Our Services

John Flynn Colorectal Centre offers a range of procedures and treatments for colorectal disease conditions.

Anorectal Physiology

Testing is performed on outpatients and no preparation, sedation or anaesthesia is required. Tiny hollow tubes are inserted into the anus and used to measure the pressures in the rectum and anus.

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Rubber band ligation (banding) is a common treatment used for moderate sized haemorrhoids. The procedure can be performed in the office without the need for anaesthesia.

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After assessment by anorectal physiology, a program of exercise and bowel management is developed by specialist medical and nursing staff for each individual patient.

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Bowel Cancer

Bowel cancer (also known as colorectal cancer) is usually treated surgically with removal of the affected segment of colon or rectum. Patients with cancer of the rectum may require initial treatment with chemotherapy and radiotherapy.

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Colonoscopy and Polypectomy

Although most polyps do not contain cancer, cancers can arise in polyps. Most common types of polyps are adenomatous and hyperplastic polyps. Most polyps can be detected and removed at colonoscopy. A wire loop is placed around the polyp and the polyp removed by tightening the noose and applying an electrical current to the loop.

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Detecting Bowel Cancer

Bowel cancer often causes no symptoms until it becomes relatively advanced. Australians who are at average risk for bowel cancer and who have no symptoms, are screened with faecal occult blood testing (FOBT) from age 50-75. Ideally this should be done every 1-2 years.

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Fistula Surgery

Fistula surgery aims to eradicate the track between the opening inside the anus and the opening on the anal skin. The anal sphincter muscle must be protected to preserve continence and various surgical techniques are available to correct this condition.

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Haemorrhoidectomy is the surgical removal of the haemorrhoids. It is reserved for very large or complicated haemorrhoids. This procedure is performed under general anaesthesia in hospital. The operation involves removal of the haemorrhoids (usually three) and internal stitching of the wounds.

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Hernia Surgery

Laparoscopic inguinal hernia surgery is suitable for the management of most groin hernias. Long-term cure rates of 99 per cent are achieved with most patients having very little, if any pain.

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Laparoscopic Colorectal Surgery

Laparoscopic, also known as keyhole, surgery on the colon and rectum offers significant advantages over open surgery for many patients. Using small incisions and advanced video technology, expert laparoscopic surgeons are able to perform a wide range of complex colorectal surgical procedures.

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Major Bowel Surgery

This surgery may be performed using laparoscopic (keyhole) or traditional open techniques. Your surgeon will talk to you about which part of the bowel needs to be removed and the likely effects of its removal.

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Pilonidal Sinus

There are many different surgical treatments for pilonidal disease. Incision and drainage of pus is needed if an abscess forms. The pilonidal disease can also be cut out using various methods.

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Prolapse Surgery

Keyhole surgery is used to place synthetic mesh between the front of the rectum and the back of the vagina.  This prevents inversion of the rectum which initiates complete prolapse through the anus. The operation is performed under general anaesthesia by a skilled laparoscopic surgeon.

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Rubber Band Ligation

Discomfort or a sensation of needing to use your bowels may be experienced after this procedure but significant pain is uncommon. Local anaesthetic will wear off over a few hours. If you develop pain it is important to take some pain killers early so that it does not worsen.

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Sacral Nerve Stimulation

Patients who have faecal incontinence following sphincter injury may occasionally be treated with an anal sphincter repair. Sacral nerve neuro-modulation is used to treat patients with more severe forms of faecal incontinence.

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Surgical sphincterotomy is an operation performed on the anal sphincter to treat chronic anal fissures. This operation is usually reserved for patients who have failed non-surgical treatments of their fissure.

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Stomal Therapy

Nutritional management for those with an ileostomy and those with a colostomy are different. If you require a stoma for any reason, a stomal therapist (a nurse who specialises in stoma care) will assist you with information and help before and after your operation.

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Surgery for Intestinal Endometriosis

Endometriosis is a common cause of abdominal pain and infertility in young women. A small percentage of women with more severe forms of endometriosis have a disease that affects the rectum or other parts of the intestine. Intestinal endometriosis may be difficult to diagnose before surgery as it is not readily detected at colonoscopy or on CT or MRI scans.

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Transanal Endoscopic Microsurgery (TEM)

Transanal Endoscopic Microsurgery (TEM) is a specialised colorectal surgical technique that can be used to remove polyps from the rectum. TEM is a minimally invasive technique similar to keyhole surgery of the rectum.

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Transanal Haemorrhoidal Dearterialisation (THD)

Transanal haemorrhoidal de-arterialisation (THD) is a more recent type of surgery available for the treatment of haemorrhoids. THD is used when more simple treatments like rubber band ligation are inadequate and where the surgeon would prefer to avoid surgical excision of the haemorrhoids.

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  • Fellow of the Royal Australasian College of Surgeons
  • Colorectal Surgical Society of Australia and New Zealand
  • Bond University