Auckland Colorectal Centre

Definitions

The colon (or large bowel/large intestine) starts at the end of the small intestine and ends at the rectum and anus. In a colonoscopy a long flexible tube (a colonoscope) is threaded up through therectum and transmits an image to a viewing screen. The lining of the colon and rectum can be inspected for such things as inflamed tissue, abnormal growths, and ulcers. Colonoscopy is most often used to look for early signs of cancer in the colon and rectum, and for causes of unexplained changes in bowel habits. If an abnormal growth, such as a polyp (a stalk-shaped growth or lump), is found, a small piece may be taken for examination (biopsy) or it may be removed. Thorough cleansing of the bowel is necessary before a colonoscopy. You will be given pain medication and a moderate sedative to keep you comfortable during the examination.moreColorectal surgery is used to repair damage to the colon, rectum and anus. Surgery is a vital treatment option for colorectal cancer, ulcerative colitis, Crohn’s disease, and some cases ofdiverticulitis, often resulting in reconstruction of the intestinal tract. Other bowel conditions that may require surgery to a lesser extent include haemorrhoids, anal fissures (tears in the lining of the anus), bowel incontinence, and rectal prolapse. Most of these surgeries repair tears, remove blockages, or tighten sphincter muscles. Surgery is also sometimes used to treat pelvic floor disorders, such as perineal hernia and rectocele (bulging of the rectum towards the vagina). Some colorectal conditions or diseases may be treated with minimally invasive surgery, while others will require more complex procedures.moreGeneral surgery takes its name from general medicine, and is a surgical specialty focusing on the torso and abdominal organs. This may include the intestines comprising the oesophagus, stomach, small and large intestines, pancreas, liver, gallbladder and bile ducts. It also often deals with diseases and disorders involving the skin and breasts.moreLaparoscopic surgery, also known as ‘keyhole surgery’, is carried out with the aid of a camera inserted into the abdomen or pelvis. A small incision is made in the abdominal wall through which alaparoscope, a flexible lighted tube with a camera attached, is inserted so that structures within the abdomen and pelvis can be examined. The abdominal cavity is made more visible by distending it with an absorbable gas, usually carbon dioxide. A number of major and minor surgeries may be carried out. A variety of tubes and long, narrow instruments can be inserted through the same incision in the skin, or via other small incisions, facilitating a number of procedures without the need for a large surgical incision. The surgeon uses these instruments to manipulate, cut and sew tissue. A number of procedures can be performed laparoscopically, including gallbladder removal (laparoscopic cholecystectomy), oesophageal surgery (laparoscopic fundoplication), colon surgery (laparoscopic colectomy), and surgery on the stomach and spleen. Most patients receive general anaesthetic during the procedure.more