Bowel Resection with Colostomy
Bowel resection with temporary or permanent colostomy when primary reconnection is unsafe — Hartmann's procedure.
What is Bowel Resection with Colostomy?
Bowel resection with colostomy involves removing the diseased bowel, followed by creating a colostomy rather than immediate reconnection. This is most commonly Hartmann's procedure — performed when primary anastomosis carries unacceptable leak risk due to contamination, sepsis, or poor patient condition.
Dr. Tagore Mohan Grandhi performs bowel resection with colostomy for perforated diverticulitis, obstructing colorectal cancer, and complex bowel conditions. Colostomy reversal is planned at 3–6 months after full recovery.
Suitable for patients with perforated diverticulitis and faecal peritonitis, obstructing colorectal cancer, complex bowel injury, or any condition where anastomosis at the time of surgery carries unacceptable risk.
How the Procedure Works
Emergency Assessment
CT assessment determines extent of contamination, perforation, and patient fitness for primary anastomosis versus colostomy formation.
Bowel Resection
Diseased or perforated bowel segment removed. Thorough peritoneal lavage performed to control contamination.
Colostomy Formation
Proximal healthy colon brought to skin surface as an end colostomy in the left iliac fossa. Distal rectal stump closed (Hartmann's pouch).
Stoma Care
Stoma appliance fitted immediately post-operatively. The stoma nurse provides skin care training and appliance management.
Reversal Planning
Colostomy reversal — reconnecting the bowel — planned at 3–6 months. Most reversals are performed laparoscopically.
Outcomes
Who Needs This Treatment?
- →Eliminates anastomotic leak risk in contaminated or emergency settings
- →Life-saving in perforated diverticulitis with faecal peritonitis
- →Colostomy is typically reversible — reconnection planned at 3–6 months
- →Modern appliances are comfortable and manageable for daily life
Bowel resection with colostomy is sometimes the safest and life-saving choice. When patients return for reversal, they leave with normal bowel function and a second chance at health.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Bowel Resection with Colostomy Cost in Hyderabad
The cost of Bowel Resection with Colostomy for Crohn’s Disease in Hyderabad depends on factors such as bowel damage severity, complications, emergency requirements, and post-operative care.
For patients with severe disease complications such as perforation or severe infection, the approximate cost of Bowel Resection with Colostomy ranges between ₹1,80,000 and ₹3,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Bowel Resection with Colostomy | ₹1,80,000 – ₹3,20,000 |
The final cost may vary depending on the severity of disease, surgical findings, hospital stay, and additional medical support required.
Factors That Influence Bowel Resection with Colostomy Cost
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Complexity and severity of the condition being treated
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Type of anaesthesia and surgical technique used
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Pre-operative investigations and evaluations required
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Duration of hospital stay and post-operative care needed
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Any additional procedures performed during the same surgery
Is Bowel Resection with Colostomy Covered by Insurance?
Bowel Resection with Colostomy performed for medically necessary Crohn’s disease complications may be covered by health insurance. Coverage depends on policy terms and insurer approval.
Our insurance support team can assist with checking coverage, documentation, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your condition, investigation reports, and overall health to determine the appropriate surgical approach. He will explain the procedure, recovery process, long-term care requirements, and provide an estimated cost based on your individual treatment plan.
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