Comprehensive large intestine (colon and rectum) surgical care — laparoscopic colectomy for colorectal cancer, diverticular disease management, IBD surgical treatment, and rectal prolapse repair — by Dr. Hamikchandra Patel at Shaleen Multi Speciality Hospital, Sola, Ahmedabad.
Understanding Large Intestine Disease
The large intestine (colon and rectum) — approximately 1.5 metres long — absorbs water and electrolytes from indigestible food residue, forms and stores stool, and houses a vast microbiome essential to digestive and immune health. When the large intestine develops tumours, inflammatory disease, diverticulosis, vascular disorders, or structural abnormalities, medical and surgical management may be required.
Colorectal cancer is the third most common cancer in India and one of the most preventable — colonoscopic polyp removal stops cancer before it starts. Inflammatory bowel disease (Crohn's disease and ulcerative colitis) affects the colon in complex, recurring patterns that may ultimately require surgical resection. Diverticular disease — small pouches in the colon wall — can progress to diverticulitis, perforation, and fistula requiring urgent surgery.
Dr. Hamikchandra Patel performs the full range of colorectal surgical procedures — predominantly laparoscopically — at Shaleen Multi Speciality Hospital, offering Ahmedabad patients world-class large intestine surgical care with minimal recovery time.
Colonoscopy is the most important tool for large intestine health — simultaneously diagnosing conditions and preventing colorectal cancer through polypectomy. Dr. Gastro's endoscopy suite performs diagnostic and therapeutic colonoscopy, including polypectomy and mucosal biopsy.
Colorectal cancer detected at Stage I has a 5-year survival rate over 90%. At Stage IV, it falls below 15%. Regular colonoscopy screening from age 45 — or earlier with family history — is the most important preventive measure. Do not delay blood in stool or change in bowel habit evaluation.
Laparoscopic colon resection offers equivalent oncological outcomes to open surgery with significantly better recovery — less pain, 3–5 day hospital stay, earlier return to normal activity, and reduced complication rates. Available at Dr. Gastro's clinic for suitable colorectal conditions.
Large Intestine Conditions We Treat
Expert surgical management for the complete spectrum of large intestine disorders — from cancer to inflammatory disease to structural abnormalities.
The third most common cancer in India. Surgical resection (colectomy) is the primary curative treatment — combined with chemotherapy and radiation as indicated. Laparoscopic colorectal resection provides equivalent cancer control with faster recovery and less morbidity.
Small pouches (diverticula) in the colon wall — very common in adults over 50. Uncomplicated diverticulitis is managed medically; complicated cases (abscess, perforation, fistula, obstruction) require surgical resection of the affected colon segment.
Ulcerative colitis and Crohn's disease affecting the large intestine. Surgical intervention is indicated for medically refractory disease, dysplasia, cancer, toxic megacolon, perforation, or refractory fistulae. Proctocolectomy with ileal pouch-anal anastomosis (IPAA) for UC; staged resections for Crohn's.
Rectal prolapse — protrusion of the rectum through the anus — and sigmoid/caecal volvulus — twisting of the colon causing obstruction — both require surgical correction. Laparoscopic rectopexy for prolapse; sigmoid resection or endoscopic detorsion for volvulus.
Surgical Procedures
Minimally invasive removal of diseased colon segments — right hemicolectomy, left hemicolectomy, sigmoid colectomy, or total colectomy — through 4–5 small incisions. Suitable for colorectal cancer, diverticular disease, and IBD. Equivalent cancer outcomes to open surgery.
Resection of the rectum and upper sigmoid for rectal cancer — with anastomosis restoring bowel continuity. Low anterior resection (for low rectal tumours) preserves the anal sphincter, avoiding permanent colostomy. Laparoscopic approach preferred for suitable anatomy.
Urgent surgical resection for colonic perforation (from diverticulitis, cancer, or volvulus), massive colorectal bleeding, or toxic megacolon in IBD. May involve Hartmann's procedure — resecting the diseased segment with temporary colostomy.
Treatment Journey
Colonoscopy with biopsy confirms diagnosis and localises the lesion precisely. CT scan of abdomen and chest provides staging for cancer and identifies complications in other conditions. CEA and CA19-9 tumour markers for colorectal cancer staging.
For colorectal cancer: multidisciplinary team discussion with oncology, radiology, and gastroenterology. Neoadjuvant chemoradiation for low rectal cancer precedes surgery. Medical optimisation (nutrition, anaemia, blood thinners) for elective procedures.
Complete resection of the diseased colon with adequate cancer clearance margins and full lymph node harvest. Bowel ends rejoined (anastomosis) or stoma created where required. Surgical quality standards — specimen orientation, complete mesocolic excision — followed meticulously.
Ahmedabad's modern ERAS protocols — early feeding, early mobilisation, limited intravenous fluids — accelerate recovery after colorectal surgery. Most patients eat solid food by Day 2–3 and are discharged within 4–5 days after laparoscopic colectomy.
For colorectal cancer: adjuvant chemotherapy as indicated by stage, 3-monthly CEA monitoring, CT scans every 6–12 months, and 1-year surveillance colonoscopy. Lifelong follow-up with the multidisciplinary team.
Patient Questions
Expert gastrointestinal and laparoscopic surgery at Shaleen Multi Speciality Hospital, Sola, Ahmedabad. Transparent consultation, honest advice, and patient-centred care always.
