The article was consulted professionally by Resident Doctor Le Thanh Tuan – General Department – Share99 Nha Trang International Hospital. The doctor has extensive experience in examination, treatment and surgery of abdominal diseases.
Rectal cirlitomy usually applies to cases where rectal tumors 1⁄3 upper and 1⁄3 middle. This is the surgical process of removing the rectal and rectal mescosa. After that, repeat the circulation of the gastrointestinal path by colorectal connection by mechanical connector.
1. What is the rectum?
The rectum is the end of the large intestine, adjacent to the head. So this part is considered as a bridge between the colon and the tube. The colon is located in the abdomen and forms a question mark-like shape that surrounds the small intestine.
In females, the rectum is located in front along with the body of the uterus, cervical and vaginal arches. The lower part of the rectum is related to the post-vaginal wall. As for men, the rectum will be located at the back of the bladder, the sperm sac, the erm, the prostate gland, separated by the cornea behind the bladder and connected to the bottom of the pelvis.
2. Rectal cirlitomy, colorectal joining
Rectal cirlitomy is surgery to remove all or part of the rectum, which in some cases may include removal. The removal is necessary for the treatment of rectal cancer. If the patient has rectal cancer then the treatment will depend on the location of the cancer as well as the degree of its development and other factors.
Rectal cirlitomy does many ways and it depends on factors such as where the cancer is developing and how widespread it is.
Rectal cirlitomy can be used to treat inflammatory bowel disease. This includes:
- Ulcerative colitis: The disease is caused by the formation of ulcers and infections in the colon.
- Crohn's disease: Diseases caused by irritation and sores in the colon.
2.1. Risks that occur during surgery
Every surgery process is risky and the rectal cirlitomy, colorectal connection also has risks such as:
- Bleeding:May be caused by an infection at the site of a skin incision during surgery or just inside the colon after surgery or in the abdomen.
- Blood clots form in the leg veins then move to the lungs causing pulmonary embolism
- Leakage through tissues and circuits
- Difficulty urinating, and urinating
- Wounds heal more slowly, even scar tissue can be adhesion
- Heart or brain injuries caused by anesthesia
- Postoperative farting can be monitored or re-operated in case of peritonitis
2.2. Surgical process
This digestive surgery is a rectal cirlitomy or removal of a segment of the ghost chained colon and rectum and the corresponding mestorea. Then repeat gastrointestinal circulation by colorectal connection.
- Before surgical removal, patients should be fully evaluated for the necessary conditions for a successful surgery such as blood test, colorectal endoscopy … In addition, patients need to be guided and ensure pre-surgery requirements such as: the intestines must be empty (use laxatives to indent and clean the intestines), use only maximum liquid food before the procedure, may even stop adding certain medications that are being used in the week before the surgery.
- During surgery: The patient will receive a full-body anesthesia and use minimally invasive laparoscopic surgery to remove the rectum. With this procedure, the doctor will pass a small incision together with special tools to perform. Your doctor may have a local removal or a full removal.
- Specific rectal cirlitomy: the doctor will determine the rectal cut point, analyze the removal of the rectal mescosa from the rectal wall. Cut through the trocar hole with blood and cut it off. Finally, use connector to the rectal beak and perform pairing. The coupling must be located in the right direction, without tension, the mescosa does not twist.
- After the operation. Patients should ensure that they follow all instructions for medication use, pain control, diet and wound care.
In addition, patients should pay attention to some post-surgery complications such as: abdominal bleeding or bleeding of the nasal mouth, stitches, or oral podiums, or post-surgical intestinal obstruction, or residual absculation in the abdomen.
Some common guidelines rectal surgery patients should follow:
- Patients should be fed by intravenously until eating normally. Usually the person can snack after 4-5 days of surgery.
- Get up and walk as much as you can after surgery
- Gradually continue normal activities such as bathing, driving, going to work. However, do not work hard or things that require exertion for 6 weeks after surgery.
- Monitor the wound. If there are any signs of infection such as swelling, redness, bleeding or leakage of wounds, it is necessary to have the intervention of medical staff to prevent dangerous risks.
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