1066

Apollo Institute of Colorectal Surgery

Expertise in Every Aspect of Colon, Rectum, and Anal Health

 

Emergency Care: 1066

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India's Leading Colorectal Care Hospital

Apollo Hospitals is proud to be India's premier provider of colorectal care and the best colorectal surgery hospital in the country. Our commitment to excellence is evident in our cutting-edge facilities, advanced technologies, and a team of highly skilled colorectal specialists. With a network of hospitals across multiple cities, we offer unparalleled access to top-tier colorectal care.

Our evidence-based practices and precision-based care approach have established us as:

  • Best hospital for colorectal cancer treatment in India
  • Leading centre for robotic colorectal surgery
  • Pioneers in laparoscopic colorectal procedures
  • Experts in proctology and pelvic floor diseases

Our track record demonstrates our expertise and leadership in the field:

  • Internationally trained and qualified colorectal surgeons
  • Over 1000 robotic colorectal surgeries performed
  • More than 1200 colorectal procedures annually
  • Patients from across South Asia trust our care
  • 40% of patients come from other countries in the region

Our Approach

At Apollo Hospitals, we combine medical expertise with a patient-first approach to deliver the best colorectal care. Our multidisciplinary teams are committed to:

Evidence-Based Excellence
  • Latest global treatment protocols
  • Regular outcome monitoring
  • Quality benchmarking
  • Continuous medical education
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Precision-Based Care
  • Advanced diagnostic technologies like Ano-Rectal 3D Ultrasound and MR Defecography
  • Personalized treatment planning
  • Robotic and laparoscopic surgeries
  • Cutting-edge procedures like VAAFT and STARR
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Holistic Wellness Focus
  • Comprehensive pre-operative evaluation
  • Thorough post-operative care
  • Lifestyle modification guidance
  • Long-term health maintenance
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Quality Metrics
  • Cancer clearance rates of 95.4%
  • Reduced wound infection rates (1.4%)
  • Lower post-surgery complications (0.9%)
  • Readmission rates as low as 1.9%
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Why Choose Apollo Institute of Colorectal Surgery?

At Apollo Institute of Colorectal Surgery, we offer more than just treatment -- we provide a partnership in health that focuses on your colorectal system and overall well-being. Here's why we stand out:

Unmatched Expertise

Our teams of internationally trained colorectal surgeons bring together India's finest expertise under one roof. With over 1200 colorectal procedures performed annually, our doctors are among the country's most experienced specialists. This unparalleled experience translates into success rates that consistently surpass global standards, making us the safest hands for colorectal care.

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Advanced Technology

Our commitment to excellence is reflected in our state-of-the-art infrastructure. We've invested in the latest medical technology to ensure you receive world-class treatment:

  • Da Vinci Intuitive Robot for precise colorectal surgeries
  • Hugo Medtronic Robot for advanced procedures
  • Laparoscopic equipment for minimally invasive surgeries
  • State-of-the-art imaging systems for accurate diagnosis

Our cutting-edge technology, and surgical expertise, ensure optimal outcomes for every procedure.

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Specialised Programs
  • Robotic Colorectal Surgery Program
  • Laparoscopic Colorectal Surgery
  • Proctology Services
  • Pelvic Floor Disease Management
  • Colorectal Cancer Treatment
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Patient-First Approach

We believe in collaborative and personalized care that puts you at the centre of everything we do:

  • Each patient receives a tailored treatment plan based on their specific condition
  • Our multidisciplinary teams work together to provide comprehensive care under one roof
  • We offer complete transparency in our clinical outcomes and treatment processes
  • International patients receive specialized support, including language assistance and travel coordination

Recognized worldwide for our expertise, we cater to patients from across the world , offering high quality treatment at affordable costs. Choose Apollo Institute of Colorectal Surgery for a journey of care that goes beyond treatment -- where every step matters and your colorectal health is our ultimate priority.

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Our Team of Experts

At Apollo Institute of Colorectal Surgery, our team of internationally trained specialists forms the core of our world-class colorectal care. Our doctors are not just practitioners; they are pioneers in their fields, pushing the boundaries of colorectal care with their expertise and innovative approaches.

Our Team Includes:

  • Colorectal Surgeons: Experts in both benign and malignant colorectal conditions
  • Robotic Surgery Specialists: Skilled in advanced robotic colorectal procedures
  • Laparoscopic Surgeons: Dedicated to minimally invasive colorectal surgeries
  • Proctology Experts: Specialized in treating anorectal disorders
  • Pelvic Floor Specialists: Focused on managing complex pelvic floor diseases
     

Our specialists have trained at top institutions globally, bringing international expertise to your doorstep. They are supported by a team of skilled nurses, technicians, and support staff, all committed to providing you with the best possible care.

