{"id":2080,"date":"2025-11-24T10:35:11","date_gmt":"2025-11-24T10:35:11","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?page_id=2080"},"modified":"2026-03-03T08:03:00","modified_gmt":"2026-03-03T08:03:00","slug":"anterior-resection","status":"publish","type":"page","link":"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/","title":{"rendered":"Anterior Resection"},"content":{"rendered":"\n  <div class=\"banner has-hover\" id=\"banner-1566071151\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img decoding=\"async\" width=\"1020\" height=\"574\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/11\/Anterior-Rezeksiyonu-1400x788.jpg\" class=\"bg attachment-large size-large\" alt=\"Ankara\">                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-341424106\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-341424106 {\n  width: 60%;\n}\n#text-box-341424106 .text-box-content {\n  font-size: 100%;\n}\n@media (min-width:550px) {\n  #text-box-341424106 {\n    width: 60%;\n  }\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1566071151 {\n  padding-top: 400px;\n}\n@media (min-width:550px) {\n  #banner-1566071151 {\n    padding-top: 40%;\n  }\n}\n<\/style>\n  <\/div>\n\n\n\n\t<section class=\"section\" id=\"section_1489824984\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1977463981\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Anterior Resection in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1489824984 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: #aa2665;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_748253381\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-181450921\">\n\n\t<div id=\"col-337391358\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Anterior resection is a surgical procedure in which the portion of the rectum affected by cancer, polyps, or other diseases is removed. It is most commonly preferred for tumors located in the upper and mid-rectum, with the goal of preserving as much healthy bowel as possible.<\/p>\n<p>Recovery after anterior resection requires close follow-up to protect bowel function and prevent complications. After surgery, issues such as anastomotic leakage, infection, and bowel obstruction must be monitored carefully.<\/p>\n<p>When performed with minimally invasive techniques, laparoscopic anterior resection can shorten recovery time and reduce postoperative pain. The laparoscopic approach also reduces hospital stay and often provides better cosmetic results.<\/p>\n<p>Quality of life after anterior resection depends on changes in bowel habits and a possible need for a stoma. With dietary adjustments, physical activity, and regular follow-ups, postoperative quality of life can be improved.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Key Facts<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>What is anterior resection?<\/td>\n<td>A surgical procedure in which part or all of the rectum (the final section of the large intestine) is removed. The diseased segment is excised and the healthy ends are reconnected (anastomosis).<\/td>\n<\/tr>\n<tr>\n<td>Which conditions is it used for?<\/td>\n<td>Rectal and left-sided colon cancers, some benign tumors, inflammatory bowel disease, and recurrent diverticulitis.<\/td>\n<\/tr>\n<tr>\n<td>Surgical approaches<\/td>\n<td>It can be performed as open surgery (through an abdominal incision) or using minimally invasive methods (laparoscopic or robotic). The choice depends on disease extent and the patient\u2019s overall condition.<\/td>\n<\/tr>\n<tr>\n<td>Main steps of the operation<\/td>\n<td>Performed under general anesthesia. The diseased bowel segment and surrounding lymph nodes are removed. The healthy ends are stitched together. If needed, a temporary protective ileostomy (diverting stool through the small intestine) may be created.<\/td>\n<\/tr>\n<tr>\n<td>Goal of surgery<\/td>\n<td>To remove the diseased tissue completely, prevent spread, and preserve normal defecation through the anus as much as possible.<\/td>\n<\/tr>\n<tr>\n<td>Possible complications<\/td>\n<td>Anastomotic leak, infection, intra-abdominal bleeding, bowel obstruction, urinary and sexual dysfunction, wound healing problems, and blood clots in the legs (deep vein thrombosis).<\/td>\n<\/tr>\n<tr>\n<td>Postoperative considerations<\/td>\n<td>Hospital stay is usually a few days. Bowel function may take time to normalize. Diet and toilet habits can change. Regular follow-ups, wound care, and (if present) stoma management are important.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-337391358 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_748253381 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1020769057\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:-50px 0px 0px 0px;margin:-50px 0px 0px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-60624249\">\r\n\r\n\n\t<div id=\"col-2069566152\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<p>You can contact Prof. Dr. Ebru Soy, one of the doctors performing  in Ankara, to get information about  prices, the process, and the hospital where  is performed.