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!
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.
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.
My recommendation: Is not to do any heavy lifting or straining for 6 weeks post op, you can do walking or tread mill on a relatively flat incline anytime after surgery. Best to check with your surgeon for their preferences.
Depends: What you mean by temperature and how soon after surgery. Temps less than 101f are usually not too concerning in first days after surgery. Speak with your surgeon.See 1 more doctor answer
The next day: I get my patient out of bed either on the night of surgery or the next day and get them walking several times per day. From that point on you can increase your walking as desired so long as keep yourself well hydrated and minimize steep inclines or steps.
Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?
"Days": Following laparoscopic hemicolectomy, most people begin solid foods in 2-3 days; following "open" surgery, 4-6 days. Either way, it may take weeks for one's digestive tract to get back to normal.See 1 more doctor answer
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.
How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended?
Follow MD 's advice: Each surgeon had individual preference to prepare the bowel, during preoperative time. Do not break the preparation protocol. Poorly prepared colon will result higher complication rate, like post OP infection etc. Speak to your surgeon.
Varies: Very quick if it is a laparoscopic procedure and a bit longer for an open procedure.See 1 more doctor answer
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.
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.See 1 more doctor answer
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.See 1 more doctor answer
Variable: However anticipate 3-4 days in the hospital and 6 weeks to unrestricted, unlimitted activy. This will vary with the indication for the surgery, your general health at the time of the surgery and any peri or postoperative complications that may have occurred.
6-8 weeks: 6-8 weeks.Get a more detailed answer ›
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