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Doctor insights on: Low Anterior Resection

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I have severe cramping after a low anterior resection two months ago. What would help?

I have severe cramping after a low anterior resection two months ago. What would help?

Depends on cause: Of the pain. It could be intermittent intestinal obstruction. Consult your surgeon, he will have a more definitive answer for you. ...Read more

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My husband is constipated one month after low anterior resection even after taking citrus citrate what s the problem ?

My husband is constipated one month after low anterior resection even after taking citrus citrate what s the problem ?

See your surgeon: Ask your surgeon what to do. Maybe just increasing liquid intake and adding fiber supplements like metamucil. Rarely new colon connection can get narrowed, but unlikely only one month after surgery. Reduce or stop narcotic pain medications. ...Read more

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What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol

What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done?  We don't want her to go through a major surgery and be in pain for long. Her rectal prol

Both : Both these procedures are done for rectal prolapse. The perineal rectosigmoidectomy is done from below by making an incision and removing the rectum and the last part of the colon to prevent the rectum from prolapsing (also known as the altemeier procedure) the second procedure you mention is the low anterior resection with rectopexy is done through the abdomen and the surgeon removes a part of the colon and pulls the rectum up and sutures it to the inlet of the sacrum to prevent it from prolapsing back out. For an 86 year old unless she is in great medical condition the first procedure perineal rectosigmoidectomy would be a safer procedure as it is less invasive and offers a good outcome. ...Read more

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Why would a surgeon want to know whether patient is pregnant before low anterior resection surgery? What if conceived 3d and undetected

Why would a surgeon want to know whether patient is pregnant before low anterior resection surgery? What if conceived 3d and undetected

It's the standard: Taking a complete history from the patient is part of standard procedure in caring for any medical or surgical patient and that includes taking the gynecologic history. It would be inappropriate to operate on a pregnant patient without knowing that part of a patient's history. ...Read more

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Can i keep bahama cruise reserv 1mo post-op after laparoscopic assisted low anterior resection of rectal cancer? Surgeon says no, gi/oncologist yes.

Can i keep bahama cruise reserv 1mo post-op after laparoscopic assisted low anterior resection of rectal cancer? Surgeon says no, gi/oncologist yes.

Listen to doctor: If your surgeon suggests a longer period of healing before travel, perhaps your surgeon is monitoring something of concern; i would tend to listen and ask for an explanation. ...Read more

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Is low anterior resection surgery safe with hgb 9.5 and potassium 3.1, symptomatic chest pain? Should i delay consent?

Is low anterior resection surgery safe with hgb 9.5 and potassium 3.1, symptomatic chest pain? Should i delay consent?

Discuss: Today, there are blood conservation methods available which should make blood loss a non-issue. The potassium will need to be corrected, but this can be done immediately prior to surgery. You need the chest pain issue resolved prior to going to the OR. ...Read more

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What do I expect to feel like waking up from abdominal low anteria resection of rectal cancer surgery? Emergency surgery/no time for surgeon consult.

What do I expect to feel like waking up from abdominal low anteria resection of rectal cancer surgery? Emergency surgery/no time for surgeon consult.

Not well few days: Anterior resection done laparoscopically has less discomfort than open but still is a major intervention and will require pain control and care for 4-5 days then you will improve. ...Read more

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What should I expect in the days and weeks following my lower anterior resection (lar)? Is there anything I should be prepared for?

What should I expect in the days and weeks following my lower anterior resection (lar)? Is there anything I should be prepared for?

Depends: It mostly depends on whether you have a diverting ileostomy or not ("a bag"). If you don't, then the main changes relate to the increased frequency of bowel movements. Many patients have less warning that a bowel movement is coming. Most patients have a low energy level for a few weeks that gets better. Watch for signs of infection (wound drainage, fever, chills, nausea, vomiting). ...Read more

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Is it normal for a type 1 diabetic to have high/low swings in sugar levels 5mos after liver resection?

Is it normal for a type 1 diabetic to have high/low swings in sugar levels 5mos after liver resection?

Brittle: Type 1 insulin dependent diabetes is often brittle with swings in blood sugars at times without rhyme or reason. The liver does play an important role in glucose metabolism, but I doubt that partial resection of the liver is a major cause of the blood sugar swings. A diabetologist or endocrinologist is better qualified to answer your question. Addition of some of the newer diabetic meds may help. ...Read more