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Doctor insights on: Problems After Colostomy Reversal

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My 8 month old daughter has begun having problems with a slight prolapsed rectum 4 months after her colostomy reversal for an imperforate anus. What i?

My 8 month old daughter has begun having problems with a slight prolapsed rectum 4 months after her colostomy reversal for an imperforate anus. What i?

Imperforate anus: You should go back to the pediatric surgeon who performed the procedure on your daughter. She is only 8 months old. She has a lifetime ahead of her. ...Read more

Colostomy (Definition)

A colostomy is a surgically created outlet of your colon to the skin. It is sometimes referred to as a 'bag' since a bag is placed over the colostomy to catch the ...Read more


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What is a reversal colostomy?

What is a reversal colostomy?

Reconnection: The reversal procedure is to re-establish colonic continuity so the patient can again eliminate via anus. Keep in mind that not all ostomies can or should be reversed. ...Read more

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Just had a colostomy reversal. Is it normal to have soreness in my intestines?

Just had a colostomy reversal. Is it normal to have soreness in my intestines?

Yes: Not unusual after getting the plumbing reworked. Discuss with the surgeon at follow up visit. Not normal to have severe pain, vomiting, no stool output, bleeding after reversal; if present, call md asap. ...Read more

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Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?

Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?

Not always: I assume you mean an ileostomy that was taken down and reanastomosed. An abscess that appears within the first 10 days usually occurs from a leak. If the location is favorable, many abscesses can be drained through the skin using x-ray guidance thus avoiding the need for another operation and a colostomy. ...Read more

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What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. How easy or hard is the reversal procedure?

What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. How easy or hard is the reversal procedure?

Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more

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Previous question was to read, chance of success of end colonoscopy reversal? Hubby 62 good health colostomy due to diverticular abscess.

Colostomy reversal: Since the colostomy was probable a diverting colostomy vs a colostomy where a large amount of colon was removed the reversal should be successful ...Read more

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My father has a loop colostomy, and is hoping to reverse it. How difficult is the reversal procedure?

Simple: The loop is performed proximal to an anastomosis to allow it to heal. At the time of closure the proximal and distal parts of the opened loop are divided and at skin level the margins are anastomosed and then droped back into the now open loop site which is then closed at fascial and skin levels. ...Read more

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I had a colostomy reversal about 9 years ago after my appendix ruptured and have now started getting pains like a tightening, contracting type below?

Possible adhesions: People who have had abdominal surgery can develop scar tissue inside. These usually look like spider webs and can be attached to the bowel and inside abdominal wall or other intra-abdominal tissue. These can cause mild to significant pain. However, there are other potential causes. It would be most appropriate to have this problem evaluated by a physician. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Persistant pain at colostomy removal site post reversal. Had severe peritonitis post op?

Depends: How long ago was your last surgery? Incision site discomfort can sometimes last for a few months after surgery. See your surgeon for an exam. Sometimes hernias can form at the surgery site. Sometimes there can be prolonged skin nerve discomfort in the scar. ...Read more

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My two year old has a prolapse of his anus after colostomy reversal and it has to be removed is it more cosmetic and will he recover quick?

My two year old has a prolapse of his anus after colostomy reversal and it has to be removed is it more cosmetic and will he recover quick?

Need information: 2 yr will not have surgery unless born with congenital abnormality (born with) like imperforated anus where need to establish ano-rectal continuity or hirspriung cong. A genesis of ganglion, a staged procedure was done, you need to talk to the ped. Surgeon to find ultimate prognosis, results are excellent I recent years due to excellent surgery and post op care. ...Read more

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Could the extreme pain I'm experiencing be a hernia of some sort? Colostomy reversal done last week & pain is on rt side 1-2" below stoma location

Could the extreme pain I'm experiencing be a hernia of some sort? Colostomy reversal done last week & pain is on rt side 1-2" below stoma location

Possible: But most likely, if you have closed wound, you may have collection serosangenous fluid under the skin possible early wound infection, and see your surgeon may drain the wound ...Read more

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I had a colostomy reversal two years ago. Why am I having horrible pains still? The pain is in my lower tummy, and its on and off for three days now.

Go for follow up: Post reversal of colostomy, most common cause of pain is due to adhesion formation, or anastomosis may narrow or stenotic. Go back to your surgeon will determine the cause to give you the relief ...Read more

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Does a person of the age of 50 with a colostomy bag for over 13 years qualify for a reversal surgery. Her large intestines were removed because palips?

Does a person of the age of 50 with a colostomy bag for over 13 years qualify for a reversal surgery. Her large intestines were removed because palips?

