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Doctor insights on: Hemicolectomy With Colostomy

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Colectomy without colostomy bag, can you tell me more?

Colectomy without colostomy bag, can you tell me more?

Total: Colectomy, sparing the rectum and attaching the last portion of small intestine to the rectum. Can still defecate thru the rectum but stools may be looser and mor frequent than with an intact colon. ...Read more

Colostomy (Definition)

A colostomy is a surgically created outlet of your colon to the skin. It is sometimes referred to as a 'bag' since a bag is placed over the colostomy to catch the ...Read more


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Could getting a colectomy mean i'll need a colostomy bag?

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

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Could getting a colectomy mean I'll have to get a colostomy bag?

Could getting a colectomy mean I'll have to get a colostomy bag?

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

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Could colostomy bags be temporary?

Yes: In the presence of a permanent colostomy, especially if the colostomy is in the distal bowel, daily irrigations and wearing a gauze pad can replace the need for a bag. A colostomy nurse can train to irrigate. After a while the stoma will not function unless irrigation is employed. ...Read more

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Why would a colostomy be performed?

Why would  a colostomy be performed?

Colostomy may: Be needed for cancers too close to the rectal muscles to maintain continence, or any time that stool needs to be diverted away from necessary healing in the low pelvis. The former is not reversible, the latter is. ...Read more

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What should I expect after a colostomy?

What should I expect after a colostomy?

Life goes on: Is it permanent? If so, you will need to make adjustments and expect some inconveniences. You will be able to do mostly anything. Work closely with a ostomy nurse from the start. Support groups are helpful with good tips. ...Read more

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Could colostomy cause infection's?

Could colostomy cause infection's?

No: Colostomy as a diversion does not cause bodily infection. On occasion if the edge of the colostomy against skin is not completely closed a local skin infection can be seen. ...Read more

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Is anal discharge common after a colostomy?

Is anal discharge common after a colostomy?

Yes, it is normal: If the remnant of the rectum is still there, it does make mucus. You will pass that mucus about 1-3 times a week depending on how long that segment of colon is. ...Read more

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Where is a colostomy usually done? At a hospital?

Where is a colostomy usually done? At a hospital?

Always.: Creation of a colostomy requires general anesthesia and, depending on the indications for surgery and what else is being done, an in-patient stay in the hospital. ...Read more

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What are the features of a healthy ileostomy, jejunostomy, colostomy?

What are the features of  a healthy ileostomy, jejunostomy, colostomy?

Healthy tissue: You should see pinkish or redish tissue protruding from the abdominal wall skin. This is healthy tissue. It should be functioning with gas and stool in the ostomy appliance or bag. ...Read more

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Is it risky to hug someone who has a colostomy bag? Might the bag burst?

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

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I have a colostomy and a lot of pain and swelling in my lower right side?

I have a colostomy and a lot of pain and swelling in my lower right  side?

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

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If a woman has a colostomy bag placed, how hard would it be to have a baby?

If a woman has a colostomy bag placed, how hard would it be to have a baby?

Not much harder: Depending on the reason for the surgery, the woman's fertility should not be affected, although some causes may increase chance of a c section. ...Read more

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Can you please tell me the best possible way to relieve the bloating after a colostomy.?

Can you please tell me the best possible way to relieve the bloating after a colostomy.?

Bloating: Bloating after colostomy depends on when you had the colostomy done, it can be a bowel blockage and you may need to return to your surgeon or go to the emergency room for further evaluation. ...Read more

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Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?

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 more

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My dad's colostomy/stoma area looks like raw wound even after 6 years. He's 86, should I be concerned?

My dad's colostomy/stoma area looks like raw wound even after 6 years. He's 86, should I be concerned?

No: It will always look that way. That pink tissue is the mucosa or lining of the intestine. If it looks the same way it did a year ago and is not bothering him, i wouldn't worry. If you have a concern, go visit with his surgeon. ...Read more

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Husband had an end colostomy for a sigmoid diverticular abscess. 62 great shape. never smoked. Chance of success?

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

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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 more

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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

Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

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