Doctor insights on:
Hemicolectomy With Colostomy
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
Hug a colostomy pt.: Colostomy patients need a hug every now & then too. The colostomy appliance & seal, volume of effluent in the bag, & location of the ostomy may alter where & how hard you want to squeeze when hugging. Seriously, don't worry about it but share your reservations with the person needing the hug (they can empty their bag beforehand to allay your concern), position appropriately, & hug away! ...Read more
Parastomal hernia: If your colostomy is set in your lower right side, you may have a hernia around your colostomy. A parastomal hernia will cause pain and swelling or bulge around your ostomy. Go to see your doc. A ct scan of your abdomen would be helpful to evaluate your symptoms. Like all hernias, a parastomal hernia should be repaired. ...Read more
Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?
Not always: I assume you mean an ileostomy that was taken down and reanastomosed. An abscess that appears within the first 10 days usually occurs from a leak. If the location is favorable, many abscesses can be drained through the skin using x-ray guidance thus avoiding the need for another operation and a colostomy. ...Read moreSee 2 more doctor answers
My dad's colostomy/stoma area looks like raw wound even after 6 years. He's 86, should I be concerned?
Husband had an end colostomy for a sigmoid diverticular abscess. 62 great shape. never smoked. Chance of success?
Once infection: has cleared, your husband can probably safely have another operation to take down the stoma and have the colon re-connected to his rectum in several months. The exact timing depends on the severity of the original infection and his response to treatment. Chances of success are very good. Ask his surgeon for specific details. ...Read more
Considering I must have one or the other, is the quality of life considered better having an ileostomy or a colostomy?
Colostomy better: In terms of ease of management the colostomy is probably better. The cautionary note, however, is that it depends why you're getting the surgery. If removing all the colon saves you from ongoing surveillance and possible surgery later in life that may be preferable. Also - are there fertility ramifications?I would definitely sit down with the surgeon, take notes, and carefully explore pros & cons. ...Read moreSee 1 more doctor answer
What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. how easy or hard is the reversal procedure?
Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more