Doctor insights on:
Right Partial Colectomy
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
6 months after having 30% of my left medial meniscus removed I'm still limping, right inguinal surgery, and right hip problems. All connected?
See your provider: There is not enough information. Clearly you need to define why you are limping-is there pain, weakness? What kind of inguinal surgery, what is the hip "problem"? There can be several causes and it could be a combination of factors. You should see your provider and have this defined and addressed ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Trachelectomy recover time, this is a noncancerous situation. Previously had supracervical partial hysterectomy leaving left ovary and cervix.
Varies: That depends on the technique your surgeon plans to use. You will need to direct this to the surgeon as there are a variety of approaches. ...Read more
Had small bowel resection (5ft),colon blockage removed,appendectomy,and hernia repair done in emerg surgery.Tons of side effects 3months later. Help?
Side Effects: The answer to your questions depends on the side effects you are having. Small bowel resection can affect stool transit time as well as nutrient absorption. Adhesions from any abdominal procedure may be a source of discomfort for some. I suggest you speak to your primary care doc about your symptoms to identify the most likely source of your symptoms. From there you can make a plan. ...Read more
I'm having right lower side pain no appendix did have a carcinoid tumor on appendix.had c-section 7 months ago.
37yr old. Hysterectomy with rt ovary removed april this year. Severe bloat, pain. 4 CM complex cyst left ovary.On crutches for si pain. Remove ovary?
Depends.: It is usually reasonable to observe a cyst like this for some period of time because frequently it will resolve without surgical treatment. If the cyst persists or you have a family history of ovarian cancer then you may need the ovary removed. Need to have a discussion with your ob/gyn about treatment options. ...Read more
What treatment for painful post hysterectomy complex hemorrhagic bilateral ovarian cysts? Total of five cysts in right ovary & change in bowel habits
Ovarian Cysts: Hemorrhagic ovarian cysts can develop after uterine removal, or they can represent foci of endometriosis or merely retained corpora lutein cysts that become necrotic and bleed into them. Either way, the cysts don't usually burst, but they should definitely be evaluated by your gynecologist immediately, because they can be serious or even be harboring an ovarian tumor. See your gynecologist soon. ...Read more
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What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
If someone has had subtotal colectomy w/Ileostomy placement, can a partial colectomy be performed later on down the road? And what's the difference?
Big difference : A subtotal colectomy is removing almost all the colon; usually just a couple of inches are left near the rectum. A partial colectomy is not done AFTER a subtotal colectomy because there is basically no colon left. A partial colectomy implies that only a segment of colon is removed, like the right or left, and a good amount of colon is left. ...Read more
What reason behind infection(suppurative inflammation)or clots in the colon 1week after colon partial resection surgery(while taking anticoagulation)?
Surgical complicatio: This sounds like a complication of the surgery and you should be seen by the surgeon and managed appropriately. Good luck. ...Read more
I have pain lower left quad stomach had total hysterectomy gallbladder removed appendix removed c-diff after surgery about year ago. now it hurt to wa?
Be evaluated soon...: It is hard to guess what may be for your current concern although one needs to consider possible adhesion-related pain after surgery or diverticulitis. How to have these related things for good care done correctly? Follow instructions in http://formefirst.com/eNewsletter06.html; then you may work closer & better with doc for right diagnosis & treatment. Best wish to health... ...Read more
Have rt lower abdomen pain has had appendix, gallbladder, part hysterectomy & back surgery an have small ovarian cyst. What could pain be?
Hard to say: There are many possibities and usually a detailed exam and appropriate studies can determine the cause. Among some of the possibilities include diverticulitis, scar tissue from your prior surgery, a hernia, an irritation from a nerve in your back above where you had your previous back surgery just to name a few. I would encourage you to be seen. ...Read more
When: If it is immediately post op that is to be expected as post op pain, but, you will need to make sure there is no infection. If it is much later scar tissue is a possibility. Check with your surgeon. ...Read more
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