<\/p>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2069566152 > .col-inner {\n  margin: -60px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1199106216\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#aa2665;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-center\"  id=\"row-746556536\">\r\n\r\n\n\t<div id=\"col-2025286593\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel-hakkimda x md-x lg-x y md-y lg-y\" id=\"image_1526204758\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"653\" height=\"789\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp\" class=\"attachment-large size-large\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp 653w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda-331x400.webp 331w\" sizes=\"(max-width: 653px) 100vw, 653px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1526204758 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1872982524\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1143452505\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Prof. Dr. Ebru Ayvazo\u011flu Soy<\/strong><\/div>\r\n\t\t\n<style>\n#text-1143452505 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-1143452505 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-577641869\" class=\"text text-justify\">\n\t\t\r\n\r\n<p><strong>Education;<\/strong><\/p>\r\n<p><strong>High School:<\/strong> TED Ankara College \u2013 Graduation: 1998<br \/><strong>Faculty of Medicine:<\/strong> <a href=\"https:\/\/tip.hacettepe.edu.tr\/\" target=\"_blank\" rel=\"noopener\">Hacettepe University Faculty of Medicine<\/a> \u2013 Graduation: 2005<br \/><strong>Specialization:<\/strong> General Surgery Residency Training \u2013 <a href=\"https:\/\/tip.baskent.edu.tr\/kw\/index.php\" target=\"_blank\" rel=\"noopener\">Ba\u015fkent University Faculty of Medicine<\/a>, Department of General Surgery \u2013 2012<\/p>\r\n<p><strong>Post-Specialization Career;<\/strong><\/p>\r\n<p><strong>2012\u20132014:<\/strong> Compulsory public service \u2013 Mu\u015f State Hospital<br \/><strong>January 2014 \u2013 November 2022:<\/strong> Ba\u015fkent University Faculty of Medicine, Department of General Surgery \u2013 Served as a specialist physician and later as an academician<br \/><strong>March 2016 \u2013 October 2017:<\/strong> Ba\u015fkent University Istanbul Practice Hospital \u2013 Deputy Director Responsible for Liver Transplantation<br \/><strong>June 2020 \u2013 November 2022:<\/strong> Ba\u015fkent University Ankara Hospital \u2013 Director of the International Patient Department<\/p>\r\n\t\t\t<\/div>\n\t\r\n<a href=\"https:\/\/ebruayvazoglu.com\/en\/about-me\/\" class=\"button white is-outline is-small\" style=\"border-radius:99px;\">\n\t\t<span>Review Resume<\/span>\n\t<\/a>\n\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" class=\"button white is-small\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Get in Touch<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1199106216 > .col-inner {\n  padding: 30px 30px 1px 30px;\n  margin: -30px 0px -40px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1020769057 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1862481875\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1118149437\">\n\n\t<div id=\"col-460704394\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_Is_Anterior_Resection\" >What Is Anterior Resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Why_Is_Preoperative_MRI_So_Critical_Before_Anterior_Resection\" >Why Is Preoperative MRI So Critical Before Anterior Resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#When_Is_Preoperative_Chemotherapy_and_Radiotherapy_Neoadjuvant_Treatment_Necessary\" >When Is Preoperative Chemotherapy and Radiotherapy (Neoadjuvant Treatment) Necessary?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_Does_Total_Mesorectal_Excision_TME_Help_Achieve_Cure\" >How Does Total Mesorectal Excision (TME) Help Achieve Cure?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Why_Is_Nerve-Sparing_Preserving_Pelvic_Nerves_So_Important\" >Why Is Nerve-Sparing (Preserving Pelvic Nerves) So Important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_Do_Robotic_Surgery_and_Laparoscopy_Make_Anterior_Resection_Easier\" >How Do Robotic Surgery and Laparoscopy Make Anterior Resection Easier?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_Extra_Capabilities_Does_the_Robotic_System_Provide_in_Narrow_Spaces\" >What Extra Capabilities Does the Robotic System Provide in Narrow Spaces?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_Does_the_TaTME_Technique_Offer_a_Solution_in_Challenging_Cases\" >How Does the TaTME Technique Offer a Solution in Challenging Cases?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_Does_the_ERAS_Protocol_Speed_Up_Recovery\" >How Does the ERAS Protocol Speed Up Recovery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Why_Is_a_Temporary_Ileostomy_Stoma_Bag_a_Safety_Valve\" >Why Is a Temporary Ileostomy (Stoma Bag) a Safety Valve?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_Is_the_Risk_of_Anastomotic_Leak_Managed\" >How Is the Risk of Anastomotic Leak Managed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_Do_Reservoir_Techniques_Like_a_%E2%80%9CJ-Pouch%E2%80%9D_Provide_Functionally\" >What Do Reservoir Techniques Like a \u201cJ-Pouch\u201d Provide Functionally?