Doctor insights on:
Life After Subtotal Colectomy Surgery
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 ...Read more
2-4 weeks: It depends on how bad the inflammation was, laparoscopic or not?, how long you waited prior to surgery . Whether there was perf or not? Still, in most cases you will go home in 1 -2 days, be in pain the first week, sore the second and then return to activities the 3rd or 4th week. I know a surgeon who had it out and was back at work the next day. Depends on how u deal with pain. ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read moreSee 1 more doctor answer
Gastric bypass : About 2-3 weeks.Get a more detailed answer ›
Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read moreSee 2 more doctor answers
Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more
Stage iii-b crc removed surgically 2 weeks ago, 3 days ago surgery was performed to remove post op adhesion blocking the small intestines, suggested chemo is capeox. When should treatment begin?
Adjuvant chemo: Adjuvant chemo for stage iii colorectal cancer would be combination of 5fu/oxaliplatin or capecitabine/oxaliplatin. Chemo can be started as soon as you are recovering well from your surgery. It can be started 4-6 weeks from surgery-providing that all surgical site is healed. Good luck. It is not a common thing to have a colon cancer at age of 30- thus a genetic counselling/testing is recommended. ...Read moreSee 1 more doctor answer
Lap band: I certainly would wait 6-8 weeks before thinking about surgery ...Read more
Had chemo & debulk surgery for 4th stage ovarian cancer had 2 surgery for bowel obstruct now have hernia & bowel obstruction what's my life expectancy?
Variable: While the percentage of patients alive at five years from many stage 4 cancers is low, it is not zero, and you never know which group you are in as an individual. That doesn't mean to ignore the stats, but in the end, you are not a statistic, but an individual. It should be mostly about quality of life rather than quantity for most folks, so don't give up hope, and have an active say in your care. ...Read moreSee 1 more doctor answer
Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?
Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum. ...Read moreSee 1 more doctor answer
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
My father had cancer colon and did subtotal colectomy , liver metastasis and intestinal leakage occuerd , ileostomy was done.Can reanastomosis done
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