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Different Types of Surgical Procedures of Rectal CancerBY: Ritu Choudhary | Category: Cancer Surgery | Submitted: 2011-02-20 23:48:23
Surgery is the cure for a rectal cancer. The radiotherapy and chemotherapy are currently adjunctive therapies appointed by doctors. By performing various surgeries on rectum adverse consequences could have been avoided. The procedure involves removing the rectum, in part or in whole, depending on the location of rectal cancer. When the tumor located in the upper part (10 to 15 cm from the anal verge) the rectum is removed in part because it is sufficient to remove 5 cm below the tumor. It is then possible to immediately restore the continuity of the intestine by connecting the colon and rectum. When the tumor is below this level, and not intersected in the anus, it is necessary to remove the entire rectum. To restore the continuity, bowel must be connected (anastomosis) to colon anus. In coloanal anastomosis a stoma is temporary associate to protect the anastomosis and promote healing. When the tumor is even lower to the anus, then removal of the anus becomes necessary, at the same time as the rectum. When the tumor is located at the junction of the anus and rectum, it may be possible to restore the continuity of the bowel and to avoid artificial anus by an unusual technique that removes a portion of the sphincter (inter-sphincteric resection). The opinion of a surgeon may be necessary. The stoma is sewing the colon to the skin of the abdomen. The stools arrived at this level and are collected by a bag. Care necessitated by an artificial anus has changed dramatically with advances in equipment and with the help of nurses. With a good location and existing equipment, the equipment becomes easy and leaks exceptional. Using a stoma nurse a normal life is possible. All professional activities and sports are achievable. They can be made even easier by the completion of irrigation triggers a bowel movement and empty the colon. This technique avoids the issue of unplanned bowel movements, reduce the risk of smells and noise during the activity. The percentage of cases where a stoma is necessary significantly decreased with the progress of surgery and a better understanding of the evolution of rectal cancer. 80% of rectal cancer 20 years ago required astoma final. One can remove a portion of the canal of the anus that the section 1 cm below the tumor. This means that tumors that are located above the anus, can be processed without artificial anus. (This is the inter sphincteric resection, it removes some of the sphincter). In the present state of our knowledge, we can not remake the anus at least in daily practice. Various teams working on reconstruction techniques (graciloplasty, artificial sphincter, irrigation type Malone) they are still under study. After complete removal of the rectum, the connection is made between the colon and anus, while the colon is not the same size and same storage capacity as the rectum. It is narrower. We must rebuild the reservoir by a rectal pouch colon. The most common technique is to fold the colon and rebuild rectum. The operation is usually done through an opening in the wall of the stomach called surgeonslaparotomy. This type of incision is painful. Today we know perfectly well control pain by different techniques. The most effective is the morphine pump, whose administration is triggered by the patient himself. Another way to avoid pain, is to use laparoscopy. Laparoscopy is a technique that can be used for rectal cancer, but is currently at the stage of evaluation by specialist teams. The entire procedure or only a part, can be performed laparoscopically. Thus it may be sufficient to free the colon to the lower, to reduce the size of the surgical incision. The risks of the operation are relatively low. The most specific risk is the risk of infection (Pelvic abscess). Your surgeon will give you more information on these complications and experience. Article Source: http://www.cancer-surgery.com/ About Author / Additional Info: Comments on this article: (0 comments so far)
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