Depends: Most of the time when a temporary colostomy is done anorectal area will be intact, if that is the case could be reversed, some times due to disease process anorectal part of colon is removed then can not be reversed. Consult your surgeon after evaluation will tell you if it could be reversed or not, . ...Read more

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Just had a colostomy reversal and bleeding from the stoma incision, just came home from hospital yesterday?

Just had a colostomy reversal and bleeding from the stoma incision, just came home from hospital yesterday?

Probably: Just a seroma but since the wound is a contaminated wound due to the presence of the stoma before, the risk of infection is considerable. I usually don't close these wound to avoid an infection and let them heal themselves. If the drainage continues or get cloudy or thick, redness around wound you need to go promptly back to your surgeon for a wound check. ...Read more

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I recently had reversal of colostomy and am experiencing right side stab like pain, I have Crohn's could it be muscular or scar tissue?

I recently had reversal of colostomy and am experiencing right side stab like pain, I have Crohn's could it be muscular or scar tissue?

Yes or others: This very well could be scar tissue but it could also be an abscess or small leak. You should discuss with your surgeon asap and schedule an evaluation. ...Read more

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Hi I have been wearing a colostomy for a year already and my surgeon said it is permanent is there any way that I could have a reversal my doc said my spinchter was removed?

Not really, no: Once the anal sphincter is gone, there's not much that can be done about restoring normal bowel control. Having said that, a colostomy nurse can work with you on "training" the colostomy to try to avoid "accidents.". ...Read more

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Had a colostomy & reversal a couple of years ago. Then a herniorraphy due to those surgeries. Would deep scar tissue cause bulging around waist?

Had a colostomy & reversal a couple of years ago. Then a herniorraphy due to those surgeries. Would deep scar tissue cause bulging around waist?

No.: A "bulge around the waist" is more likely due to a separation of the abdominal muscles (diastasis) secondary to your extensive abdominal surgery, or perhaps even a recurrent hernia. I suggest that you return to see your hernia surgeon for a formal exam. Good luck! ...Read more

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I had a colostomy reversal. I have never gotten back to the same type of bowel movements--it has been fairly mushy since. Is this normal?

I had a colostomy reversal. I have never gotten back to the same type of bowel movements--it has been fairly mushy since. Is this normal?

Yes, in most cases.: Usually patients with a colostomy have had part of their colon removed. The colon is responsible for reabsorbing water from the stool. If you have less colon, then you will reabsorb less water and your stool will be softer and less formed in character. If you are not having any other symptoms besides the mushy stools, don't be alarmed. See your doctor if you have other symptoms though. ...Read more

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I had a reversal colostomy in june 2013. My incision opened and has not closed and still draining. Belly large & have hernia. Md not concerned.

I had a reversal colostomy in june 2013. My incision opened and has not closed and still draining. Belly large & have hernia. Md not concerned.

Second opinion: Sounds like you should have a consultation with a general or plastic surgeon with experience in abdominal wall reconstruction for complex incisional hernias. You can check the americas hernia society website to find surgeons interested in hernia repair. ...Read more

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09/11/12 colostomy reversal & hysterectomy. 27th staples removed & antibiotics given, incision infected. Pain worse, fever & nausea. Help what's wrong?

09/11/12 colostomy reversal & hysterectomy. 27th staples removed & antibiotics given, incision infected. Pain worse, fever & nausea. Help what's wrong?

Call your doc: You have something wrong that needs a doc to examine you. The fever is concerning for a worsening infection. You need to rule out the infection spreading to your bloodstream, among other things. ...Read more

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I have colostomy bag. Recently had some blood in stool. Does doctor have 2 wait till blood is absent to give me reversal operation to remove bag?

I have colostomy bag. Recently had some blood in stool. Does doctor have 2 wait till blood is absent to give me reversal operation to remove bag?

Probably not: Obvious gross bleeding would delay things until cause of bleeding is found. Minor bleeding from edge of stoma or stoma itself should not be of concern, nor should test for "occult blood" which is usually positive in colostomy patients. ...Read more

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What to do if I have a problem with my colostomy?

Check with surgeon: There are many issues that can arise with a colostomy including leakage, prolapse, herniation, partial or complete obstruction and other problems. You should always check with your surgeon who performed the colostomy first. They may wish to treat or handle the problem. You may sometimes be referred to an enterostomal therapist for certain problems. ...Read more

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Had a colostomy in january and my output was a bit thick and pasty but good volume and regularity. In august because of problems with expelling mucus?

Had a colostomy in january and my output was a bit thick and pasty but good volume and regularity. In august because of problems with expelling mucus?

Not sure: What your question is. Colostomy care should be addressed with your surgeon or a home health colostomy care nurse. Drink plenty of water to avoid constipation. Watch for fibrous stringy foods (raw celery) or irritating foods or vegetables (broccoli, asparagus). Ask your surgeon or family doctor for help. ...Read more