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If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more
Colostomy: Yes you can. Generally speaking, though, a properly formed colostomy that is functioning well should not be painful. Reasons for painful colostomy may be due to a stricture (tightening) at the intestinal opening, or due to improper fitting colostomy bag. Occasionally a hernia can form around the ostomy (parastomal hernia) and this could be painful. You should be evaluated by your surgeon. ...Read moreSee 1 more doctor answer
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