At Dr Kavitha Chetty’s practice, we offer specialized colorectal services. These include colorectal cancer screening and advanced surgical procedures. Pelvic floor therapy and proctology are also provided. We also offer post-operative rehabilitation. Our evidence-based, patient-centered approach ensures personalized care for gastrointestinal health, from diagnosis to recovery.

Screening Services

• Colonoscopy for colorectal cancer screening

• Flexible sigmoidoscopy

• Fecal occult blood testing (FOBT) and FIT testing guidance

• High-risk colorectal cancer screening (e.g., Lynch syndrome, familial adenomatous polyposis)

• Surveillance for polyps and inflammatory bowel disease (IBD)

Diagnostic Services

• Colonoscopy with biopsy and polypectomy

• Endoscopic ultrasound (if applicable)

• Anorectal manometry for pelvic floor dysfunction

• Defecography (MRI or fluoroscopic)

• Pelvic floor ultrasound • Functional and motility studies

Oncology Services

• Surgical treatment of colorectal cancer (open, laparoscopic, robotic-assisted training underway)

• Minimally invasive surgery for early-stage colorectal cancer

• Multidisciplinary tumor board participation • Palliative surgical care for advanced disease

Proctology Services

• Hemorrhoid management (banding, sclerotherapy, hemorrhoidectomy)

• Fistula-in-ano treatment (fistulotomy, advancement flap, LIFT procedure)

• Management of anal fissures (botox injection, lateral sphincterotomy)

• Pilonidal disease treatment • Management of perianal abscesses and hidradenitis suppurativa

Pelvic Floor Disorder Services

• Surgical and non-surgical management of fecal incontinence

• Sacral nerve stimulation (SNS) for fecal incontinence

• Biofeedback therapy for pelvic floor dysfunction

• Rectal prolapse repair (Altemeier, Delorme, laparoscopic, robotic)

• Management of obstructed defecation syndrome (ODS) • Repair of rectocele and enterocele

Multidisciplinary & Holistic Care

• Collaboration with gastroenterologists, oncologists, radiologists, and physiotherapists

• Prehabilitation and enhanced recovery after surgery (ERAS) protocols

• Nutritional counseling for colorectal health

• Psychological support for cancer and pelvic floor patients

• Palliative care integration when needed

Principles of Care

Key Components:

Evidence-based medicine (EBM) is a healthcare approach that integrates the best available research evidence. It combines this evidence with clinical skill and patient values. This integration helps to make informed decisions about patient care.

Best Research Evidence: This refers to high-quality, systematic research findings that are relevant to the clinical question. 

Clinical Skill: This encompasses the clinician’s knowledge, skills, and judgment, as well as their experience in diagnosing and treating patients. 

Patient Values and Preferences: EBM recognizes that patient values, preferences, and circumstances are vital. They play a key role in determining the most appropriate course of treatment. 

Principles of EBM:

Awareness of the best available evidence: Clinicians should be aware of and have access to the latest research findings. 

Ability to decide the trustworthiness of the evidence: Clinicians should be capable of critically appraising research evidence. They must assess its validity, reliability, and applicability. 

Consideration of the values and preferences for the patient: Treatment decisions should be made together with patients. This approach takes into account their preferences and values.

ERAS stands for Enhanced Recovery After Surgery. It is a patient-centered, evidence-based approach. This approach focuses on optimizing recovery. It minimizes surgical stress and promotes faster recovery.

Key Principles:

ERAS protocols aim to: 

  • Improve the patient’s health and fitness before surgery. 
  • Reduce the stress response to surgery
  • Keep normal physiological operation. 
  • Help early recovery and mobilization. 
  • Standardize analgesic and anesthetic regimens. 

How it works:

  • ERAS programs are designed to tackle key factors that can prolong hospital stays and increase complications, like:
  • Need for parenteral analgesia (pain relief through IV). 
  • Intravenous fluids due to gut dysfunction. 
  • Bed rest caused by lack of mobility. 

Benefits:

  • Improved patient experience and satisfaction. 
  • Reduced length of hospital stay. 
  • Reduced postoperative complications. 
  • Reduced readmission to critical care and after discharge.