Resection Rectopexy
Sigmoid colon resection combined with rectal fixation - used when rectal prolapse coexists with significant constipation or a redundant sigmoid, addressing both problems in a single laparoscopic procedure.
What is Resection Rectopexy?
Resection Rectopexy combines laparoscopic rectal fixation (rectopexy) with sigmoid colon resection in the same operation. It is indicated for patients with full-thickness rectal prolapse who also have a significantly redundant sigmoid or pre-existing severe constipation - where rectopexy alone would not address the functional bowel problem and might worsen constipation.
Dr. Samhitha Reddy performs resection rectopexy at Lux Hospitals, Hyderabad for carefully selected patients where both prolapse and confirmed slow-transit or sigmoid redundancy are established by pre-operative physiological testing. It is part of the comprehensive rectal prolapse hospitals in Hyderabad programme - addressing both structural and functional bowel problems simultaneously.
Resection rectopexy is not the standard approach for all prolapse cases. It is reserved for patients with confirmed slow-transit constipation or significant sigmoid redundancy. Pre-operative colonic transit study is essential.
How the Procedure Works
Pre-operative Physiological Testing
Colonic transit study confirms slow transit or redundant sigmoid. Defecography confirms full-thickness prolapse. Both indications must be established before planning resection rectopexy.
Laparoscopic Access & Rectal Mobilisation
Standard laparoscopic access. The rectum is fully mobilised as for standard rectopexy.
Sigmoid Resection
The redundant sigmoid colon is isolated, mesentery divided, and bowel resected between laparoscopic stapling devices at appropriate levels.
Colorectal Anastomosis
A circular stapled end-to-end anastomosis is fashioned between the descending colon and upper rectum.
Rectopexy
The mobilised rectum is positioned correctly and fixed to the sacrum with non-absorbable sutures or mesh. Both components are completed laparoscopically.
Outcomes
Who Needs This Treatment?
- →Addresses rectal prolapse and associated constipation in a single operation
- →Removes redundant sigmoid - reduces constipation and straining post-operatively
- →Laparoscopic approach - small incisions, 2-3 day hospital stay
- →Avoids the need for two separate operations
- →Well-established evidence base - the Frykman-Goldberg procedure
- →Available at Lux Hospitals, Hyderabad for selected cases
Resection rectopexy was born from clinical observation - fixing the rectum in a constipated patient with a redundant sigmoid is only half the solution. Addressing both problems simultaneously in one laparoscopic procedure gives patients the best possible functional outcome.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Resection Rectopexy Cost in Hyderabad
The cost of resection rectopexy in Hyderabad depends on the extent of rectal prolapse, presence of constipation, complexity of the condition, investigations required, and the care needed before and after surgery.
For patients with rectal prolapse associated with constipation, the approximate cost of resection rectopexy ranges between ₹1,80,000 and ₹3,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Resection Rectopexy | ₹1,80,000 – ₹3,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Resection Rectopexy Cost
The overall cost may depend on:
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Severity and type of rectal prolapse: The extent of prolapse, bowel symptoms, constipation severity, and associated colorectal conditions may influence the treatment approach and surgical planning.
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Pre-operative evaluation: Required investigations, clinical examination, imaging, bowel function assessment, and medical evaluations before surgery may affect the overall cost.
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Additional procedures: If procedures such as bowel resection, treatment of associated constipation-related conditions, or other prolapse management procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, bowel care, dietary guidance, and follow-up requirements may influence the final estimate.
Is Resection Rectopexy Covered by Insurance?
Resection rectopexy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether resection rectopexy is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.