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_Are_the_Symptoms_of_Low_Anterior_Resection_Syndrome_LARS\" >What Are the Symptoms of Low Anterior Resection Syndrome (LARS)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Why_Measure_LARS_Severity_and_Confirm_the_Diagnosis\" >Why Measure LARS Severity and Confirm the Diagnosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_Are_the_Main_Steps_in_Treating_and_Managing_LARS\" >What Are the Main Steps in Treating and Managing LARS?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#For_which_conditions_is_anterior_resection_performed\" >For which conditions is anterior resection performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Is_a_permanent_colostomy_created_after_anterior_resection\" >Is a permanent colostomy created after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_are_bowel_movements_affected_after_anterior_resection\" >How are bowel movements affected after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_is_low_anterior_resection_syndrome_LARS_after_anterior_resection\" >What is low anterior resection syndrome (LARS) after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#When_can_patients_return_to_a_normal_diet_after_anterior_resection\" >When can patients return to a normal diet after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Can_sexual_function_be_affected_after_anterior_resection\" >Can sexual function be affected after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_soon_can_patients_return_to_work_after_anterior_resection\" >How soon can patients return to work after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_complications_can_occur_after_anterior_resection\" >What complications can occur after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#What_should_patients_pay_attention_to_in_the_long_term_after_anterior_resection\" >What should patients pay attention to in the long term after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Is_psychological_support_necessary_after_anterior_resection\" >Is psychological support necessary after anterior resection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#How_long_does_anterior_resection_take\" >How long does anterior resection take?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/ebruayvazoglu.com\/en\/colorectal-surgery\/anterior-resection\/#Which_doctorspecialty_should_be_consulted_for_anterior_resection\" >Which doctor\/specialty should be consulted for anterior resection?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Anterior_Resection\"><\/span>What Is Anterior Resection?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anterior resection is the surgical removal of a cancerous or diseased segment located in the upper part of the rectum. It is especially preferred for tumors in the mid and upper rectum. After the diseased segment is removed, the remaining bowel ends are reconnected to preserve bowel continuity. The need for a colostomy is generally low. It is an important procedure both for oncologic principles and functional outcomes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Is_Preoperative_MRI_So_Critical_Before_Anterior_Resection\"><\/span>Why Is Preoperative MRI So Critical Before Anterior Resection?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Before rectal cancer surgery, the most powerful \u201croadmap\u201d we have is high-resolution Magnetic Resonance Imaging (MRI). In the past, simply confirming the presence of a tumor was considered sufficient, but today surgical success depends on details. MRI shows not only the tumor location but also its millimetric relationship with surrounding tissues. It helps us determine whether the tumor has extended beyond the rectal wall, how far it has spread into the surrounding fat, and\u2014most importantly\u2014its distance to the safe surgical margin.<\/p>\n<p>The information obtained at this stage can fundamentally change the treatment plan. For example, if MRI shows that the tumor is very close to the mesorectal fascia or has spread to lymph nodes, we may avoid proceeding directly to surgery. In such higher-risk situations, shrinking the tumor with preoperative treatment becomes crucial. MRI prevents the surgeon from operating \u201cin the dark\u201d and helps us anticipate what we will encounter before the patient ever enters the operating room. It also supports choosing the most appropriate surgical technique based on tumor location.<\/p>\n<p>Key risk factors we assess on MRI include:<\/p>\n<ul>\n<li>Mesorectal fascia involvement<\/li>\n<li>Deep tumor invasion<\/li>\n<li>Suspicious lymph nodes<\/li>\n<li>Extramural vascular invasion (EMVI)<\/li>\n<li>Proximity of the tumor to the sphincter<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_Preoperative_Chemotherapy_and_Radiotherapy_Neoadjuvant_Treatment_Necessary\"><\/span>When Is Preoperative Chemotherapy and Radiotherapy (Neoadjuvant Treatment) Necessary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Not every rectal cancer patient is taken straight to surgery. In \u201clocally advanced\u201d disease\u2014where the tumor has grown beyond early stages or involves lymph nodes\u2014using chemotherapy and radiotherapy before the scalpel is the modern gold standard. This approach, known as neoadjuvant treatment, aims to \u201clock\u201d the tumor in place and reduce its size.