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Doctor insights on: Risks After Total Colectomy

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Abdominal swelling after total gastrectomy?

Abdominal swelling after total gastrectomy?

Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...Read more

Dr. Raj Kapur
749 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more


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Can you have gastric bypass after total colectomy?

Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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Side effects after total gastrectomy?

Side effects after total gastrectomy?

Dietary: One would need to eat smaller & more frequent meals & chew foods very well as the new intestinal connection or internal intestinal pouch will not be able to hold as much food as a normal stomach. Sometimes a person is checked with blood tests for anemia or b vitamin deficiency. ...Read more

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Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read more

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Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read more

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Partial hysterectomy what are precautions after surgery?

Partial hysterectomy what are precautions after surgery?

Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read more

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Pain after total gastrectomy for carcinoma stomach?

Pain after total gastrectomy for carcinoma stomach?

Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more

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Acidic feces after a total colectomy?

Acidic feces after a total colectomy?

Yes: It depends on the reconstruction. If you have a j pouch and the contents are moving through rapidly and you have not adapted, a patient may have many stools per day and the area around the anus may be raw. Local treament with creams to the area are helpful. If it remains, your doctor can add things to thicken the stool or medicine to slow it done until you adapt. Good luck. ...Read more

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Risks of having baby after hernia surgery?

Risks of having baby after hernia surgery?

Hernia recurrence: First and foremost, a prior hernia repair is unlikely to interfere with your pregnancy or delivery. However, the location of the hernia and the method of repair may have some impact if mesh was used and a c-section is necessary. Be sure and review this information with your obstetrician early in your pregnancy. ...Read more

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What are survival times for gastric cancer after total stomach removal?

What are survival times for gastric cancer after total stomach removal?

Depends on stage: At md anderson, patients who get chemo, radiation, and surgery may survive for a long time (5-7 yrs), depending on lymph node status. With chemo before and after surgery (magic trial) people live around two years. With chemo radiation after surgery (macdonald regimen) survival is less than two years. These are only statistical results, many other features contribute to prognosis. ...Read more

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Can endometriosis return after total hysterectomy?

Can endometriosis return after total hysterectomy?

Unlikely: A complete hysterectomy, with removal of both ovaries, usually is curative for endometriosis. I have seen cases afterwards, but it is extremely rare. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

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

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How to prevent adhesions after a total abdominal hysterectomy?

How to prevent adhesions after a total abdominal hysterectomy?

Difficult: When ever there is a scar , what ever the reason , surgery , or infections adhesions will form even from a tinny scar , can't be prevented but could be minimized , by tension free closure , minimum dissections , if possible retroperitoneial ( out side ) approach, leaving with minimum blood ; secretions inside peritonaeum. Best prevention is if possible avoiding surgery. ...Read more

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

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Joint infection after total hip replacement surgery commone or negligent?

Joint infection after total hip replacement surgery commone or negligent?

Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read more

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Any risks with davinci supracercival hysterectomy?

Any risks with davinci supracercival hysterectomy?

As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...Read more