Colorectal surgery treats disorders of the colon, rectum and perianal area. As a consultant coloproctologist, Dr. Daniel Serralta uses minimally invasive, keyhole techniques wherever possible — less pain, a smaller scar and a faster return to normal life.
The colon is a hollow tube running from the small intestine to the anus, and the rectum holds the sphincter muscles that keep us continent. Problems here can cause abdominal discomfort, bleeding after passing stool, a change in bowel rhythm or continence issues. Colorectal surgery covers a wide range of conditions:
The large bowel is about 1.5 metres long; the rectum and anal canal form the final 15–20 cm.
The main part of the large intestine, which absorbs water and stores digestive waste before it is passed.
The final section that stores stool. Its sphincter muscles maintain continence until release.
Where many common, treatable conditions arise — piles, fissures, fistulas and abscesses.
Colorectal cancer usually begins as a polyp that can grow into the colon or rectal wall over time. Because the wall has several layers, cancer that starts in the innermost lining can spread outward and, if it reaches blood or lymph vessels, travel to nearby nodes or distant organs. Staging looks at how deep it has grown and whether it has spread.
The right approach depends on the condition, its location and stage, and your overall health.
Wherever it is safe and appropriate, surgery is performed through a few small incisions rather than one long cut — less trauma, less pain and a quicker recovery.
PreferredThe affected segment of colon is removed through several small cuts (0.5–1 cm) used for a camera and fine instruments, with a slightly larger incision of 4–5 cm to remove the tumour. Compared with open surgery it means significantly less pain, and most patients leave hospital and resume normal activities within 6–8 days.
Discuss this option
Removes the affected rectal segment through small abdominal incisions, preserving as much normal function as possible.
Smaller tumours and polyps are removed through the anus with no external scarring, protecting the continence system.
Reserved for complex or advanced disease where a laparoscopic approach is not the safest option.
Most patients are mobile and back to eating and drinking within a day.
Discharge within days, with pain relief and clear instructions.
A gradual return to normal activities, roughly a month earlier than open surgery.
Check-ups every few months at first, then less often, to keep you well.
Procedures that repair or treat the colon, rectum and anus — sometimes removing part of the colon (colectomy) or rectum (proctectomy), often to treat cancer, inflammatory bowel disease or other conditions.
People with colorectal cancer, inflammatory bowel disease (Crohn’s or ulcerative colitis), diverticulitis or rectal prolapse. A specialist assessment decides whether surgery is the best course.
Yes. Dr. Daniel Serralta performs minimally invasive (laparoscopic) colorectal surgery, which usually means a shorter hospital stay, less pain and a quicker recovery. Not every condition suits it, so your options are discussed at consultation.
As with any surgery there is a risk of infection, bleeding, anaesthetic complications and leakage where bowel is joined. A careful pre-operative assessment keeps these to a minimum.
Hospital stays generally last from a few days to a week, with full recovery over several weeks. Keyhole surgery is usually much quicker than open surgery.
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