<\/p>\n<p>If MRI suggests the tumor threatens surgical margins, a combined course of radiotherapy and chemotherapy is administered before surgery. This significantly lowers the risk of local recurrence after surgery. In some patients, the response is so strong that no viable cancer cells are found in the removed tissue\u2014this is called a \u201cpathologic complete response,\u201d and it can dramatically improve long-term survival prospects.<\/p>\n<p>Patient groups that commonly require neoadjuvant treatment include:<\/p>\n<ul>\n<li>T3 tumors<\/li>\n<li>T4 tumors<\/li>\n<li>Node-positive disease<\/li>\n<li>Tumors threatening surgical margins<\/li>\n<li>Large, low-lying tumors<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_Total_Mesorectal_Excision_TME_Help_Achieve_Cure\"><\/span>How Does Total Mesorectal Excision (TME) Help Achieve Cure?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cornerstone of rectal cancer surgery\u2014and the key to success\u2014is the technique called Total Mesorectal Excision (TME). The rectum is surrounded by a fatty envelope called the mesorectum, which contains blood vessels and lymph nodes. Cancer cells do not remain limited to the bowel wall; they can spread through lymphatic channels within this fat. The logic of TME is to remove the rectum together with this envelope in one intact piece\u2014like removing a letter without tearing the envelope around it.<\/p>\n<p>This technique represents the highest level of surgical precision. If the surgeon tears or fragments this \u201cenvelope,\u201d microscopic cancer cells may spill into the pelvis, increasing recurrence risk. When performed properly, TME has reduced local recurrence rates from around 30% to well below 5%. It not only improves cure rates but, by respecting anatomical planes, can also reduce bleeding and make the operation cleaner. A successful TME is one of the most life-saving factors for the patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Is_Nerve-Sparing_Preserving_Pelvic_Nerves_So_Important\"><\/span>Why Is Nerve-Sparing (Preserving Pelvic Nerves) So Important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In rectal surgery, oncologic success is essential\u2014but functional success is equally important. The pelvic cavity is densely woven with delicate nerves that control urinary and sexual functions. These nerves run just outside the mesorectal tissue, in a millimetric neighborhood. The surgeon\u2019s task is to remove the cancer safely while identifying and protecting these nerves during dissection.<\/p>\n<p>If these nerves are damaged, a patient may be cured of cancer but face major quality-of-life problems: erectile dysfunction or ejaculation issues in men, reduced desire or pain in women, and urinary leakage or urinary retention in both sexes. Modern surgery aims not only to prolong life but to preserve a high-quality life. For this reason, careful, vision-guided dissection and nerve preservation are crucial for the patient\u2019s post-op reintegration into everyday life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Do_Robotic_Surgery_and_Laparoscopy_Make_Anterior_Resection_Easier\"><\/span>How Do Robotic Surgery and Laparoscopy Make Anterior Resection Easier?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>While traditional open surgery requires large abdominal incisions, anterior resection today is often performed laparoscopically or robotically\u2014minimally invasive approaches using small ports, a camera, and fine instruments. In rectal cancer surgery, the biggest advantage of these technologies is superior visualization.<\/p>\n<p>The rectum lies deep inside a narrow bony pelvis. In men and in overweight patients, this space can be especially tight, making it challenging to reach and see clearly in open surgery. Laparoscopy and robotic systems, however, provide magnification and high-definition views of even the deepest parts of the pelvis on a large screen. This allows clearer identification of vessels, nerves, and tissue planes.<\/p>\n<p>Advantages of minimally invasive surgery include:<\/p>\n<ul>\n<li>Less postoperative pain<\/li>\n<li>Less blood loss<\/li>\n<li>Smaller scars<\/li>\n<li>Faster return of bowel function<\/li>\n<li>Earlier discharge<\/li>\n<li>Faster return to work<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-460704394 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1862481875 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1815358124\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-95648840\">\n\n\n\t<div id=\"col-1056058192\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:15px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row align-middle\"  id=\"row-134448946\">\n\n\n\t<div id=\"col-656285492\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2258426395\" class=\"text