Mucosectomy

Mucosectomy is a surgical procedure that involves the removal of a layer of the mucosa, the innermost layer of the gastrointestinal tract. This procedure is often performed to treat conditions such as ulcerative colitis and adenomatous polyps, which are precursors to colorectal cancer.

Indications

Mucosectomy is typically indicated for patients with ulcerative colitis who have not responded to medical therapy, or for those with adenomatous polyps that cannot be removed by colonoscopy. It may also be used in the treatment of early-stage colorectal cancer.

Procedure

During a mucosectomy, the surgeon removes the innermost layer of the colon or rectum while preserving the muscle layer. This allows for the preservation of bowel function. The procedure can be performed using either a traditional open surgical approach or a minimally invasive laparoscopic technique.

Risks and Complications

As with any surgical procedure, mucosectomy carries potential risks and complications. These may include infection, bleeding, and damage to surrounding organs. There is also a risk of anastomotic leak, which is when the connection between two sections of the bowel leaks, leading to infection.

Postoperative Care

Following a mucosectomy, patients will need to follow a specific diet to allow the bowel to heal. They may also require medications to manage pain and prevent infection. Regular follow-up appointments will be necessary to monitor healing and check for any signs of complications.

See Also

• Ulcerative colitis
• Adenomatous polyps
• Colorectal cancer
• Colonoscopy
• Laparoscopic surgery

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