Anterior Resection

Surgical removal of the rectum (lowest part of the large bowel)

Speciality General Surgery
Urgency elective, urgent
Duration 2 to 3 h
Blood Loss 500 ml to 1.5 litres (+/- Blood Transfusion
Anaesthesia General Anaesthetic + Epidural
Anaesthesia II General +/- Nerve Block
Nerve Blocks Rectal Sheath, TAP-Block
Procedures Arterial line, Central line, Nasogastric tube, Urinary catheter
Pain moderate-severe (++++)
Post-op Pain Epidural Infusion 3-5 days, Nerve Block up to 10-30 hours, PCA
Post-op Pain II Tablets, Injection (im, iv)
Hospital Stay 3 to 8 days
Full Recovery 8 to 12 weeks
Additional Info For cancer low in the bowel or diverticular disease, laparoscopic surgery possible, for further information see: www.clinimed.co.uk/stoma-care/stoma-surgery/ileostomy-surgery.aspx

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