Rectal Resection (Abdominoperineal) Surgery in East India: Comprehensive Guide to Leading Hospitals and Patient Care
Rectal Resection (Abdominoperineal) Surgery in East India: Comprehensive Guide to Leading Hospitals
Rectal Resection (Abdominoperineal) Surgery in East India: Comprehensive Guide to Leading Hospitals and Patient Care
Rectal resection, specifically the abdominoperineal resection (APR) procedure, represents one of the most critical surgical interventions in gastrointestinal oncology. This complex operation is primarily indicated for advanced rectal cancers that cannot be managed through less invasive approaches, particularly when the tumor is located too close to the anal sphincter muscles to allow for conservative resection while maintaining continence.
In East India, where healthcare infrastructure is rapidly evolving, several specialized medical institutions have emerged as leading centers for complex rectal cancer surgery. This comprehensive guide explores the top hospitals offering APR procedures, their addresses, the qualifications of surgeons, and patient eligibility criteria.
Understanding Abdominoperineal Resection
Abdominoperineal resection (APR) is a major surgical procedure that involves the removal of the rectum, anal canal, and surrounding tissues. Unlike anterior resection procedures that preserve anal function, APR is typically performed when the tumor’s location makes it impossible to maintain normal bowel continence post-operatively. The surgery requires extensive tissue removal, including portions of the pelvic floor and often necessitates permanent colostomy creation.
The primary indications for APR include:
- Low rectal cancers (within 5 cm of the anal verge)
- Tumors that have invaded surrounding structures
- Cases where sphincter preservation is not feasible
- Recurrent rectal cancers after previous treatments
- Complex cases involving severe local invasion
This procedure represents a significant life-altering intervention, requiring comprehensive pre-operative assessment, skilled surgical expertise, and robust post-operative care protocols.