Doctor insights on:
Sigmoid Colectomy Cpt
I had a sigmoid colectomy in Aug 2015 for recurrent diverticulitis--completely unremarkable surgery and recovery...except, I keep losing weight! I?
Surgery not related: Discuss with MD and eat more food. ...Read more
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 more
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 more
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
Is it okay to sleep on one's side during the first week post-op after a laparoscopic hand assisted sigmoid colectomy?
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 special way: It is difficult or impossible to target the removal of a certain area of body fat other than by surgical means. It is best to apply an overall weight loss strategy and work to strengthen your abdominal muscles through exercise. ...Read more
I had a sigmoid colectomy two years ago with almost 14 inches taken out due to too many bouts of diverticulitis. After a ct scan today I was told I ha?
Question cut off: Please resubmit, clarify and add a specific question. Thanks ...Read more
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?
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 more
Hi, I am 6 months out of Colectomy surgery, with multiple follow up surgeries, What causes pain in lower left side after this long? I have 1Ft. Of col
Maybe adhesions?: Causes of recurrent llq abdominal discomfort may be identified by first addressing accompanying signs/symptoms so as to localize the organ involved: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniations? Age? Gender? Risk factors? ...Read more
Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more
I had a total colectomy over 20 years ago, any special diet that I need to follow now that I am on my fortys?
Colectomy and diet.: What is your family doctor telling you when you go in for your routine physical? ...Read more
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
Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read more
Yes, for Certain dx: Constipation, common problem that is managed by medicines and diet the vast majority of the time. For certain conditions (colonic inertia, megacolon- where patients aren't going to the bathroom for >5days) surgery is an option. Often entails removal of the colon and sewing the small bowel to the rectum. Done laparoscopically. Tremendous improvemnt in quaility of life when properly selected. ...Read more