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                                                       About ColorectalSurgery

Colorectal Surgery

Colorectal surgery is a field in medicine, dealing with disorders of the rectum, anus, and colon.The field is also known as proctology, but the latter term is now usedinfrequently within medicine, and is most often employed to identify practicesrelating to the anus and rectum in particular. (the word proctology is derivedfrom the Greek words Proktos, meaning anus or hindparts, and Logos meaningscience or study).

Physicians specializing in thisfield of medicine are called colorectal surgeons or proctologists. In theUnited States, in order to become colorectal surgeons, these surgical doctorshave to complete a general surgery residency, as well as a colorectal surgeryfellowship, upon which they are eligible to be certified in their field ofexpertise by the American Board of Colon and Rectal Surgery or the AmericanOsteopathic Board of Proctology. In other countries, certification to practiceproctology is given to surgeons at the end of a 2-3 year subspecialty residencyby the country's board of surgery.

 Colon and rectal surgeons are experts in thesurgical and non-surgical treatment of colon and rectal problems. They havecompleted advanced training in the treatment of colon and rectal problems inaddition to full training in general surgery .

Colon and rectal surgeons treatbenign and malignant conditions,perform rouuine screening  examinationsand surgically treat problems when necessary.

Scope of thespecialty

Colorectal surgical disordersinclude:

  • varicosities or swelling, and inflammation of veins in the rectum and anus (Hemorrhoids)
  • unnatural cracks or tears in the anus (Anal fissures)
  • abnormal connections or passageways between the rectum or other anorectal area to the skin surface (Fistulas)
  • severe constipation conditions
  • fecal incontinence
  • protrusion of the walls of the rectum through the anus (Rectal prolapse)
  • birth defects such as the imperforate anus
  • treatment of severe colic disorders, such as Crohn's disease
  • cancer of the colon and rectum (Colorectal cancer)
  • repositioning of the rectal area if fallen out.
  • anal cancer (rare)
  • any injuries to the anus
  • removal of objects deliberately inserted into anus

Surgical treatment anddiagnostic procedures

Surgical forms of treatment forthese conditions include: colectomy, ileo/colostomy, polypectomy,strictureplasty, hemorrhoidectomy (in severe cases of hemorrhoids), anoplasty,and more depending on the condition the patient suffers from. Diagnosticprocedures, such as a colonoscopy, are very important in colorectal surgery, asthey can tell the physician what type of diagnosis should be given and whatprocedure should be done to correct the condition. Other diagnostic proceduresused by colorectal surgeons include: proctoscopy, defecating proctography,sigmoidoscopy. In recent times, the laparoscopic method of surgery has seen asurge of popularity, due to its lower risks, decreased recovery time, andsmaller, more precise incisions achieved by using laparoscopic instruments.

Another new, revolutionary method ofsurgery, the CARP method (Compression Anastomotic Ring-locking Procedure) isunderway in Europe. This new method is fast becoming the preferred choice dueto exceptional benefits to patients in regards to faster healing process,reliability, and quick appealing attribute leak-detection potential. Thereduced need for a protective stoma is another appealingattribute.

(From Wikipedia, the freeencyclopedia)

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