Chennai Laparoscopy

Dr. Dinesh Ramaswamy

Abdominoperineal Resection (APR)

Abdominoperineal Resection in Chennai

Abdominoperineal Resection (APR) in chennai is a definitive surgical procedure performed for cancers and severe diseases affecting the lower rectum and anal canal where sphincter preservation is not possible. This surgery involves removal of the rectum, anus, and surrounding tissues to ensure complete disease clearance and long-term survival. With advances in surgical oncology, patient outcomes, safety, and quality of life have significantly improved when the procedure is performed by an experienced specialist in a well-equipped center.

What is Abdominoperineal Resection (APR)?

  • A radical colorectal surgery used mainly for low rectal cancer and anal canal cancer
  • Involves removal of:

    • Distal rectum
    • Anal canal
    • Anal sphincter muscles
  • Results in a permanent colostomy for stool diversion

Chosen only when sphincter-saving surgery is not oncologically safe

Who Needs Abdominoperineal Resection (APR)?

  • Low rectal cancers very close to the anal sphincter
  • Anal canal cancers not responding to chemoradiation
  • Recurrent rectal cancer after previous surgery
  • Severe inflammatory or radiation-damaged anorectal disease

Tumors invading sphincter muscles or pelvic floor

Symptoms That May Indicate the Need for APR

  • Persistent rectal bleeding
  • Altered bowel habits
  • Pain or mass in the anal region
  • Incontinence due to sphincter involvement
  • Non-healing anal ulcers or tumors

How Abdominoperineal Resection (APR) is Performed

  • Abdominal phase

    • Removal of sigmoid colon and rectum
    • Lymph node clearance for cancer control
  • Perineal phase

    • Removal of anus and surrounding tissues
    • Closure of perineal wound
  • Colostomy creation

    • Permanent opening on the abdominal wall
    • Allows safe and hygienic stool passage

Surgical Approaches Available

  • Open Abdominoperineal Resection (APR)
  • Laparoscopic Abdominoperineal Resection (APR)
  • Robotic-assisted Abdominoperineal Resection (APR)

Minimally invasive approaches offer:

  • Less blood loss
  • Faster recovery
  • Reduced postoperative pain

Better cosmetic outcomes

Benefits of Choosing Abdominoperineal Resection (APR)

  • Complete tumor removal with clear margins
  • Lower risk of cancer recurrence
  • Life-saving option for advanced disease
  • Improved long-term survival rates
  • Definitive treatment when sphincter preservation is unsafe

Recovery After Abdominoperineal Resection (APR)

  • Hospital stay: 7–10 days
  • Gradual return to diet and mobility
  • Stoma care education by trained nurses
  • Wound care for perineal healing
  • Most patients resume normal activities within 6–8 weeks

Life After Permanent Colostomy

  • Modern stoma appliances are discreet and odor-free
  • Patients can:

    • Travel
    • Work
    • Exercise
    • Maintain social life

Dedicated counseling and stoma training ensure confidence and independence

Services in Vadapalani and Porur

Abdominoperineal Resection (APR) in Vadapalani

Patients seeking Abdominoperineal Resection (APR) in vadapalani benefit from easy access to advanced diagnostic facilities, multidisciplinary cancer care, and experienced colorectal surgeons. The location offers excellent postoperative support, including oncology, stoma care, and rehabilitation services close to home.

Abdominoperineal Resection (APR) in Porur

Opting for Abdominoperineal Resection (APR) in porur provides patients access to comprehensive cancer surgery services, modern operation theaters, and coordinated postoperative care. The focus is on safety, precision, and long-term cancer control with personalized treatment planning.

Why Choose Dr. Dinesh Ramaswamy

  • Highly experienced colorectal and gastrointestinal surgeon
  • Expertise in advanced rectal cancer surgeries
  • Skilled in laparoscopic and complex oncologic procedures
  • Strong focus on patient education and shared decision-making
  • Comprehensive preoperative evaluation and postoperative follow-up

Multidisciplinary approach involving oncology, radiology, and stoma care teams

Conclusion

Abdominoperineal Resection (APR) in chennai remains a critical, life-saving procedure for advanced rectal and anal cancers where sphincter preservation is not possible. With modern surgical techniques, structured stoma care, and expert hands, patients can achieve excellent oncologic outcomes and a good quality of life. Choosing the right surgeon and center is the most important step toward long-term recovery and cancer control.

Frequently Asked Questions

Common questions about Abdominoperineal Resection (APR) and our services

Yes. Abdominoperineal Resection (APR) is a major oncologic surgery involving removal of the rectum and anus. However, when performed by an experienced surgeon, it is safe and offers excellent cancer control with acceptable recovery outcomes.

Absolutely. With proper stoma care training, most patients lead active, independent lives. Modern colostomy systems are discreet, comfortable, and allow patients to return to work, travel, and social activities confidently.

Depending on recovery and pathology results, adjuvant chemotherapy or radiation may start within 4–6 weeks. Your surgeon and oncologist will coordinate a personalized post-surgery treatment plan.

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