Best Doctors in India for Colectomy
- Liver Transplant Surgeon and HPB Surgeon, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- With over 20 years of experience in performing complex operations for cancer, and other diseases involving the pancreas, liver, and gall bladder, Dr. Anupam Saha has been the foremost gastro intestinal and Hepato-Pancreato-biliary surgeon of the Indian Armed Forces.
- He did a 1-year fellowship in Liver Transplantation as well, at King’s College Hospital, London.
- For his service, Dr. Anupam Saha has also been awarded the Vishist Sewa Medal by the Armed Forces.
- Liver Transplant Surgeon & HPB Surgeon, Noida, India
- Over 17 years’ experience
Profile Highlights:
- Dr. K R Vasudevan is a surgical gastroenterologist who has been trained at one of India’s best hospitals. Over a short span of 17 years, his career has progressed to the role of leading a team.
- He has established and sustained a liver transplant program at PSRI over the last few years. Due to his experience with over 1200 live donor liver transplants, he was selected for this role.
- HBP & Liver Transplant Surgeon, Bengaluru, India
- Over 35 years’ experience
Profile Highlights:
- Dr. Sanjay Govil is an accomplished HBP & Transplant Surgeon. He completed FRCS from the Royal College of Surgeons in England.
- He has achieved a few major accomplishments throughout his life as well, which include the First Liver Resection in Karnataka, in 2007, First Laparoscopic Liver Resection in a Cirrhotic Liver in Karnataka in the year 2008, First Laparoscopic Pancreatic duodenectomy in Karnataka in 2008, First ALPPS procedure in India in 2012 and several more.
- He trained in liver surgery and transplantation at Kings College Hospital in London, Queen Mary’s Hospital in Hong Kong, and the Graduate School of Medicine in Tokyo.
- Hepatologist & Gastroenterologist, Chennai, India
- Over 18 years’ experience
Profile Highlights:
- Dinesh Jothimani is a Hepatologist and Gastroenterologist with over 18 years of experience.
- He completed his MRCP (UK) from the Royal College of Physicians, London in 2004.
- Dr. Dinesh Jothimani is a liver specialist trained in the UK and Australia. He cares for his patients who suffer from liver diseases and performs skillful liver transplants.
- Senior Consultant - Hepatology and Liver Transplant, Mumbai, India
- Over 13 years’ experience
Profile Highlights:
- Dr. Uday Sanglodkar is a highly motivated and compassionate medical gastroenterologist with experience in hepatology/transplant hepatology.
- Dr. Uday Sanglodkar has vast experience in pre and post-liver transplant care, liver intensive care management, and evidence-based management of gastrointestinal and liver diseases.
- Dr. Sanglodkar is also an expert at diagnostic and therapeutic gastrointestinal endoscopy.
- Liver Transplant Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Sanjiv Saigal is a trained Hepatologist who has spearheaded the medical team of liver transplantation in the largest liver transplant program in India for over a decade
- Dr. Saigal is a bright name in the field of Gastroenterology and a famous liver transplant specialist with over 3400 successful Liver Transplants in his career.
- Medical Gastroenterologist, New Delhi, India
- Over 54 years’ experience
Profile Highlights:
- Dr. Sohan Lal Broor is a Gastroenterologist and has an experience of 54 years in this field. Dr. Broor practices at Indraprastha Apollo Hospitals in New Delhi.
- He completed MBBS from Panjab University in 1967, MD – Medicine from PGIMER, Chandigarh in 1972, and DM – Gastroenterology from PGIMER, Chandigarh in 1974.
- Dr. Sohan Lal Broor is a member of the 2-Year Fellowship in Gastroenterology at Medical College Of Wisconsin, Milwaukee, USA.
- Some of the services provided by Dr. Broor are Irritable Bowel Syndrome ( IBS ) Treatment, Peptic/ Gastric Ulcer Treatment, Inflammatory Bowel Disease (IBD) Treatment, Hemorrhoids Treatment, and Gastritis Treatment.
- Surgical Gastroenterologist, Chennai, India
- Over 22 years’ experience
Profile Highlights:
- Dr. Jameel is an internationally acclaimed GI and Minimal Access Surgeon from India with more than 22 years of experience.
- He underwent higher surgical training and Oncology research in Yorkshire. Dr. Jameel also did Robotic Surgical training at the University College Hospitals, London.
- Following his successful completion of training and obtaining CCT, he practiced at MidYorkshire Hospitals. In addition to consultation, he was an educational supervisor and provided surgical training to many surgeons.
- Surgical Gastroenterologist, Chennai, India
- Over 41 years’ experience
Profile Highlights:
- Dr. Bala Chandran T G is a veteran gastroenterologist with over 41 years of experience.
- Apart from completing his MBBS, MS, and MCh, he has done a fellowship from the Royal College of Surgeons of Edinburgh, the UK.
- He obtained training in laparoscopic techniques from Ethicon Endosurgery Institute, Mumbai.
- Dr. Bala Chandran T G has done much research, authored, and published several articles in many publications.
- Surgical Gastroenterologist, Chennai, India
- Over 48 years’ experience
Profile Highlights:
- Dr. Prasanna Kumar Reddy is a veteran gastroenterologist in Chennai.
- Along with MBBS and DNB in surgery, he has a Diploma in Laparoscopy from Strasbourg.
- Over the years, Dr. Prasanna Kumar Reddy has gained enough recognition and appraisals for his treatment methods and has become one of the most preferred doctors.
Best Hospitals in India for Colectomy
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
CK Birla Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
Fortis Hospital, Shalimar Bagh
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
Reliance Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
Lilavati Hospital & Research Centre, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
COLECTOMY
Colectomy is a surgery for removing a part of the colon or all of it. It is also known as large bowel resection. Colon also known as large intestine, is a long tube-like organ which lies at the end of the digestive tract. Colectomy can be required to treat or prevent any diseases or conditions which can affect the colon.
Types
There are different types of Colectomy operations which include:
- Total Colectomy, which removes the entire colon.
- Partial Colectomy, which involves removing a part of the colon. It is also termed as a subtotal colectomy.
- Hemicolectomy, which removes the right or left portion of the colon.
- Proctocolectomy, which removes removing both the colon and rectum.
Colectomy surgery can sometimes require few other procedures for reattaching the remaining portions of your digestive system so that waste can easily leave the body.
Purpose
Colectomy is done for treating as well as preventing several diseases and conditions that can affect the colon, such as:
Unstoppable bleeding- Severe bleeding from the colon might require surgery in order to remove the affected portion.
Bowel obstruction– A blocked colon is an emergency, which may require partial or even total colectomy depending on the condition.
Colon cancer– Early-stage cancers might require removal of only a small section of the colon. However, at a later stage, it can require more of the colon to be removed.
Crohn’s disease- If medications for crohn’s disease are not being effective, you will find temporary relief from symptoms after the affected part of the colon. Colectomy is also considered as an option if precancerous changes are found during a test.
Ulcerative colitis- Your doctor might be recommending total colectomy if medications are not helping you control your symptoms. If precancerous changes are found during a colonoscopy, colectomy might also be considered an option.
Diverticulitis– Your doctor might also recommend surgery for removing the affected portion of the colon, if your diverticulitis recurs or if you are experiencing complications of diverticulitis.
Preventive surgery- If you have a high risk of colon cancer, due to the forming of precancerous colon polyps, you have the option to undergo total colectomy, as this will help you prevent cancer in the future. Colectomy can also be an option for people who are having inherited genetic conditions that might increase the risk of colon cancer.
Preparation
During the days before your colon surgery, your doctor might ask you to:
Stop taking certain medications- Certain kinds of medication can increase the risk of complications during surgery, so it is important that before you go through the surgery, you stop taking them.
Fast before your surgery- Prior to your procedure, you might need to stop eating and drinking for several hours to a day.
