Subtotal Colectomy
Surgical removal of most of the colon with ileorectal anastomosis - a definitive option for severe medically refractory slow-transit constipation, and a life-saving emergency procedure for acute severe ulcerative colitis.
What is Subtotal Colectomy?
Subtotal Colectomy involves surgical removal of most of the large bowel - from caecum to sigmoid - with the ileum connected directly to the rectum (ileorectal anastomosis). It serves two distinct indications: (1) severe, medically refractory slow-transit constipation where all dietary, medical, and biofeedback treatments have failed; and (2) as an emergency procedure for acute severe ulcerative colitis not responding to intravenous therapy.
Dr. Samhitha Reddy performs subtotal colectomy at Lux Hospitals, Hyderabad laparoscopically where possible - as part of both the constipation surgery options in Hyderabad and ulcerative colitis surgery programmes. Extensive pre-operative physiological testing ensures only true slow-transit constipation is treated surgically - avoiding colectomy for functional or obstructed defecation causes.
Subtotal colectomy for constipation requires confirmed slow-transit on colonic transit study and failure of all medical and biofeedback treatments. Emergency subtotal colectomy for acute severe UC is performed on its own specific indications. Very few constipation patients ultimately require surgery.
How the Procedure Works
Colonic Transit Study Confirmation (for Constipation)
Radio-opaque marker transit study confirms severe slow-transit constipation - markers retained in the right colon at 5 days confirms the indication for surgery.
Laparoscopic Access
4-5 small laparoscopic port incisions. Laparoscopic mobilisation of the entire colon from caecum to sigmoid.
Colonic Resection
The terminal ileum is divided just proximal to the ileocaecal valve. The colon is removed to the level of the upper rectum.
Ileorectal Anastomosis
A hand-sewn or stapled anastomosis is created between the ileum and the upper rectum - restoring bowel continuity without a permanent stoma in most cases.
Recovery
Hospital stay 2-4 days. Accelerated recovery (ERAS) pathway minimises ileus. Normal activity in 3-4 weeks. Post-operative dietitian review included.
Outcomes
Who Needs This Treatment?
- →Definitive surgical correction of medically refractory slow-transit constipation
- →Life-saving emergency procedure for acute severe ulcerative colitis
- →Laparoscopic approach - small incisions, rapid recovery
- →Eliminates the dysfunctional colon - resolves transit delay permanently
- →Available at Lux Hospitals, Hyderabad for both emergency and elective indications
- →Covered by most health insurance plans
Subtotal colectomy for slow-transit constipation is one of surgery's most impactful procedures - patients who have endured years of daily medication, distress, and multiple failed treatments are transformed in a way no conservative measure could achieve. Patient selection is everything.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Subtotal Colectomy (+/- Ileorectal Anastomosis) Cost in Hyderabad
The cost of subtotal colectomy with or without ileorectal anastomosis in Hyderabad depends on the severity of constipation, complexity of the condition, surgical approach, investigations required, and the care needed before and after surgery.
For patients with refractory slow-transit constipation not responding to conservative treatments, the approximate cost of subtotal colectomy (+/- ileorectal anastomosis) ranges between ₹2,00,000 and ₹3,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Subtotal Colectomy (+/- Ileorectal Anastomosis) | ₹2,00,000 – ₹3,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Subtotal Colectomy Cost
The overall cost may depend on:
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Severity and cause of constipation: The extent of slow-transit constipation, bowel function assessment, and response to previous treatments may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, colon transit studies, imaging, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as ileorectal anastomosis, management of associated bowel conditions, or other colorectal interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, bowel management, and follow-up requirements may influence the final estimate.
Is Subtotal Colectomy Covered by Insurance?
Subtotal colectomy with or without ileorectal anastomosis 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 subtotal colectomy (+/- ileorectal anastomosis) 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.