Colostomy Closure for Rectal Cancer treatment in the Best Hospitals in the World
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Department of General, Abdominal Surgery and Surgical Oncology
The Department of General, Abdominal Surgery and Surgical Oncology offers the full range of services in these medical fields. Whenever possible, operations are performed using minimally invasive techniques, which are the gold standard of modern surgery. The outstanding quality of medical care is confirmed by numerous prestigious certificates, including certificates from the German Cancer Society, the German Hernia Society, etc. In addition, the department provides innovative hyperthermic intraperitoneal chemotherapy (HIPEC), which is available only in the most progressive clinics in Europe.
Department of General, Endocrine and Bariatric Surgery
The Department of General, Endocrine and Bariatric Surgery offers the full range of operations to treat surgical diseases of the gastrointestinal tract and abdominal cavity, diseases of the rectum, anus and colon, as well as pathologies of the endocrine organs. In addition, the department specializes in the surgical treatment of morbid obesity. The team of bariatric surgeons successfully performs the most effective weight loss surgeries – gastric bypass surgery and sleeve gastrectomy. The key focus in clinical practice is on the surgical treatment of malignancies of the gastrointestinal tract, colorectal cancer and inflammatory bowel diseases. The surgical interventions are performed in progressive operating rooms equipped with state-of-the-art medical technologies, which guarantee the patient the most sparing treatment in compliance with all hygiene and safety standards. The department's surgeons are distinguished by rich clinical experience and exceptional qualifications. They regularly undergo internships in the best medical facilities in Europe and the United States, thanks to which they brilliantly perform operations of any complexity.
Department of General and Abdominal Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery and Bariatric Surgery provides the full range of surgical treatment in its field of competence. The department's highly qualified surgeons annually perform about 2,000 surgical interventions. Extensive clinical experience allows the specialists to perform even particularly complex operations. The department’s advanced operating rooms serve for surgery to treat gastrointestinal diseases, liver, gallbladder, bile duct, pancreatic, rectal, anal and colon pathologies. The medical facility also successfully performs operations to treat hernias: inguinal, umbilical, and anterior abdominal wall hernias. In addition, the department's doctors deal with the surgical treatment of morbid obesity. Minor traumatic laparoscopic interventions are considered the gold standard, which guarantee a patient minimal risks and rapid postoperative restoration. Surgeons tell the patient in detail about their upcoming treatment and, in every possible way, support them in their recovery.
Department of General and Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery
The Department of General and Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery offers the full range of modern surgical interventions in the areas of its specialization. Every year, the medical facility performs more than 2,500 surgical interventions on an inpatient and outpatient basis. The department has vast clinical experience in the field of minimally invasive surgery, which allows the patient to avoid severe pain and prolonged hospitalization. In addition, the department offers robotic surgery using the most modern models of the da Vinci surgical system. The medical facility has the status of the Reference Center for Minimally Invasive Surgery and Hernia Surgery. Surgical treatment of cancer is one of the department's clinical priority focuses. A large number of da Vinci robot-assisted interventions are performed here for gastrointestinal cancers. The department holds a leading position in the use of the da Vinci surgical system in the treatment of rectal and sigmoid cancer patients. The operating rooms of the medical facility are equipped with the very latest technology, while hygiene and safety standards are at the highest level as well. Prior to surgery, the patient undergoes a comprehensive examination. Doctors also assess the risks of the upcoming operation and its expected results. With appropriate clinical indications, preference is always given to minimally invasive surgery.
Department of General, Abdominal, Transplant, Hepatopancreatobiliary, Colorectal, Endocrine, Bariatric Surgery and Hernia Surgery
The Department of General, Abdominal, Transplant, Hepatopancreatobiliary, Colorectal, Endocrine, Bariatric Surgery and Hernia Surgery provides the full range of services in the areas of its specialization and holds a leading position at the national and international levels in terms of the number of surgical interventions performed and their success. Of particular interest are operations for treating diseases of the bowel, stomach, esophagus, pancreas, liver, gallbladder, and bile ducts, and endocrine glands. The department's doctors have excellent skills in the surgical treatment of cancer, surgery for liver, kidney, pancreas, and small intestine transplants, and operations for morbid obesity. The department's operating rooms are the pride of the medical facility, since they have all the necessary technical options for performing operations with the da Vinci surgical system, image-guided interventions, and endoscopic surgical procedures, which are characterized by minimal trauma rates.
Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery is one of the best medical facilities in Germany for the treatment of colon, stomach, esophageal, pancreatic, and liver cancers! The main specialization is surgical procedures for malignancies in the intestines, stomach, esophagus, liver, pancreas, and rectum. The department also successfully operates on patients with chronic inflammatory bowel disease such as Crohn's disease and ulcerative colitis. The department's therapeutic capabilities are complemented by the treatment of gastroesophageal reflux disease, sigmoid diverticulum, umbilical and inguinal hernias, cholelithiasis, and anorectal disorders. Nearly all surgical procedures are performed using minimally invasive surgical techniques – the department has the status of a Center of Excellence for Minimally Invasive Surgery certified by the German Society for General and Vascular Surgery (DGAV). The medical facility also offers innovative da Vinci robot-assisted surgery. These procedures have become the standard of care for colon cancer, rectal cancer, and colonic diverticulosis. Each clinical case is evaluated individually and the surgical procedure is carefully planned. Surgeries are performed in high-tech operating rooms in compliance with hygiene and safety standards.
Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery offers the full range of effective surgical treatments in accordance with modern medical standards. Operations of varying complexity are performed on the stomach, colon, pancreas, liver, gallbladder, bile ducts, rectum, thyroid gland, and parathyroid glands in the department's operating rooms every day. The department's primary focus is the surgical treatment of malignant gastrointestinal tumors. The medical facility is certified in this area by the German Cancer Society (DKG). The team of endocrine surgeons specializes in the treatment of diseases of the thyroid gland, parathyroid glands, and adrenal glands. Patients with morbid obesity are also successfully operated on here. In their work, the department’s specialists primarily use minimally invasive surgical techniques, which virtually eliminate trauma to healthy tissue during the intervention. The department's operating suite is equipped with an innovative da Vinci Surgical System, which allows the doctors to perform sparing and high-precision surgical interventions. The specialists of the medical facility strictly adhere to hygiene and safety standards and create the most comfortable conditions for each patient during their hospital stays.
Department of Abdominal, Thoracic and Vascular Surgery
The Department of Abdominal, Thoracic and Vascular Surgery offers all modern surgical interventions in these fields. Specialization covers the treatment of diseases of the abdominal organs, endocrine glands, pathologies of the lungs and chest wall, pathological vascular lesions of all parts of the body. In addition, kidney transplantation and pancreas transplantation are part of the surgeons' tasks. Whenever possible, operations are performed using minimally invasive techniques that have several advantages over classical interventions.
Department of Adult and Pediatric General, Abdominal, Transplant Surgery
According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery ranks among the top German medical facilities specializing in bowel cancer treatment! The department performs surgical treatment of general surgical diseases, abdominal pathologies, and also specializes in organ transplantation. Of particular interest are surgical oncology of the abdominal organs, as well as pancreatic and liver surgery. The department annually performs more than 3,000 surgical interventions, which contributes to its credibility at the national level.
Department of General, Abdominal and Transplant Surgery
According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of services in these medical fields and guarantees the first-class medical care at the university level. The department specializes in the treatment of diseases of the abdominal cavity, esophagus and thyroid gland, transplantation of liver, kidney and pancreas. The medical facility has won the reputation of one of the three largest and most successful Transplant Centers in Germany. Also, within the clinical practice, doctors hold highly-specialized consultations on rare diseases and provide 24-hour emergency care.
Department of General, Abdominal, Adult and Pediatric Transplant Surgery
According to the Focus magazine, the Department of General, Abdominal, Adult and Pediatric Transplant Surgery ranks among the top German departments specializing in the treatment of bowel cancer! The department specializes in the treatment of tumors of the gastrointestinal tract, pancreas, liver, and retroperitoneal space (peritoneal carcinomatosis), liver, kidney, pancreas, bowel transplantations in children and adults, as well as the surgical treatment of obesity and general surgical interventions.
Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery
The Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery offers the full range of services in these fields. The team of the department's surgeons is rightfully proud of their high professionalism and successfully performs operations of varying degrees of complexity for diseases of the thyroid and parathyroid glands, stomach, esophagus, intestines, pancreas, liver, biliary tract, lungs. The medical facility also performs surgery for inguinal, umbilical and incisional hernias. The department has four high-tech operating rooms equipped with advanced surgical instruments, computer systems, devices for intraoperative ultrasound scanning, radiography, etc. Whenever possible, the department's surgeons perform low-traumatic laparoscopic procedures, after which patients need to spend only a few days in the hospital. The department has 100 beds for patient hospitalization.
