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Colorectal Surgery

Colorectal Surgery Overview

Colon and rectal care deals with disorders of the rectum, anus and colon. Our colorectal specialists and colorectal surgeons specialize in diagnosing and treating structure issues and diseases in those areas. We focus heavily on colorectal cancer — the third leading cause of cancer death in America for men and women. 

As a dedicated colorectal surgery program, we provide advanced diagnosis, treatment and follow-up care to patients with all types of colorectal disorders. We are here to help you feel better faster so that you can return to doing the activities you enjoy.

Colorectal Surgery is a surgical subspecialty that manages a variety of benign and malignant conditions such as diverticulitis, colon, rectal and anal cancer, inflammatory bowel disease such as Crohn and Ulcerative colitis, or a wide spectrum of perianal disease such as anal fistula, fissure and hemorrhoids, as well as pelvic floor diseases such as rectal prolapse and fecal incontinence. A colorectal surgeon can perform minimally invasive surgery with the use of robot or laparoscope as well as open surgical procedures. The choice of which approach depends on many factors determined case by case.

Colorectal Surgery Procedures

  • Inflammatory Bowel Disease (IBD)

    Inflammatory bowel disease (IBD) is a wide spectrum of chronic inflammatory conditions that involve the digestive system, there are two main types. Ulcerative colitis: Which mainly involved large bowel (Colon and Rectum). Crohn’s disease: This affects any part of the digestive system. Both diseases usually presented with severe diarrhea, abdominal pain, fatigue, weight loss, and many other symptoms. To confirm the diagnosis of IBD your doctor will request a blood test, procedures such as colonoscopy, and images such as CT scan. Treatment of IBD depends on the severity of the disease, most of the time treatment will be provided by your gastroenterologist in the form of antibiotic, anti-inflammatory, or immune-suppressive drugs. Surgeons get involved either to treat complications or if medical treatment fails to control the disease.

  • Hemorrhoids

    Hemorrhoids are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Most of the time patients complain of Itching or irritation in the anal region, pain or discomfort, swelling around the anus, or bleeding. Modifying lifestyle measures can prevent and improve an existing disease, such as eating a high-fiber diet, drinking plenty of fluids, avoiding strain and long periods of sitting. Treatment includes the above measures as well as the use of local topical treatments. Soak regularly in a warm bath or sitz bath. Take oral pain relievers. If symptoms are persistent such as bleeding or pain, your doctor might recommend surgery. These procedures can be done in the office (Rubber banding) or in an outpatient setting under anesthesia (Hemorrhoidectomy)

  • Colon and Rectal Cancer

    Colon cancer is a cancer that begins in the large intestine, which is the last part of the digestive system. In its early stages, colon cancer may not cause any symptoms. Surgery is one of the most effective treatment options for colon cancer.

  • Pelvic Floor Disorders

    The pelvic floor consists of a group of muscles that provide support to pelvic organs (bladder, rectum, and uterus or prostate). Contracting and relaxing these muscles allows you to control your bowel movements, urination, and, for women particularly, sexual intercourse. Damage and aging of these muscles lead to a variety of issues, such as fecal and urine incontinence, rectum, bladder, and uterus prolapse. Treatment includes pelvic floor physical therapy and/or surgery depends on what condition to treat. For instance, fecal incontinence is best treated with sacral nerve stimulator on an outpatient basis, but rectal prolapse may need robotic surgery.

  • Anal Fistula

    A small tunnel under the skin communicating the rectum with the outside, it usually develops after infection in the perianal area. There are many types of fistula based on how much sphincter muscle involved. For example, superficial fistula does not involve any sphincter muscle and it is a simpler form and easier to take care of. However, trans-sphincteric fistula involves both internal and external sphincter muscle and therefore, it is the most complex form of fistula and has a high recurrence rate. Anal fistula requires surgery to cure it. There are many types of surgeries depending on which type of fistula you have.

Benefits of Robotic Colorectal Surgery

During a robotic-assisted procedure, surgical instruments are inserted via small incisions. The instruments are attached to cameras that give our surgeons a detailed and magnified view of the surgical site.

Using the camera’s images as a guide, surgical tools are manipulated by our surgeons using master controls. The tools respond to our surgeons’ directions, moving with accuracy and precision, so that our surgeons maintain complete control throughout the procedure.

Furthermore, because the robotic tools are so small and flexible, colorectal conditions can be treated without affecting surrounding tissues.

Why Robotic-assisted Colorectal Surgery?

At the North Texas Surgical Specialists, we perform hundreds of colon and rectal surgeries every year. Our surgeons have honed their technical craft through experience. We know that every patient has specific needs, and we offer them the best care, providing the right technology for the right patient. Our expert group of board-certified colorectal surgery specialists offers minimally invasive surgical approaches for the treatment of colon and rectal cancer, inflammatory bowel disease, diverticulitis, rectal prolapse, and other colorectal conditions.

Robotic surgery is a form of minimally invasive colorectal surgery offered under circumstances in which our robotic surgeons believe there is measurable safety and categorical benefit for our patients. Like other minimally invasive techniques, robotic surgery relies on small incisions, which can reduce complication rates when compared to large incision or open surgery. But robotic surgery is a more recent technique, and hasn’t yet been as extensively studied. When used inappropriately, robotic surgery can potentially increase hospital and other medical costs. At North Texas Surgical Specialists, we’re confident in our ability to provide robotics expertly, appropriately, and only when they will serve the patient’s best interests.

Robotic General Surgery

Robotic surgery is a method of surgery that utilizes a computerized system to perform surgical procedures. This system usually consists of mechanical arms that control surgical instruments, as well as a camera arm the surgeon can use to view the treatment area. The surgeon controls these arms using a computer. This method improves precision considerably.


In many cases, we will use robotic surgery in combination with minimally-invasive surgical techniques. By using these two techniques together, we can minimize the trauma to the patient and ensure the best outcome.

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