Rectum & AnusThe rectum is a tube that begins at the end of the large intestine, immediately following the sigmoid colon, and ends at the anus. The anus is the opening at the far end of the digestive tract through which stool leaves the body. A muscular ring (anal sphincter) keeps the anus closed until experiencing bowel movement.
For the treatment of large benign polyps of the rectum that are impossible to remove using colonoscopy and certain malignant neoplasms, we recommend Transanal Endoscopic Microsurgey (TEM).
Transanal Endoscopic Microsurgery is a minimally invasive technique which allows to operate through a special scope placed into the rectum. The rectum is distended by carbondioxide and surgeon operates using long and thin instruments within the rectal lumen. This allows to avoid traditional open surgery and thus avoid abdominal incisions and in many cases prevent a permanent colostomy. Usually full colonic preparation to clean the large bowel is required. The operation, under general anesthesia, usually takes between 45 and 90 minutes. Postoperatively patients stay in the hospital for 1-2 days. Usually patients do not experience pain after the operation, and in some cases Tylenol is all they need. They usually return to their normal activities after just a few days.
For the treatment of rectal prolapse we recommend Laparoscopic Rectopexy. The operation is done similarly to other laparoscopic procedures through three or four small quarter inch incisions. After dissection, the rectum is fixated to the bone (sacrum) using special mesh. It is done under general anesthesia and about 2-3 days hospital stay is required. Patient can resume their normal activities shortly after discharge from the hospital.
You should call your surgeon or family doctor in case you have the following after discharge from the hospital:
For the more common disorders of the anus, such as internal hemorrhoids, we recommend Infrared Coagulation and Hemorrhoidectomy with use of Ligasure device.
Since its introduction 20 years ago, infrared coagulation (IRC) has become the world's leading office treatment for hemorrhoids. This non-surgical treatment is fast, well tolerated, and remarkably complication-free. A small probe is placed above the hemorrhoid and a few short bursts of infrared light are applied. The infrared light quickly coagulates the vessels that provide the hemorrhoid with blood, causing the hemorrhoids to shrink and recede. Shrinkage of the hemorrhoidal tissues may take a few weeks.
While patient sensitivity may vary, most patients report feeling a brief sensation of heat, but not acute pain. Local anesthesia is usually not required.
Millions of patients have been treated with IRC. Experience tells us that hemorrhoids treated with IRC generally do not reoccur. A sensible diet, moderate exercise, and proper bowel habits will also help.
Hemorrhoidectomy with use of Ligasure device:
It allows us to completely ligate hemorrhoids so there is no bleeding after their division and no sutures are required. The operation is usually done as a day surgery, no hospitalization required. Patients tolerate it better than “conventional” surgery and experience significantly less pain.
Following the procedure, you should notify your surgeon or family doctor if you notice:
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