show-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<\/strong><\/div>\n\t\t\n<style>\n#text-2258426395 {\n  font-size: 1.5rem;\n  text-align: center;\n  color: rgb(170, 38, 101);\n}\n#text-2258426395 > * {\n  color: rgb(170, 38, 101);\n}\n@media (min-width:550px) {\n  #text-2258426395 {\n    font-size: 2rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-2223167027\" class=\"text hide-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<br \/>\r\n<\/strong><\/div>\n\t\t\n<style>\n#text-2223167027 {\n  font-size: 1.25rem;\n  line-height: 1.05;\n  text-align: center;\n  color: #aa2665;\n}\n#text-2223167027 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-2223167027 {\n    font-size: 1.7rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-64406516\" class=\"text\">\n\t\t\n\n<div>You can contact us via WhatsApp by clicking the button.<\/div>\n\t\t\n<style>\n#text-64406516 {\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-64406516 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1918606079\" class=\"col medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover hide-for-small x md-x lg-x y md-y lg-y\" id=\"image_474524278\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png 500w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-400x400.png 400w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_474524278 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_474524278 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div class=\"img has-hover show-for-small x md-x lg-x y md-y lg-y\" id=\"image_227114596\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"512\" height=\"100\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-3.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_227114596 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_227114596 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1918606079 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1918606079 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1056058192 > .col-inner {\n  padding: 20px 30px 1px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 15px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1815358124 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1864598538\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-67146763\">\n\n\t<div id=\"col-20613\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_Extra_Capabilities_Does_the_Robotic_System_Provide_in_Narrow_Spaces\"><\/span>What Extra Capabilities Does the Robotic System Provide in Narrow Spaces?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Laparoscopic surgery was a major revolution, but its instruments have limited mobility\u2014they function like straight sticks. Robotic surgery eliminates much of this limitation. Robotic arms can move far beyond the capability of the human wrist, rotate up to 540 degrees, and do not tremble. This creates a major advantage in spaces like the pelvis, where maneuvering room is extremely limited.<\/p>\n<p>The surgeon operates from a dedicated console rather than standing at the bedside. A 3D vision system provides depth perception, helping the surgeon judge distances between tissues precisely. In very low tumors, suturing or gentle dissection in a tight space becomes much easier with wristed robotic instruments. Studies suggest robotic surgery can help achieve cleaner surgical margins in challenging cases and reduce unintended nerve injury. In other words, the technology amplifies the surgeon\u2019s precision and maximizes patient safety.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_TaTME_Technique_Offer_a_Solution_in_Challenging_Cases\"><\/span>How Does the TaTME Technique Offer a Solution in Challenging Cases?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Transanal Total Mesorectal Excision (TaTME) is one of the most innovative approaches developed in rectal surgery in recent years. In traditional surgery, the surgeon works from the abdomen downward, and as the dissection gets deeper, visibility can become more difficult. In TaTME, two teams can work simultaneously\u2014one from the abdomen and the other from the anus, progressing upward.<\/p>\n<p>This \u201cbottom-up\u201d approach offers a major advantage in men with a narrow pelvis, obese patients, or tumors located very low in the rectum. The lowest portion\u2014which can be hard to visualize from above\u2014can be seen and removed more directly and clearly with this method. This can improve margin safety and increase the likelihood of preserving sphincter function. However, TaTME is an advanced procedure requiring significant training and experience, with specific risks such as urinary tract injury. For this reason, it should be performed only by surgeons with dedicated expertise in the technique.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_ERAS_Protocol_Speed_Up_Recovery\"><\/span>How Does the ERAS Protocol Speed Up Recovery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the past, patients were kept fasting for days after major bowel surgery, restricted to bed rest, and treated with heavy narcotic painkillers. These practices can delay bowel function and prolong hospital stays. Today, Enhanced Recovery After Surgery (ERAS) protocols have transformed this approach. ERAS aims to minimize surgical stress on the body and return patients to normal physiology as quickly as possible.