Dr. Ajaratu Keshinro, MD is a colon and rectal surgeon in Fairview Park, OH specializing in colon & rectal surgery. She graduated from New York University (NYU) School of Medicine in 2016 and has 9 years of experience. Dr. Ajaratu Keshinro, MD is affiliated with Cleveland Clinic, West Valley Medical Building, Avon - Richard E. Jacobs Health Center and North Ohio Gastroenterology.
20455 Lorain Road
Fairview Park, OH 44126
30701 Clemens Road
Westlake, OH 44145
33100 Cleveland Clinic Boulevard
Avon, OH 44011
9500 Euclid Avenue
Cleveland, OH 44195
Colectomy (Colon Resection)
Colectomy is surgery to remove all or part of the colon, or the longest part of the large intestine. The colon may be affected by diseases such as cancer or inflammatory bowel disease. In a colectomy, all or part of the colon that is infected, blocked, or cancerous is removed.
A colectomy may be performed by laparoscopic or open surgery. A laparoscopic colectomy requires several small cuts on the abdomen, and uses a thin tube with a camera, called a laparoscope. Laparoscopic colectomies are less invasive than open procedures. For some individuals, a laparoscopic colectomy may not be possible, and instead an open colectomy is performed. In an open colectomy, a large incision is made on the abdomen. Open colectomies typically require longer recovery periods.
After the incisions are made, a portion of the colon is removed, and the remaining ends of the colon are attached to each other in a procedure called anastomosis. Waste can continue to travel through the body as normal. However, in some situations, it may be necessary for the end of the colon to be attached to an opening in the abdomen, called a stoma. This procedure is called an ostomy. Types of ostomies include:
An ostomy bag will be attached to the skin to collect waste. If the entire colon is removed, either an ileostomy is performed, or the small intestine is connected to the anus and waste may pass through as normal.
Stomas may be permanent or temporary. If the stoma is temporary, the ends of the colon will be rejoined in a later procedure. Temporary stomas are generally used to allow time for the colon to heal following surgery.
A colectomy may take between one and four hours. Following the procedure, patients will need to consume a liquid and low fiber diet before gradually returning to their normal diet. Patients will need to stay in the hospital for three to seven days for monitoring. Full recovery and return to normal activity may take anywhere from a few weeks to several months.
Laparoscopic Surgery
Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.
During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.
The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.
Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open surgery.
Proctectomy (Rectum Resection)
Proctectomy is the surgical removal of the rectum, which, along with the anus and colon, is part of the large intestine. Rectal resection (removal) is used in the treatment of cancers and inflammatory bowel disease (IBD). For rectal cancers that have not spread outside of the large intestine, proctectomy is the primary treatment option.
The type of proctectomy performed depends on the severity and location of the cancer. If the cancer is confined to the rectum, only the rectum will need to be removed. Surgery can be done transanally, without an incision on the stomach, if the cancer can be reached through the anus.
For cancers higher in the rectum (closer to the colon), a low anterior resection is done. Low anterior resection uses an incision on the abdomen to access the cancerous portions of the rectum. The remaining parts of the large intestine can be connected in a procedure called anastomosis, and waste can exit through the anus as usual. In some cases, surgeons may choose to perform a type of anastomosis called temporary ileostomy. This involves attaching the end of the small intestine (ileum) to an opening in the abdomen (stoma), through which waste will exit the body and be collected in a small pouch. This is done if patients have previously undergone other cancer treatments, such as chemotherapy, to give the remaining ends of the large intestine time to heal before waste passes through them again. The ends will be reconnected at a later date, typically within several weeks.
For rectal cancer that has spread to the anus, abdominoperineal resection is an option. Abdominoperineal resection removes the cancerous lower rectum along with part or all of the anus and, sometimes, part of the colon. Removing part of the anus can lead to waste leaking, so a permanent colostomy is always done during abdominoperineal resection. Colostomy is similar to ileostomy, but instead of the ileum, the end of the colon is attached to a stoma, through which waste will flow into a collection bag. Surgeons will make incisions in the abdomen and around the anus to perform this procedure.
For the treatment of inflammatory bowel disease, proctocolectomy is done. IBD causes infections and ulcers to occur in the colon, but it can spread to other parts of the large intestine as well, such as the rectum. If this is the case, removing the rectum along with the colon in a proctocolectomy can be used to treat IBD in the event that it has not responded to conservative approaches, such as medication.
After a proctectomy, patients will need to stay in the hospital for around one week, if they experience no complications. Patients may receive restrictions on diet and physical activity following the procedure, as well as medication to treat any pain. If patients have a stoma, they will also be given instructions on how to care for it. Full recovery may take up to six weeks.
Dr. Ajaratu Keshinro, MD graduated from New York University (NYU) School of Medicine in 2016. She completed residency at NYU Grossman School of Medicine General Surgery New York, NY. She is certified by the General Surgery and has a state license in Ohio.
Medical School: New York University (NYU) School of Medicine (2016)
Residency: NYU Grossman School of Medicine General Surgery New York, NY (2022)
Board Certification: General Surgery
Licensed In: Ohio
Dr. Ajaratu Keshinro, MD is associated with these hospitals and organizations:
Dr. Ajaratu Keshinro, MD has an exceptional overall rating with an average of 4.92 out of 5 stars based on 26 ratings. We collect ratings and reviews of Dr. Ajaratu Keshinro, MD from all over the web to help you find the right in Fairview Park, OH.
These charts describe general payments received by Dr. Ajaratu Keshinro, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Medtronic, Inc. |
$299
INTERSTIM $299 |
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Davol Inc. |
$151
Phasix Mesh $151 |
Baxter Healthcare |
$48
Hillrom - FCS 700 Boom $48 |
Food and Beverage | $497 |
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Dr. Ajaratu Keshinro works as a colon & rectal surgery. Dr. Keshinro's areas of expertise include the following: transanal hemorrhoidal dearterialization (THD), polypectomy (polyp removal), and hemorrhoid banding. She is professionally affiliated with Cleveland Clinic. She studied medicine at New York University (NYU) School of Medicine. Patient ratings for Dr. Keshinro average 5.0 stars (out of 5).