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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

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 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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What kind of IV access (regular, picc, midline?) is typically used for abdominal anterior resection surgery?

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 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

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I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?

I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?

Wouldn't hurt: Might be a good idea, you could have developed some degree of rotator cuff arthropathy and there are some good treatment options for it. ...Read more

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For a laparoscopic abdom anterior perineal approach with trans rectal resection. Will they remove a person's seminal vesicles? No disease in area.

For a laparoscopic abdom  anterior perineal approach with trans rectal resection. Will they remove a person's  seminal vesicles? No disease in area.

If the: Surgeon is careful there is no need or chance of removing the seminal vessicles and the nerve supply for erection and ejaculation, but as careful as one is it is a known complication of deep pelvic surgery. ...Read more

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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?

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

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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?

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

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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?

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 more

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Had an open lower anterior resection for colon cancer. Taking metamucil. How long can I expect to have clustering and fecal incontinence?2mths post

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