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Dr Asif Mehraj
Colorectal Surgery
12+ years experience
Apollo Health City Jubilee Hills
Hyderabad
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Dr Kishore V Alapati
Colorectal Surgery
18+ years experience
Apollo Health City Jubilee Hills
Hyderabad
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Dr Prof Narasimhaiah Srinivasaiah
Colorectal Surgery
20+ years experience
Bangalore
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Dr Varughese Mathai
Colorectal Surgery
28+ years experience
Apollo Health City Jubilee Hills
Hyderabad
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Dr Venkatesh Munikrishnan
Colorectal Surgery
26+ years experience
Apollo Hospitals Greams Road Chennai
Chennai

Advanced Technology & Equipment

Minimally Invasive Technologies

Minimally invasive technologies have revolutionized surgical procedures by allowing surgeons to perform operations through small incisions, reducing trauma to the patient's body. These techniques offer numerous benefits, including less pain, shorter hospital stays, faster recovery times, and reduced risk of complications compared to traditional open surgeries.

 

Laparoscopic Equipment for Keyhole Surgeries: Laparoscopic equipment for keyhole surgeries typically includes a laparoscope, which is a thin telescope with a light source and camera that transmits images to a monitor. Surgeons use specialized instruments such as graspers, scissors, and needle drivers, which are inserted through small incisions called ports. An insufflator is used to inflate the abdominal cavity with carbon dioxide, creating space for the surgeon to work. Trocars serve as access points for instruments, while energy devices like electrosurgical units or ultrasonic scalpels are used for cutting and coagulation. Advanced imaging systems and sometimes robotic assistance enhance precision and control during these procedures.

 

Robotic Surgical Systems:

Robotic surgical systems are advanced technological platforms that enable surgeons to perform minimally invasive procedures with enhanced precision and control. These systems typically consist of a surgeon console, robotic arms, and a high-definition 3D visualization system. They offer benefits such as improved dexterity, tremor filtration, and superior visualization, allowing for complex procedures to be performed through small incisions. In colorectal surgery, robotic systems are used for procedures like colectomies, rectal cancer resections, and total mesorectal [fatty tissue surrounding the rectum] excisions typically done to avoid cancer recurrences .

 

  • Da Vinci Intuitive Robot: The da Vinci Surgical System is widely used in colorectal surgery, offering several key features for enhanced precision and control. It provides a magnified 3D high-definition view of the surgical site and offers wristed instruments that bend and rotate far more than the human hand, allowing for enhanced dexterity. The system eliminates natural hand tremors and scale motions, enabling steady and accurate movements. Its latest Xi model allows for easier multi-quadrant surgeries without repositioning, making it suitable for complex colorectal procedures like colectomies and rectal cancer resections.

     
  • Hugo Medtronic Robot: The Hugo Robotic-Assisted Surgery (RAS) System is a newer platform in colorectal surgery, offering a modular design with up to four independent robotic arm-carts. It features a user-friendly docking process and extended instrument reach, beneficial for colorectal procedures. The system provides improved access to different quadrants of the abdomen and an open console design for better communication between the surgeon and the operating room team. While it has been used for various colorectal procedures, including colectomies and low anterior resections, it is still evolving with ongoing research to expand its capabilities in complex colorectal surgeries.
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Advanced Diagnostic Tools

Advanced Diagnostic Tools in colorectal medicine have significantly improved the accuracy and efficiency of diagnosing various conditions. These tools provide detailed imaging and functional assessments, enabling clinicians to make more informed decisions about treatment strategies and surgical approaches.

 

  • Ano-Rectal 3D Ultrasound: Ano-Rectal 3D Ultrasound is a high-resolution imaging technique used to evaluate the anal canal, rectum, and surrounding structures. It provides detailed, three-dimensional images of the anal sphincter complex, allowing for accurate assessment of sphincter defects, fistulas, and tumours. This non-invasive procedure is particularly useful in diagnosing and staging anal cancer, evaluating anal fistulas, and assessing sphincter integrity in patients with faecal incontinence. The 3D reconstruction offers a comprehensive view of the anorectal anatomy, aiding in surgical planning and post-operative follow-up.

     
  • MR Defecography: MR Defecography is a dynamic imaging technique that evaluates the function of the pelvic floor and rectum during the process of defecation. It provides real-time images of the rectum, anal canal, and pelvic organs during rest, squeeze, and evacuation. This test is particularly valuable in diagnosing pelvic floor disorders such as rectocele, enterocele, intussusception, and pelvic organ prolapse. MR Defecography offers superior soft tissue contrast compared to conventional defecography, allowing for better visualization of pelvic floor muscles and ligaments without exposing patients to ionizing radiation.

