Stricturoplasty
Widening of a Crohn's stricture without bowel resection - preserving intestinal length and absorptive capacity while relieving obstruction. A key bowel-sparing surgical technique in IBD management at Lux Hospitals, Hyderabad.
What is Stricturoplasty?
Stricturoplasty widens a Crohn's stricture surgically without removing any bowel - preserving intestinal length and absorptive capacity. A longitudinal incision is made through the stricture and closed transversally (Heineke-Mikulicz) or as a side-to-side anastomosis (Finney or isoperistaltic) - converting the narrow strictured segment into a wide, patent lumen.
Dr. Samhitha Reddy performs stricturoplasty at Lux Hospitals, Hyderabad for Crohn's strictures that are short (<10 cm) and non-malignant - as part of the minimally invasive IBD procedures in Hyderabad programme. Multiple stricturoplasties can be performed simultaneously in the same operation, preserving the maximum bowel length and preventing short bowel syndrome.
Stricturoplasty is indicated for short Crohn's strictures without active inflammation, abscess, or malignant concern. Longer or very inflamed segments require resection. All stricturoplasty sites are biopsied to exclude malignancy.
How the Procedure Works
Stricture Identification
The strictured segment is identified and assessed - length, number, and whether inflammation, fistula, or abscess is present. Short (<10 cm) fibrous strictures are ideal for stricturoplasty.
Longitudinal Incision
A longitudinal incision is made along the antimesenteric border of the stricture - opening the full length of the narrowed segment.
Transverse Closure (Heineke-Mikulicz)
For short strictures (<10 cm), the longitudinal incision is closed transversally - converting a narrow segment into a wide, patent lumen with a single layer of absorbable sutures.
Side-to-Side Anastomosis (Finney/Isoperistaltic)
For longer strictures (10-25 cm), a side-to-side anastomosis technique folds the strictured segment on itself - achieving widening without resection.
Biopsy at All Sites
A biopsy is taken from each stricturoplasty site to exclude malignancy. Multiple stricturoplasties are marked, performed, and biopsied in a systematic sequence.
Outcomes
Who Needs This Treatment?
- →Preserves all bowel length - critical for preventing short bowel syndrome in recurrent Crohn's
- →Multiple stricturoplasties performed simultaneously - treating all strictures in one operation
- →Relieves obstruction definitively without removing absorptive bowel
- →Can be combined with segmental resection for mixed stricturing and penetrating disease
- →Reduced risk of nutritional deficiency compared to multiple resections
- →Available at Lux Hospitals, Hyderabad as part of the comprehensive IBD surgical care programme
Stricturoplasty is surgery that thinks carefully about the future. Every centimetre of bowel we preserve today is protection against short bowel syndrome in the patient's next operation - and most Crohn's patients will need more than one operation in their lifetime.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Stricturoplasty Cost in Hyderabad
The cost of stricturoplasty in Hyderabad depends on the number and location of intestinal strictures, complexity of the condition, investigations required, and the care needed before and after the procedure.
For patients with multiple short strictures, the approximate cost of stricturoplasty ranges between ₹1,50,000 and ₹2,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Stricturoplasty | ₹1,50,000 – ₹2,80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Stricturoplasty Cost
The overall cost may depend on:
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Number and severity of strictures: The number, length, and location of intestinal strictures, along with the extent of narrowing, may influence the surgical approach and complexity.
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Pre-operative evaluation: Required investigations, clinical examination, imaging, endoscopic assessment, and medical evaluations before surgery may affect the overall cost.
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Additional procedures: If procedures such as management of bowel obstruction, treatment of associated intestinal conditions, or additional bowel interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, nutritional support, bowel recovery monitoring, and follow-up requirements may influence the final estimate.
Is Stricturoplasty Covered by Insurance?
Stricturoplasty 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 stricturoplasty 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.