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Abdominoperineal Resection

What is Abdominoperineal resection procedure?

Abdominoperineal resection procedure is a surgery used to treat cancer in the anus, rectum and sigmoid colon. During the procedure all the three are removed.

What are the symptoms of anus, rectum and sigmoid colon cancer?

Following are the symptoms of anus, rectum and sigmoid colon cancer:
  • 1.Dark color or bright red stools
  • 2.Sudden and unexplained weight loss
  • 3.Abdominal pain
  • 4.Fatigue and weakness
  • 5.Problem in the bowel movements
  • 6.Diarrhea
  • 7.Lump near the anus
  • 8.Bleeding from the anus and rectum
  • 9.Pain in the anus
  • 10.Problems in the bowel movements and change in the bowel habits
  • 11.Fatigue
  • 12.Rectal bleeding
  • 13.Muscle cramps and pain
  • 14.Diarrhea
  • 15.Abdominal pain

What is the Road to Recovery?

If the patient is fine and the pain is less, then he is discharged immediately and a follow-up checkup is held every 7 to 10 days post discharge. If the pain in the incisional area persists the doctor will advise bed rest for a week. One might feel nauseated post-surgery, this might be due to anesthesia administered for the surgery. Post-surgery one might feel shoulder pain because of the gas that was pumped in during the surgery, which will go away within 48 hours. Till the patient can eat and drink normally, nutrients are supplied to his body through IV fluids. If it’s a minimally invasive approach like laparoscopic surgery, the patient may be discharged within 7-10 days. The surgeon will advise strict bed-rest till the patient recovers.c The patient might feel nauseous post-surgery, this might be due to the anesthesia administered for the purpose. In the case of a laparoscopy gastrectomy, the patient might feel shoulder pain for 48 hours because of the gas pumped during the surgery. After the surgery, the surgeon will prescribe painkillers regularly till the patient recovers. In case of an open procedure, the patient will be discharged in 15-20 mins.

How to prepare for the surgery?

The doctor will advise a full physical examination before the surgery, to check for any other complication that needs to be addressed before surgery. The doctor will inform the patient about the requirement of having a ‘stoma’ after the surgery. A stoma is an opening in the belly wall that is made during the surgery by the doctor in order for the waste to leave the body, which doesn’t happen if there is no bowel movement through the rectum. The waste from the stoma collects in the colostomy bag.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.

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“A disorder involving excessive body fat that increases the risk of health problems. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person's body mass index is 25 or greater. The excessive body fat increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise”


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