Doctor insights on:
Low Anterior Resection
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
My husband is constipated one month after low anterior resection even after taking citrus citrate what s the problem ?
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
Why would a surgeon want to know whether patient is pregnant before low anterior resection surgery? What if conceived 3d and undetected
There are a few: You could potentially loose the child and you need to understand that before surgery. If you we're further along the uterus could be in the way if the surgery. When preg the uterus increases blood flow and bleeding is bigger risk. Typically we don't like surprises in the operating room. ...Read moreSee 1 more doctor answer
Laprascopic assisted low anterior resection of rectal cancer surgery scheduled in 4 days. What are the best things that I should do now to prep for it?
Can i keep bahama cruise reserv 1mo post-op after laparoscopic assisted low anterior resection of rectal cancer? Surgeon says no, gi/oncologist yes.
Is low anterior resection surgery safe with hgb 9.5 and potassium 3.1, symptomatic chest pain? Should i delay consent?
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 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 moreSee 1 more doctor answer
What kind of IV access (regular, picc, midline?) is typically used for abdominal anterior resection surgery?
IV access: If you are relatively healthy and do not require central line, the most is needed peripheral IV access. Your anesthesiologist knows the surgeon, his skills and potential for blood loss, ( which is unlikely). Anesthesiologist will make decision what kind of access he/she needs. When the patient is asleep he can start second IV if nessasary. ...Read moreSee 1 more doctor answer
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
I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?
For a laparoscopic abdom anterior perineal approach with trans rectal resection. Will they remove a person's seminal vesicles? No disease in area.
Over 2 years post low anterir colon resection. 10 inches removed. Osmosis is 5 cm to anal verge. still have urgency and problems evacuating. lifelong?
Probably: It's likely that after two years, the symptoms aren't going away. However, dietary modification has a huge impact on bowel function, so consider making some changes to your eating patterns, like adding more fiber by replacing some meats with beans, and see if that makes a difference in your bowel function. ...Read more
Englargment of the anterior horn of the right lateral ventricle secondary to the brain volume loss from the resection (meningioma tumor) meaning?
The fluid in: The brain is bigger in a shift from the loss of tissue from tumor removal ...Read more
I had a rectal resection due to cancer. I have just done a new bloods and my phosphate came back really low (0.74 and WBC was 3. Should i be worried?
Just f/u with MD: Follow up with your gp and have your md repeated the labs again. If something is significant- your md can do some w/u to find why and to treat accordingly. Those likely unrelated to the cancer- unless you are telling me that you receive chemotherapy now- then the chemo is likely the reason why your WBC is low. If not, just continue to f/u with your md and discuss further. ...Read more
What should I eat after colon resection surgery? Discharge paper said bland solid food with low fiber. What does it mean? How much? How often?
That's right: Typically you should take a bland diet with low fiber. The quantity that you should take is usually half of what you would be a custom to eating for a full size meal before your operation. If you have any nausea or vomiting you should stick with liquids for 8 hours before resuming solids. Check with your surgeon to see if there any other special considerations based on your operation. ...Read moreSee 1 more doctor answer
I had a jejunal resection after having an adhesive bowel obstruction. And i have been taking
low fiber diet. how long do i have to control my diet?
Had an open lower anterior resection for colon cancer. Taking metamucil. How long can I expect to have clustering and fecal incontinence?2mths post
It's really variable: The anatomy is totally different after the surgery and will work differently. Metamucil is a very good first step. Frankly, physical ttherapy for anal/rectal tone If there is a gap in the perineum, SOLESTA can act like bondo and fill in missing areas a bit. Phys therapy and overview of topic: http://emedicine.medscape.com/article/268674-treatment ...Read more
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