Sigmoid Surgery – If SR Not Done
Sigmoid Surgery – If SR Not Done
Sigmoid surgery is a surgical procedure performed to treat certain conditions affecting the sigmoid colon, particularly when previous Sigmoid Resection (SR) has not been performed. The sigmoid colon is the lower part of the large intestine that connects the descending colon to the rectum. Depending on the underlying condition, surgery may involve removing the diseased portion of the sigmoid colon and reconnecting the healthy ends of the bowel.
When Is Sigmoid Surgery Required?
Sigmoid surgery may be recommended when medical treatment is not sufficient or when there is a significant structural problem affecting the sigmoid colon. Common conditions that may require surgical treatment include recurrent diverticulitis, complicated diverticular disease, strictures, bowel obstruction, perforation, certain benign conditions, and selected cases of colorectal cancer.
Symptoms that may require further evaluation include persistent or recurrent abdominal pain, changes in bowel habits, constipation, diarrhea, bloating, rectal bleeding, unexplained weight loss, or difficulty passing stool.
Evaluation Before Surgery
Before recommending surgery, the surgeon performs a detailed assessment of the patient’s symptoms, medical history, and overall health. Diagnostic tests may include blood investigations, colonoscopy, CT scans, or other imaging studies depending on the suspected condition.
The findings help determine the location and extent of disease and whether sigmoid resection is appropriate.
Surgical Procedure
During sigmoid surgery, the surgeon removes the affected section of the sigmoid colon while preserving as much healthy bowel as possible. The remaining healthy ends of the colon are generally reconnected to restore normal bowel continuity when it is safe to do so.
The procedure may be performed through open, laparoscopic, or robotic surgery, depending on the patient’s condition, complexity of the disease, and surgeon’s assessment.
In certain emergency or complicated cases, a temporary or permanent stoma may be required to allow the bowel to heal safely.
Recovery & Aftercare
Recovery depends on the type of surgery, surgical approach, and overall health of the patient. Postoperative care may include pain management, gradual advancement of diet, wound care, monitoring of bowel function, and early mobilization.
Patients should follow their surgeon’s instructions regarding diet, physical activity, medications, and follow-up appointments.
