Doctor insights on:
Is The Surgery For An Imperforate Anus Permanent
Define perminent!: The complexity of the surgery for anal defects varies with the defect. If it is a short pull thru and the sphincter muscles can be preserved a favorable outcome with a single procedure may be possible. A complex repair with take down of a fistula and complications may need modifiations over time.Some kids may never have control as they grow older.Each case has unique issues. ...Read moreSee 2 more doctor answers
An imperforate anus or anorectal malformations are birth defects in which the rectum is malformed. Anorectal malformations are a spectrum of different congenital anomalies in males and females, that varies from fairly minor lesions to complex anomalies. Even cause is unknown, a genetic basis is associated in ...Read more
Depends: It depends on the level of the defect. If the defect is "low" or close to the perineal skin, an anoplasty can be done shortly after birth. If the defect is high, then a staged operation is needed. Initially the child will need a colostomy (temporary). Second stage is creation of anus. Third stage is closure of colostomy after the anoplasty heals. ...Read moreSee 1 more doctor answer
Depends: The risk/benefit analysis will take into consideration the degree of prolapse and the future need/use of the uterus. Removal with hysterectomy is one of several options available. Okay to take friend/family with you to gyn surgery consult to help ask questions and understand your options. Be well. ...Read more
Days to weeks: After definitive surgery, that is recreating the anus, the child will stay in the hospital for about 2 days. 2-3 months later as long as the any is healed and if your child has a colostomy it will be closed and your child will stay in the hospital 2-4 days. ...Read moreSee 2 more doctor answers
Location Dependent: The most common urinary fistula, vesico-vaginal (bladder to vagina) is treated surgically either through the vagina or by open surgery. The goal consists of finding the tract, dividing it and oversewing the openings left on both the bladder and vagina. Additional tissue should be placed between the previously connected areas. Catheter drainage for 10-14 days and xray are done to confirm repair. ...Read more
Imperforate anus: Recovery can take 6-8 weeks.Get a more detailed answer ›
No: Typically a fistula is a chronic inflammatory "tunnel" between the anus and the skin. There are many types, many treatments, and the most common surgery involves literally "filetting" open the tract to allow it to heal by itself, and thus obliterate the tunnel. This is somewhat painful, but offers the advantage of removing the chronic, longstanding focus of inflammation and pain, and so is usual. ...Read moreSee 1 more doctor answer
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
Yes: Diverticulosis, the presence of little pockets in the wall of the colon does not usually require surgery. If these pockets, or diverticuli, cause symptoms, then surgery may be required. Lower abdominal pain with fevers can be caused by a burst pocket - this is what is called diverticulitits. Surgery for diverticulitis is needed for recurrent attacks or those that do not respond to antibiotics. ...Read moreSee 2 more doctor answers
How is ilioinguinal neurolysis surgery performed? The problem is at the end of my C-section scar. They said it will be a open surgery.
Check with surgeon: Out of my area of knowledge.Get a more detailed answer ›
Not always operation: Malrotation in itself is not always operated upon. Malrotation can occur by itself but can be part of a series of other defects like heterotaxy. The concern for malrotation is a band that prevents the gut from working normally. Correcting malrotation with a ladd's procedure can be offered. Talk with your surgeon. Discuss your concerns. It may be offered minimally invasive. ...Read more
Rare condition: Ureter runs into the bladder. Ureterovesical fistula has to be between the intrvesical ureter and bladder & is usually a complication following ureteral reimplant surgery. Procedure for repair is a redo ureteral reiplant excising portion of ureter distal to the fistula. This often requires a so called "boari flap", bringing up flap of bladder to shorten length of ureter needed for reimplant. ...Read more
What exactly is the risk of leaving a small rectovaginal fistula alone?Will surgical repair cause more complications w/thin septum from prior lar/tme?
Medical & surgical: An ectopic pregnancy can be eliminated by surgical opening of the Fallopian tube and removal via Laparoscopy or sometimes manual extrusion, which may fail to work with follow up serial HCG's rising. Medical use of methotrexate requires an ectopic to be less than 8 weeks gestation. The danger is always imminent rupture & massive bleeding while waiting for the Rx to work which can be very dangerous. ...Read moreSee 1 more doctor answer
Is there a difference between an Ileostomy Reversal surgery and an Ileoproctostomy surgery? If so, what's the difference?
Colorectal Surgeon: The two surgeries you describe are very different. I am first going to presume you have an existing ileostomy. An "ileostomy reversal surgery" does exactly what the name suggests. Your diverted segment of small bowel will be reconnected to the prior site. A "ileoproctostomy" would instead take the small bowel and connect it directly to your rectum. ...Read more
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