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International Patient CareLow Anterior Resection Surgery Hospital by Expert Oncologists
At Medicover Hospitals, our team of oncologists, including those with MS, DNB, and MCh qualifications, perform Low Anterior Resection using laparoscopic techniques. This minimally invasive approach results in smaller incisions and reduced blood loss, leading to a shorter hospital stay for patients across India.
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What is Low Anterior Resection?
Low Anterior Resection is a surgical procedure involving the removal of the rectum's lower part. This surgery is typically performed to treat rectal cancer. The rectum is the final section of the large intestine, where waste is stored before leaving the body. During the procedure, the diseased section of the rectum is removed, and the remaining parts are reconnected to maintain bowel function.
This surgery is often needed for conditions like rectal cancer or precancerous polyps. If left untreated, these conditions can lead to severe complications, including cancer spread. Modern surgical approaches for Low Anterior Resection include minimally invasive techniques like laparoscopic and robotic surgery. These methods aim to reduce recovery time and improve outcomes. Always consult a specialist for advice tailored to your condition.
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Complete Guide To Low Anterior Resection
Everything you need to know about the procedure, preparation, and recovery
Low Anterior Resection Surgery Indications
Doctors recommend low anterior resection surgery primarily for rectal cancer and other conditions affecting the lower part of the colon. This procedure is considered when less invasive treatments are ineffective or when the condition poses significant health risks.
Rectal Cancer
Patients may experience rectal bleeding, changes in bowel habits, or unexplained weight loss. Imaging tests like MRI or CT scans reveal tumours in the rectum. Surgery is advised when cancer does not respond to chemotherapy or radiation.
Diverticulitis
Symptoms include abdominal pain, fever, and changes in bowel movements. CT scans show inflamed or infected pouches in the colon. Surgery is needed when recurrent episodes occur or complications like abscesses develop.
Inflammatory Bowel Disease (IBD)
Patients suffer from chronic diarrhoea, abdominal pain, and weight loss. Colonoscopy and biopsy confirm severe inflammation in the colon. Surgery is considered when medication fails to control symptoms.
Colorectal Polyps
Patients may not have symptoms, but routine colonoscopy detects large or numerous polyps. Pathology reports indicate precancerous changes. Surgery is recommended when polyps cannot be removed endoscopically.
Obstructive Lesions
Patients experience abdominal pain, bloating, and constipation. Imaging studies reveal blockages in the colon. Surgery becomes necessary when the obstruction does not resolve with conservative management.
How to Prepare for Low Anterior Resection?
Proper preparation is crucial for a successful low anterior resection. It helps reduce complications and ensures a smoother recovery.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Do not eat or drink for at least 8 hours before the surgery to prepare for anaesthesia.
- Bowel Preparation: Follow the prescribed bowel cleansing routine to clear the colon.
- Pelvic Floor Exercises: Practice exercises to strengthen muscles, aiding recovery.
- Comfortable Clothing: Wear loose-fitting clothes on the day of surgery for comfort.
- Transportation: Arrange for someone to drive you home post-surgery.
- Medication List: Bring a list of current medications with dosages to the hospital.
- Pre-Surgery Consultation: Attend all pre-surgery appointments for assessments and instructions.
Low Anterior Resection Surgery (Step-by-Step)
Overview: Low Anterior Resection is performed by surgical oncologists. The procedure typically lasts 2-4 hours and is done under general anaesthesia.
- Preparation: The patient is given general anaesthesia to ensure they are asleep and pain-free. The abdomen is cleaned and sterilised.
- Incision: Small incisions (1-2 cm) are made in the abdomen. A laparoscope and trocars are inserted to provide a view of the surgical area.
- Mobilisation: The surgeon uses a harmonic scalpel to carefully separate the colon from surrounding tissues. The affected section of the colon is identified.
- Resection: The diseased part of the colon is removed using a combination of laparoscopic instruments. The remaining healthy ends of the colon are prepared for reconnection.
- Anastomosis: The healthy ends of the colon are reconnected using sutures or staples. This restores the continuity of the digestive tract.
- Closure: The surgical area is checked for bleeding. The incisions are closed with sutures or surgical glue. Dressings are applied to the incision sites.
