Doctor insights on:
Sigmoid Colectomy Complications
I had a sigmoid colectomy in Aug 2015 for recurrent diverticulitis--completely unremarkable surgery and recovery...except, I keep losing weight! I?
In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?
Apples and oranges: sorry if names sound similar, it might be confusing.. Exparel is a brand name for the paricular formulation of a numbing medicine, or local anesthetic - liposomal bupivacaine. This or traditional bupivacaine could be administered via particular injection technique, that received the name from the anatomical location - epidural space. Your anesthesiologist or any specialist on HealthTap can help ...Read moreSee 4 more doctor answers
Is it normal to get hernia from partial sigmoid colectomy & pulling pain to my rectum& pain in rt side that goes into back & down my leg?
Hernia is possible: If there was an open incision, there is about a 15-20% have if getting a hernia, unless the "short stitch" technique was used, then the risk drops to 5-8%. A variety o aches and pains are normal after major abdominal surgery. Best to see your surgeon for an exam to find out. Hope this helps! ...Read moreSee 2 more doctor answers
I had a partial sigmoid colectomy ten months ago, diverticulitis symptoms gone. Still have chronic llq pain. Lifting left leg causes pain.
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
How do you get rid of extreme belly fat after having a hysterectomy and laproscop. sigmoid colectomy? I have changed all my eating habits and exercise
No not really: you need to talk with your surgeon and inform them of this. This is NOT normal!! ...Read more
What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?
Can colon resection(~25cm)lead after few days to complications(e.G.Arteriosclerosis) and eventually to total colectomy within 10days?Is that frequent?
Deoends: I do not have enough information. Why was the first colon surgery - cancer? Colon surgery does not cause arteriosclerosis but diabetes, high blood pressure, obesity ; elevated cholesterol can. Surgery risks are increased with increased age, diabetes, high bp... If there was already vascular disease before the first surgery, bleeding, anemia, bowel obstruction, emergency surgery...= increased risks. ...Read more
Are mesenteric varices a potential complication of abdominal adhesions after colectomy be of colon cancer? (in the setting of none to mild cirrhosis)
The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope. ...Read more
Varies: This depends on the reason for the colectomy, the approach used. In general, one should be stool within a matter of days. If not, it is possible that there is another reason at work and further evaluation should occur. If you have been operated upon many times before, the operation may have been difficult and slow you intestine is slow to recover. The length of time postoperatively is importan. ...Read moreSee 1 more doctor answer
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