<\/p>\n<p>The protocol begins even before hospital admission. Instead of prolonged fasting, patients may consume energy-providing clear liquids up to two hours before surgery. After surgery, patients are mobilized the same day and encouraged to walk. Oral intake starts early\u2014often with water and soft foods on the first day. Tubes such as catheters and drains that keep patients in bed are removed as soon as safely possible. With this approach, complication rates decrease, patients feel better, and discharge happens earlier.<\/p>\n<p>Key components of ERAS include:<\/p>\n<ul>\n<li>Preoperative education<\/li>\n<li>Carbohydrate loading<\/li>\n<li>Avoiding unnecessary bowel preparation<\/li>\n<li>Maintaining body temperature<\/li>\n<li>Early mobilization<\/li>\n<li>Early feeding<\/li>\n<li>Non-opioid pain control<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Why_Is_a_Temporary_Ileostomy_Stoma_Bag_a_Safety_Valve\"><\/span>Why Is a Temporary Ileostomy (Stoma Bag) a Safety Valve?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>For many patients, the idea of a \u201cbag\u201d can be frightening. However, in anterior resection, a temporary ileostomy can function like a life-saving insurance policy. When the two bowel ends are sewn together (anastomosis), the connection needs time to heal. If the tumor is very low, the patient has received radiotherapy, or overall risk is high, the chance of leakage increases.<\/p>\n<p>If stool leaks into the abdomen from the anastomosis, it can cause severe\u2014and potentially fatal\u2014infection. To manage this risk, surgeons may temporarily bring a segment of the small intestine out to the abdominal wall, diverting stool away from the fresh anastomosis. This keeps the connection clean and dry so it can heal safely. Usually, after 2\u20133 months, once tests confirm healing, the stoma is closed with a smaller operation and the patient returns to normal bowel movements. In other words, it is typically a temporary safety measure\u2014not a permanent condition.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-20613 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1864598538 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1010781969\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-948397694\">\r\n\r\n\n\t<div id=\"col-609520381\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-422067161\">\r\n\r\n\n\t<div id=\"col-825129341\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1006876530\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact Us. <\/strong><\/div>\r\n\t\t\n<style>\n#text-1006876530 {\n  font-size: 1.55rem;\n  color: #aa2665;\n}\n#text-1006876530 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-1006876530 {\n    font-size: 2.5rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-99391062\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-99391062 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div>You can request an online appointment by filling out the form. Our team will contact you as soon as possible.<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1374423669\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f683-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"683\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2080#wpcf7-f683-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"683\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f683-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Book Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"82\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1374423669 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-609520381 > .col-inner {\n  padding: 20px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1010781969 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_808992391\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1313052548\">\n\n\t<div id=\"col-1487103580\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"How_Is_the_Risk_of_Anastomotic_Leak_Managed\"><\/span>How Is the Risk of Anastomotic Leak Managed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>An anastomotic leak is one of the most feared complications in rectal surgery. It occurs when the joined bowel ends do not heal fully, allowing contents to seep into the abdominal cavity. Patients may develop severe abdominal pain, fever, rapid heart rate, and overall deterioration. Early detection is critical.<\/p>\n<p>If the leak is small and localized, it can sometimes be managed without surgery using antibiotics and image-guided drains placed by interventional radiology. However, if the patient shows significant infection signs and clinical decline, urgent intervention is required. The priority is always to save the patient\u2019s life. Often, stool flow is diverted by creating a stoma from a higher segment of bowel, and the abdominal cavity is cleaned. While surgical experience and ERAS pathways help reduce this risk, every patient heals differently and the risk must always be considered.