- Patients with persistent rectal bleeding or blood in stool
- Individuals diagnosed with colorectal polyps requiring removal
- Those experiencing chronic constipation unresponsive to medical management
- Patients with inflammatory bowel disease (Crohn’s disease or ulcerative colitis)
- Individuals with anal conditions including haemorrhoids, fissures, or fistulas
- Those diagnosed with colorectal cancer requiring surgical intervention
- Patients with diverticular disease complications
- Individuals with rectal prolapse or pelvic floor disorders
- Those requiring screening colonoscopy with polyp removal
Colorectal Surgeon in Singapore
If you’re experiencing digestive symptoms or have been diagnosed with a colorectal condition, finding the right specialist is crucial for your health and peace of mind. Colorectal surgeons are specialised medical professionals who diagnose and treat conditions affecting the colon, rectum, and anus. In Singapore, MOH-accredited colorectal surgeons provide comprehensive care using established surgical techniques and modern medical technology. Whether you’re dealing with haemorrhoids, colorectal cancer, or inflammatory bowel disease, understanding your treatment options and finding experienced care can help support your health management.
*Individual results and treatment outcomes may vary.*
Dr. Chok Aik Yong
What is Colorectal Surgery?
Colorectal surgery is a field of medicine focusing on surgical treatment of diseases affecting the colon (large intestine), rectum, and anus. This surgical specialty addresses a range of conditions from common problems like haemorrhoids and anal fissures to complex diseases such as colorectal cancer and inflammatory bowel disease. Colorectal surgeons complete training beyond general surgery, gaining experience in both open and minimally invasive techniques.
The field encompasses diagnostic procedures like colonoscopy and therapeutic interventions ranging from minor office procedures to major bowel resections. Modern colorectal surgery utilises laparoscopic and robotic techniques when appropriate. These surgeons work with gastroenterologists, oncologists, and other healthcare professionals to provide care for patients with colorectal conditions.
Who Needs to See a Colorectal Surgeon?
Ideal Candidates for Colorectal Surgery Consultation
When Immediate Consultation is Necessary
- Severe abdominal pain with inability to pass stool or gas
- Significant rectal bleeding with dizziness or weakness
- Rapidly worsening inflammatory bowel disease symptoms
- Suspected colorectal cancer based on imaging or colonoscopy findings
- Complicated anal abscesses requiring drainage
A consultation with a colorectal surgeon doesn’t always mean surgery is necessary. Many conditions can be managed with medical treatment or minor procedures. The surgeon will evaluate your specific situation and recommend an appropriate treatment approach.
*Individual treatment plans and outcomes may vary. This information is provided for educational purposes and should not replace professional medical advice.*
Common Colorectal Procedures & Techniques
Minimally Invasive Laparoscopic Surgery |
Laparoscopic colorectal surgery involves making several small incisions through which specialised instruments and a camera are inserted. This technique is commonly used for colectomy (colon removal), rectal resection, and treatment of diverticular disease. The approach may offer reduced post-operative pain, shorter hospital stays, and faster recovery compared to traditional open surgery.
*Individual results and timelines may vary.* |
Robotic-Assisted Colorectal Surgery |
Robotic surgery provides enhanced precision and visualisation, particularly for complex pelvic procedures. The surgeon controls robotic instruments from a console, allowing for improved dexterity in confined spaces. This technique is often utilised for rectal cancer surgery and complex inflammatory bowel disease cases. |
Transanal Minimally Invasive Surgery (TAMIS) |
TAMIS allows surgeons to remove rectal polyps and early-stage rectal cancers through the anus without external incisions. This technique aims to preserve normal anatomy and function while treating localised disease. It may be suitable for lesions that cannot be removed during colonoscopy. |
Haemorrhoid Treatment Procedures |
Modern haemorrhoid treatments include rubber band ligation, infrared coagulation, and stapled haemorrhoidopexy. For severe cases, traditional haemorrhoidectomy may be necessary. The choice of technique depends on haemorrhoid severity and patient factors. |
Wondering which surgical approach
may be suitable for your condition?
Our MOH-accredited colorectal surgeon will evaluate your specific needs and discuss available treatment options.
The Colorectal Surgery Process
Pre-Surgery Preparation
Before colorectal surgery, patients undergo comprehensive evaluation including blood tests, imaging studies, and cardiac assessment when necessary. Bowel preparation may be required, involving dietary modifications and laxatives to clean the intestines. Patients meet with the anaesthetist to discuss anaesthesia options and address any concerns. Pre-operative counselling covers the surgical procedure, potential outcomes, and potential risks.
