Abdominoperineal Resection in India
Abdominoperineal Resection is a procedure in which the surgeon removes the anus, rectum, sigmoid colon, and related lymph nodes via incisions in the abdomen and perineum. This way is achieved when cancer that you have is located very low in the rectum or anus, near the sphincter muscles controlling the gut movements.
Because of this, the Conclusion of the sigmoid colon is pulled out indefinitely on the top layer of the epidermis, known as a Stoma. It’s attached to a pouch to collect the waste substances from your system. This process is named Colostomy.
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Abdominoperineal resection (APR) for many years was the treatment of choice for most patients with rectal cancer. Recent advances in surgical technique and other treatment modalities have led to a marked increase in the rate of sphincter-sparing operations, with a concomitant decrease in APR. However, it is still necessary in selected patients, especially those with very distal tumors or poor sphincter function. This review will cover the history of APR, current operative strategy and complications, oncologic and quality of life results, as well as potential future advances.
Causes / Risks of Rectal Cancer:
Even Though the precise cause is unknown, a few of the aspects that could trigger are:
Age: Greater than 90 percent of patients are more than 50 decades old
Polyps: Benign growths at the interior wall of the colon or rectum
Private medical background: Girls with previous cancer of the uterus, or breasts are in danger.
Family medical background: Relatives such as parents, grandparents, or children of an individual who has rectal cancer are somewhat likely to develop this cancer particularly if the man or woman is in a youthful age
Genetic Alteration: Gene mutations happen when the DNA of a cell is damaged.
Ulcerative colitis or Crohn’s disease: Individuals with this disorder are also in danger
Smoking: Smokers are more likely to develop polyps and prostate cancer.
Dietary variable: Diet low in vegetables and high in red meat particularly charred or well-done are in a danger
Alcohol: Drinking more than 3 alcoholic drinks can increase it
Diabetes: Poorly controlled type 2 diabetes and insulin resistance
Radiation Treatment: Radiation treatment for preceding cancer around the stomach may also raise the risk.
Symptoms of Abdominoperineal Resection:
- Change in bowel habits
- Diarrhea, constipation, or a sense of not entirely vacant intestine
- Vomiting
- Blood in the stool
- Narrower feces dimension
- General stomach distress such as bloating, gas pains, cramps, etc
- reduction of fat for no known reason
- Tiredness
- Infection
Diagnosis and Tests Abdominoperineal Resection
- Physical evaluation of the affected region
- Fecal occult blood test (FOBT)
- Colonoscopy
- Virtual colonoscopy
- Sigmoidoscopy
- A double-contrast barium enema (DCBE)
- A digital rectal examination (DRE)
- Polypectomy
- Biopsy
More Evaluations about Abdominoperineal Resection (APR):
If prostate cancer is discovered, more tests will need to be performed in order to observe the phase of cancer to ascertain the plan of therapy for example:
- Blood evaluations
- Colonoscopy
- Endorectal ultrasound
- Chest X-Ray
- CT Scan
- MRI
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Stages of Rectal Cancer:
Phase 0: quite premature cancer stage, cancer is found only in the innermost lining of the anus.
Phase I: cancer can be located more in the inner-wall of their anus
Phase II: cancer has spread beyond the rectum, in the tissue but not the lymph node
Phase III: cancer has spread into the lymph nodes but not to other areas of the human body
Phase IV: cancer has spread into other areas such as the liver or lungs
Recurrent: cancer has come back after treatment, recurring at the anus or different areas of the human body.
Abdominoperineal Resection Surgery Cost in India
- Total Days 21 In India
- 5 Days in Hospital
16 Days Outside Hospital - Treatment cost starts from USD 6000
Before operation:
- Total physical examination of this human body
- Taking diagnostic evaluations
- Be sure to notify your doctor of past personal and family’s medical history
- Based on the outcomes of the evaluations, place of the tumor, and stage of cancer, and the physician will choose the best treatment strategy for you
- You’ll be asked to stop taking certain drugs like blood thinners or another herbal medication if you’re taking any
- You’ll be asked to stop smoking should you
- You’ll be asked to stop eating and drinking 8 – 12 hours before the operation
- Drugs given ought to be taken with small sips of water
During Abdominoperineal Resection operation:
- You’ll be given general anesthesia, and that means you’ll be asleep and feel no hassle
- It might take two – 6 hours
- The surgeon will make an incision to the region under your stomach
- To prepare the sigmoid colon and rectal for elimination, he cuts and shuts the major blood vessels which severed the diseased region of the gut
- The sigmoid colon is freed and separated in the big intestine
- The anus can also be discharged from its surrounding constructions
- The surgeon then works the region inside the thighs (perineal region)
- The anus, rectum, and sigmoid colon are removed
- once the rectum is removed and link with the wholesome part isn’t feasible, the surgeon creates an opening in the wall of the stomach named Stoma to make way for your body squander
- A level bag is attached to the Stoma with specific adhesive. This process is Named Colostomy
- A colostomy may be temporary before the anus recovers along with the surgeon reconnect the Areas of the stoma and shut it
- It may also be irreversible if the tumor is at the lower anus
- The surgeon then closes the incision
After Abdominoperineal Resection operation:
- You may remain in the hospital for a minimum of one week
- You’ll feel tired for a while
- Your digestive tract takes a while to become busier. You’ll be fed up on fluids and on solids finally
- An enterostomal therapist can allow you to get familiar with your own pouch
- Any pain may be dealt with medicines
- You need to avoid strenuous activities or lifting heavy objects
- Routine checkups will be performed in which tests will be replicated to assess recovery or some recurrence.