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Do_Reservoir_Techniques_Like_a_%E2%80%9CJ-Pouch%E2%80%9D_Provide_Functionally\"><\/span>What Do Reservoir Techniques Like a \u201cJ-Pouch\u201d Provide Functionally?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The natural rectum is not just a passage\u2014it is also a reservoir that stores stool. When the rectum is removed with anterior resection, this storage capacity is reduced. If the colon is connected directly to the anus in a straight line, patients may feel an urgent need to defecate frequently and may have difficulty postponing bowel movements.<\/p>\n<p>To address this, surgeons can create a \u201creservoir\u201d during reconstruction. One common approach is the <strong>colonic J-pouch<\/strong>, in which the bowel end is folded into a J-shape and stitched together to form a pouch. This pouch mimics rectal storage function, allowing stool to accumulate before evacuation. As a result, bowel movement frequency decreases, urgency improves, and nighttime disruption can be reduced. Building a reservoir is often a key strategy for patient comfort and social adaptation after surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Symptoms_of_Low_Anterior_Resection_Syndrome_LARS\"><\/span>What Are the Symptoms of Low Anterior Resection Syndrome (LARS)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Even when surgery is successful and the cancer is fully removed, the most common long-term issue is Low Anterior Resection Syndrome (LARS). LARS refers to persistent or temporary changes in bowel function and is common after sphincter-preserving surgery.<\/p>\n<p>The main reasons include reduced storage capacity after rectal removal and unavoidable changes in nerve signaling. Preoperative radiotherapy can also stiffen sphincter muscles, increasing symptom severity. LARS can significantly affect quality of life and may lead to social isolation. Patients often report needing to return to the toilet soon after finishing or difficulty distinguishing gas from stool.<\/p>\n<p>Common LARS symptoms include:<\/p>\n<ul>\n<li>Frequent bowel movements<\/li>\n<li>Fecal incontinence<\/li>\n<li>Gas incontinence<\/li>\n<li>Urgency<\/li>\n<li>Incomplete evacuation<\/li>\n<li>Fragmented bowel movements (\u201cclustering\u201d)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Why_Measure_LARS_Severity_and_Confirm_the_Diagnosis\"><\/span>Why Measure LARS Severity and Confirm the Diagnosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>LARS is not detected on lab tests or imaging\u2014it is defined by the patient\u2019s lived symptoms. Listening carefully is essential, but \u201cI\u2019m doing badly\u201d is not enough to plan treatment. We need an objective way to measure severity.<\/p>\n<p>That is why internationally validated tools like the <strong>LARS Score<\/strong> questionnaire are used to quantify symptom frequency and impact. In addition, tests such as anorectal manometry can measure sphincter strength and sensation, helping identify whether problems stem from muscle weakness, sensory changes, or reduced reservoir capacity. Correct assessment is the first step toward the right strategy.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Main_Steps_in_Treating_and_Managing_LARS\"><\/span>What Are the Main Steps in Treating and Managing LARS?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>LARS is not an unsolvable destiny. It can be managed through a stepwise, individualized approach that requires patience. There is no single \u201cmiracle\u201d solution. Treatment usually starts with the simplest measures and escalates based on response. The goal is to make bowel habits predictable so patients can continue daily life without fear.<\/p>\n<p>First-line measures include dietary adjustments and basic medications to firm stool and slow bowel movement frequency. If symptoms persist, pelvic floor rehabilitation and biofeedback are added. In more severe cases, bowel irrigation systems (transanal irrigation) can be life-changing: patients empty the bowel in the morning using water and can often feel secure for the rest of the day.<\/p>\n<p>Common LARS management tools include:<\/p>\n<ul>\n<li>Diet modification<\/li>\n<li>Loperamide<\/li>\n<li>Fiber supplements<\/li>\n<li>Pelvic floor exercises<\/li>\n<li>Biofeedback therapy<\/li>\n<li>Transanal irrigation<\/li>\n<li>Sacral nerve stimulation<\/li>\n<\/ul>\n<p>This comprehensive pathway shows that the surgeon\u2019s responsibility does not end at the operating-room door. With close collaboration between the patient and care team, it is possible to achieve not only a cancer-free life but also a high-quality life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"For_which_conditions_is_anterior_resection_performed\"><\/span>For which conditions is anterior resection performed?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Anterior resection is most commonly performed for cancers of the upper rectum or sigmoid colon, as well as diverticulitis and certain benign tumors. The goal is to remove the diseased segment while preserving digestive continuity as much as possible.