During the Procedure
Colorectal surgeries are performed under general anaesthesia. The surgical team positions the patient carefully to provide optimal access while maintaining safety. For laparoscopic procedures, the abdomen is inflated with carbon dioxide gas to create working space. The surgeon performs the planned procedure, which may include removing diseased bowel segments, creating anastomoses (connections), or addressing specific pathology. Duration varies depending on the complexity of the procedure.
Immediate Post-Surgery Care
After surgery, patients recover in the post-anaesthesia care unit with close monitoring of vital signs and pain levels. Pain management involves a combination of medications. Early mobilisation is encouraged to prevent complications and promote recovery. The surgical team monitors for immediate complications and ensures stable recovery before transfer to the ward. Clear liquids may be started once bowel function shows signs of returning.
*Individual results and timelines may vary.*
Recovery & Aftercare
-
First 24-48 Hours
- Close monitoring of surgical sites and drain output if present
- Progressive pain management with transition to oral medications
- Gradual advancement from clear liquids to regular diet as tolerated
- Assisted walking to prevent blood clots and promote bowel function
- Monitoring for signs of infection or complications
-
First Week
- Daily wound care and hygiene maintenance
- Continued diet progression based on bowel function
- Increased physical activity within comfort limits
- Bowel movement monitoring and management
- Follow-up appointment scheduling
-
Long-term Recovery
- Complete healing may occur within several weeks to months
- Return to normal activities based on procedure complexity and individual recovery
- Dietary modifications may be necessary depending on surgery type
- Regular follow-up appointments for surveillance
- Colonoscopy schedule for cancer prevention
*Individual results and timelines may vary.*
Our colorectal surgeon provides post-operative support to help with recovery.
Schedule your consultation to learn more about what to expect.
Benefits of Modern Colorectal Surgery
Modern colorectal surgical techniques offer potential advantages for patients. Minimally invasive approaches may result in smaller incisions, which can lead to reduced post-operative pain and recovery times. Patients may experience shorter hospital stays compared to traditional approaches.
Functional outcomes may be improved with nerve-sparing techniques that aim to preserve continence and sexual function. Enhanced recovery protocols focus on optimising nutrition and mobilisation, which may help reduce complications. For cancer patients, modern surgical techniques combined with multimodal therapy aim to improve outcomes and quality of life.
The precision offered by laparoscopic and robotic platforms may allow for improved visualisation and preservation of healthy tissue. This can contribute to cosmetic results and may reduce the risk of adhesions that can cause complications.
*Individual results and timelines may vary. These treatments are administered as part of a comprehensive plan supervised by a healthcare professional.*
Risks & Potential Complications
Common Side Effects
- Post-operative pain and discomfort, managed with medications
- Temporary bloating from residual gas after laparoscopic surgery
- Changes in bowel habits during the adjustment period
- Fatigue during recovery, improving gradually over weeks
- Minor wound irritation or bruising
Rare Complications
- Anastomotic leak requiring additional intervention
- Wound infection necessitating antibiotics or drainage
- Blood clots in legs or lungs despite preventive measures
- Bowel obstruction from adhesions
- Bleeding requiring transfusion or reoperation
Colorectal surgeons employ various strategies to minimise risks, including careful patient selection, meticulous surgical technique, and standardised perioperative protocols. Enhanced recovery programmes may help reduce complications.
*Individual results and timelines may vary.*
Cost Considerations
The cost of colorectal surgery in Singapore varies depending on procedure complexity, surgical approach, and length of hospital stay. Factors affecting cost include pre-operative investigations, surgeon fees, anaesthesia charges, hospital room selection, and post-operative care requirements. Minimally invasive techniques may have different cost considerations and can be associated with varying hospital stays and recovery periods.
Surgical packages typically include the surgeon’s fee, operating theatre charges, and standard hospital stay. Additional costs may arise from extended hospitalisation, management of complications, or specialised equipment use. Surgical care aims to address the medical condition and may help in managing long-term health considerations. Patients are encouraged to discuss financial considerations during consultation to understand the scope of expected expenses.
*Individual costs and recovery timelines may vary.*
Frequently Asked Questions (FAQ)
How do I know if I need colorectal surgery versus medical management?
The need for surgery depends on your specific condition, severity of symptoms, and response to medical treatment. Many colorectal conditions are initially managed with medications and lifestyle changes. Surgery may be recommended when medical management is insufficient, for certain cancers or precancerous conditions, or when complications arise. Your colorectal surgeon will thoroughly evaluate your condition and discuss all treatment options before recommending surgery.
What is the difference between a gastroenterologist and a colorectal surgeon?