     
  • MR Fistulogram: MR Fistulogram is an advanced imaging technique used to evaluate and characterize anal and perianal fistulas. It provides high-resolution images of the anal canal, sphincter complex, and surrounding soft tissues, allowing for detailed mapping of fistula tracts and associated abscesses. This non-invasive procedure is superior to conventional fistulography as it does not require the injection of contrast material into the fistula tract. MR Fistulogram helps in determining the type and extent of fistulas, identifying secondary tracts and internal openings, and guiding surgical planning, which is crucial for successful treatment and reducing recurrence rates.
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Surgical Techniques in colorectal care

Some of the common surgical treatments done for colorectal diseases and conditions include the following categories:

 

1. Surgical Treatments for Colorectal Cancer

Colectomy (Partial or Total):
Removal of part (hemicolectomy) or all (total colectomy) of the colon, typically with lymph node dissection.

Rectal Resection:
Includes low anterior resection (LAR) or abdominoperineal resection (APR) for rectal cancer.

Transanal Minimally Invasive Surgery (TAMIS):
A less invasive method for removing early-stage rectal tumors or polyps via the anus.

Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC):
Used for colorectal cancers that have spread to the abdominal lining.

 

2. Treatments for Benign Conditions

Diverticulitis:

Sigmoid Colectomy: Removal of the affected portion of the colon for recurrent or complicated diverticulitis.

Inflammatory Bowel Disease (IBD):

Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA): A common surgical option for ulcerative colitis.

Segmental Resection or Stricturoplasty: For Crohn’s disease to preserve bowel length.

Rectal Prolapse:

Rectopexy: Secures the rectum to prevent recurrence of prolapse.

Perineal Procedures: Alternative for elderly or high-risk patients.

 

3. Minimally Invasive Techniques

Laparoscopic Surgery:
Standard for many colorectal conditions due to smaller incisions, reduced pain, and quicker recovery.

Robotic-Assisted Surgery:
Enhances precision and control, especially for complex rectal cancers or deep pelvic procedures.

 

4. Functional and Reconstructive Procedures

Colostomy/Ileostomy:
Creation of a stoma for waste diversion in cases where the colon or rectum needs to heal or be bypassed.

Sphincter-Preserving Surgery:
Techniques like intersphincteric resection to avoid permanent colostomy in rectal cancer patients.

Graciloplasty or Artificial Sphincter Implantation:
For severe fecal incontinence when other treatments fail.

 

5. Palliative and Emergency Procedures

Stent Placement:
For obstructing colorectal tumors, often as a bridge to surgery or as palliation.

Hartmann’s Procedure:
Emergency surgery for perforation, obstruction, or diverticulitis.

 

6. Surgeries for Anal Issues

These are performed to address a variety of conditions such as hemorrhoids, anal fissures, abscesses, fistulas, rectal prolapse, and anal cancer. The choice of surgery depends on the severity of the condition, the patient’s overall health, and the likelihood of recurrence. Below is a comprehensive list of surgeries for common anal issues:

Hemorrhoids:

Hemorrhoidectomy:
Surgical removal of internal or external hemorrhoids, typically for severe or prolapsed hemorrhoids.
Traditional open or closed techniques can be used.

Stapled Hemorrhoidopexy (PPH):
Uses a circular stapling device to reposition prolapsed hemorrhoidal tissue and reduce blood supply to the hemorrhoids.
Less painful and quicker recovery than traditional hemorrhoidectomy.

Hemorrhoidal Artery Ligation (HAL):
A Doppler-guided technique to locate and ligate hemorrhoidal arteries, reducing blood flow to hemorrhoids.

 

Anal Fissures:

Lateral Internal Sphincterotomy:
A portion of the internal anal sphincter is surgically cut to reduce muscle tension and promote healing. Effective for chronic fissures.

 

Anal Abscesses:

Incision and Drainage (I&D):
The most common procedure to drain pus from an abscess and relieve pain. Performed under local or general anesthesia, depending on the size and location of the abscess.

 

Anal Fistulas:

Fistulotomy:
The fistula tract is surgically opened and flattened to allow it to heal from the inside out. Ideal for simple, low-lying fistulas.

Seton Placement:
A thread or rubber band is placed in the fistula tract to promote drainage and reduce infection risk. Often used for complex or high-lying fistulas.

LIFT Procedure (Ligation of Intersphincteric Fistula Tract):
The fistula tract is divided and ligated to prevent recurrence while preserving sphincter function.

Advancement Flap Surgery:
Tissue is taken from the rectum or nearby area to close the internal fistula opening.

Fibrin Glue or Plug:
A minimally invasive option to seal the fistula tract, though recurrence rates are higher.

 

Anal Warts (Condyloma Acuminata):

Surgical Excision:
Large or recurrent warts are removed with a scalpel or scissors under local or general anesthesia.

Laser Ablation:
Uses laser energy to remove warts and underlying HPV-infected tissue.

Electrocautery:
Burns off the warts with an electrical current.

 

Pilonidal Disease:

Incision and Drainage:
Initial treatment for infected pilonidal cysts.

Excision of Pilonidal Sinus:
Removes the cyst and sinus tract completely to prevent recurrence. Options include open healing or flap reconstruction (e.g., Bascom or Karydakis flap).

