Doctor insights on:
Colon Perforation Surgery
Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more
It can: If a tumor enlarges it can lead to an obstruction. If the obstruction persists, than a perforation can occur. Also it not necessarily the size of the tumor, it is how far it penetrates through the bowel wall. Another important reason to have a colonoscopy when needed. Hope this helps. ...Read more
Entire Large intestines & rectum removed. Brooke Ileostomy created. Can Brooke Ileostomy later be reversed using the rectal stump?
Your PMD..: Your PMD/Surgeon will answer it better.....too many variables ......not disclosed. ...Read more
Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read moreSee 2 more doctor answers
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?
Yes: Imagine your intestines are like a rope in a bucket with glue poured over them. The glue would represent the scar tissue, and could be holding a single part of the intestine in a position that makes it prone to twist and intermittently obstruct. This can be released with an operation, best attempted laparoscopically (open causes comparatively more scar tissue). Can't remove scar tissue though. ...Read moreSee 2 more doctor answers
I have 2to hernias from colon resection (hemicolectomy) which surgeon should correct TSH and incisional hernia with transverse colon in umbilical site? Colon or hernia specialist
Appendix, colon cancer and bdominal hernia mesh implant surgeries. Lots of scar tissue causing bowel blockages. Can anything be done about it?
Significant problem: There are no known medical treatments for adhesions. Once formed, there isn't medicine that can dissolve them. Symptomatic treatment with pain & anti-nausea meds may be helpful at controlling some of the symptoms. The main stay of treatment is surgical therapy called adhesiolysis or lysis of adhesions. Adhesions can be divided using laparoscopic techniques which may relieve your symptoms. ...Read moreSee 1 more doctor answer
Colon cancer, 2006, multiple incisional hernia repair, 2007, heart attack 2008, gall blabber surgery 2009, small bowel repair, radiation burns (8inchs?
Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.
Major surgery: Partial resection of the colon is a major operation that can be done open or laparoscopically. Usually it is a 2-4 hour operation associated with a 2-5 day stay in the hospital. Disorganized vowel function could keep you in longer. These major resection related risk is that the connection leaks, which happens infrequently, but can be a life threatening situation. Hope this helps! ...Read more
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo? No chemo.
My mom has stage 4 breast cancer, last month had to have emergency surgery for a perforated colon. She is not healing even with a wound vac?
Use high suction: Stage 4 Breast Ca may not be contributing if she is in good shape and not on chemo which impedes healing. If bowel perforation is from diverticular disease and not from disease, if problem is drainage, the Vac should be on high suction and patient given hyperalimentation to improve healing of wound. ...Read moreSee 2 more doctor answers
Not necessarily: It depends on where in the colon your surgery is and for what indication ie cancer or benign disease. Sometimes the colostomy is temporary as the surgery may be 'staged' into two or more operations. You should consult your surgeon regarding the specific indications for the surgery and alternative options. The majority of colon operations are completed without a colostomy. ...Read more
May need help: Not sure if 5 mm is the size of the restriction ('stricture') or the lumen thru the stricture. 5 mm is not much if this is all the stricture represents. If the lumen is narrowed to 5 mm - you may need therapy and a GI doctor or surgeon might try balloon dilation to widen this area. If this does not work, another surgery may be necessary to prevent obstruction. I am sorry this happened. ...Read more
Why does a severely redundant loopy distended colon spasm and cause nausea? Is surgery an option?
Depends on function: The therapeutic approach depends on colon function. An elongated colon may work perfectly well, & therefore require no "treatment." a sluggish colon may respond to prokinetics (designed to speed up movement of material through colon). Colonic inertia that is refractory to prokinetic rx may benefit from "colon reduction" surgery. Sitz marker testing, defecography, anal manometry studies can help. ...Read moreSee 1 more doctor answer
Mucus with blood, Is it possible because of my internal hemorriods? I did a surgery in 2011 to remove them, colons-copy done in 2012
Possible: But blood with mucous can also be colitis - infection or inflammation of the colon. All blood should be evaluated. You did not say how much or how often, but this is still active, it is a good idea to have this checked. Hemorrhoids benefit from Sitz baths, increased fiber, increased fluid intake, so would also add those as a regular regimen. ...Read more
What to do if i had my colon removed a few months ago and am having the pull through surgery next month. What will the "butterfly" ostomy look like?
Follow up Sigmoid coscopy after diverticulitis showed stricture in the colon.Is it possible to be treated with out surgery if it's not bothering me?
Can you tell me what to do if i had my colon removed a few months ago and am having the pull through surgery next month. What will the "butterfly" ostomy look like?
See illustration: After a continent ileal pouch, which allows the rectal muscles to be spared, but instead of a large intestine to store stool, a pouch is created with the small intestine. The connection to the rectum must be protected by a diverting ileostomy, usually a loop ileostomy. A picture of this is shown at the following URL: https://www.c3life.com/ostomy/ostomybasics/loopstoma/ ...Read more
Possible: It is possible for nerves to grow and for cut ends of a nerve to 'find each other.' but, this is a slow process. The pain should abate with time after a surgical incision and the work done inside. Sometimes scar tissue or 'adhesions' may develop which can also be a cause of pain and discomfort. I am sorry you are having pain issues after your surgery. ...Read more
Colorectal Surgery: Colon and rectal surgery does not have a particular definition. In fact, it is a medical specialty that deals with problems in the colon, rectum, and anus. A sampling of diseases that fall in this realm are colon cancer, rectal cancer, inflammatory bowel disease (such as ulcerative colitis or crohn's), rectal prolapse, hemorrhoids, anal fistulas, and more). Not all of these require surgery. ...Read more
Establish continuity: The second part of a colectomy usually refers to re establishing continuity when resection is not followed by re anastomosis. By establishing continuity there should be normal bowel movement but this could be hampered by the healing process of the anastomosis. If low down with inadequate blood supply occasionally a leak can develop or if inflammation sets in there can be a stricture. ...Read more
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