Abdominal Perineal Resection Surgery

What is Abdominal Perineal Resection Surgery? Abdominal Perineal Resection surgery is usually done to remove the lower bowel, anus, sigmoid colon and rectum of the patient. Usually this surgery is required when the patient is not able to control the bowel motions. Through this

surgery, the affected part is removed and a new passage route is re-build for the bowel at the wall of the patient’s tummy. This passage route permits the outlet of body waste. This process is normally called as Colostomy. The waste materials can be collected through the stick on plastic pouch provided.

Abdominal Perineal Resection Surgery Procedure

Initially the patient is provided with anesthesia and made asleep during the surgery. A drainage tube will be placed into the patient’s bladder in order to drain the urine. The gastric secretions are also removed through a nasogastric tube.

After that, an opening will be made at the skin of the central lower abdomen wall and the opening will be 15 inches (40 cms) long. Then the lower bowel is made free from its bed. Around the back passage, another cut is done and it is also freed. After that the complete lower bowel is removed. As a next step, a new opening is made at the sides of tummy wall and it is connected to the colostomy, which is created newly.

This colostomy leads to a connection of stoma which allows the waste to go out from the body. This stoma is usually about 1 to 1 ½ inches in diameter. The stick on plastic pouch mentioned earlier will collect the wastes from the outlet of this stoma. This pouch must be worn always by the patient since the release of waste product is an unconscious control.

Generally a patient who has undergone this surgery can leave hospital by two weeks, but it may extend up to two months depending on the case.

Risks / Side Effects after Abdominal Perineal Resection Surgery

Few problems faced by the patients after undergoing this surgery are:

• In certain cases, the patient may experience damage in nerves and also to sexual nerves creating problems with erection.

• There are also chances of blood clots to occur after long time of bed rest.

• Some patients also suffer draining from wounds while moving.

• For smokers, there are high chances of chest infections to occur.

• In rare cases the patients other part of bowel, bladder or blood vessel may get damaged during surgery.

• Few other complications include skin rashes, tissue death over the bowel and tissue death near the colostomy.

Cost of Abdominal Perineal Resection Surgery

The cost of Abdominal Perineal Resection Surgery varies depending on the nature of the disease and the country where the surgery in undergone. The estimated cost in few major countries are: USA - $18,000-$60,000, India - $2,700, Malaysia - $3,500-$4,500, Thailand - $2,700-$3,400, Singapore - $3,000-$5,000.

| Abdominal Perineal Resection Surgery | Colostomy – Colon Removal Surgery | Sigmoid Resection Surgery | Stoma Reversal Surgery |

Contact us