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Doctor insights on: Abdominal Perineal Resection

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Hi, well basically I've been suffering with light lower Abdomen and lower back pain with sudden stabbing perineal pain. What's going on?

Hi, well basically I've been suffering with light lower Abdomen and lower back pain with sudden stabbing perineal pain. What's going on?

Get checked.: We don't have enough information to figure out what's wrong. How long have you had it? Do you have problems urinating? A fever? Diarrhea or constipation? If this has occurred for a couple of days and not gotten better, you need to be checked to be sure you don't have a serious infection. ...Read more

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What kind of IV access (regular, picc, midline?) is typically used for abdominal anterior resection surgery?

What kind of IV access (regular, picc, midline?) is typically used for abdominal anterior resection surgery?

IV access: If you are relatively healthy and do not require central line, the most is needed peripheral IV access. Your anesthesiologist knows the surgeon, his skills and potential for blood loss, ( which is unlikely). Anesthesiologist will make decision what kind of access he/she needs. When the patient is asleep he can start second IV if nessasary. ...Read more

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What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol

What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done?  We don't want her to go through a major surgery and be in pain for long. Her rectal prol

Both : Both these procedures are done for rectal prolapse. The perineal rectosigmoidectomy is done from below by making an incision and removing the rectum and the last part of the colon to prevent the rectum from prolapsing (also known as the altemeier procedure) the second procedure you mention is the low anterior resection with rectopexy is done through the abdomen and the surgeon removes a part of the colon and pulls the rectum up and sutures it to the inlet of the sacrum to prevent it from prolapsing back out. For an 86 year old unless she is in great medical condition the first procedure perineal rectosigmoidectomy would be a safer procedure as it is less invasive and offers a good outcome. ...Read more

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For a laparoscopic abdom anterior perineal approach with trans rectal resection. Will they remove a person's seminal vesicles? No disease in area.

For a laparoscopic abdom  anterior perineal approach with trans rectal resection. Will they remove a person's  seminal vesicles? No disease in area.

If the: Surgeon is careful there is no need or chance of removing the seminal vessicles and the nerve supply for erection and ejaculation, but as careful as one is it is a known complication of deep pelvic surgery. ...Read more

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Can I use an abdominal EMS toner 2 years after colorectal cancer (single node involvement) having had resection and chemo. All scans since NED.

Can I use an abdominal EMS toner 2 years after colorectal cancer (single node involvement) having had resection and chemo.  All scans since NED.

Why would U want to?: While an EMS device may be able to temporarily strengthen, tone or firm a muscle, no EMS devices have been cleared for weight loss, girth reduction, or for obtaining "rock hard" abs. FDA reports shocks, burns, bruising, skin irritation, & pain associated with use of some EMS's, as well as interference with implanted devices. Rethink? (REF: www.medicinenet.com/script/main/art.asp?articlekey=20437) ...Read more

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What do I expect to feel like waking up from abdominal low anteria resection of rectal cancer surgery? Emergency surgery/no time for surgeon consult.

What do I expect to feel like waking up from abdominal low anteria resection of rectal cancer surgery? Emergency surgery/no time for surgeon consult.

Not well few days: Anterior resection done laparoscopically has less discomfort than open but still is a major intervention and will require pain control and care for 4-5 days then you will improve. ...Read more

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My appendix is in my RUQ due to 50% colon resection. What would appendicitis feel like in my case? Been having severe abdominal pain x 3 days in RUQ

My appendix is in my RUQ due to 50% colon resection. What would appendicitis feel like in my case? Been having severe abdominal pain x 3 days in RUQ

That could be.: Being your appendix is now in that area, we could consider this to be possibly appendicitis, especially if you have nausea, fever and a complete lack of appetite (symptoms that typically accompany appendicitis). But, RUQ pain could also be from the gallbladder, liver pancreas or intestines. I think you need an investigation - blood testing and ultrasound/CT scan. ...Read more

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