Segmental Bowel Resection
Removal of a specific diseased bowel segment causing obstruction, abscess, or fistula in Crohn's disease - with bowel continuity restored by anastomosis. A key surgical option in the IBD management programme at Lux Hospitals, Hyderabad.
What is Segmental Bowel Resection?
Segmental Bowel Resection for inflammatory bowel disease involves removing a specific diseased bowel segment - a section of small bowel, colon, or rectum - that is causing complications such as obstruction, abscess, fistula, or perforation. After resection, bowel continuity is restored by connecting the healthy ends (anastomosis). Dr. Samhitha Reddy performs segmental bowel resection at Lux Hospitals, Hyderabad as part of the IBD treatment options in Hyderabad programme - using a bowel-preserving philosophy that removes only the affected segment while preserving all uninvolved bowel. The laparoscopic approach is preferred wherever possible, reducing recovery time and hospital stay.
How the Procedure Works
Pre-operative Planning
CT scan, MRI, and colonoscopy define the diseased segment, identify abscesses, fistulas, and plan the resection extent. Nutritional status is optimised pre-operatively.
Laparoscopic Access
3-5 small laparoscopic port incisions. The diseased bowel segment is identified and mobilised.
Bowel Resection
The diseased segment is divided at the healthy proximal and distal margins. The mesentery is divided to the base. The specimen is removed through a small extraction incision.
Anastomosis
A stapled or hand-sewn anastomosis restores bowel continuity between the healthy bowel ends. A side-to-side anastomosis is preferred for small bowel Crohn's - associated with lower recurrence.
Stoma (If Needed)
A defunctioning stoma may be formed if the anastomosis is at high risk (malnutrition, steroids, severe inflammation, pelvic anastomosis). The stoma is reversed at a later date once healing is confirmed.
Outcomes
Who Needs This Treatment?
- →Removes only the diseased segment - preserves all uninvolved bowel
- →Laparoscopic approach - small incisions, 1-3 day hospital stay
- →Restores bowel continuity - no permanent stoma in most cases
- →Resolves obstruction, abscess, or fistula definitively when medical therapy has failed
- →Bowel-sparing philosophy protects against short bowel syndrome in future operations
- →Available at Lux Hospitals, Hyderabad as part of the personalised IBD management plans
Segmental resection for Crohn's disease is guided by one overriding principle: remove what you must, preserve everything else. The patient in front of you may well need another operation in 5 or 10 years - every centimetre of bowel we save today is a gift to their future self.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.