Doctor insights on:
Post Op Care Of Right Hemicolectomy
10wks post op r hemicolectomy w/ burning pain on r side especially if baring down or coughing. Ct shows access resolved. Any thoughts would be great!
Abscess: Sound like you have anastomosis leak after surgery? If abscess is resolving thatmay explain your discomfort at the present time. If condition continue to resolve then nothing to worry about. If symptoms change pear cone back to your doctor. Why you have colon surgery at age 29 anyway? ...Read more
Is it okay to sleep on one's side during the first week post-op after a laparoscopic hand assisted sigmoid colectomy?
88 yo female s/p colectomy for stg 3 ca- post op fistula. 4 mos since diag now very conf and forgotten how to walk.? Mets to brain possible
Hard to say: Medications are often a cause of confusion, especially sleeping pills and other benzodiazepines. Other problems can cause confusion, including electrolyte disturbances and infection. Any time there is new onset of confusion, it is important to be evaluated right away! Call her doc or take her to an ER to be sure it is not something easily treatable. ...Read more
Depends on: A lot of factors. Whether the operation is done via laparoscopy or open, whether there are any associated local problems, whether there are any co-existing medical problems, the person's age, general health status. In general, the hospitalization is about one week, time spent in home recovery is several weeks. ...Read more
Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?
Can you tell me in what ways can a hemicolectomy affect the renal system or any other physiological systems?
Nothing long term: While during the perioperative period there could be a variety of systems temorarily affected, there shouldn't be any long term affects of removeing a segment of colon. Check with your surgeon to be sure about your specific case. ...Read more
How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended?
Varies: Very quick if it is a laparoscopic procedure and a bit longer for an open procedure. ...Read more
Could be: If a cancer is found and you've consented to let the surgeon do what's needed once inside, a hemicolectomy when the clinical diagnosis suggests a cancer was found in the appendix or nearby, but there are other possibilities. If it is your colon, then your surgeon has a duty to explain. If it is someone else's, I'm not going to second-guess. ...Read more
Colon Resection: The literal definition would be "removal of half of the colon", either left or right. This typically refers to cancer operations in which the extent of resection corresponds with the blood supply & lymph node distribution of the colon. In actuality, we usually perform "segmental" resections, typically removing 1/3 to 1/4 of the colon. ...Read more
Balanced: Typically, the first 2 weeks should be a low fat and low fiber diet with stool softeners. This reduces stretching on the new bowel connection. After this, a healthy balanced diet with fiber is recommended. There are studies that support using probiotics such as lactobacillus or acidophilus for improved function. Start probiotics after the first two weeks following surgery. ...Read more
6-8 weeks: 6-8 weeks.Get a more detailed answer ›
Adjustment: Diarrhea after hemicolectomy can occur. Remember the main function of the colon is to absorb water. When you remove a segment of the colon then the transit time changes. Keep a record of food that causes diarrhea. An adjustment time will let you find food to help. ...Read more
Cecum is the beginning of the right colon.
Cecum, ascending is on right, then transverse, descending is left colon, then rectum.
Hemi is about half.
Ectomy is removal of something.
So more colon removed than just a part of cecum! Why?
Not a very common operation? ...Read more
Different procedures: The terminal small bowel (ileum) enters into the rt. lower colon or cecum where the appendix is attached. If there is a small polypoid lesion of cecum or appendicitis one can resect a portion of the cecum and anastomose termnal ileum to rt. colon. In the case of cancer of the cecum, in order to remove draining nodes, the rt. colic vessesl are removed with nodes and a rt. hemicolectomy is done. ...Read more
Been having really sharp intense pains under my left rib for a few months now. Also, had an r hemicolectomy only 2 months ago. What do you think?
Need to work it up: Symptomatic treatment with antiinflamatory medications and additional work up to rule out post surgical collections of fluid, blood or pus, inflammatory changes at intestinal connection or even pneumonia. If the surgery was open, could consider rib pain from retractor used during surgery. I recommend to start by visiting your surgeon. ...Read more
2 years after left hemicolectomy, still have pain on left side, at times very sharp extremely constipated. Sometimes need heavy dose of laxitives.
Laxatives R not the-: -answer. U need stool softeners, as well as drinking lots of water. The colon does remove water from the stool, & fiber, stool softeners & lots of water. Many R available OTC & on line. My wife & I use friendly fiber from vita cost.com. Fiber + probiotics. Or talk 2 Ur PCP about this. ...Read more
Not necessarily: Other reasons for removing a portion of the colon when planning to do an appendectomy could include crohn's disease, cecal diverticulitis, or severe inflammation at the base of the appendix. However, rather than speculating, this question can be answered with 100% accuracy by asking the surgeon who performed this procedure. ...Read more