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 USD 2,719 – USD 6,526 7-14 days ~ 6-12 weeks for initial recovery; full functional adaptation may take several months Know More
Turkey USD 20,131 – USD 48,315 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.

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors

Manipal Hospital Dhakuria

  • IconKolkata, India
  • Icon200 Doctors

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors
PATIENT REVIEW

I was a total wreck before...

I was a total wreck before my appointment. First time seeing a doctor on my own and I was convinced it was something serious. Dr. Ram just listened, didn't rush me, and explained everything in a way that actually calmed me down. The hospital is huge and a bit overwhelming, but he made it feel okay. Left feeling like I could breathe again.

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. Rajeev Pullagura
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

OPD-desk synced • Updated
Dr. Adithya Gk
  • 16 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

OPD-desk synced • Updated
Dr. Madan
  • 14 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

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Dr. Saumitra Saha
  • 31 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Siliguri

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Dr. Nitish Kumar Das
  • 31 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Siliguri

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Dr. Sunil Sudarshan Hoskote
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

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Dr. Sariya M J
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

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Dr. Lalatendu Mahapatra
  • 14 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

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Dr. Ramya Ranjan Behera
  • 19 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

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Dr. S. Dileep
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

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Dr. Saurajit Patnaik
  • 14 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

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Dr. Rakesh Durkhure
  • 30 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Paritosh S Gupta
  • 26 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Suresh Kumar Chhabra
  • 38 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Bimal Kumar Sahu
  • 19 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. M.A Mir
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. C Palanivelu
  • 36 Years Experience
  • General surgeon
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. Pinak Dasgupta
  • 22 Years Experience
  • General surgeon
Speaks: Tamil, English
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. X. L. Jayanth Leo
  • 17 Years Experience
  • Laparoscopic surgeon
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. Gautam Chandra
  • 14 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ranchi

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