Antibiotics- In a few cases, your doctor may prescribe you antibiotics to suppress the bacteria which are found naturally in your colon, as this will help prevent infection.
A solution to clear your bowels- Your doctor might prescribe a laxative solution that you need to mix with water and drink over several hours, as directed by your doctor. The solution will help you empty your colon within some time.
It is also to be noted that it isn’t always possible to prepare for colectomy, as sometimes you might need an emergency colectomy, due to bowel obstruction or bowel perforation.
You will need to spend a few days in the hospital after the procedure depending on your situation. Consider making arrangements for someone to take care of your responsibilities at home as well at work.
Think ahead and pack any objects that you might need while you are recovering at the hospital.
Procedure
When it is time for your surgery, the team will take you to your preparation room, where they will monitor your blood pressure and your breathing. You might be given an antibiotic medication through a vein in your arm.
Next, they will take you to an operating room, and position you on a table. Then you will receive a general anesthesia medication and will be put to a sleep-like state so that you will not be aware during your operation.
After this, the surgical team will be proceeding with your colectomy. Colon surgery can be performed in two ways.
Open colectomy
Laparoscopic colectomy
Also known as minimally invasive colectomy, which involves multiple small incisions in your abdomen. Your surgeon will pass a tiny video camera through one incision and special surgical tools through the other ones. The surgeon will be watching a video screen in the operating room as the tools will free your colon from the surrounding tissue. The colon will be next brought out through one small incision in the abdomen. This will be allowing your surgeon to perform the operation on your colon outside of your body.
Once the repairs are made to the colon, the surgeon will be reinserting the colon through the incision.
Depending on your condition and the expertise of your surgeon, it will be decided which type of operation you will be undergoing.
Laparoscopic colectomy reduces the pain and recovery time after surgery. However, everyone cannot be considered a candidate for this kind of procedure. In some situations, the operation can begin as a laparoscopic colectomy. But circumstances can force the surgical team to convert to open colectomy.
After your colon has been repaired or removed, the surgeon will be reconnecting your digestive system so that your body can expel waste.
There are multiple options which include:
- Rejoining the remaining portions of your colon- The surgeon can stitch your colon’s remaining portions together to create what is called an anastomosis. This will allow the stool to leave the body as before.
- Connecting your intestine to an opening created in your abdomen- Your surgeon can attach your colon or small intestine to an opening created in your abdomen. This will allow the waste to leave the body through the opening called the stoma. You might need to wear a bag on the outside of the stoma to let the stool pass out properly. This may be temporary or permanent.
- Connecting your small intestine to your anus- After both the colon and the rectum is removed, the surgeon can use a portion of your small intestine for creating a pouch which is attached to your anus, to allow you to expel waste normally. However, you might experience several watery bowel movements each day.
Before you go through the operation, you will need to discuss your options with your surgeon.
After your colectomy
After surgery, the team will take you to a recovery room so that they can monitor you as the anesthesia wears off. Then your health care team will be taking you to the hospital room to continue the recovery.
You will need to stay in the hospital until you are able to regain your bowel function. You may need a couple of days to a week for this.
Since you might not be able to eat solid foods at first, they might give you liquid nutrition through a vein. Soon, you can transition to drinking clear liquids. Soon, as your intestines recover, you can eventually add solid foods.
If your surgery involved a colostomy or ileostomy for attaching your intestine to the outside part of your abdomen, you will need to meet an ostomy nurse who can guide you in how to care for the stoma. He/she will explain how to change the ostomy bag for collecting waste.
Recovery
Once you leave the hospital, you need to rest at home for a couple of weeks. Even though you may feel weak at first, you will regain your strength over time eventually.
It is best if you call a family member or a friend to help you with your daily activities until you have recovered fully. It might take some time before your healthcare team tells you that you are recovered enough to get back to your normal activities.
It is important that you take your prescribed medication as directed to prevent pain, infection and/or constipation. Consider changing your diet and drinking more fluids as well as over-the-counter medications.
Try to do deep breathing and relaxation exercises for some time during the day, especially when you find yourself extra tense.