collecting waste from the body.
4. How does sacrectomy affect mobility?
Sacrectomy may impact mobility due to changes in pelvic stability. Rehabilitation and physiotherapy are crucial for regaining movement.
5. Can I sit comfortably post-surgery?
Sitting may be uncomfortable initially due to surgical site healing. Cushions and gradual adjustment are recommended for comfort.
6. What diet should I follow after this surgery?
A soft diet including curd, dal-rice, and khichdi is advised initially. Gradually transition to a normal diet as per medical advice.
7. Is there a risk of infection post-surgery?
Yes, infection is a potential risk due to the surgical site. Proper wound care and hygiene are essential to minimise this risk.
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