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Doctor insights on: Cystectomy With Ileal Conduit Procedure

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Familiar with the whipple procedure pancreaticoduodenectomy?

Familiar with the whipple procedure pancreaticoduodenectomy?

Pancreas cancer surg: This procedure is most often used to treat cancer in the "head" of the pancreas. It involves removing about half of the pancreas then reattaching the liver (bile ducts) and remaining pancreas to the intestines. There are multiple ways to actually do the surgery in terms of how the various organs are re-attached. ...Read more

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Ileum (Definition)

The last (furthest from the mouth) of three parts of the small intestine. It is involved primarily in absorption of various nutrients that have been digested in the stomach and earlier portions ...Read more


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Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum. ...Read more

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

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Is Urethral Diverticulum surgery usually an outpatient procedure?

Is Urethral Diverticulum surgery usually an outpatient procedure?

Yes, it is outpatien: This surgery is considered ambulatory and patients go home the same day. Most of the time the catheter is left in place to drain the bladder and promote healing. This is removed in 3 to 5 days. The outcome is extremely good. ...Read more

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What is the single port laparoscopic surgery (spls) procedure?

What is the single port laparoscopic surgery (spls) procedure?

One incision: Single port surgery uses a special port that multiple instruments go through, unlike traditional laparoscopy where each port canfield only one instrument. Advantages of single port surgery are mostly cosmetic. ...Read more

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Could suprapubic cathether be better than ileal conduit surgery for my father with URI bladder cancer?

Here are some ...: Radical cystectomy with non-continent (ileal conduit) or continent (neo-bladder) diversion is the standard of care for muscle-invasive bladder cancer for appropriate surgical candidates. So, suprapubic catheter has no position for treating bladder cancer but only in case for palliative care. Meanwhile, would you tell me what is URI bladder cancer? For additional detail? Ask treating Doc timely. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

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

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If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it removed?

If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it  removed?

It is often: preserved if a REHOOK-UP is the plan! Speak with your surgeon..this should not be an unanswered question!! Hope this helps! Dr Z ...Read more

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How is a laparoscopic j-pouch procedure done?

How is a laparoscopic j-pouch procedure done?

Carefully!: Using 4-5 small incisions we free up all the attachments of the colon and rectum. Then we divide the rectum above the anal muscles or sphincters and make an extraction incision. About 3 inches in size. After removal of the colon and rectum we create the pouch and then attach it to the anal muscles. Sometimes you need a bikini incision to help with the pelvic part of the surgery. ...Read more

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Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?

Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?

Not traditionally: I don't believe so. There may be some programs that will experiment with noninvasive pre-fontan imaging, but i believe that this is risky. The pressures are obtainable only by catheterization and this data may change the operation (e.g., whether or not to fenestrate the fontan to allow a pop-off of blue blood to increase the cardiac output.) catheterization also allows presurgical interventions. ...Read more

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Can laparoscopic Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Can laparoscopic  Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Laparoscopy: A laparoscopic surgery allows the surgeon to look around the abdominal cavity without too much difficulty and usually without changing or adding incisions. If your surgeon is skilled enough to they should be able to do both at one time. Good luck. ...Read more

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Gastric bypass surgery with thyroid gland removed?

Gastric bypass surgery with thyroid gland removed?

Bypass: That's fine. As long as you are on synthroid (thyroxine) and your thyroid hormone levels are normal, having bypass surgery is safe. ...Read more

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Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Sleeve gastrectomy: That's a common misconception by patients. The gastric bypass is a more complicated operation than a sleeve, but the risk of a leak is the same for either operation. In addition, if a leak occurs, it is much harder to control in a sleeve than in a bypass. There are many other pros/cons for each, but the bottom line is that the risk is about equal. For diabetes and heartburn/reflux, bypass is best. ...Read more

Dr. John Fung Dr. Fung
2 doctors agreed:
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Had colostomy surgery for colon/bladder fistula. Have a super pubic catheter from previous. Since surgery the cath hasn't drained - bladder flush?

Dr. John Fung Dr. Fung
2 doctors agreed:
Had colostomy surgery for colon/bladder fistula. Have a super pubic catheter from previous. Since surgery the cath hasn't drained - bladder flush?

Call your surgeon: While it seems likely that flushing may resolve a suprapubic catheter that is not draining, it is critical that you contact your surgeon for advise. This it sounds like the surgery was fairly recent and because your repair may be adversely affected if the flush is done incorrectly (and if the flushing does not work, your surgeon will need to see you anyways), best to put him/her on alert. ...Read more

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Is umbiblical surgery always done with mesh?

Is umbiblical surgery always done with mesh?

No: If the umbilical hernia is small enough then it can be repaired without the placement of mesh in the right low risk patient. However, mess is used more often because the hernias are usually larger and in the right cases the use of mesh reduces the risk of recurrence. Best is to discuss your particular case with your general or plastic surgeon. ...Read more

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What is the procedure for removal of a percutaneous nephrostomy tube?

What is the procedure for removal of a percutaneous nephrostomy tube?

Very simple: Generally the procedure is simple and painless. The doctor will usually cut the catheter on the outside of the body. Once that is done, the locking loop on the inside is "unlocked" which allows the tube to slide right out. ...Read more

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When CABG, doctor talk that my LAA will ligation. how is the procedure the LAA ligation? With amputation (removal), sewing, or ligation with thread?

When CABG, doctor talk that my  LAA will ligation. how is the procedure the LAA ligation?  With amputation (removal), sewing, or ligation with thread?

All 3 or a clip: Left Atrial Appendage removal or exclusion can be done by putting a large clip across it, by oversewing it, of if in the heart, by sewing inside. ...Read more

Cystectomy (Definition)

Surgical removal of the urinary bladder. The bladder is usually removed for cancer when the tumor is aggressive or other means have ...Read more