 

Anal Cancer:

Local Excision:
For small, localized tumors, the cancerous tissue is removed with clear margins.

Abdominoperineal Resection (APR):
For advanced anal cancer, the anus, rectum, and part of the sigmoid colon are removed, often requiring a permanent colostomy.

 

Fecal Incontinence:

Sphincteroplasty:
Repairs damaged anal sphincter muscles, often from trauma or childbirth.

Artificial Anal Sphincter Implantation:
A device is implanted to mimic normal sphincter function and control continence.

Sacral Nerve Stimulation (SNS):
Modulates nerve signals to improve bowel control.

 

Pruritus Ani and Chronic Anal Pain:

Surgical Debridement:
Removes diseased or scarred tissue causing chronic irritation.

Botox Injections:
For refractory anal pain or spasm, Botox can relax the anal muscles.

 

7. Advanced Diagnostic and Intraoperative Tools

Fluorescence Angiography:
Assesses blood flow to minimize anastomotic leaks.
Intraoperative Imaging:
Techniques like intraoperative MRI or ultrasound for precise tumor localization.

 

8. Non-Surgical Therapies

Transanal Irrigation (TAI):
A conservative approach for chronic constipation or neurogenic bowel dysfunction.
Sacral Nerve Stimulation (SNS):
Improves bowel function in patients with incontinence or constipation.

 

9. Innovative Surgical Techniques

VAAFT (Video-Assisted Anal Fistula Treatment):
A minimally invasive technique for treating anal fistulas. It uses a small endoscope to visualize the entire fistula tract from the inside. The procedure involves two phases: a diagnostic phase to identify the internal opening and any secondary tracts, and an operative phase to clean and close the fistula. VAAFT allows for precise identification of the fistula's anatomy, reducing the risk of missing any branches. It preserves the anal sphincter muscles, potentially lowering the risk of incontinence. The technique is particularly useful for complex or recurrent fistulas and offers the advantages of less postoperative pain and faster recovery compared to traditional fistula surgeries.

 

STARR (Stapled Transanal Rectal Resection):
A surgical procedure designed to treat obstructed defecation syndrome caused by an internal rectal prolapse or rectocele. The technique involves using a specially designed circular stapler to remove redundant rectal tissue and correct the prolapse. STARR is performed through the anus, eliminating the need for external incisions. It aims to restore normal anatomy and improve bowel function by removing excess tissue that causes the prolapse or rectocele. The procedure is generally associated with shorter hospital stays and faster recovery compared to traditional surgical approaches. However, patient selection is crucial, and the technique requires specific expertise to minimize potential complications.

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Common Conditions We Treat

Anorectal Problems

Anorectal problems are common conditions affecting the anal canal and rectum. These disorders can cause significant discomfort and impact the quality of life. The Apollo Institute of Colorectal Surgery offers advanced diagnostic and treatment options for various anorectal conditions, ensuring personalized care and optimal outcomes.

1. Haemorrhoids (Piles): Haemorrhoids are swollen veins in the lower rectum and anus. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms include bleeding, itching, and pain. At Apollo, treatment approaches include:

  • Conservative management with dietary changes and topical medications
  • Minimally invasive procedures like rubber band ligation or sclerotherapy
  • Advanced surgical techniques such as stapled haemorrhoidopexy or haemorrhoidectomy
  • Use of advanced energy devices for precise and less painful removal


    2. Anal Fissures: Anal fissures are small tears in the lining of the anus, causing pain during bowel movements. They can be acute or chronic. Apollo's treatment approaches include:
  • Conservative management with stool softeners, topical medications, and sitz baths
  • Botox injections to relax the anal sphincter
  • Lateral internal sphincterotomy for chronic fissures
  • Fissurectomy with or without skin advancement flaps for complex cases

 

3. Anal Fistulas: Anal fistulas are abnormal connections between the anal canal and the skin around the anus. They often result from previous infections. Apollo's treatment approaches include:

  • VAAFT (Video-Assisted Anal Fistula Treatment) for minimally invasive fistula closure
  • Fistulotomy for simple, low fistulas
  • Seton placement for complex fistulas
  • LIFT (Ligation of Intersphincteric Fistula Tract) procedure
  • Use of biological plugs or fibrin glue for fistula closure

 

4. Perianal Abscesses: Perianal abscesses are collections of pus near the anus, often causing pain and swelling. They can lead to fistulas if not treated properly. Apollo's treatment approaches include:

  • Incision and drainage under local or general anaesthesia
  • Use of advanced imaging techniques like MRI or endoanal ultrasound for accurate diagnosis
  • Antibiotic therapy when appropriate
  • Follow-up care to prevent recurrence or fistula formation
  • Minimally invasive drainage techniques for deep abscesses
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Inflammatory Bowel Diseases

Inflammatory Bowel Diseases (IBD) are chronic conditions characterized by inflammation of the gastrointestinal tract. These disorders can significantly impact a patient's quality of life and require specialized care. The Apollo Institute of Colorectal Surgery offers comprehensive management of IBD, combining medical and surgical approaches to provide personalized treatment plans for patients.

