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COLORECTAL

Dr Arindam Ghosh Consultant Gastro Intestinal Surgeon

with 21 years of experience has performed 2000 plus colon and small bowl surgeries with minimum complication rate.He has aquired an expertise in doing these major cases laparoscopically which has its definate advantage in terms of minimum hospital stay and early recovery.
 
COMMON DISEASES
 
  • Hemorroids
  • Anal fistula
  • Anal fissure
  • Constipation
  • polyps,diverticulosis
  • Inflammatory bowel disease
  • Crohn's disease
  • Ulcerative colitis
  •  Cancer (anal,rectal and colon)
  • Rectal incontinence - inability to control stool
  • rectal prolapse with or without rectal ulcers
  • rectocele
  • rectovaginal fistula,recto vesical fistula
  • ileostomy
  • colostomy
 
SURGICAL TREATMENT
We provide leading edge surgical options with advanced and complex cases done laproscopically at our center.We also provide state of the art post op care and treatment.
 
 
 
COLONIC PROCEDURES
 
Colectomy & contiguous oragan resection for cancer colon.
Total Mesorectal Excision
Pelvic Exenteration
lleoanal pouch procedure & other U.C. Surgery transanal coloanal Anastomosis
Transanal Coloanal Anastomosis
Laparoscopic Rectopexy etc.
COLORECTAL SURGERY has turned a paradigm shift after the advent of laparoscopy and trans anal surgery.
 
CANCER COLON is a common disease can present with pain
 
Alteration of bowl habit,
Bleeding anemia,
Intestinal obstruction and can be found out in routine screening
ā€‹       In early stages. It is eminently curable and in very late stages it can be controlled for long. Laparoscopic partial colectomy (Rt Lf Transverse) is standard of care. Open surgery is used exceptionally. Similarly though rectal cancer is more difficult to treat laparoscopically but advances have been made with the help of newer visualization trans anal technique. The advantages of these minimally invasive surgeries in colorectal cancers are established in terms of early recovery, less pain & blood loss and fewer complications. Low anterior resection (LAR), ultra low anterior resection (ULAR). Abdomino perineal resection (APR) along with adjuvant treatment is done laparoscopically in our center with very low mortality and morbidity.
 
 WE HAVE A SPECTACULAR RECORD OF PERFORMING 1500 COLON CANCER SURGERIES.
 
ULCERATIVE COLITIS is an inflammatory bowl disease, which mostly can be controlled medically, but not infrequently surgery is required to cure this disease. Restorative proctocolectomy with ileoanal pouch procedure is a standard treatment which we offer laparoscopically in our hospital. Minimally invasive colorectal surgery is also very beneficial to treat rectal prolapse either abdominally or perineally.
 
RECTOVAGINAL FISTULA requires special knowledge of perennial anatomy and different types of anal sphinctroplasty and anal reconstructions as in stricture and stenosis of anal canal and is performed very successfully.we have an expertise and an edge in performing these surgeries.
 
FISTULA anal fistula are notorious to recur as they are to treat. Starting from setoning to fistulotomy, fistulectomy rerouting ‘LIFT’ & sphinctroplasty may be required.
 
HEMORROIDS (PILES)   hemorrhoids also can be treated by staplers (PPH) with excellent results. In this procedure patient can be discharged the same day. Sclerosant injections banding of piles can also be offered in very initial stages. Open hemorroidectomy may be required in very large piles though staplers efficiently treat prolapsed piles.
 
Some congenital diseases like familial polyposis (FAP) also can be treated very effectively by performing total proctocolectomy and ileoanal pouch, or by modified Duhamel procedure.
 
HIRSCHSPRUNG’S  (CONGENITAL MEGACOLON) disease is a disorder of innervation where the distal part of large intestine ie rectum and anal canal is not innervated properly. Patients present with ongoing  and increasing constipation since birth. We perform laparoscopic modified Duhamel to cure this disease.

COLORECTAL