Colorectal Surgery
The division of colorectal surgery is aiming to offer comprehensive surgical care to patients with benign and malignant diseases of the Colon, Rectum and Anal canal.
Before NTA, which is an independent autonomous and self-sustained premier testing organisation, the test was conducted by the Central Board of Secondary Education (CBSE). The examination, which offers 90,000 seats in MBBS and BDS Colleges of India, is conducted in the month of May every year.
Emergency and Elective procedures pertaining to the Colon, Rectum, and Anus are performed by a dedicated team of Gastroenterologists specially trained and experienced in Colorectal Surgery. If one would want to name one surgery that’s made open surgery go down the gutter, its laparoscopic resections of the colon and rectum for tumours, inflammatory bowel diseases, tuberculosis, etc.
With more advanced imaging and technologies like the da Vinci Robotic surgery platform, 4K laparoscopic suite, and 3D imaging in laparoscopy, it has only become better for the patient in terms of outcomes and recovery and to the surgeon in terms of ease and comfort. Using these technology and expertise the team has successfully been able to avoid colostomy/ileostomy with sphincter preservation for hundreds of patients who otherwise might have needed a colostomy. Over the years, GEM has been honoured as the best colorectal surgery centre in Coimbatore and Chennai.
Diseases Treated
Out-patient clinics
The colorectal team runs the outpatient clinics on all Tuesdays and Fridays. The clinics can be attended by both appointments as well as open access to walk-in patients. Complete workup and investigations are offered to the patients based on the presentation. Patients with diagnosis of cancer are discussed in the Tumour Board meeting at 4.00pm.
Tumour Board Service
The Tumour Board is formed by the team of Consultant Colorectal surgeons, Oncologist (Dr. Akila), Radiologist (Dr. Srikanth), Pathologist (Dr. Aravind) and Specialist nurses. The meeting happens everyday at 4.00pm in the auditorium. Detailed discussion of the patient status, histopathology and imaging is done so that optimal management plans are made to suit the individual patients. Management plans are made in accordance with the NCCN American guidelines.
Out-patient procedures
Self-illuminating Proctoscope is used for the detailed assessment of anal canal problems such as anal fistula, hemorrhoids, and anal fissures. For patients with first and second-degree hemorrhoids with bleeding, rubber band ligation of hemorrhoids is performed. Banding of hemorrhoids is a well-tolerated procedure and the patient can return home within a few hours. Rigid sigmoidoscopy is performed in the outpatient clinic for selected patients and it offers the option of performing a biopsy as well if necessary.
Anal physiology services
Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.
Diagnostic services
Proctoscopy and Rigid Sigmoidoscopy are performed in the outpatient clinic as above. Flexible Sigmoidoscopy is offered to patients with anorectal symptoms. An enema is given to the patient following which sigmoidoscopy is performed. For patients with chronic altered bowels and anemia Colonoscopy is offered. We are able to perform a colonoscopy on the same day for patients presenting to outpatients before 9.00am. They are admitted to a room for bowel preparation following which colonoscopy is performed under sedation. We have a vastly experienced Radiology team helping us with Ultrasonography and CT scan.
Anal physiology services
Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.
Therapeutic services
Patients with colonic and rectal polyps are offered colonoscopy and polypectomy as a day case procedure. For selected patients presenting with obstructed colonic cancer, a same day stenting service is provided.
Chemotherapy services
A dedicated chemotherapy ward with well-trained staff nurses looks after the patients undergoing chemotherapy. Pre-printed protocols are used with individualised treatment offered to patients. All chemotherapy administration is closely monitored by Consultant Oncologist and Consultant Surgeons.
Billing & Financial Assistance
1500 Lap Anterior Resections
3500 Colectomies
150 Lap TPC + IPAA
150Lap Rectopexy
75 Hartmann’s Reversal
75 Parastomal Hernia
30 Lap Recto Vaginal Fistula
25 Lap Colo Vaginal Fistula
First prize in ACRSICON2018 for experience of 1000 cases of laparoscopic anterior resection at GEM Hospital
The 40th National Conference of the Association of Colon and Rectal Surgeons of India organised by GEM Hospital *
International Live Workshop and Conference on Minimally Invasive Colorectal Surgery – COLOREC2013, organised by GEM Hospital
Inauguration of GEM Cancer & Research Centre by Dr. APJ. Abdul Kalam. Colon and rectal cancer operations have been performed more than any other cancers at GEM Hospital
The National Conference on Colorectal Surgery ACRSI 2001, organised by GEM Hospital
Multiple camps organised by the colorectal surgery department for both colorectal diseases and other surgical diseases
Health News and Advice to Fit Your Life
Cancer Colon
Laparoscopic Right Hemicolectomy
Laparoscopic Extended Radical Right Hemicolectomy
Laparoscopic Subtotal colectomy for Transverse colon
Malignancy Laparoscopic Left colon resection
Single Incision Colonic resections
Cancer Rectum
Laparoscopic Anterior Resection
Laparoscopic Low Anterior Resection
Laparoscopic Ultra low Anterior Resection
Laparoscopic Colo anal Anastomosis
Anal canal Malignancy
Laparoscopic Abdomino-perineal resection (APR)
Familial Adenomatous polyposis/Inflammatory bowel disease
Laparoscopic Total Procto colectomy with ileal pouch anal anastomosis
Laparoscopic Total Procto colectomy with permanent ileostomy
Perineal procedures
Harmonic and Ligasure Haemorrhoidectomy
Lateral Sphnicterotomy
Stapler Haemorhoidopexy Video Assisted
Anal Fistula Treatment – VAAFT for Fistula in Ano
Ligation of Intersphincteric Fistulous Tract – LIFT for Fistula in Ano
TEM / TAMIS
Transanal ESD
Transanal Resection of Rectum and TME