1. Crohn's Disease: Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract, from the mouth to the anus. It often presents with abdominal pain, diarrhoea, weight loss, and fatigue. At Apollo, the treatment approach includes:

  • Comprehensive evaluation using advanced imaging techniques like MRI enterography and capsule endoscopy
  • Medical management with immunosuppressants, biologics, and corticosteroids
  • Nutritional support and dietary counselling
  • Minimally invasive surgical interventions for complications such as strictures, fistulas, or abscesses
  • Laparoscopic or robotic-assisted bowel resections when necessary
  • Multidisciplinary care involving gastroenterologists, colorectal surgeons, and nutritionists
     

2. Ulcerative Colitis: Ulcerative colitis is a chronic inflammatory condition affecting the colon and rectum, characterized by ulcers in the large intestine. Symptoms typically include bloody diarrhoea, abdominal pain, and urgency. The Apollo Institute's approach to treating ulcerative colitis includes:

  • Detailed evaluation using colonoscopy, flexible sigmoidoscopy, and advanced imaging
  • Medical management with 5-aminosalicylates, immunomodulators, and biologics
  • Specialized care for acute severe ulcerative colitis, including intravenous steroids and rescue therapies
  • Minimally invasive surgical options such as laparoscopic or robotic-assisted total colectomy with ileal pouch-anal anastomosis (IPAA) for refractory cases
  • Management of complications like toxic megacolon or perforation
  • Long-term follow-up and surveillance for colorectal cancer
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Malignant Conditions

Malignant conditions of the colon, rectum, and anus are serious diseases that require prompt, expert care. These cancers can significantly impact a patient's quality of life and overall health. The Apollo Institute of Colorectal Surgery offers state-of-the-art diagnostic and treatment options for colorectal and anal cancers, employing a multidisciplinary approach to ensure the best possible outcomes for patients.

 

1. Colon Cancer: Colon cancer develops in the large intestine (colon) and is one of the most common types of cancer worldwide. At Apollo, the treatment approach includes:

  • Surgery: The primary treatment is the surgical removal of the tumour and nearby lymph nodes. This may include procedures like colectomy or hemicolectomy.
  • Chemotherapy: Often used after surgery (adjuvant chemotherapy) to kill any remaining cancer cells. Common regimens include FOLFOX, FOLFIRI, and CAPEOX.
  • Targeted Therapy: For advanced cases, targeted drugs may be used in combination with chemotherapy. These include bevacizumab (targeting VEGF) and cetuximab or panitumumab (targeting EGFR) for certain tumour types.
  • Immunotherapy: For some patients with specific genetic markers (dMMR/MSI-H), immunotherapy drugs like pembrolizumab may be used.

     

2. Rectal Cancer: Rectal cancer affects the last several inches of the colon and requires specialized treatment due to its location. Apollo's approach includes:

  • Neoadjuvant Therapy: Many patients receive chemotherapy and radiation therapy (chemoradiation) before surgery to shrink the tumour.
  • Surgery: Procedures may include low anterior resection (LAR), abdominoperineal resection (APR), or in some cases, transanal resection for early-stage tumours.
  • Total Neoadjuvant Therapy (TNT): This approach involves giving both chemotherapy and radiation before surgery, which may improve outcomes and potentially avoid the need for extensive surgery in some cases.
  • Adjuvant Therapy: Additional chemotherapy may be given after surgery, depending on the stage and response to neoadjuvant treatment.

     

3. Anal Cancer: Anal cancer is less common but requires expert management due to its sensitive location. The Apollo Institute's treatment care includes:

  • Chemoradiation: A combination of chemotherapy (usually with 5-FU and mitomycin C) and radiation therapy is the standard first-line treatment for most anal cancers.
  • Surgery: Reserved for cases where chemoradiation is not effective or for very early-stage tumours. This may involve local excision or, in more advanced cases, abdominoperineal resection.
  • Immunotherapy: For metastatic or recurrent anal cancer, immunotherapy drugs like nivolumab or pembrolizumab may be used.
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Functional Disorders

Functional disorders of the colon and rectum are conditions that affect the normal functioning of the bowel without visible structural abnormalities. These disorders can significantly impact a patient's quality of life and require specialized care. The Apollo Institute of Colorectal Surgery offers comprehensive evaluation and treatment for these conditions, utilizing advanced diagnostic tools and innovative therapeutic approaches.

