Proctocolectomy

Proctocolectomy is a major surgical procedure in which the rectum and colon are removed. This procedure can be performed in two ways: panproctocolectomy (rapproctocolectomy) or rectosigmoidectomy.

With a panproctocolectomy, both parts of the intestine are completely removed, which may require a permanent opening in the ileum (ileostomy) or the construction of a special, ideal pouch. In a rectosigmoidectomy, only the rectum is removed and the colon is left in place.

Proctocolectomy is commonly performed for ulcerative colitis, a chronic inflammatory bowel disease. This condition causes inflammation and ulcers in the colon area, which can lead to severe abdominal pain, bleeding and diarrhea.

In some cases, proctocolectomy may be recommended for other conditions, such as colon cancer, hereditary polyposis syndromes, or severe intestinal damage.

The surgical procedure can be performed through an open or laparoscopic approach, depending on each patient's individual situation. After surgery, patients usually must remain in the hospital for several days for observation and recovery.

Proctocolectomy may be an effective treatment for patients with ulcerative colitis and other colon diseases that cannot be controlled with conservative treatment. However, like any surgical procedure, it may have risks and complications, including infections, bleeding, scarring, etc.

Patients who are recommended for proctocolectomy should discuss the risks and benefits of the procedure with their doctor. In addition, they should be prepared for the fact that after surgery they will need some time to recover and make lifestyle changes.

Like any other surgical procedure, proctocolectomy is a serious medical operation that can lead to serious consequences for the patient's health. However, this surgery may be necessary in certain cases when other treatments do not produce the desired results.

Proctocolectoma is the removal of the rectum and ascending colon with the formation of an anastomosis between the ileal stoma and the cecum - proctocolectomy from a narrowing of the intestine. This type of surgical treatment is often performed for patients with terminal stages of ulcerative colitis, complicated by decompensation of intestinal obstruction and inoperable cancer. The operation is also used in patients with the consequences of ineffective surgical treatment, complicated by various fistulas in the anal area.

The surgery removes a large portion of the intestinal tract, which can lead to serious complications such as infection, bleeding, or damage to other organs. However, as practice shows, the success of the operation depends on the qualifications and experience of the surgeon.

One of the benefits of Proctocolectomy is that it can help patients suffering from ulcerative colitis. Ulcerative colitis is a chronic inflammatory bowel disease that can lead to a variety of complications, including bleeding, scarring, and even cancer. Proctocolectum with resection of the ileum achieves a reduction in operations by an average of 20-25% compared to classical two-stage abdominal proctocolelastication. As a result of the operation, it is possible to avoid the need to use hardware methods to stop bleeding and a sharp increase in their number. Resection of the iliac sections during Proctocoecteromy allows you to reduce the number of necessary surgical interventions, reduce the risk of developing colostomy failure, and expand the indications for two-stage proctococolectomy in accordance with the need for the patient to undergo surgical intervention at the first stage.

During the operation, the surgeon removes the rectum and ascending colon, then forms an anastomosis between the ileum and the cecum. This allows the patient to receive nutrition through a reservoir that is located in place of the removed parts of the intestine. After surgery, the patient needs to stay in the hospital until complete recovery.

This is a rather complex and risky operation that requires a high level of qualifications and experience from the surgeon. Therefore, it is very important to choose a qualified specialist who can perform the operation as safely and effectively as possible.

Proctocolotomy\n**(Proctocoloctomy)**

A medical operation to remove part or all of the large intestine is performed for some of its diseases and severe inflammatory diseases affecting the mucous membrane of the rectum, sigmoid and sometimes cecum.

Most often, surgeons refer patients with terminal ileoproctitis to proctocolethioma. These symptoms are practically not curable even after surgery, since even after a radical operation a relapse is possible, especially with the development of sepsis. Megaproctocollic surgery (or megaproctocollectomy) is successfully used around the world, in which part of both the large and small intestine is completely removed. Over the course of several years, remission is evident, although the patient's condition remains severe. This operation is also used for those who have had their colon removed and replaced with an ileostomal reservoir. The purpose of such a procedure is to transfer the vital activity of the organ to the previous level, close to physiological. Proctocolectomy is often used in severe cases when the use of other methods is controversial. The operation also falls under the competence of proctologists, but in Russia several specialized medical centers in large cities perform this type of operation.

The advantages and disadvantages of proctocoletomy are directly related to the choice of technique for its implementation. The doctor operates without visible internal damage, his intervention is not visible visually and causes minimal harm to the patient. However, this is only possible in people with a clearly established diagnosis,