Gastroenterologists are medical specialists who diagnose and treat digestive system disorders primarily through non-surgical means, including medications and endoscopic procedures. Colorectal surgeons are surgical specialists with additional training in operating on the colon, rectum, and anus. They also perform colonoscopies and can manage medical conditions, but their practice includes complex surgical procedures. Patients may see both specialists for comprehensive care.
How long will I need to stay in the hospital after colorectal surgery?
Hospital stay duration varies based on the procedure performed and individual recovery. Minor procedures like haemorrhoidectomy may be done as day surgery or require overnight stay. Laparoscopic colectomy may require several days of hospitalisation. Complex procedures or open surgery may require longer stays. Recovery protocols aim to optimise hospital stays whilst maintaining safety and comfort.
*Individual recovery timelines may vary.*
Can colorectal surgery be performed using minimally invasive techniques for all conditions?
Whilst minimally invasive techniques are used when appropriate, not all conditions are suitable for laparoscopic or robotic surgery. Factors including tumour size and location, previous abdominal surgeries causing adhesions, and patient anatomy influence the surgical approach. Emergency surgeries often require open techniques. Your surgeon will recommend the most appropriate approach based on your specific circumstances and safety considerations.
What dietary changes will I need after colorectal surgery?
Dietary requirements after colorectal surgery depend on the specific procedure performed. Initially, patients progress from clear liquids to solid foods as bowel function returns. Some patients may need to avoid high-fibre foods temporarily or follow a low-residue diet. Those who have had bowel resection might need to eat smaller, more frequent meals. Patients can often return to a normal diet, though some modifications may be needed depending on the surgery type.
*Individual dietary requirements may vary.*
How soon can I return to work after colorectal surgery?
Return to work timing varies based on the procedure complexity and job requirements. Patients undergoing minor procedures may return to desk work within a few weeks. After laparoscopic surgery, patients can resume light activities gradually and return to full activities over several weeks. Open surgery or complex procedures may require longer recovery periods. Physical jobs requiring heavy lifting need extended recovery time. Your surgeon will provide specific guidance based on your procedure and occupation.
*Individual recovery timelines may vary.*
Will I need a colostomy or ileostomy after colorectal surgery?
Colorectal surgeries often do not require a stoma (colostomy or ileostomy). When bowel segments are removed, surgeons aim to reconnect the remaining portions when possible. Temporary stomas may be created to protect healing anastomoses in certain situations or after emergency surgery. Permanent stomas are sometimes necessary for very low rectal cancers or when the anal sphincter cannot be preserved. Your surgeon will discuss this possibility if relevant to your condition.
How often will I need follow-up after colorectal surgery?
Follow-up frequency depends on your underlying condition and surgery performed. Initial post-operative visits may occur within a few weeks to check wound healing and recovery progress. Cancer patients require regular surveillance with clinical examinations, blood tests, and imaging studies for several years. Patients with inflammatory bowel disease need ongoing monitoring. Those who had benign conditions may need less frequent follow-up once recovered. Your surgeon will create a personalised surveillance plan.
Conclusion
Colorectal surgery has evolved significantly with modern techniques that may offer improved outcomes and recovery for patients. Whether you’re dealing with a benign condition affecting quality of life or facing a cancer diagnosis, Singapore’s MOH-accredited colorectal surgeons provide comprehensive care using established surgical techniques and evidence-based protocols. The combination of surgical expertise, modern technology, and patient-centred care aims to support treatment outcomes while prioritising your comfort and recovery.
Ready to Take the Next Step?
If you’re experiencing colorectal symptoms or have been diagnosed with a condition requiring surgical evaluation, our MOH-accredited colorectal surgeons can help you understand your treatment options. With experience in both minimally invasive and complex colorectal procedures, we provide personalised care throughout your surgical journey.
Dr. Chok Aik Yong
Expertise lies in managing colorectal diseases, particularly advanced colorectal cancer and inflammatory bowel disease.
- Dr Chok graduated with degrees in Bachelor of Medicine and Surgery from the National University of Singapore. He was conferred the Master of Medicine (Surgery) in Edinburgh (UK) and a member of the Royal College of Surgeons, UK. He subsequently completed his specialist training in colorectal surgery and became a Fellow of the royal college of Surgeons in Edinburgh in 2016.
- Dr Chok was awarded the Health Manpower Development Plan (HMDP) award in 2019 to further advance his colorectal training at Royal Marsden Hospital, one of the top 5 cancer centres in the world. While in London, Dr Chok trained with pioneers in the surgical management of advanced colorectal cancer and inflammatory bowel disease (IBD) and gained extensive experience while appraising the latest clinical and research evidence.
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