Learn about Abdominoperineal Endoanal Pull Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Abdominoperineal Endoanal Pull and request assistance for cost estimates or appointments.

About Abdominoperineal Endoanal Pull

An Abdominoperineal Endoanal Pull is a specialized surgical procedure performed by general surgeons to treat complex rectal conditions, primarily high anorectal malformations in infants or certain low rectal cancers in adults. This two-stage operation involves an abdominal approach to mobilize the colon and a perineal approach to create a new anal opening. The surgeon carefully pulls the healthy end of the colon through the newly formed anal canal and sutures it in place, restoring continuity and function. It is a major reconstructive surgery that aims to preserve sphincter function and eliminate the need for a permanent colostomy when possible. The procedure requires significant expertise and is tailored to the patient's specific anatomy and underlying condition.

Key Highlights

    Can restore near-normal bowel continuity and function, potentially avoiding a permanent colostomy.Addresses complex congenital or acquired defects that other procedures cannot correct.Performed by specialized general or colorectal surgeons with advanced training.Utilizes a combined abdominal and perineal approach for optimal surgical access and reconstruction.Aims to preserve anal sphincter muscles to maintain continence.

Who is this surgery for?

  • High or intermediate anorectal malformations (imperforate anus) in newborns and infants.
  • Selected cases of very low rectal cancer where sphincter preservation is a goal.
  • Severe, complex rectal trauma or injury.
  • Failed previous anorectal reconstruction surgeries.
  • Certain cases of Hirschsprung's disease involving the very low rectum.

How to prepare

  • Complete medical evaluation, including imaging (MRI/contrast enema) to define anatomy.
  • Bowel preparation (clear liquid diet and laxatives) to empty the colon.
  • Pre-operative antibiotics to prevent infection.
  • Fasting for 6-8 hours before surgery.
  • Detailed discussion with the surgical and anesthesia team about the procedure, risks, and recovery.
  • In pediatric cases, thorough counseling and support for parents or guardians.

Risks & possible complications

  • Bleeding, infection, or adverse reaction to anesthesia.
  • Injury to nearby structures like nerves, bladder, or reproductive organs.
  • Leakage from the new connection (anastomotic leak), a serious complication.
  • Stricture (narrowing) or prolapse of the pulled-through segment.
  • Impaired bowel control (incontinence) or constipation.
  • Potential for the procedure to fail, requiring a permanent colostomy.

Recovery & hospital stay

  • Initial hospital stay for monitoring, pain management, and IV fluids.
  • Gradual introduction of liquids and then solid foods as bowel function returns.
  • Careful wound care for abdominal and perineal incisions.
  • Use of dilators may be required to prevent anal stricture.
  • A structured bowel management program, including dietary modifications and timed toileting, is often essential.
  • Regular follow-up visits to assess healing, function, and address any complications.
  • Physical activity restrictions for several weeks to allow internal healing.
  • checked Typical hospital stay: 7-14 days
  • checked Expected recovery time: 6-12 weeks for initial recovery; full functional adaptation may take several months

Frequently Asked Questions

If you are considering abdominoperineal endoanal pull in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for abdominoperineal endoanal pull compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 250 Thousand – 600 Thousand 7-14 days ~ 6-12 weeks for initial recovery; full functional adaptation may take several months Know More
Turkey TRY 875 Thousand – 2.1 Million 7-14 days ~ 6-12 weeks for initial recovery; full functional adaptation may take several months Know More

Top hospitals for Abdominoperineal Endoanal Pull in India

These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing abdominoperineal endoanal pull.

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Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
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Manipal Hospital Mukundapur

  • IconKolkata, India
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43+ Rating

Manipal Hospital Dhakuria

  • IconKolkata, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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PATIENT REVIEW

Emma Garcia, a 58-year-old former school...

Emma Garcia, a 58-year-old former school librarian, had been living with ulcerative colitis for over two decades. Despite medication, she developed a severe, refractory stricture in her lower rectum, causing debilitating pain, tenesmus, and near-constant fecal urgency that made leaving the house a source of profound anxiety. After exhausting all conservative options, her colorectal surgeon, Dr. Chen, recommended an Abdominoperineal Endoanal Pull-Through procedure. He explained it would remove the diseased segment of her colon and rectum while preserving her anal sphincter, allowing for a 'pull-through' reconstruction to maintain natural bowel continuity. The surgery was complex and required a temporary ileostomy to allow the delicate anastomosis to heal. The initial recovery in the hospital was challenging, with pain management and adjusting to the stoma. However, after three months, the ileostomy was successfully reversed. While she now has more frequent bowel movements, the crippling pain and urgency are gone. Emma's emotional journey was one of long-suffering resignation giving way to hope. Post-surgery, though adapting to a new normal, she feels liberated, able to garden and visit her grandchildren without the constant, humiliating fear of an accident.

General surgeons for Abdominoperineal Endoanal Pull

Explore experienced general surgeons who regularly perform abdominoperineal endoanal pull and provide pre- and post-operative care in India.

Dr. Prakasam Rangaswamy K
  • 31 Years Experience
  • General surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Anand N S
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Sathish N
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Ramraj Vemala Nagendra Gupta
  • 15 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vinay A V
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Veeresh Annigeri
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Hemanth Kumar P
  • 27 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Viswanath S
  • 24 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Karthikeyan S
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Aritra Ghosh
  • 16 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Manjunath Haridas
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Madva Jayashankar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Sampath Kumar
  • 26 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Surinder Singh
  • 41 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Pankaj Kumar Garg
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Rajinder
  • 10 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Sreeharsha M V
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Sridhar Pandit
  • 39 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Deepak Rohidekar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Raghunandan B V
  • 35 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated