About Abdominoperineal Endoanal Pull
Key Highlights
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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.
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Typical hospital stay: 7-14 days
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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.
Popular choices for abdominoperineal endoanal pull in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform abdominoperineal endoanal pull. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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.
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.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore