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Doctor insights on: Abdominoperineal Resection Complications

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Please--what is abdominoperineal resection?

Please--what is abdominoperineal resection?

Rectal surgery.: An abdominoperineal resection (apr), is surgical removal of the rectum for cancer that involves the distal third of the rectum or anus. Apr involves removal of the anus, the rectum and part of the sigmoid colon along with lymph nodes, through incisions made in the abdomen and perineum. The end of the remaining sigmoid colon is brought out permanently as a colostomy, which drains to a bag. ...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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Can colon resection(~25cm)lead after few days to complications(e.G.Arteriosclerosis) and eventually to total colectomy within 10days?Is that frequent?

Can colon resection(~25cm)lead after few days to complications(e.G.Arteriosclerosis) and eventually to total colectomy within 10days?Is that frequent?

Deoends: I do not have enough information. Why was the first colon surgery - cancer? Colon surgery does not cause arteriosclerosis but diabetes, high blood pressure, obesity ; elevated cholesterol can. Surgery risks are increased with increased age, diabetes, high bp... If there was already vascular disease before the first surgery, bleeding, anemia, bowel obstruction, emergency surgery...= increased risks. ...Read more

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Almost 1 year post posterior fossa men. Resection, with complications, i realized recently that I have not sneezed since the surgery. Concerning?

Almost 1 year post posterior fossa men. Resection, with complications, i realized recently that I have not sneezed since the surgery.  Concerning?

Sneezing: Sneezing is typically a response to irritation inside the nose. I doubt the surgery caused this, but not being a neurosurgeon, i don't want to say it cannot happen. It is also possible nothing has caused enough nasal irritation to lead to a sneeze. ...Read more

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3 yrs post post. fossa tumor resection, complications included hydrocephalus, SAH, Tons. Herniation. Head still hurts when I cough, valsalva, etc. ???

3 yrs post post. fossa tumor resection, complications included hydrocephalus, SAH, Tons. Herniation. Head still hurts when I cough, valsalva, etc. ???

Probably no issue: You have been through a lot, so not surprising that you would worry, BUT, even though a Valsalva may make head hurt, unlikely at this point, that you are in any danger. If you get dizzy, lose vision, or feel sick when you cough or strain, have an updated MRI just to be safe. ...Read more

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Will a surgeon do a bowel resection during pregnancy and if so what are the complications? I'm very sick with diverticulitis and 20 weeks pregnant.

Will a surgeon do a bowel resection during pregnancy and if so what are the complications? I'm very sick with diverticulitis and 20 weeks pregnant.

They can: it is a critical time for pregnancy but if the physical examination and the diagnostic test suggested a life threatening condition like ruptured or an Abscess then they have to intervene there is a lot of non operatives options like IV antibiotics and bowel rest and act scan guided abscess drainage and diversion so go and see your doctor or a surgeon for proper evaluation and treatment ...Read more

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Does excision of ilioinguinal nerve during hernia repair surgery cause any complication afterwards, like atrophy of testis or some other complications?

Does excision of ilioinguinal nerve during hernia repair surgery cause any complication afterwards, like atrophy of testis or some other complications?

NO , it will not: Possible to cause injury to ilioinguinal nerve result in numbness in a small area upper medial thigh , will not cause testicular atrophy how ever vascular injury will result testicular atrophy. ...Read more

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Is it likely to get hernia after rectal cancer surgery?

Is it likely to get hernia after rectal cancer surgery?

Depends: There are many surgical options to manage rectal cancer. If amenable to a transanal approach, there is no risk, if laparoscopic, you have a smaller risk than an open abdominal procedure. If you require a permanent colostomy, you have the potential for hernias at the abdominal incisions, around the colostomy and at the perineum, bottom where the anus was. A colorectal surgeon can provide options. ...Read more

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