Depending on your condition, it can sometimes be necessary to perform open surgery for colorectal diseases. Our Raleigh-based surgeons at the Colorectal Division of North Carolina Surgery at UNC REX regularly help patients experience relief and a return to normalcy with the help of open colorectal surgery.
Why is Open Colorectal Surgery Performed?
Colorectal operations require accessing complex parts of the digestive tract. Surgeons cannot perform all these treatments with a minimally invasive, laparoscopic approach. If you can’t undergo a laparoscopic procedure and need surgery for your colorectal condition, your surgeon will use an open method. This type of surgery involves making a larger incision in the abdomen to operate safely.
Indications For Open Colorectal Surgery
You may require traditional colorectal surgery if you have any of the following:
- Colorectal condition that affects a large portion of your digestive tract
- Excessive scar tissue
- Multiple prior operations
- Serious colorectal condition that came on suddenly
- Very severe or advanced disease
Your Consultation at UNC REX
During your first appointment, one of our experienced colorectal surgeons will review your medical history, discuss your symptoms, and examine any relevant imaging or test results. They’ll explain why open surgery might be the best option for your specific condition and walk you through what to expect before, during, and after the procedure.
This is your opportunity to ask questions and address any concerns you may have. Your surgeon will also provide detailed pre-operative instructions, including guidelines about medications, diet, and preparation for the day of surgery.
What to Expect During an Open Colectomy or Resection
Open colorectal surgery is performed under general anesthesia. Your surgeon will make an incision in your abdomen, typically several inches long, to access the affected area of your colon or rectum. The specific details of the procedure will depend on your condition, but may include removing diseased portions of the bowel, reconnecting healthy sections, or addressing other colorectal issues.
Recovery After Open Colorectal Surgery
Surgical recovery in these instances typically results in a brief hospital stay, during which your medical team will carefully monitor your progress. Initially, you’ll receive pain medication and may have a temporary drainage tube or ostomy bag. Your surgeon will provide specific instructions for wound care, diet, activity levels, and follow-up appointments.
Benefits of Open Surgery for Colorectal Diseases
- Allows for better access to complex or large problem areas
- Makes it easier to handle unexpected findings during surgery
- Can be safer for patients with extensive scar tissue
- Better option for very large tumors or advanced disease
- May be more suitable in emergencies
- Allows for easier management of complications if they occur
Insurance and Costs for Colorectal Surgery
The cost of open colorectal surgery depends on several factors. The price can be affected by body type, exact technique performed, surgical complications, and allergies.
About Our Practice
The Colorectal Division of North Carolina Surgery at UNC REX operates a patient-focused clinic in Raleigh that serves as a welcoming starting point for your colorectal care journey. Our office is designed to provide a comfortable environment where you can meet with specialists, discuss your treatment options, and receive thorough evaluations in a setting that prioritizes your privacy and peace of mind. We understand that visiting a colorectal specialist can feel overwhelming, which is why our team works to create an atmosphere where questions are welcomed and concerns are addressed with patience and professionalism.
As part of the larger UNC Health® system, our Raleigh clinic benefits from seamless coordination with imaging centers, laboratories, and surgical facilities throughout the Triangle Area. This means your care is streamlined from consultation through treatment and follow-up, with easy access to the comprehensive resources you need at each stage. Whether you’re coming from Raleigh, Durham, Cary, or surrounding communities, our centrally located practice offers convenient access to expert colorectal care backed by one of North Carolina’s most trusted health systems.
Our Colorectal Surgeons
Timothy Sadiq, MD, FACS
Dr. Sadiq brings extensive experience to the UNC REX team, having practiced at UNC-Chapel Hill for 13 years before joining our Raleigh clinic in 2020. He specializes in the full spectrum of colorectal surgery, with particular expertise in inflammatory bowel disease and complex re-operative procedures.
Laura Altom, MD, MSPH
Dr. Altom has been a valued member of our practice since 2016, offering minimally invasive surgical care for colorectal cancer, diverticulitis, and anorectal diseases. She sees patients at multiple convenient locations throughout the Triangle, including Raleigh, Cary, and Holly Springs.
Meridith Ginesi, MD
Dr. Ginesi is a recognized authority in minimally invasive colorectal treatments, with specialized training in laparoscopic, robotic, and endoscopic technologies. Her comprehensive surgical expertise covers the full range of colorectal conditions, and she has earned awards for both her research contributions and teaching excellence.
Open Colorectal Surgery FAQs
Does insurance cover open colorectal surgery?
Most open surgical procedures for colon health are considered medically necessary and, therefore, are usually approved by health insurance providers. However, it is important to confirm coverage details with your health insurance provider before undergoing the procedure, if possible.
How long until I can exercise again?
Light walking is encouraged almost immediately after surgery, but you should avoid strenuous exercise for at least 6-8 weeks. Your surgeon will provide a timeline for gradually returning to more vigorous activities based on your healing progress.
What is the risk of infection with open colorectal surgery?
Because the surgery involves the intestinal tract, which contains bacteria, there is an increased risk of infection compared to other types of procedures. Your surgical team will take precautions like using antibiotics and sterile techniques to minimize this risk, and you'll be monitored closely for any signs of infection during recovery.
Will my bowel movements be different after open colorectal surgery?
Many patients experience changes in bowel habits after surgery, including increased frequency, urgency, or looser stools, especially if a portion of the colon was removed. These changes often improve over time as your body adjusts, though some alterations may be permanent depending on how much bowel was removed.
Contact Us For More Details
If you or your primary care provider believes you might need open surgery for colorectal disease in Raleigh, NC, our experienced team is here to help. Schedule a consultation with the Colorectal Division of North Carolina Surgery at UNC REX to discuss your treatment options and determine the best surgical approach for your condition. We proudly serve patients throughout the Triangle Area, including Raleigh, Durham, Cary, Wake Forest, and surrounding North Carolina communities.
Testimonials
Thank you!
“Thank you for the wonderful care I received! Although I was dealing with a sensitive situation, you helped me in a professional but gentle and kind manner, which put me at ease. I will recommend you highly to my friends! Thank you!”
– Catherine S.