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After robotic right hemicolectomy how common is duodenal perforation and how soon should it be repaired to prevent complications and death?
Should be uncommon: Injury to the duodenum during right colectomy should be considered a technical complication and is a known but fortunately uncommon complications. Treatment depends on the timing of diagnosis, severity of sepsis and extent of injury. If recognized at the time of surgery, repair may be successful, but generally injury leads to infection and treatment involves drainage, antibiotics and nutrition ...Read more
Colon Resection: The literal definition would be "removal of half of the colon", either left or right. This typically refers to cancer operations in which the extent of resection corresponds with the blood supply & lymph node distribution of the colon. In actuality, we usually perform "segmental" resections, typically removing 1/3 to 1/4 of the colon. ...Read moreSee 1 more doctor answer
Balanced: Typically the first 2 weeks should be a low fat and low fiber diet with stool softeners. This reduces stretching on the new bowel connection. After this, a healthy balanced diet with fiber is recommended. There are studies that support using probiotics such as lactobacillus or acidophilus for improved function. Start probiotics after the first two weeks following surgery. ...Read moreSee 1 more doctor answer
Variable: However anticipate 3-4 days in the hospital and 6 weeks to unrestricted, unlimitted activy. This will vary with the indication for the surgery, your general health at the time of the surgery and any peri or postoperative complications that may have occurred. ...Read more
6-8 weeks: 6-8 weeks.Get a more detailed answer ›
My recommendation: Is not to do any heavy lifting or straining for 6 weeks post op, you can do walking or tread mill on a relatively flat incline anytime after surgery. Best to check with your surgeon for their preferences. ...Read more
The next day: I get my patient out of bed either on the night of surgery or the next day and get them walking several times per day. From that point on you can increase your walking as desired so long as keep yourself well hydrated and minimize steep inclines or steps. ...Read more
Depends on: A lot of factors. Whether the operation is done via laparoscopy or open, whether there are any associated local problems, whether there are any co-existing medical problems, the person's age, general health status. In general, the hospitalization is about one week, time spent in home recovery is several weeks. ...Read more
Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?
Can you tell me in what ways can a hemicolectomy affect the renal system or any other physiological systems?
How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended ?
Different procedures: The terminal small bowel (ileum) enters into the rt. lower colon or cecum where the appendix is attached. If there is a small polypoid lesion of cecum or appendicitis one can resect a portion of the cecum and anastomose termnal ileum to rt. colon. In the case of cancer of the cecum, in order to remove draining nodes, the rt. colic vessesl are removed with nodes and a rt. hemicolectomy is done. ...Read more