Hazards and Complications:
As with any operation Complications like the below could happen:
- Infection
- Issues with colostomy
- A blood clot in the legs
- Accidental damage to the ureter
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Factors affecting the price of Abdominoperineal resection:
The cost of Abdominoperineal Resection begins out of $4800. The price could vary based on variables such as:
- Selection of hospital
- Location of hospital
- Surgeon’s fee
- Medical maintenance
- Duration of stay
Abdominoperineal Resection in India
Q: What’s Abdominoperineal resection?
A: It’s an operation to remove the anus, rectum, and sigmoid colon as a result of the existence of a cancer tumor in the region.
Q: Who is proven to be at rectal cancer threat?
A: Individuals over age 50 are seen to be at risk than other variables by 90 percent.
Q: What is a Stoma?
A: A stoma is an opening at the large intestine into the stomach to bypass the anus in taking waste out in the body.
Q: What’s a Colostomy?
A: Colostomy is a process in which the waste of the human body is removed in the stoma in a little pouch as the anus recovers.
Q: Can I need a Colostomy?
A: You may receive a temporary or permanent Colostomy determined by just how low the tumour was on your anus.
Q: Can Colostomy impact my life?
A: It might require a few alterations on your way of life but with appropriate instruction and advice from the enterostomal therapist, you’ll be able to take care of regular actions in life including gender.
Q: Will the operation be painful?
A: You will be given a general anesthetic, which means you won’t feel any pain. You might feel a little tender, but that will pass. Any excruciating pain is going to be treated with medications.
Q: How long will I want to remain in the hospital?
A: You’ll have to remain a minimum of one week that depends on your own recovery.
Q: How much time does it take to bounce back?
A: Total healing will take around 3 weeks. It’s necessary to perform a normal checkup during the next months following surgery to track progress and assess some symptoms of recurrence.
Q: What’s the prognosis after surgery?
A: The 5-year survival rate varies as it is dependent upon the phase of cancer. During the first phase, the survival rate is roughly 85 – 90 percent whereas, during the subsequent stage, it’s discovered to below.
Q: How soon will I be ready to fly long haul?
A: It is generally suggested to travel 4 – 6 months following the operation. You need to check with your health care provider prior to making any travel program and familiarize yourself with the airline coverage on patients for the greatest benefit.
Q: Could I get a visa on arrival if I visit India for my remedy?
A: Yes if you are from Japan, Cambodia, Finland, Indonesia, Philippines, Luxembourg, Myanmar, New Zealand, Singapore, South Korea as well as Vietnam. Travelers from Bhutan, Nepal, and Maldives can enter India without a visa i.e. around 90 days.
Q: What are the eligibility conditions to get a health visa to India?
A: If You’ve Got a valid passport and visa and are looking for medical care in a Recognized and respected hospital in India, then it is possible to make an application for a medical visa to India. Up to two attendants That Are blood relatives may accompany the individual under different attendant visas.
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BLK-Max Super Speciality Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Max Super Specialist Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
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- Selecting the best hospital and doctor as per your case
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- Providing local sim card
- Arranging video consultation with specialist doctor if case requires
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Sanar International Hospital
Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
Accord Superspeciality Hospital
Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
W Pratiksha Hospital
Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Aakash Health Care Delhi
Number of beds: 230
ICU Beds: 70
Airport Distance: 10 Km
About Hospital:
- Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
- The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
- Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
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We offers these Services
- Providing a doctor’s opinion and proper quotation
- Selecting the best hospital and doctor as per your case
- Arranging a call with the doctor (if the case required)
- Visa assistance, Providing Visa Invitation Letter (VIL)
- Providing full guidance how to get Visa from your country
- Providing total cost including treatment, air tickets, accommodation, and food
- Assitance to book flight ticket from your country
- Arranging airport pick up/ drop
- Providing professional language interpreter
- Booking accommodation and guest house as per your budget/ prefrence
- Providing help in money exchanging
- Providing local sim card
- Arranging video consultation with specialist doctor if case requires
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