1. Chronic Constipation: Chronic constipation is characterized by infrequent bowel movements, difficulty passing stools, or a sensation of incomplete evacuation. At Apollo, the treatment approach includes:

  • Detailed evaluation using anorectal manometry and defecography
  • Lifestyle modifications and dietary changes
  • Biofeedback therapy for pelvic floor dyssynergia
  • Pharmacological interventions including laxatives and prokinetics
  • Minimally invasive procedures like sacral nerve stimulation for refractory cases
  • Surgical options such as subtotal colectomy for severe cases of colonic inertia resistant to other treatments .

 

2. Faecal Incontinence: Faecal incontinence is the inability to control bowel movements, leading to involuntary leakage of stool. Apollo's approach to treating this condition includes:

  • Comprehensive assessment using endoanal ultrasound and anorectal physiology studies
  • Conservative management with dietary modifications and pelvic floor exercises
  • Biofeedback therapy to improve sphincter control
  • Minimally invasive treatments like sacral nerve stimulation or injectable bulking agents
  • Surgical interventions such as sphincteroplasty or artificial bowel sphincter implantation
  • Advanced procedures like dynamic graciloplasty where an  inner thigh muscle is used to create a functional sphincter  for severe cases

     

3. Rectal Prolapse: Rectal prolapse occurs when the rectum protrudes through the anus. The Apollo Institute's treatment strategy includes:

  • Thorough evaluation using defecography and colonoscopy
  • Conservative management for mild cases or high-risk patients
  • Minimally invasive surgical approaches like laparoscopic or robotic rectopexy
  • Perineal procedures such as Delorme's operation or Altemeier's procedure for elderly or high-risk patients
  • STARR (Stapled Transanal Rectal Resection) for internal rectal prolapse
  • Comprehensive post-operative care and pelvic floor rehabilitation
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Other Conditions

1. Diverticulitis: Diverticulitis is an inflammation or infection of small pouches (diverticula) that form in the digestive tract. At Apollo Institute of Colorectal Surgery, treatment approaches include:

  • Anti-inflammatory medications and antibiotics for mild cases
  • Dietary modifications and fibre supplements
  • Minimally invasive procedures like laparoscopic surgery for recurrent or severe cases
  • Robotic-assisted colectomy for complicated diverticulitis
  • Multidisciplinary care involving gastroenterologists and colorectal surgeons

 

2. Pilonidal Cysts: Pilonidal cysts are abnormal pockets in the skin of the upper buttocks that usually contain hair and skin debris. Apollo's treatment approaches include:

  • Incision and drainage for acute abscesses
  • Minimally invasive procedures like pit picking or sinus curettage with glue for less severe cases
  • Pilonidal cystectomy (surgical excision) for recurring or complex cysts
  • Advanced flap procedures like Karydakis flap or Bascom's cleft lift for extensive disease
  • Post-operative wound care and follow-up to prevent recurrence

     

3. Colitis: Colitis refers to inflammation of the colon and can have various causes. At Apollo, treatment approaches for colitis include:

  • Comprehensive evaluation using colonoscopy and advanced imaging techniques
  • Medical management with anti-inflammatory drugs, immunosuppressants, and biologics
  • Dietary counselling and nutritional support
  • Minimally invasive surgical options like laparoscopic or robotic-assisted colectomy for severe cases
  • Multidisciplinary care involving gastroenterologists, colorectal surgeons, and nutritionists
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INSURANCE & FINANCIAL INFORMATION

At Apollo Institute of Colorectal Surgery, we understand that managing colorectal health is crucial, and we're dedicated to providing patients with exceptional care without financial stress. That's why we collaborate with leading insurance providers to ensure our comprehensive colorectal services are both accessible and affordable.

Insurance Coverage for Colorectal Care
Apollo Institute of Colorectal Surgery partners with numerous major insurance companies to offer coverage for a wide spectrum of colorectal treatments and procedures. This includes access to our cutting-edge facilities, advanced diagnostic tools, and expert colorectal care. Here are some of the insurance companies we work with: View All Insurances

Patient Journey

At Apollo Institute of Colorectal Surgery, we guide you through every step of your colorectal care journey, from initial consultation to complete recovery. Our approach ensures a seamless and reassuring experience with personalized attention at each stage.

1. Initial Consultation

Your colorectal care journey begins with a comprehensive evaluation to understand your condition and develop the most effective treatment plan. During this visit, you can expect:

Review of Medical History

  • Discussion of your past colorectal conditions
  • Family history of colorectal problems
  • Current symptoms and their impact on daily life
  • Previous treatments or surgeries
  • Overall health assessment

Physical Examination

  • Thorough evaluation of the affected area
  • Assessment of anal and rectal function
  • Pain point identification
  • Abdominal examination
  • Overall gastrointestinal examination

Diagnostic Testing

  • Colonoscopy for detailed colon examination
  • MRI or CT scans if needed
  • Blood tests when necessary
  • Specialized colorectal assessments
  • Anorectal manometry and defecography when required

