Laparoscopic Colorectal Surgery

What do I want to understand concerning my Laparoscopic large intestine Surgery?

Traditionally, operations on the Colorectal and rectum required a large abdominal and/or pelvic incision, which often required a lengthy recovery. New instrumentation and techniques enable the Dr. to perform the procedure through many little incisions, what we now refer to as "minimally invasive", "laparoscopic", or "laparoscopic-assisted" colorectal surgery. Dr. PS Lubana performs as the best Colorectal Surgeon in Indore having experience of more than the decade. .

Colorectal conditions that can be treated laparoscopically include:

  • Diverticular disease, specifically diverticulitis
  • Appendicitis
  • Benign and malignant Colorectal and rectal polyps, tumors and malignancies (cancer)
  • evere constipation which does not respond to medicine
  • Rectal prolapse (when body part tissue relaxes or isn't any longer supported by the enclosed muscle)
  • Colorectal volvulus (any twisting or displacement of the intestines causing obstruction)
  • Inflammatory bowel disease (Chrohn's or ulcerative colitis) Colorectal


Symptoms of large intestine diseases embrace hemorrhage from the body part, abdominal pain, change in bowel habits (new diarrhea, constipation, stool size, etc.), weight loss, anemia, cramping, vomiting, fever, among many others.Prior to sharing surgery, P S Lubana will usually do examinations (blood work, colonoscopy, barium enema, CT scan, etc.) to decide the cause of your signs.If you're found to own an unwellness that needs surgery, that is when a laparoscopic colorectal operation will be considered.


Minimally invasive or laparoscopic surgery involves victimization multiple trocars (thin tubes) placed through three to five little incisions. These incisions area unit sometimes but zero.5 cm (less than ΒΌ inch). Carbon dioxide gas is then accustomed slowly inflate the abdomen. A thin telescope is placed through one in every one of the trocars. This allows the surgical team to look at the within of the abdomen on a monitor. Specialized instruments area unit placed through the opposite trocars to perform the operation. For colon surgery, one of the holes is enlarged to extract the part of the colon. This larger incision may also be created at the start, allowing one hand to be placed within the abdomen along with the camera and long instruments to assist with the operation. The procedure is performed under general anesthesia.


Results area unit completely different for every procedure and every patient. Some common blessings of minimally invasive large intestine surgery area unit:

  • Shorter hospital stay
  • Shorter recovery time
  • Less pain from the incisions
  • Faster return to normal diet
  • Faster return to home or normal activity
  • Better cosmetic healing

Several cases qualify for laparoscopic or minimally invasive operation.

Before Surgery

Before Surgery you will need to be evaluated by Dr. PS Lubana. You may want any tests like endoscopy, barium enema, EKG, chest x-ray, CT scan of the abdomen, and/or blood work. Dr. PS Lubana order these tests.

Preparation for colon or rectal surgery will require cleansing of the colon or "bowel prep". Dr. PS Lubana may recommend an enema, a prescribed beverage for bowel preparation and/or some antibiotics. An internal organ preparation ought to be followed by solely a diet and no solids for eight hours before surgery. You may be educated to prevent taking sure home medications. These include blood thinners, warfarin, aspirin, and ibuprofen. You should give notice your Dr. of ALL current medications throughout your analysis. Patients area unit sometimes admitted to the hospital the day of surgery.

During Surgery

Surgery You will meet with the anesthetist ANd an endovenous tube are placed in your arm for delivery of fluids and drugs throughout your surgery. This procedure is performed underneath anesthesia, which suggests you may be utterly asleep. As presently as you're asleep, catheters area unit placed through the nose into the abdomen and within the bladder and also the surgical team can work along to perform the operation. Monitors area unit accustomed observe you are important signs throughout the surgery. When the operation is complete the respiratory tube is removed. Most patients do not remember this. You are then taken to the recovery room for a short stay.

After Surgery

After your surgery is completed, you will be taken to the Post-Anesthesia Care Unit, or PACU. You will be there for 1-2 hours. When you area unit prepared, you will be moved to your hospital room where your family will be able to see you. The nurses can still check your rate, blood pressure, temperature, breathing, and your incision.

They will also be checking your tubes

  • NG to drain your stomach. This is typically removed within the operating theatre however otherwise can keep sure concerning 1-4 days.
  • Foley catheter to drain your urine. This stays in for 2-3 days.
  • IV for fluids and medicine.

For pain management, there is also a pump connected to your IV. This is called a PCA or patient-controlled analgesia pump. You will have a button that you simply push after you begin to feel it is time for pain medication. The pump is ready in order that you can't get an excessive amount of medication. Often you may use this pump until you're able to eat and take pain medication orally. The compression devices can stay your legs whereas you're in bed throughout your hospital keep to minimize your risk of blood clots.

Your activity

That afternoon or, at the latest, on the first day after your surgery, you will be helped out of bed to sit in a chair.By the second day, you will need to walk in the hallway.Walking helps reduce your risk of obtaining a respiratory organ infection or blood clots. It also speeds up your recovery.


You will not be able to eat or drink something initially. You may be some ice chips sometimes. Once the nanogram tube is removed, you will start on a clear liquid diet the next day.


Complications are possible with any surgical procedure. The following are some complications associated with laparoscopic body part surgery:

  • adverse reaction to anesthesia
  • bleeding in the abdomen
  • infection in the abdomen or wounds
  • intestinal obstruction due to scar tissue
  • leakage from the bowel
  • heart attack or pneumonia
  • blood clots in the legs or lungs
  • injury to other organs

If the operation can't be completed laparoscopically, the operating surgeon can build a standard, larger incision. Reasons for this embody trauma and also the inability of the operating surgeon to obviously read the operative space. This should ne'er be thought-about a failure, but rather a prudent decision by the surgical team to safely complete the operation.

Postoperative Instructions

hese pointers offer you a summary of what you will expect as a part of your care once you permit the hospital. Be sure to follow Dr. PS Lubana, a colorectal surgeon in Indore will discharge directions if they're completely different from what's listed here.

Your activity

It is fairly common to feel weak and tired right away once discharge from the hospital. The body desires time to get over the strain of significant operation

• Walking Walking is allowable and inspired starting consequent day once surgery. At home, begin short, daily walks and gradually increase the distance you walk.

• ClimbingRising mounting and downstairs is allowable. Initially, have someone assist you.

• Lifting Lifting you will elevate light-weight objects (less than 10lbs.) once your discharge. This may be increased gradually after one month. If lifting Associate in Nursing object causes discomfort, you must discontinue the activity. This restriction helps prevent hernias at the sites of your incisions.

• Showers Showers Showers are permitted 2 days after surgery.

• Driving Driving isn't allowable for two weeks once surgery or your 1st follow-up visit together with Dr. PS Lubana. If you are taking prescription pain medications or narcotics, DO NOT DRIVE.

• Sex ex sexuality could also be resumed as your comfort level permits.

• Return to work come to figure individuals with inactive jobs have come to figure as early as fortnight postoperatively. A physically difficult job could need 4-6 weeks before returning to figure. This may be determined by you and your leader. Some people have residual fatigue several weeks after surgery.


In order to spot and treat any complications as they'll arise, close, lifetime follow-up is essential. Follow-up after surgery is extremely important. Patients typically build a briefing to ascertain their operating surgeon a pair of weeks once discharges. At this visit, further plans are made and the patient may be cleared for full activities such as driving.

© Dr. Parvinder S. Lubana. All rights reserved. | Developed & Design by