Colon

Colon operations are also part of the basic care of patients at our clinic.

In the case of benign diseases such as sigmoid diverticulitis (inflammation of intestinal wall protuberances in the scimitar) and colon polyps (benign tumours), we offer minival-invasive surgical techniques such as laparoscopic (via laparoscopy) sigmoid resection (removal of the scimitar) or the combined laparoscopic (via laparoscopy) and simultaneously endoscopically (endoscopy from within) assisted removal of benign polyps (adenomas). The latter is necessary if polyps cannot be removed from the inside of the colon (colonoscopy) due to their size and/or location and a major open surgery (by means of an abdominal incision) should be avoided.

We also perform the removal of large polyps in the rectum under general anaesthesia via the anus (transanal) with removal of the affected mucous membrane (mu-cosectomy) and special instruments (ultracision).

In the spectrum of treatment of haemorrhoidal vein disease, we offer all classic surgical methods. We will only use the stacker haemorrhoidectomy according to Longo (circular removal of the rectal mucosa with a special stapler) when more convincing long-term results substantiate the success of this procedure.

Malignant tumours of the colon and rectum are unfortunately increasing in frequency. Fortunately, early detection examinations contribute to the fact that patients with less advanced stages of the disease come to the operation more often and thus the chances of recovery are improved. Molecular genetic findings in familial colon carcinomas also allow risk groups to be defined (patients who are highly likely to develop a malignant colon tumour) and included in appropriate screening programmes.

Minimally invasive surgical methods have not yet become widely accepted in the treatment of malignant colon tumours. Due to the frequency of these tumours, the surgical methods are highly standardised and can be performed with corresponding routine. Certain parts of the colon and rectum are removed together with the tumour and the neighbouring lymph nodes. The extent of the part of the intestine to be removed depends not only on the tumour but especially on the vascular supply of the intestine. Most malignant tumours are located near the rectum and the ileum. In these cases, an artificial bowel outlet is usually not necessary. Only if the tumour affects the sphincter muscle of the anus, the entire rectum is removed and a new artificial anus must be created (anus praeter). Nowadays, the possibilities for fitting an artificial anus are so sophisticated that no one will notice it. Swimming in swimming pools is also possible.

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