Department of General, Abdominal and Pediatric Surgery
The Department of General, Abdominal and Pediatric Surgery offers the full range of surgical treatment of diseases of the organs of abdominal cavity, thorax, emergency surgical care in polytrauma, as well as many surgical interventions in children. Of particular interest is cancer surgery on the liver, gallbladder, and pancreas. In addition, the department's specialists masterfully manage all the methods of bariatric surgery. Many operations are performed using minimally invasive techniques, which facilitate the quickest possible recovery of the patient.
Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery
According to the Focus magazine, the Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery ranks among the top German departments specializing in colon cancer treatment! The department offers the full range of modern surgical interventions. The priority field of clinical activity is cancer surgery, in particular, sparing minimally invasive procedures and robot-assisted interventions. Each patient receives an individual therapy regimen, which is discussed at daily medical boards with doctors from other medical fields. In addition, the responsibility of the medical facility includes surgeries for endocrine disorders and bariatric interventions for morbid obesity. The team of the department's surgeons has a wealth of experience in classical open and minimally invasive procedures on the abdominal organs, as well as specializes in the innovative da Vinci robot-assisted surgery. The department also successfully performs cytoreductive interventions.
Department of General and Abdominal Surgery, Hernia Surgery, Endocrine, Hepatopancreatobiliary, Colorectal, Bariatric, Vascular and Pediatric Surgery
The Department of General and Abdominal Surgery, Hernia Surgery, Endocrine, Hepatopancreatobiliary, Colorectal, Bariatric, Vascular and Pediatric Surgery provides the full range of services in these medical fields. The highly qualified team of the department's surgeons specializes in performing operations of any degree of complexity in the treatment of pathologies of the liver, pancreas, gallbladder, and bile ducts, and diseases of the colon, rectum, and anus, as well as endocrine disorders. The department also performs all modern interventions for vascular pathologies, including aneurysms, carotid stenosis, and intermittent claudication. Patients with morbid obesity can undergo surgical treatment using the most modern and effective techniques. In addition, the medical facility employs experienced pediatric surgeons who provide surgical care to young patients. Operations are performed both on an inpatient and outpatient basis, in accordance with the best recommendations of professional societies. Doctors at the department's state-of-the-art operating rooms perform major interventions, navigation-guided surgery, and minimally invasive surgery to ensure fast recovery of patients.
Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery ranks among the top German medical facilities specializing in the surgical treatment of gallbladder and biliary tract pathologies! The team of the department's surgeons admits patients with benign and malignant gastrointestinal diseases, namely stomach, liver, esophageal, gallbladder and biliary tract, pancreatic, colon and rectal pathologies. The department also carries out treatment for all types of hernias – the medical facility has a quality certificate from the German Hernia Society (DHG). Of particular interest is the resection of malignant tumors of the digestive system. The department's operating rooms have state-of-the-art medical equipment, therefore, in most cases, surgeons can perform interventions without extensive incisions in the skin and soft tissues, but with the use of minimally invasive techniques. Such an approach to surgical treatment greatly facilitates the patient's postoperative recovery process, reduces the risk of complications and excludes severe pain syndrome. The department's surgeons cooperate closely with gastroenterologists, hepatologists, oncologists, radiologists and other doctors from related medical fields. Doctors demonstrate high treatment success rates, use advanced surgical techniques, and observe hygiene and safety standards. Patients can be sure that their health is in the safe hands of leading European specialists.
Colorectal cancer is a cancer of the colon, sigmoid, and rectum. Most colorectal cancers start with small, benign tumors called adenomatous polyps and adenomas. Over time, some of these polyps can transform into a malignant tumor.
Symptoms of colorectal cancer
Colorectal cancer symptoms depend on the stage and location of the tumor. However, similar symptoms can be observed with other diseases. An important fact is that often symptoms only appear at the advanced stages of cancer.
The most common symptoms are:
- Blood in the stool
- Stool changes (diarrhea or constipation)
- Stomachache
- Losing weight
- Weakness, fatigue
However, none of these symptoms indicates specifically colorectal cancer. For example, blood in the stool can occur with hemorrhoids, and bowel infection can cause diarrhea.
If the bleeding is caused by colorectal cancer, it can continue for many months. In this case, the person may not even notice the blood loss, and the patient's main complaints might be shortness of breath, fatigue, and dizziness, which are the symptoms of anemia.
When the tumor increases in volume, it can completely block the intestines. In this case, a blockage or significant narrowing of the intestines complicates the movement of stool and intestinal gases, so bloating occurs.
Diagnostics
Patients with suspected colorectal cancer need urgent diagnostics.
