Dr Milica Nestorović
specialist in general surgery, colorectal surgery and proctology (subspecialist in oncology)
Book an appointment with Dr Milica NestorovićRectal surgery (resection of the rectum and rectosigmoid) in Niš
Removal of the diseased part of the rectum or rectosigmoid, open or laparoscopic. The extent depends on the findings, and the surgeon decides on the treatment plan.
At a glance
- Procedure
- Rectal resectionand rectosigmoid resection
- Method
- Open or laparoscopic
- Anaesthetic
- General
- Stoma
- Sometimes temporary or permanentdepends on the position
Facts and description
Rectal surgery is the removal of the diseased part of the last part of the large bowel (rectum) or of the junction with the sigmoid colon (rectosigmoid). At Maja Hospital, Vizantijski bulevar 39 in Niš, the price list includes low anterior resection of the rectum with total mesorectal excision, laparoscopic rectosigmoid resection and abdominoperineal resection (Miles), open and laparoscopic. The extent depends on the findings, and the surgeon decides on the plan.
All facts
- Rectum
- The last part of the large bowel, above the anal canal
- Low anterior resection
- Removal of part of the rectum with the surrounding fat and lymph nodes (total mesorectal excision, TME), with a bowel join
- Rectosigmoid resection
- Removal of the junction of the sigmoid colon and rectum; the price list includes the laparoscopic option
- Miles operation
- Abdominoperineal resection: when the lesion is very low, the rectum and anal canal are removed, with a permanent stoma
- Methods
- Open or laparoscopic surgery
- Price
- The items are in the price table on this page; some laparoscopic operations are priced on request.
When the operation is usually considered
- Tumours of the rectum and rectosigmoid
- Polyps that cannot be removed endoscopically
- Other rectal diseases, according to the surgeon's findings
What to know before deciding
- With tumours, treatment often also includes oncological treatment
- The extent of the operation depends on the position of the lesion
- Rectal prolapse is described on a separate page
The path to the operation
Step 1: Surgical consultation
The surgeon discusses your symptoms, reviews colonoscopy and imaging results and explains the treatment plan.
Step 2: Diagnostics and preparation
Tests and scans are done; for bowel operations the surgeon decides whether bowel preparation is needed.
Step 3: Anaesthesia
The anaesthetist assesses your general health; major bowel operations are usually done under general anaesthesia.
Step 4: Operation
Open or laparoscopic, depending on the findings and the surgeon's assessment.
Step 5: Recovery and follow-up
You go home when the bowel works, you can eat and move; the surgeon explains the tissue report at follow-up.
Rectal surgery: prices
Our specialists
Prim. Dr Dragoslav Miljković
specialist in general surgery, colorectal surgery and proctology
Book an appointment with Prim. Dr Dragoslav Miljković
Dr Dragan Mihajlović, MSc
specialist in general surgery, colorectal surgery and proctology
Book an appointment with Dr Dragan MihajlovićRecovery
- Pain and discomfort around the wound are expected in the first days. The surgeon prescribes pain relief.
- Walking is encouraged from the first days, and daily activities are resumed gradually.
- Keep the wound clean and dry. The surgeon will tell you when you can shower, and when you can take a bath or swim.
- Stitches, unless they are dissolvable, are removed at the follow-up appointment.
- With severe abdominal pain, difficulty breathing or chest pain, call the emergency service on 194 or go to the nearest emergency department.
Show 3 more: Recovery
- Lifting and heavy physical effort are avoided for as long as the surgeon advises.
- After a general anaesthetic, do not drive for at least 24 hours and have someone with you for the first 24 hours.
- Contact the surgeon if you develop a temperature of 38 °C or higher, redness, pus or heavier bleeding from the wound, pain that gets worse, or nausea and vomiting that do not stop.
How to prepare
- Have the tests that the surgeon and anaesthetist ask for, usually a blood count, biochemistry, clotting tests and an ECG.
- Tell the doctor about allergies and medicines, and do not change blood thinners or diabetes medicines on your own.
- Do not eat or drink before the operation, exactly as instructed by the hospital.
- Stop smoking as early as possible before the operation.
Show 4 more: How to prepare
- Bring your ID card, health insurance card, results, a list of medicines and loose, comfortable clothes.
- Arrange for someone to accompany you and to help at home for the first days after the operation.
- Bring colonoscopy, imaging and pathology results, if you have them.
- Do bowel preparation, if needed, only as instructed by the surgeon.
When to contact the surgeon or the emergency service
Call the emergency service (194) straight away if:
- Severe abdominal pain that gets worse
- Vomiting with a swollen abdomen and no wind or stools
- Heavy bleeding from the bowel or stoma
- Difficulty breathing or chest pain
Contact the surgeon if after the operation you have:
- A temperature of 38 °C or higher, or shivering
- Redness, pus or bleeding from the wound
- The stoma changes colour, swells or stops working
- Nausea or vomiting that do not stop
In detail
When is the rectum operated on?
Rectal surgery is most often done for tumours of the rectum and rectosigmoid and for polyps that cannot be removed endoscopically. The surgeon decides after a consultation, colonoscopy and imaging, usually pelvic MRI and CT. With tumours, treatment often also includes oncological treatment, usually decided by a multidisciplinary team.
Low anterior resection (TME) and rectosigmoid resection
In a low anterior resection the surgeon removes the diseased part of the rectum together with the surrounding fat and lymph nodes (total mesorectal excision, TME) and joins the healthy ends of the bowel. Sometimes a temporary stoma is made to protect the join. The rectosigmoid is the junction of the sigmoid colon and the rectum; the price list includes laparoscopic rectosigmoid resection.
Abdominoperineal resection (Miles)
When the lesion is very low, close to the anus, it is sometimes not possible to preserve the anal canal. The rectum and anal canal are then removed and a permanent stoma (colostomy) is formed. The price list includes the open and laparoscopic options. The surgeon explains before the operation why it is needed and what living with a stoma involves.
Frequently asked questions
How much does rectal surgery cost in Niš?
The Maja Hospital general surgery price list has items for low anterior resection of the rectum with total mesorectal excision, laparoscopic rectosigmoid resection and abdominoperineal resection (Miles), open and laparoscopic. Some laparoscopic operations are priced on request.
What is a rectosigmoid resection?
It is the removal of the junction of the sigmoid colon and rectum and joining the healthy ends of the bowel. The Maja Hospital price list includes the laparoscopic option.
What is a Miles operation?
A Miles operation (abdominoperineal resection) is the removal of the rectum and anal canal when the lesion is very low, with a permanent stoma.
Is a stoma needed after rectal surgery?
Sometimes. After an anterior resection a temporary stoma is sometimes made to protect the bowel join, and after a Miles operation the stoma is permanent. The surgeon discusses this before the operation.
The information in this text is general in nature and does not replace an examination by a doctor.
Book an appointment: Rectal surgery
Information on this website does not replace a medical examination. Treatment is decided by a doctor after the examination.