When the cancer of the rectum is very close to the sphincter controlling the passage of stools, it is oncologically unsafe to preserve the sphincter. In such cases, a surgery called Abdominoperineal resection is required to be done.
Generally, cancers that are within 5 cm of the anal verge are considered for abdominoperineal resection. Out of these, with careful selection of proper cases and with adequate neoadjuvant therapy (a therapy which is given prior to surgery), a small number of cases are such that the sphincter can be salvaged.
As the name suggests, Abdominoperineal Resection Surgery in Pune is done at 2 locations in the same sitting: abdominal and perineal. The end result of this surgery is that the patient will end up with a permanent colostomy in the left lower part of his or her abdomen.
Previously Abdominoperineal Resection Surgery in Pune was done by open abdominal and perineal incisions. However, presently with the availability of modern surgical equipment and technology, in most of these cases, the abdominal part can be done by the laparoscopic method. This technique reduces the length of the incision and decreases postoperative pain and hospital stay.
After having the permanent colostomy, the patient would be required to wear a colostomy bag on the abdomen, since there would be no control on the passage of stools. With proper training, patients who have undergone abdominoperineal resection are able to manage the colostomy on their own without difficulty or without social embarrassment. Some patients are able to do away with the colostomy bag for large time periods at a time, with the use of techniques like stomal irrigation.
After undergoing the complete prescribed treatment for their cancer, patients who have undergone Abdominoperineal Resection Surgery in Pune are able to lead a normal and productive life. Stoma care clinics are available to train them in the management of colostomy.
Dr. Amit Parasnis is a well-trained and experienced cancer surgeon for Abdominoperineal Resection Surgery in Pune who provides rational and ethical treatment for cancer and strives to achieve best oncological outcomes.