Endoscopy, which is called colonoscopy in regards to bowel examination, is the main test for diagnosing colorectal cancer.
This is an outpatient procedure during which the rectum and colon are examined from the inside using a special probe (endoscope). The colon is expanded with a small amount of air so that the doctor can examine the tissues lining it (the image can be seen on the monitor). If a part of the intestine needs to be examined more thoroughly, instruments are inserted through the endoscope for a painless biopsy. These tissues are sent to a laboratory for analysis. Microscopic analysis of tissue is essential for correct diagnosis making and staging of colorectal cancer.
Another method of examination, sigmoidoscopy, allows doctors to examine the lower third of the colon, rectum, and sigma. If diagnostic imaging tests indicate that a more detailed examination is needed, a colonoscopy with biopsy should be performed.
A barium enema can also be used for the diagnostics of colorectal cancer. A barium enema (or air-contrast barium enema) is an X-ray technique used to produce an image of the colon. Two days before the examination with a barium enema, a patient should consume a light, mostly liquid food, and in the evening before the examination a laxative should be taken. On the day of the examination a barium enema is administered, the air is inflated into the colon and an X-ray of the abdomen is carried out.
It is very important to differentiate colorectal cancer from Crohn's disease and severe ulcerative colitis (it should be noted that both diseases are connected with a risk of the colorectal cancer development).
In the case of severe ulcerative colitis, general inflammation of the mucous membrane, edema, fragility of the mucous membrane with hemorrhages are noted. In Crohn's disease, repeated cycles of ulceration, followed by periods of healing, occasionally cause areas of the mucous membrane to lift up, resulting in the formation of the polyps-like formations called pseudo polyps. A characteristic feature of Crohn's disease during the endoscopic examination is the typical appearance of a mucous membrane similar to a cobblestone pavement.
Colostomy overview
A doctor form a colostomy in following health conditions:
- The large intestine is blocked or damaged
- A part of the large intestine is surgically removed
- A ruptured colon causes an abdominal infection
- Colostomy might be needed after rectal cancer surgery
People with certain types of cancer, such as colorectal cancer, may need a colostomy. Most people who need a cancer-related colostomy only need it for a few months, while the colon or rectum heals.
A colostomy is also performed in the following pathologies:
- Colon polyposis
- Disorders of the structure and functioning of the intestine
- Nonspecific ulcerative colitis
- Intestinal obstruction
- Acute diverticulitis
- Crohn's disease
An intestinal stoma is an artificially formed connection between the intestine and the surface of the skin. There are two main types of stomas: ileostomy and colostomy. The ileostomy is formed from a loop of the small intestine, while a fragment of the large intestine is used for a colostomy.
After a colostomy, the patient does not feel the urge to bowel evacuation and does not control the process, and feces and intestinal gases are released spontaneously. The contents of the intestines are collected in an airtight, odor-proof bag called a colostomy bag. Colostomy bags are also designed to protect the skin surrounding the stoma. These bags are disposable and reusable, they are not visible under clothing and do not cause discomfort.
In most cases, colostomy, in other words, the creation of an artificial anus, is prescribed for cancer of the large intestine or rectal cancer. The procedure is not indicated for all patients who have undergone surgery for rectal cancer treatment. When elaborating a treatment protocol, factors such as the location and size of the tumor, the degree of damage to nearby tissues, and the general health state of the patient are taken into account.
Besides, the colostomy surgery is indicated when the condition of the intestine is unsatisfactory for carrying out a conventional surgery. In addition, in many cases, doctors face a serious health state of a patient who has been admitted to the hospital. In order to alleviate symptoms and save the patient's life, it is necessary to create the intestinal stoma.
The successful operation of creating the stoma requires high qualifications and experience from the surgeon.
Complications of colostomy
The most common complications include:
- Peristomal dermatitis. Peristomal dermatitis manifests itself in irritation of the skin surrounding the stoma, hyperemia, the appearance of ulcers, pain, and burning sensation.
- Bleeding from the stoma. Bleeding from the stoma is usually caused by the injury to the intestinal mucosa due to improper care. Usually, bleeding stops soon without special treatment, but prolonged bleeding requires immediate medical attention.
- Purulent inflammation of the tissues surrounding the stoma.
- Necrosis of tissues adjacent to the stoma.
- Narrowing (stenosis) of the stoma. Until the narrowed intestinal stoma does not interfere with the excretion of feces and does not cause the patient any pain, stenosis is considered normal.
- Stoma retraction.
- Stoma prolapse.
