✦ COLORECTAL SURGERY · SPECIALIST

Colorectal Surgery

Q: What is total mesorectal excision (TME)?

TME removes the complete mesorectal envelope intact — the tissue surrounding the rectum containing lymph nodes. It reduces local recurrence from 25–30% to under 5%.

Q: Will I need a permanent colostomy for rectal cancer?

Most patients with mid and upper rectal cancers undergo sphincter-preserving surgery. APR with permanent stoma is only needed for very low cancers involving the sphincter muscles.

Q: What is the difference between a colostomy and an ileostomy?

A colostomy is from the large bowel (colon), producing semi-formed stool. An ileostomy is from the small bowel (ileum), producing liquid output.

Specialist surgical management of the colon and rectum — laparoscopic approach for cancer, prolapse, and IBD.

2–4 Hrs TREATMENT DURATION

Varies CARE SETTING

Open / Laparoscopic APPROACH

3–7 Days RECOVERY TIMELINE

What is Colorectal Surgery?

Colorectal surgery encompasses specialist surgical management of the colon, rectum, and anus, including colorectal cancer with TME, rectal prolapse rectopexy, inflammatory bowel disease, and complex anorectal conditions. Minimally invasive laparoscopic techniques are preferred throughout. Dr. Tagore Mohan Grandhi provides comprehensive colorectal surgical care. All cancer cases are discussed at the MDT conference. Total mesorectal excision (TME) is performed for rectal cancer, the standard reducing local recurrence to under 5%.

Suitable for patients with colorectal cancer, rectal prolapse, inflammatory bowel disease, or any other condition requiring specialist colorectal surgical management.

How the Procedure Works

MDT Staging and Planning

All complex cases reviewed at multidisciplinary conference. Staging investigations completed and appropriate surgical approach planned.

Laparoscopic Access

3–5 small keyhole incisions. Bowel mobilised laparoscopically with identification and preservation of ureter, autonomic nerves, and major blood vessels.

Resection and TME

Diseased bowel resected with oncological margins. For rectal cancer, total mesorectal excision performed ensuring complete mesorectal envelope removal.

Reconstruction

Primary anastomosis or stoma creation as indicated. Sphincter preservation achieved in most mid and upper rectal cancers.

Recovery

Enhanced recovery: early mobilisation, oral fluids day one, solid diet day two to three. MDT histopathology review guides adjuvant treatment planning.

Outcomes

2–4 HrsTREATMENT DURATION

VariesCARE SETTING

Open / LaparoscopicAPPROACH

3–7 DaysRECOVERY TIMELINE

Who Needs This Treatment?

→Minimally invasive — smaller incisions, faster recovery, lower wound complications
→TME reduces local recurrence of rectal cancer to under 5%
→Sphincter preservation in the majority of mid and upper rectal cancers
→MDT approach ensures personalised evidence-based care for every patient

Colorectal surgery demands both oncological precision and technical excellence. Laparoscopic TME gives our rectal cancer patients the best of both — complete tumour clearance and rapid recovery.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

What is total mesorectal excision (TME)?+

Will I need a permanent colostomy for rectal cancer?+

What is the difference between a colostomy and an ileostomy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.

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