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_a_permanent_colostomy_created_after_anterior_resection\"><\/span>Is a permanent colostomy created after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In most anterior resections, a permanent colostomy is not necessary. In low anterior resections, a temporary ileostomy may be created to protect the anastomosis. The need for a permanent stoma depends on tumor location and sphincter function.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_are_bowel_movements_affected_after_anterior_resection\"><\/span>How are bowel movements affected after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Changes in bowel habits may occur after surgery. Patients can experience frequent stools, gas-related issues, and difficulty with control. This pattern is often referred to as \u201clow anterior resection syndrome\u201d and may improve over time.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_is_low_anterior_resection_syndrome_LARS_after_anterior_resection\"><\/span>What is low anterior resection syndrome (LARS) after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>LARS includes symptoms such as frequent bowel movements, incontinence, and urgency. Because part of the rectum is removed, storage capacity decreases. Symptoms can be reduced with diet changes, pelvic floor physiotherapy, and medications.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"When_can_patients_return_to_a_normal_diet_after_anterior_resection\"><\/span>When can patients return to a normal diet after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Once bowel function resumes, patients typically progress from liquids to a soft diet. In many cases, normal eating can resume within 2\u20134 days. Diet advancement is individualized based on tolerance.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_sexual_function_be_affected_after_anterior_resection\"><\/span>Can sexual function be affected after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Because pelvic nerves can be impacted, men may experience erectile dysfunction and women may develop vaginal dryness or discomfort during intercourse. Nerve-sparing techniques aim to reduce these risks.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_soon_can_patients_return_to_work_after_anterior_resection\"><\/span>How soon can patients return to work after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>After open surgery, returning to work often takes about 4\u20136 weeks; after laparoscopic surgery, it may be possible in 2\u20134 weeks. Full recovery depends on operation extent and individual health.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_complications_can_occur_after_anterior_resection\"><\/span>What complications can occur after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The most common complications include anastomotic leak, infection, bleeding, and delayed bowel function. Anastomotic leak is serious and may require additional intervention.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_should_patients_pay_attention_to_in_the_long_term_after_anterior_resection\"><\/span>What should patients pay attention to in the long term after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Long-term, bowel routine, dietary adherence, and regular follow-up are important. Colonoscopy and oncologic surveillance should not be missed. Pelvic floor exercises can support functional recovery.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_psychological_support_necessary_after_anterior_resection\"><\/span>Is psychological support necessary after anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes. Bowel control issues, lifestyle changes, and sexual function concerns can be emotionally challenging. Psychological support can improve adaptation and quality of life.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_long_does_anterior_resection_take\"><\/span>How long does anterior resection take?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Anterior resection typically takes about 2 to 4 hours.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Which_doctorspecialty_should_be_consulted_for_anterior_resection\"><\/span>Which doctor\/specialty should be consulted for anterior resection?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Patients should consult a general surgeon\u2014preferably one specialized in colorectal surgery.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1487103580 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_808992391 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2074,"parent":2079,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2080","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=2080"}],"version-history":[{"count":2,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2080\/revisions"}],"predecessor-version":[{"id":2090,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2080\/revisions\/2090"}],"up":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2079"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/2074"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=2080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}