Abdominoperineal Resection: Procedure Overview

When facing colorectal cancer, Abdominoperineal Resection (AP resection) may be recommended as a surgical procedure to remove cancerous tissue in the rectum or anus.

This surgery is crucial in treating advanced or recurrent rectal cancer that is located close to the anus. It involves removing the rectum, anus, and part of the sigmoid colon to ensure the cancer is fully eradicated.

Indications of Abdominoperineal Resection

Abdominoperineal Resection is usually indicated for patients with rectal cancer that is too low in the rectum to be removed by other surgical methods.

• Rectal cancer located close to the anus
• Recurrent rectal cancer
• Large tumors that have invaded surrounding tissues
• Tumors that have not responded to other treatments like chemotherapy or radiation therapy

Steps involved in Abdominoperineal Resection Surgery

Abdominoperineal Resection is performed in several steps to ensure complete removal of the cancerous tissue and to promote optimal healing.

• Making an incision in the abdomen to access the affected area
• Removing the rectum, anus, and part of the sigmoid colon
• Creating a permanent colostomy to redirect waste out of the body
• Closing the incisions and ensuring proper drainage to prevent infection

Who will perform Abdominoperineal Resection Surgery?

Abdominoperineal Resection surgery is typically performed by a colorectal surgeon who specializes in treating diseases of the colon, rectum, and anus.

These highly trained surgeons have extensive experience in performing complex procedures like AP resection and are skilled in managing the unique challenges that may arise during surgery.

Preparing for Abdominoperineal Resection Surgery

Before undergoing Abdominoperineal Resection surgery, it is essential to prepare both physically and mentally for the procedure.

• Meeting with your surgeon to discuss the procedure and ask any questions you may have
• Following any pre-operative instructions provided by your healthcare team
• Arranging for help at home during your recovery period
• Mentally preparing for the changes that will occur post-surgery, such as living with a colostomy

after Abdominoperineal Resection surgery

Recovery after Abdominoperineal Resection surgery can vary depending on factors like the extent of the surgery, the patient's overall health, and any complications that may arise.

• Taking pain medication as prescribed to manage discomfort
• Following a special diet to promote healing and prevent constipation
• Engaging in light physical activity to prevent blood clots and improve circulation
• Attending follow-up appointments with your healthcare team to monitor your progress

Before and After Abdominoperineal Resection surgery

Before Abdominoperineal Resection surgery, it is crucial to discuss any concerns or questions with your healthcare team to ensure you are fully informed about the procedure.

After surgery, it is normal to experience some discomfort and fatigue, but these symptoms should improve over time with proper care and rest.