Colorectal Surgery: Different Types of Colon & Rectal Surgery

A colectomy, or, colon resection, removes all or part of the large intestine. Segmental Colectomies: Generally, a vertical incision is made in the middle of the abdomen, overlying the portion of the bowel with disease. The segment of bowel containing the disease is removed. If the excision is for cancer, an effort is made to remove a wider segment to include lymph nodes. The ends of the bowel are joined together (anastomosis) to be water-tight and permit healing. Polypectomy: A surgeon may remove a cancerous polyp or polyps from the colon or rectum using a colonoscope. The colonoscope is inserted into the rectum and a wire loop is passed through the instrument to remove the polyp. Total Colectomy and Total Proctocolectomy: A few diseases, such as familial polyposis, require removal of the entire colon with anastomosis of the end of the small bowel to the rectum. Familial polyposis or ulcerative colitis often require removal of the colon and rectum. A new pouch (neorectum) is created with the small bowel folded and stapled back on itself; this pouch is joined down to the anus. A colostomy is a surgical procedure during which your surgeon creates a hole in your abdominal wall and pulls one end of the colon through the opening. Surgeons perform colostomy procedures to treat a number of colon and rectal conditions. This procedure fundamentally alters how your body excretes waste and fecal matter. While you will need some time to get used to living with a colostomy, you will find that you can live a full life, complete with all the activities you enjoyed previously. The area where the new opening sits is called a stoma. This is where waste matter will exit your body. After your procedure, you will need a colostomy bag, which collects the waste from your body. The bag lies outside of your body. Before you are discharged, a trained ostomy nurse will teach you how to care for your stoma and manage the bag. The colostomy is either temporary or permanent: Temporary colostomies are performed for specific conditions that allow for the reattachment of the colon at later point in time. This allows the affected area to heal because the stool is not passing through the area. Once the affected area has healed, you undergo a colostomy reversal procedure. Permanent colostomies are used in cases of chronic disease, such as Crohn’s disease and diverticular disease. Your surgeon may also remove the infected area of the colon or rectum. Endoscopic surgery is performed using a scope, a flexible tube with a camera and light at the tip. This allows your surgeon to see inside your colon and perform procedures without making major incisions, allowing for easier recovery time and less pain and discomfort. Snaring is the most common surgical procedure that can be performed through any of the endoscopes. A snare is a wire formed like a lasso that is looped over a tumor and tightened; then the wire is electrified to prevent bleeding as it cuts through. The scholar journal uses editorial manager system for maintaining quality of the whole process of manuscript submission, peer review and tracking. Journal of Surgery and Anesthesia aims to maintain a rapid editorial procedure and a rigorous peer-review system for all the submitted manuscripts. The submitted articles are peer-reviewed within 21 days of submission and the accepted articles are published immediately. Acceptance of any manuscript for publication requires approval of at least two independent reviewers and the editor. Submit manuscripts as an e-mail attachment to manuscripts@longdom.org