a About us a a
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buton Bariatric (Metabolic) Surgery
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buton Colo Rectal Surgery
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Dr U.S. Kini Dr. U.S. Kini
Bariatric Surgeon

Department of Surgery,
Mount Sinai School of Medicine,
5 East 98th Street,
15th floor, New York,
NY 10029, USA

Ph: (212) 241-5339
Fax: (212) 534-4079

www.uskini.com
   
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Colo Rectal Surgery
 
What is Colo-rectal surgery ?
  Colo-rectal surgery is surgery (e.g.Colectomy) for large intestine problems like:
 
Cancer of colon and rectum (Large intesines)
Crohn’s disease: prolonged swelling of the digestive or gastrointestinal tract
Ulcerative colitis: swelling of the innermost lining of the colon and rectum
Diverticulitis: swelling or infection of diverticula (abnormal bulging pouches) in the large intestines
Familial polyposis: hereditary condition involving widespread growth of polyps in the large intestine
Rectal prolapse: hanging down of the lining in the rectum, which then protrudes past the anus
 
What is a colectomy?
  Colectomy is removal of a part or whole of the large intestines. It can be performed by laparoscopic surgery, or by hand-assisted laparoscopic surgery, or as traditional open surgery. A laparoscopic colectomy is a procedure in which a surgeon uses several small cuts, special minaturised instruments, a video attached laparoscope (a minature telescope), and TV like monitor screens to remove a part or whole of the colon. The incision used in hand-assisted surgery is substantially smaller (5 – 6 cm) than the approximately 15 cm incision required for open surgery
 
What is a laparoscopic colectomy done for?
 

 

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What are the benefits of laparoscopic colectomy?
 

The benefits of this procedure are: a shorter hospital stay, a quicker return to eating solid foods, less pain after surgery, and faster healing.

 
What are the risks of this procedure?
 

As with any surgery, there is a risk of bleeding, infection and damage to surrounding structures and organs and a leak at the site of the bowel anastomosis. With laparoscopic surgery, the risk of damage to surrounding structures and organs is minimal and is certainly no greater than open surgery.

 
Will I need any tests before my surgery?
 

Colonoscopy, Scans and some blood tests would be needed. Depending on your state of health, some additional tests may be ordered, such as an ECG or chest X-rays.

 
How should I prepare for my surgery?
 

The night before your surgery, you will be required to take a prescribed "bowel prep". This clears your colon of any contents and lessens the risk of infection. It is important that you do not eat or drink anything after midnight the night before surgery. Continue to take all important medications such as heart, asthma, or blood pressure medicines as advised by your anesthesiologist with a small sip of water on the morning of surgery. Diabetic medicines are not taken by mouth on the day of surgery. Do not take blood thinning drugs or aspirin for 7-10 days prior to your surgery date. Do not smoke, chew tobacco or gum the morning of your surgery.

 
How long will I be in the hospital? When will I be able to return to work?
 

You will be in the hospital three to five days. Occasionally, some patients stay longer. You will be able to return to work and your normal routine in approximately two to three weeks. You should avoid heavy lifting for a few weeks after your surgery.

 
What should I expect after my surgery?
 

After you start passing flatus (Gas), you can take liquid diet followed by soft solid diet for a few days.Sometimes a urinary catheter may be required for a few days. Diet, medication and other information or instructions specific to your diagnosis will be provided.


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