Risk Assessment

  • Evaluation of your colorectal condition
  • Assessment of surgery requirements
  • Analysis of treatment options
  • Consideration of lifestyle factors
  • Review of potential complications

Treatment Planning

  • Discussion of all treatment options
  • Explanation of recommended procedures
  • Timeline for treatment and recovery
  • Answer to all your questions
  • Clear next steps outlined
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2. Treatment Phase

Whether you're having surgery or non-surgical treatment, our team ensures you're well-informed, comfortable, and receiving excellent care. This phase includes:

Detailed Procedure Information

  • Complete explanation of your treatment
  • What to expect during surgery or therapy
  • Recovery timeline
  • Potential risks and benefits
  • Post-treatment care requirements

Preparation Guidance

  • Pre-surgery instructions
  • Required medical tests
  • Medication adjustments
  • Dietary guidelines
  • Bowel preparation recommendations

During Hospital Stay

  • Regular updates on your progress
  • Pain management
  • Early mobilization when appropriate
  • Continuous monitoring
  • Family communication

Daily Doctor Visits

  • Progress assessment
  • Treatment adjustments as needed
  • Addressing concerns
  • Recovery planning
  • Pain management review

Supportive Care Team

  • Dedicated nursing care
  • Stoma care specialists
  • Pain management specialists
  • Nutritionists
  • Care coordinators
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3. Recovery and Rehabilitation

Post-treatment, we focus on helping you regain normal bowel function and overall health through:

Customized Rehabilitation Plans

  • Personalized diet and lifestyle programs
  • Gradual activity progression
  • Bowel management techniques
  • Pelvic floor exercises
  • Home care instructions

Physical Therapy

  • Pelvic floor rehabilitation
  • Biofeedback therapy
  • Progress monitoring
  • Technique training
  • Home exercise guidance

Nutritional Therapy

  • Dietary counselling
  • Meal planning
  • Nutritional supplement guidance
  • Hydration management
  • Long-term dietary modifications

Psychological Support

  • Recovery motivation
  • Emotional support
  • Progress celebration
  • Coping strategies
  • Family counselling

Recovery Monitoring

  • Regular progress assessment
  • Treatment plan adjustments
  • Long-term outcome tracking
  • Complication prevention
  • Lifestyle modification guidance
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International Patient Services

Comprehensive Support for Global Patients


Apollo Institute of Colorectal Surgery provides complete support for international patients seeking colorectal care, ensuring a smooth journey from planning to recovery.
 

Pre-Arrival Support

Medical Documentation Review

  • Evaluation of previous records
  • Analysis of imaging studies
  • Assessment of current condition
  • Treatment planning
  • Cost estimation

Treatment Planning

  • Personalized care protocols
  • Procedure scheduling
  • Recovery planning
  • Alternative options discussion
  • Timeline creation

Travel Assistance

  • Visa documentation support
  • Flight arrangements if needed
  • Local transportation planning
  • Accommodation recommendations
  • Arrival coordination
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During Your Stay

Dedicated Care Coordination

  • Personal patient coordinator
  • Treatment scheduling
  • Family support
  • Daily updates
  • Logistics management

Cultural Support

  • Language interpreters
  • Cultural dietary considerations
  • Religious accommodation
  • Traditional healing integration
  • Family involvement

Comfort Services

  • Comfortable accommodation
  • Family lodging assistance
  • Local area guidance
  • Dietary preferences
  • Entertainment options
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Post-Treatment Care

Follow-Up Planning

  • Recovery monitoring
  • Scheduled check-ups
  • Treatment adjustments
  • Progress tracking
  • Future care planning

International Care Coordination

  • Telemedicine consultations
  • Local doctor coordination
  • Medical record sharing
  • Medication guidance
  • Remote monitoring

Long-Term Support

  • Digital health records access
  • Online consultation options
  • Rehabilitation guidance
  • Emergency support
  • Continued care coordination
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Centres of Excellence & Locations

Our Colorectal Care Network

Apollo Institute of Colorectal Surgery operates one of India's largest and most comprehensive networks of colorectal care centres:

30+ specialized colorectal facilities across India
  • Dedicated colorectal surgery complexes
  • Advanced colonoscopy centres
  • Specialized pelvic floor clinics
  • Dedicated inflammatory bowel disease units
  • Comprehensive colorectal cancer care centres
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State-of-the-art infrastructure at each centre
  • Modern operating theatres with minimally invasive technology
  • Advanced imaging systems (CT, MRI, PET-CT)
  • Robotic surgical systems
  • Cutting-edge endoscopy equipment
  • Specialized pelvic floor rehabilitation units
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Standardized protocols across locations
  • Consistent quality of care nationwide
  • Evidence-based treatment guidelines
  • Regular quality audits
  • Standardized infection control measures
  • Uniform patient safety protocols
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Easy access to expert care nationwide
  • Strategic locations in major cities
  • Regional centres of excellence
  • Quick appointment scheduling
  • Emergency care availability
  • Telemedicine consultations
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Milestones & Achievements

