Total mesorectal excision

If you have surgery to remove cancer of the rectum, a total mesorectal excision will be performed at the same time that the bowel tumour is removed. This means that as well as taking out the part of bowel that contains the tumour, the surgeon will also remove the fatty coating that surrounds the bowel. This layer is removed to reduce the risk of the tumour spreading. Although this surgery is very effective at treating bowel cancer, it can cause problems post operatively with bowel control. There is also a risk of leakage at the spot where the surgeon rejoined the large bowel after removing the rectum, which can cause a serious infection called peritonitis and you may need antibiotics or further surgery. To prevent leakage after surgery you may need a temporary colostomy bag.

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