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Doctor insights on: Do You Have Problems After A Sigmoid Colectomy

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In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?

In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?

Apples and oranges: Sorry if names sound similar, it might be confusing. Exparel is a brand name for the paricular formulation of a numbing medicine, or local anesthetic - liposomal bupivacaine. This or traditional bupivacaine could be administered via particular injection technique, that received the name from the anatomical location - epidural space. Your anesthesiologist or any specialist on HealthTap can help

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Dr. Raj Kapur
748 Doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more


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Is it normal to get hernia from partial sigmoid colectomy & pulling pain to my rectum& pain in rt side that goes into back & down my leg?

Is it normal to get hernia from partial sigmoid colectomy & pulling pain to my rectum& pain in rt side that goes into back & down my leg?

Hernia is possible: If there was an open incision, there is about a 15-20% have if getting a hernia, unless the "short stitch" technique was used, then the risk drops to 5-8%. A variety o aches and pains are normal after major abdominal surgery. Best to see your surgeon for an exam to find out. Hope this helps!

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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

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How do you get rid of extreme belly fat after having a hysterectomy and laproscop. Sigmoid colectomy? I have changed all my eating habits and exercise

How do you get rid of extreme belly fat after having a hysterectomy and laproscop. Sigmoid colectomy? I have changed all my eating habits and exercise

No special way: It is difficult or impossible to target the removal of a certain area of body fat other than by surgical means. It is best to apply an overall weight loss strategy and work to strengthen your abdominal muscles through exercise.

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Is it normal for me not to to have a bowel movement 2 weeks after sigmoid colectomy?

Is it normal for me not to to have a bowel movement 2 weeks after sigmoid colectomy?

No not really: You need to talk with your surgeon and inform them of this. This is NOT normal!!

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What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

Colectomy: It refers to taking out most of the colon or large bowel to the sigmoid and attaching the end of the small bowel to the sigmoid colon

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Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

It sounds like...: ...most of your colon was probably removed and the end of your small intestine was primarily surgically connected to the remaining sigmoid colon and rectum.

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I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

Ileostomy reversal: Although it varies slightly depending on exactly what kind of reversal will be done, surgical complications such as infection and hematoma are rather unusual these days. If you follow your surgeon's advice, they are unlikely to happen. If you have any problems after the surgery, be sure to contact the surgeon promptly. Good luck

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Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom. Pouchitis sporadic problem. Any way to decrease number of stools?

Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom. Pouchitis sporadic problem. Any way to decrease number of stools?

Yes: Pouchitis? I assume your colostomy gets inflamed. Begin with diet and start a low fiber diet. If no better after 1 or 2 weeks try bulking agents (fibercon or equivelent). It's counter intuitive so first try no fiber then trying more fiber to see which helps. If still a problem consider small amounts of Imodium (loperamide) regularly. Look into all your medicines and make sure diarrhea is not induced.

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Since hemi-colectomy 2 mo ago, now blood sugar high (despite time release glucophage). Is problem that it is not in GI tract long enough to work?

Since hemi-colectomy 2 mo ago, now blood sugar high (despite time release glucophage). Is problem that it is not in GI tract long enough to work?

Could be: Glucophage (metformin) may be absorbed in small intestine? Sugary could be high if your cortisol is elevated due to your adrenals neigh stressed from surgery. Could be your diet is too high in carbohydrates. Best to try low glycemic index carbs.

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How can I doctors control pain after a colectomy?

Multiple ways: Intravenous patient controlled anesthesia is most common with narcotics. This can be supplemented with Iv Tylenol (acetaminophen) or Toradol with good results until oral meds can be initiated

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What is the difference between a colectomy and a colonoscopy?

The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope.

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How long should it be before you have a bm after a sidgmoid colectomy?

Varies: This depends on the reason for the colectomy, the approach used. In general, one should be stool within a matter of days. If not, it is possible that there is another reason at work and further evaluation should occur. If you have been operated upon many times before, the operation may have been difficult and slow you intestine is slow to recover. The length of time postoperatively is importan.

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What is the difference between a total colectomy and a panproctocolectomy?

Same: Anatomically they are the same thing, compete removal of the colon and rectum. Some refer to a subtotal or total abdominal colectomy, these operations preserve the rectum proper and remove the abdominal component of the colon.