Pioneer in Colorectal Excellence

Revolutionary Firsts
  • First in India to offer Robotic Colorectal Surgery
  • Pioneers of Transanal Endoscopic Microsurgery (TEM) in India
  • First to perform VAAFT (Video-Assisted Anal Fistula Treatment) in South Asia
  • World's first centre to use AI-assisted colonoscopy for polyp detection
  • India's first Centre of Excellence in Pelvic Floor Disorders
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Advanced Surgical Innovations
  • Pioneered the STARR (Stapled Transanal Rectal Resection) procedure in India
  • First to introduce Sacral Nerve Stimulation for fecal incontinence in South India
  • Revolutionary Minimally Invasive Colorectal Surgery (MICS) using advanced laparoscopic techniques
  • First to use biodegradable stents for colorectal strictures
  • Leaders in complex anal and rectal reconstructive surgeries
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Technology Leadership
  • Front runners in robotic colorectal surgery in Asia
  • Advanced 3D anorectal ultrasound and high-resolution anorectal manometry facilities
  • Pioneers in narrow-band imaging for early colorectal cancer detection
  • Leaders in computer-assisted colonoscopy
  • Excellence in minimally invasive procedures for inflammatory bowel diseases
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Complex Case Management
  • Expertise in advanced colorectal cancer management
  • Success in rare colorectal motility disorder treatments
  • Excellence in complex inflammatory bowel disease surgeries
  • Recognition for treating challenging pelvic floor disorders
  • Leaders in revision colorectal and pelvic surgeries
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Research and Education
  • Conducted ground-breaking research on colorectal cancer screening in the Indian population
  • Developed innovative techniques for complex fistula management
  • Published numerous international papers on advanced colorectal surgical techniques
  • Established a renowned fellowship program in colorectal surgery
  • Hosted international conferences on the latest advancements in colorectal care
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Patient Care Excellence
  • Achieved over 95% success rate in sphincter-saving surgeries for rectal cancer
  • Pioneered enhanced recovery protocols for colorectal surgery in India
  • Developed a comprehensive, multidisciplinary approach to inflammatory bowel disease management
  • Established specialized clinics for hereditary colorectal disorders
  • Achieved international accreditation for colorectal cancer care
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Frequently Asked Questions (FAQs)

What should I expect during my first colorectal consultation?

During your first consultation, you can expect a comprehensive evaluation of your condition. This typically includes a detailed medical history review, physical examination, and discussion of your symptoms. The doctor may recommend additional tests such as colonoscopy, imaging studies, or anorectal function tests. You'll have the opportunity to discuss your concerns and treatment options with the specialist.

How long is the recovery after colorectal surgery?

Recovery time varies depending on the type of surgery and individual factors. For minimally invasive procedures, patients often return home within 1-3 days and resume normal activities in 2-4 weeks. More complex surgeries may require a hospital stay of 5-7 days and a recovery period of 6-8 weeks. Your surgeon will provide a personalized recovery timeline based on your specific procedure and health status.

When should I see a colorectal specialist?

You should consult a colorectal specialist if you experience persistent changes in bowel habits, rectal bleeding, unexplained abdominal pain, or have a family history of colorectal cancer. Other reasons include chronic constipation or diarrhoea, anal pain or discomfort, and if you're over 45 for routine colorectal cancer screening.

What are the latest advances in colorectal surgery?

Recent advances include robotic-assisted surgery for enhanced precision, transanal minimally invasive surgery (TAMIS) for early rectal tumours, and advanced imaging techniques for better diagnosis. Other innovations include sphincter-preserving techniques for rectal cancer, minimally invasive approaches for inflammatory bowel disease, and new treatments for complex fistulas.

How do I prepare for colorectal surgery?

Preparation varies depending on the procedure but generally includes:

  • Following specific dietary instructions
  • Completing bowel preparation as directed
  • Stopping certain medications as advised by your doctor
  • Arranging for post-operative care and transportation
  • Quitting smoking and limiting alcohol intake
  • Discussing any concerns or questions with your surgical team

Is a colonoscopy painful?

A colonoscopy is typically not painful as patients are usually sedated during the procedure. You may feel some discomfort or bloating afterwards due to the air introduced during the exam, but this usually resolves quickly.

What are the treatment options for haemorrhoids?

Treatment options range from lifestyle changes and topical medications for mild cases to minimally invasive procedures like rubber band ligation or more advanced surgical interventions for severe cases. Your doctor will recommend the most appropriate treatment based on the severity of your condition.

How often should I get screened for colorectal cancer?

For average-risk individuals, colorectal cancer screening typically begins at age 45. The frequency depends on the screening method and your personal risk factors. Generally, colonoscopy is recommended every 10 years for those at average risk. Your doctor can provide personalized screening recommendations based on your risk profile.

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