COLORECTAL SURGERY

What is Colorectal Surgery?

Colorectal surgery is a specialised branch of medicine that focuses on the diagnosis and treatment of disorders and conditions affecting the colon, rectum and anus. Many of these conditions are sensitive, and can lead to patient embarrassment and reluctance to seek treatment, despite causing significant impact on quality of life. As a colorectal surgeon, Jayson provides both medical and surgical interventions, striving to improve the overall health and quality of life for patients through precise and personalised care.

Minimally-Invasive surgery

“Improving outcomes by reducing the stress of surgery”

Minimally invasive (sometimes referred to as ‘Keyhole’) surgery, includes a group of advanced surgical approaches that utilise small incisions and highly specialised instruments to perform complex procedures. In includes both laparoscopic and robotic techniques. By reducing surgical trauma, and therefore the overall stress of surgery on the body, MIS offers benefits such as shorter recovery times, less pain, and decreased scarring compared to traditional open surgery. Dr Moloney is a strong advocate for minimally invasive surgery. He is highly trained in these techniques, and contributes to training for junior and trainee surgeons by teaching on a number of minimally invasive surgery courses.

Robotic surgery

“Maximising precision. Minimising impact”

Robotic colorectal surgery is an innovative approach to minimally-invasive surgery that utilises a robotic surgical system to assist surgeons in performing complex procedures on the colon and rectum. This technology, builds on the techniques of laparoscopic surgery by enhancing precision and dexterity, providing high resolution 3D visualisation, and allows for smaller incisions, reducing patient pain, and accelerating recovery. Common applications in colorectal surgery include bowel and rectal resections for cancer, diverticulitis or inflammatory bowel disease, as well as surgery for rectal prolapse. While it offers numerous benefits, successful outcomes depend on surgeon expertise and experience with the robotic system. This approach represents a significant advancement in colorectal surgery, improving patient outcomes and reducing the impact of surgery on their daily lives.

Colorectal procedures performed by Jayson

Colorectal resection: robotic, laparoscopic or open

Colon or rectal resection may be required for the management of colorectal cancer, diverticular disease, inflammatory bowel disease (Crohn’s disease or ulcerative colitis) or sometimes for other reasons:

  • Colonic resection: ileocolic resection, right hemicolectomy, left hemicolectomy, subtotal/total colectomy

  • Rectal resection: high, low or ultra-low anterior resection (with coloanal anastomosis where required); proctocolectomy; abdominoperineal resection

Rectal prolapse surgery

  • Ventral rectopexy: robotic

  • Delorme’s procedure

  • Sutured Transanal Muscular Plication (STAMP)

  • Other rectopexy: resection, sutured

Faecal incontinence surgery

  • Sacral neuromodulation: sacral nerve stimulator implantation

  • Anal sphincter repair

Endoluminal surgery

  • Transanal Minimally Invasive Surgery (TAMIS)

  • Colonoscopy and polyp excision, including endoscopic mucosal resection (EMR)

Anorectal procedures

  • Haemorrhoids: band ligation, haemorrhoidectomy (open, stapled, sutured)

  • Perianal abscess/fistula: abscess drainage, fistulotomy, ligation of intersphincteric fistula tract (LIFT) procedure, endorectal advancement flap

  • Anal fissure: injection of botox, lateral internal sphincterotomy

  • Pilonidal sinus excision: pit-picking (Bascom 1), excision with flap closure (modified Karydakis, rhomboid flap)