Chennai Laparoscopy

Dr. Dinesh Ramaswamy

Total Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA) is a specialized surgical procedure often recommended for individuals suffering from severe cases of ulcerative colitis, Crohn’s disease, or other serious inflammatory bowel diseases (IBD). If you’re searching for Total Proctocolectomy + IPAA in Chennai, Dr. Dinesh Ramaswamy offers expert surgical care that can significantly improve your quality of life. The procedure involves the removal of the entire colon and rectum, followed by the creation of a pouch from the ileum (part of the small intestine) to restore normal bowel function. With skilled care, Dr. Ramaswamy helps patients regain their health and well-being after undergoing this major surgery.

What is Total Proctocolectomy + IPAA?

  • Total Proctocolectomy: This is the surgical removal of the entire colon (large intestine) and rectum. It’s usually necessary in cases where other treatments for conditions like ulcerative colitis or Crohn’s disease fail.
  • Ileal Pouch-Anal Anastomosis (IPAA): After the colon and rectum are removed, an ileal pouch is created from the small intestine. This pouch is then connected to the anus, allowing the patient to have normal bowel movements without the need for a permanent colostomy bag.

Why is Total Proctocolectomy + IPAA Needed?

  • Ulcerative Colitis: For severe or refractory cases of ulcerative colitis, when medication is ineffective, surgery is often the best option for symptom relief and disease control.
  • Crohn’s Disease: In certain severe cases of Crohn’s disease, especially when the disease affects the colon and rectum, total proctocolectomy with IPAA is performed to manage complications.
  • Cancer Risk: If there is a high risk of colorectal cancer due to chronic inflammation or genetic factors, this surgery may be recommended as a preventive measure.
  • Severe Rectal Bleeding: Uncontrolled bleeding from the rectum due to inflammatory bowel disease or other conditions may necessitate the removal of the rectum and colon.
  • Bowel Obstruction: Severe cases of bowel obstruction or perforation can lead to the need for proctocolectomy.

Procedure Overview:

  • Preoperative Evaluation: Before undergoing the surgery, several tests including colonoscopy, blood work, imaging scans (CT or MRI), and physical examinations are conducted. This helps assess the severity of the condition and ensures the patient is fit for surgery.
  • Surgical Process:
    • Step 1: The colon and rectum are carefully removed.
    • Step 2: An ileal pouch is created from the small intestine, which is then connected to the anal canal. This allows for normal bowel movements.
    • Step 3: If necessary, an ileostomy may be performed temporarily to divert waste while the pouch heals.

Postoperative Care: After the procedure, patients are closely monitored for any complications, including infection, bleeding, or anastomotic leakage. Pain management and proper hydration are key during the initial recovery phase.

Recovery After Total Proctocolectomy + IPAA:

  • Hospital Stay: Patients typically stay in the hospital for 7-10 days after surgery, depending on the type of surgery performed (open vs. laparoscopic) and the recovery process.
  • Diet: The diet is gradually reintroduced, starting with liquids and moving to soft foods. A full, normal diet is typically resumed after a few weeks.
  • Physical Activity: Light activities may be resumed after a few weeks. Full physical recovery can take 6-8 weeks for laparoscopic surgery and up to 12 weeks for open surgery.
  • Follow-Up Care: Postoperative visits are essential to monitor healing and to address any concerns, such as pouch function or bowel movements.

Why Choose Dr. Dinesh Ramaswamy for Total Proctocolectomy + IPAA in Chennai?

  • Expertise in IBD and Surgical Procedures: Dr. Dinesh Ramaswamy is highly skilled in performing complex gastrointestinal surgeries like Total Proctocolectomy + IPAA. His experience ensures the best possible outcomes for patients.
  • Patient-Centered Approach: Dr. Ramaswamy takes the time to understand each patient’s unique condition and tailors the treatment plan accordingly. He ensures that all questions and concerns are addressed before, during, and after surgery.
  • Minimally Invasive Techniques: Dr. Ramaswamy uses state-of-the-art laparoscopic techniques wherever possible, reducing recovery time and minimizing the risk of complications.
  • Compassionate Care: Dr. Ramaswamy and his team are known for their patient-centered care, providing both medical expertise and emotional support throughout the treatment process.
  • Proven Success Rate: With a high success rate in complex surgeries like Total Proctocolectomy + IPAA, Dr. Ramaswamy is a trusted name for patients looking for reliable, expert care.

Total Proctocolectomy + IPAA in Vadapalani and Porur:

For those specifically seeking Total Proctocolectomy + IPAA in Vadapalani or Total Proctocolectomy + IPAA in Porur, Dr. Dinesh Ramaswamy’s clinic in these locations provides easy access to high-quality, expert care. Whether you are located in central or suburban Chennai, his clinic ensures a convenient and comprehensive treatment experience.

Cost of Total Proctocolectomy + IPAA in Chennai:

The cost of Total Proctocolectomy + IPAA in Chennai can vary between ₹3,00,000 to ₹5,00,000, depending on factors such as the complexity of the surgery, hospital facilities, and whether laparoscopic or open surgery is performed. This cost generally includes pre-surgery diagnostics, the surgery itself, and postoperative care.

Conclusion

Choosing Total Proctocolectomy + IPAA in Chennai with Dr. Dinesh Ramaswamy provides you with a trusted, experienced surgeon who uses the latest surgical techniques to offer long-term relief from chronic bowel conditions. Whether you're dealing with ulcerative colitis, Crohn’s disease, or cancer, this procedure can restore normal bowel function and improve your overall health. Dr. Ramaswamy’s compassionate care and expert skills make him the best choice for patients in Vadapalani, Porur, and throughout Chennai. Contact Dr. Dinesh Ramaswamy today to discuss your surgical options and begin your path to recovery.

Frequently Asked Questions

Common questions about Total Proctocolectomy + IPAA and our services

Total Proctocolectomy with IPAA allows for the removal of diseased portions of the colon and rectum while maintaining normal bowel function. This improves quality of life by reducing symptoms of chronic disease and eliminating the need for a permanent colostomy bag.

Yes, this surgery is considered a permanent solution for individuals with severe ulcerative colitis, Crohn’s disease, or other conditions requiring bowel removal. The ileal pouch created after surgery allows for normal bowel movements.

Recovery time typically ranges from 6 to 12 weeks, depending on the type of surgery performed and the patient’s individual condition. Laparoscopic surgery generally offers a quicker recovery compared to open surgery.

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