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In this section, we have leaflets for the Colorectal Surgery department. Please only read the materials on the advice of your clinician.

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Abdominoperineal Excision of Rectum

This is an operation for an ultra-low rectal or anal cancer resection. In this type of surgery, the lower part of your large intestine and the anus are removed, and the area closed permanently. You will then have a permanent stoma.


Anorectal Physiology Studies

You have been referred by your doctor for anorectal physiology studies. Patients are usually referred for these investigations because they have a certain type of symptom. These include faecal incontinence, constipation, difficulty emptying their bowel or require obstetric assessment.


Anterior Resection

This type of surgery is recommended if your bowel cancer or polyp is in the upper and middle part of the rectum. The surgeon removes the part of the bowel that contains the cancer or polyp and rejoins the two open ends of the bowel. Often, this join needs to be protected and the surgeon may have to create a temporary stoma (loop ileostomy). Occasionally, the bowel is not joined together, and a permanent stoma (end colostomy) is formed.


Emergency Laparotomy Surgery

An emergency laparotomy is a surgical operation that is used for people with severe abdominal pain to find the cause and in many cases to treat it. You will have a general anaesthetic and the surgeon will make an incision (cut) to open the abdomen. The damaged part of the organ is removed and the abdomen will be washed out to limit any infection.


Enhanced Recovery After Surgery (Colorectal)

Our mission is for you to come into hospital as strong as possible, ready for your surgery, and to make a quick recovery. In order to achieve this, we will use the Enhanced Recovery After Surgery programme (ERAS) to optimise your nutrition, mobility and pain relief around the time of your operation. There is strong evidence that by following the ERAS Programme you will recover faster from your operation, with fewer complications.

Enhanced Recovery involves staff caring for you, (anaesthetists, nurses, dietitians, physiotherapists and surgeons) helping you to follow a clearly defined programme and most importantly requires your participation to make it work.


Introducing your Key Workers

As your key workers, our aim is to help coordinate your care and provide you with continuity. We can do this by acting as a link between you and the various other hospitals / staff involved in your care.

We appreciate that this can be a very difficult time for you and your family / friends and you are likely to experience a wide range of emotions. It may be that you feel you need more information about your illness and the treatment or management planned for you. You may have choices to make, want to know what to expect in the future or want the opportunity to talk about how you are feeling.

We are here to answer any questions, discuss your individual worries or concerns, but also to talk as openly with you as you want about the impact and reality of your diagnosis and treatment. We can liaise with the GPs, district nurses and community Macmillan Nurses as required.


Left Hemicolectomy

Having a left hemicolectomy means that the left part of your bowel is removed. Usually, the two ends of your colon are re-joined. Occasionally, this join needs to be protected and the surgeon may have to create a temporary stoma (ileostomy).


Right Hemicolectomy

A right Hemicolectomy involves the removal of the right side of your large bowel. If we tell you that you will have an extended right hemicolectomy, means that your surgery involves the removal of the transverse colon as well.



Bowel Preparation Schedule Sheets


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