- Recovery: The patient is moved to the recovery room. They are monitored as the anaesthesia wears off. Pain management and post-operative care instructions are provided.
Who Performs Low Anterior Resection Surgery?
Low Anterior Resection is performed by surgical oncologists. These specialists are trained in surgeries related to the colon and rectum. They use advanced techniques to ensure effective treatment.
Recovery After Low Anterior Resection Surgery
Recovery from low anterior resection surgery involves gradual healing and adjustment. Patients can expect to stay in the hospital for a few days post-surgery. Full recovery may take several weeks, during which dietary and activity modifications are crucial.
Day 1-3:
- Hospital stay for monitoring and initial recovery.
- Start with clear liquids and gradually introduce soft foods.
- Pain management and wound care are priorities.
Day 4-7:
- Transition to a low-fibre diet to ease bowel movements.
- Include foods like curd, dal-rice, and khichdi.
- Begin gentle walking to improve circulation.
- Avoid lifting heavy objects.
Week 2-4:
- Gradually reintroduce regular foods, focusing on easily digestible options like moong dal and soups.
- Continue to avoid strenuous activities.
- Most patients can resume work or school by the end of this phase, depending on their job's physical demands.
Month 1-3:
- Normal diet can usually be resumed, but continue to monitor how different foods affect digestion.
- Gradually increase physical activity as tolerated.
- Regular follow-up appointments to monitor recovery progress.
When to Seek Urgent Help:
- Fever or signs of infection at the incision site.
- Severe abdominal pain or swelling.
- Persistent nausea or vomiting.
- Changes in bowel habits that are concerning.
Benefits of Low Anterior Resection Surgery
Low Anterior Resection (LAR) is a surgical procedure aimed at treating rectal cancer while preserving bowel function.
- Cancer Removal: Effectively removes cancerous tissues from the rectum.
- Bowel Function Preservation: Aims to maintain normal bowel function by avoiding a permanent colostomy.
- Improved Survival Rates: Increases the chances of long-term survival for rectal cancer patients.
- Minimally Invasive Options: Can be performed using laparoscopic techniques, leading to quicker recovery.
Risks and Complications of Low Anterior Resection Surgery
While LAR is generally safe, it carries certain risks and potential complications.
- Common: Infection at the surgical site.
- Common: Bleeding during or after the procedure.
- Common: Bowel dysfunction, such as frequent bowel movements.
- Rare: Anastomotic leak, where the connection between bowel ends leaks.
- Rare: Nerve damage affecting bladder or sexual function.
- Rare: Deep vein thrombosis (DVT) or blood clots.
- Rare: Stricture formation leading to bowel obstruction.
Cost of Low Anterior Resection Surgery
The cost of Low Anterior Resection Surgery at Medicover Hospitals ranges from Rs.53,000 to Rs 245,000 . The price varies depending on the ward category chosen, such as general, twin sharing, or private rooms. We offer transparent pricing to ensure clarity for our patients.
Insurance and TPA support are available, with acceptance of CGHS, ESI, and major TPAs. A cashless facility is also offered for added convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Low Anterior Resection surgery cost at Medicover Hospitals?
The cost ranges from Rs. 53,000 to Rs. 245,000 across Medicover Hospitals. Prices vary based on room type and care requirements.
2. Is Low Anterior Resection surgery covered under health insurance at Medicover?
Low Anterior Resection surgery may be 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 Low Anterior Resection?
A temporary colostomy bag may be required post-surgery. Your doctor will advise based on your specific condition.
4. Can I eat spicy food after Low Anterior Resection?
Avoid spicy food for at least 6 weeks post-surgery. Opt for soft foods like curd, dal-rice, and khichdi to aid recovery.
5. What are common complications after Low Anterior Resection?
Anastomotic leakage and bowel obstruction are potential complications. Regular follow-ups help in early detection and management.
6. How long before I can return to work after Low Anterior Resection?
Most patients return to work within 4 to 6 weeks. Recovery time varies based on individual health and job demands.
7. Will my bowel habits change after Low Anterior Resection?
Changes in bowel habits are common, including increased frequency. These typically improve over time with dietary adjustments.
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