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Basic Principles On Colon And Rectal Surgery Long Island Residents May Benefit From

By Rebecca Kennedy


The colon and rectum are located at the tail end of the alimentary canal just before the anal opening. Disease in this region can be as a result of an infection, direct physical injury, malignancy and birth anomalies among others. Treatment for most of these conditions is surgical although a few can be managed conservatively. Subsequent sections in this article will discuss some facts on colon and rectal surgery Long Island patients may find beneficial.

The blood vessels in the colorectal region can get too swollen that they cause pain to the individual. This condition is referred to as hemorrhoids. While the exact cause is unknown, risk factors are known. These include obesity, pregnancy, anal sex and constipation. A diet deficient in high fiber greatly contributes to constipation and straining.

The primary treatment for hemorrhoids is medical since most of them present early when symptoms are still mild. The doctor will prescribe stool softeners to facilitate easy stool passage. Soaking the anal area in warm salty water for a certain period of time also helps a great deal in restoring normal function. It goes without saying that drinking adequate amounts of water and high fiber diet will help in alleviating constipation. When these measures fail, surgery has to be considered.

Removal of hemorrhoids can be done on an outpatient basis without any need for general anesthesia. One option is to use a rubber band by tying around the base of the hemorrhoid. This cuts off the blood supply and the swelling shrivels with time.

Alternatively, the doctor can use sclerotherapy where a chemical is infused into the swollen vessel to reduce it in size. Coagulation is another way to stop bleeding whereby techniques such as laser are used to cause shriveling of the swellings. Even though these minor procedures are cheaper and more convenient, the risk of recurrence is higher.

Hemorrhoid surgery, also called hemorrhoidectomy is indicated when the swellings are too large or if the other options fail. The surgery is usually done under general anaesthesia, although local and regional forms can be considered. The advantage of surgical removal is that it reduces the chances of recurrence to almost zero. Unfortunately, it has more complications including urine incontinence and infections of the urinary tract.

Presence of a tumor in the colorectal region definitely calls for surgery. Colorectal cancer usually affects the elderly but this is not to say that it cannot affect the young population. Predisposing factors include family history of the same, personal history of polyps, smoking and obesity. Surgery is only indicated if disease that has not spread to other organs. It aims at removing the diseased section and uniting the normal ends to function again. A permanent colostomy may have to be created in cases where cancer affects the anal sphincters.

In summary, it is important for the patient to be well informed on all the risks related with surgery. These include anesthetic complications such as respiratory distress and cardiovascular collapse. Surrounding structures may be accidentally injured in the process of removing abnormal tissues. All in all, the benefits of surgery for colorectal cancer usually outweigh the risks.




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