With the loss of a larger segment of the intestine, the excretion of the contents of the intestine is hampered, and care becomes more complicated. The prolapse worsens when the patient stands, coughs, or exerts any physical effort.
A colostomy can be temporary or permanent. A temporary colostomy is more common. The main indications are pelvic trauma, complicated intestinal obstruction, stoma in rectal cancer, ulcerative colitis, Crohn's disease, intestinal polyposis.
A temporary stoma is formed during the primary surgery for rectal cancer treatment, followed by the reversal colostomy. Subsequently, bowel function is fully restored.
In some cases of colorectal cancer, when anal bleeding or acute obstruction is observed, permanent colostomy is performed. Surgeons choose such measures in the presence of indications, when a reconstructive surgery is impossible for one or another reason.
Colostomy closure
Reversal colostomy is a surgery that closes the intestinal stoma (artificial anus) and normalizes bowel function. The modern equipment and high level of training of the surgeons allow successfully carrying out this type of reconstructive surgery.
Removal of the stoma is considered the final stage of surgical rectal cancer treatment. It follows the surgery for artificial opening creation that is formed to empty the bowel.
Colostomy closure is often performed after the surgical removal of colorectal cancer. This usually happens 4-6 months after the first rectal cancer surgery. The period length may vary depending on the patient's health state.
The presence of an unnatural intestinal opening often causes physical and moral discomfort in patients. It is clear that reversal colostomy and restoration of normal bowel function is extremely important for patients.
On average, a reversal colostomy is performed 3-4 months after the formation of a temporary stoma, when the person has fully recovered from the first surgery. This period can be lengthened if there is inflammation in the abdominal cavity, complications, and relapses of rectal cancer. In such cases, additional measures are taken to restore the functioning of the non-working part of the intestine.
During reversal colostomy, anesthesia is used. To close a temporary stoma, surgeons remove the stitches from the surfaces and spread the stoma to the sides.
After connecting parts of the intestine, surgeons evaluate the quality of stitches before finishing reversal colostomy. Reconstruction of the large intestine and restoration of natural bowel movement depend on the length of the disconnected area, the presence of adhesions, inflammation, and other factors.
The reversal colostomy surgery is considered a very complex surgery in proctology. It requires a satisfactory health state of the patient and a highly qualified surgeon.
When deciding to carry out this surgery, certain factors are taking into consideration, including:
- Life expectancy prognosis in rectal cancer patients
- Absence of pathologies (cancer tumors, inflammation)
- Absence of severe side effects after colostomy
The patient should be informed in detail about the complexity of this surgery, the risk of postoperative complications, and the expected results of the surgery.
Where can I undergo colostomy closure for rectal cancer treatment abroad?
The best success rates in reversal colostomy are demonstrated by:
- Academic Hospital Brothers of Charity Munich, Germany
- University Hospital of Ludwig Maximilian University Munich, Germany
- Charite University Hospital, Germany
- University Hospital Ulm, Germany
- Tel Aviv Sourasky Medical Center, Israel
- Medipol Mega University Hospital Istanbul, Turkey
You can check out the full list of hospitals on the Booking Health website.
The cost of rectal cancer treatment with colostomy closure
The prices in hospitals listed on the Booking Health website are relatively low. With Booking Health, you can undergo rectal cancer treatment in the best hospitals in the world at an affordable price.
The cost varies, as the price for treatment depends on the hospital, the diagnosis, and the complexity of treatment:
- The price for treatment in Germany is from 16,727 EUR to 26,157 EUR
- The price for treatment in Israel is approximately 14,400 EUR
- The price for treatment in Turkey is approximately 8,300 EUR
The final cost may differ from the prices mentioned above. To make sure that the price for treatment is suitable for you, contact us by leaving the request on the Booking Health website.
How can I undergo colostomy closure in the best hospitals in the world?
It is not easy to choose the right hospital that ensures successful colostomy closure surgery. It is vital to have accurate information on the success rates in rectal cancer treatment of the specific hospital.
We have up-to-date information on rectal cancer treatment in the best hospitals in the world. You can be free of unnecessary troubles, while Booking Health takes care of all organizational issues. Our goal is to find the best facility for rectal cancer treatment for you.
We may help you during this difficult period and take on all the troubles. Booking Health will select a hospital, taking into account your wishes and the indications for rectal cancer treatment.
Rectal cancer can be treated! The earlier you start the treatment, the higher the chances of returning to your day-to-day life. All you need to do is to leave the request on the Booking Health website and our manager will contact you shortly.
