Doctor insights on:
Complications Of Partial Colectomy
Knee weakness: Any procedure performed to remove part or all of the patella runs the risk of causing weakness of the quadricep muscles that stabilize the knee. Be sure to talk to your surgeon about appropriate exercises and physical therapy to help your situation. ...Read moreSee 1 more doctor answer
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
Are mesenteric varices a potential complication of abdominal adhesions after colectomy be of colon cancer? (in the setting of none to mild cirrhosis)
Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read moreSee 2 more doctor answers
Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?
Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur. ...Read more
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital. ...Read more
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
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
Depends : A partial nephrectomy is becoming the new standard of care for tumors that can be manage this way. Patients on the long run do better and minimize their risk of developing kidney disease as they age. Partial nephrectomy is challenging & has the potential for more complications than a nephrectomy. Risks include bleeding, urine leaks, loss of function on that kidney, tumor recurrence to name few. ...Read more
Gastric bypass risk: It depends on where you have surgery. Nationwide, the risk of death is about 1/500 to 1/1000 operations. However, if you go to a highly specialized center with a long track record, the risk can be much less than that. A bypass is a fairly difficult operation, whereas a lap band is very easy. I would only trust my associate and a handful of colleagues to do a bypass on myself or a relative. ...Read more
LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read moreSee 2 more doctor answers
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