While **Colorectal Surgeries** are highly specialized procedures performed by surgical experts, a skilled gastroenterologist like Dr. Neeraj Dhar plays an indispensable role in the comprehensive care continuum for patients requiring these interventions. From initial diagnosis and pre-operative assessment to critical post-operative management and long-term endoscopic surveillance, Dr. Dhar provides the specialized medical and endoscopic expertise vital for optimal patient outcomes in Faridabad.

Understanding Colorectal Surgeries:

These surgeries address a wide range of serious conditions affecting the colon, rectum, and anus. They are typically considered when medical treatments, lifestyle changes, or less invasive procedures are insufficient. Common types of colorectal surgeries include:

• **Colectomy (Partial or Total):** Surgical removal of part or all of the colon, commonly performed for colorectal cancer, severe diverticulitis, or inflammatory bowel disease (Crohn's disease, ulcerative colitis).
• **Proctectomy:** Surgical removal of the rectum, often for rectal cancer or severe inflammatory bowel disease affecting the rectum.
• **Hemorrhoidectomy:** Surgical removal of severely prolapsed or thrombosed hemorrhoids.
• **Appendectomy:** Surgical removal of the appendix, typically for acute appendicitis.
• **Ostomy Creation (Colostomy/Ileostomy):** Creating a surgical opening in the abdomen to divert stool into a bag, sometimes temporarily or permanently, after bowel resection, for healing or permanent diversion.

Dr. Neeraj Dhar's Vital Role in Colorectal Surgical Care Pathway:

Dr. Dhar's expertise as a leading gastroenterologist is crucial at various stages of a patient's journey through colorectal surgery:

1. Pre-operative Diagnosis and Assessment:

• **Accurate Diagnosis:** Utilizing advanced diagnostic tools like **Colonoscopy**, **biopsies**, and other imaging studies, Dr. Dhar precisely diagnoses conditions such as colorectal polyps, inflammatory bowel disease, or identifies suspicious lesions that may indicate cancer. This detailed assessment guides the surgical team in planning the most appropriate intervention.
• **Pre-surgical Endoscopic Evaluation:** A crucial step before many colorectal surgeries. Dr. Dhar performs pre-operative colonoscopy to map the extent of the disease, rule out any synchronous lesions, and ensure the patient's colon is optimally prepared for surgery.
• **Medical Optimization:** He manages any co-existing gastrointestinal conditions (e.g., active inflammatory bowel disease, anemia) to ensure the patient is in the best possible health before undergoing major surgery.

2. Post-operative Management and Endoscopic Interventions:

Following colorectal surgery, patients require specialized care to manage recovery and potential complications. Dr. Dhar's endoscopic skills are invaluable in addressing these challenges:

• **Monitoring for Complications:** Close surveillance for issues like anastomotic leaks (where surgical connections don't heal properly), strictures, bleeding, or infection.
• **Endoscopic Management of Strictures:** A common post-surgical complication is the narrowing (stricture) at the surgical connection site, leading to difficulty with bowel movements. Dr. Dhar expertly performs **endoscopic dilations** using balloons to widen these strictures.
• **Management of Bowel Function:** Addressing changes in bowel habits (e.g., diarrhea, urgency, constipation) that can occur after colonic resections.
• **Inflammatory Bowel Disease (IBD) Management:** For IBD patients who undergo surgery, Dr. Dhar provides ongoing medical therapy and endoscopic surveillance to manage the disease in the remaining bowel and detect recurrence.
• **Post-Polypectomy/Cancer Surveillance:** For patients who have undergone surgery for colorectal cancer or high-risk polyps, Dr. Dhar provides critical long-term endoscopic surveillance (follow-up colonoscopies) to detect recurrence or new polyps early.

3. Multidisciplinary Collaboration:

Dr. Neeraj Dhar works in close collaboration with colorectal surgeons, oncologists, radiologists, dietitians, and other specialists. This integrated approach ensures that patients receive holistic, coordinated, and highly specialized care throughout their treatment journey.

For individuals facing complex colorectal conditions requiring surgical consideration, or those experiencing post-surgical gastrointestinal issues, Dr. Neeraj Dhar's extensive expertise as a gastroenterologist ensures a continuity of high-quality care, leveraging advanced diagnostic and endoscopic techniques to optimize recovery and long-term health outcomes in Faridabad.