Doctor insights on:
Colon Perforation Surgery
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
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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