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Doctor insights on: Sigmoid Colectomy Cpt

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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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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?

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

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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?

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

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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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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

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

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Is it normal for me not to to have a bowel movement 2 weeks after sigmoid colectomy?

Is it normal for me not to to have a bowel movement 2 weeks after sigmoid colectomy?

No not really: You need to talk with your surgeon and inform them of this. This is NOT normal!! ...Read more

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What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

Colectomy: It refers to taking out most of the colon or large bowel to the sigmoid and attaching the end of the small bowel to the sigmoid colon ...Read more

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Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

It sounds like...: ...most of your colon was probably removed and the end of your small intestine was primarily surgically connected to the remaining sigmoid colon and rectum. ...Read more

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How can I doctors control pain after a colectomy?

Multiple ways: Intravenous patient controlled anesthesia is most common with narcotics. This can be supplemented with Iv Tylenol (acetaminophen) or Toradol with good results until oral meds can be initiated ...Read more

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What is the difference between a colectomy and a colonoscopy?

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

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How long should it be before you have a bm after a sidgmoid colectomy?

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

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What is the difference between a total colectomy and a panproctocolectomy?

Same: Anatomically they are the same thing, compete removal of the colon and rectum. Some refer to a subtotal or total abdominal colectomy, these operations preserve the rectum proper and remove the abdominal component of the colon. ...Read more

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I have had a laproscopic colectomy and stil having a gripping pain inside what's wrong?

Need for workup.: It sounds like you had this pain prior to your colectomy so its unlikely due to the surgery. It is very hard to say what is the cause of your pain without more information. You will likely need further medical workup. ...Read more

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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

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

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How should I prepare for a total colectomy?

Good bowel prep: Otherwise have good family support. I usually have patients take mag citrate 300ml times two starting 12 pm day before on liquid diet, morning of surgery a fleets enema. ...Read more

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Will I lose or gain weight after a colectomy?

Will I lose or gain weight after a colectomy?

Initially: You will lose a lot of weight depending how long until you can restart diet and you will need extra calories to recover. ...Read more

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What is the definition or description of: colectomy?

Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more

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Post colectomy instructions...Diet, sex, return to work?

Post colectomy instructions...Diet, sex, return to work?

They are: And should have been instructed to you by the surgeon. We all have our own preferences for these things. Depends on how extensive and what portion of colon for diet. But my patients are usually at regular before leaving hospital. ...Read more

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Is it normal to gain weight after a right hemi-colectomy?

Sure: If you eat more and do less activity you will gain weight. If immediate post op or near surgery time it may be water retention which will eventually pass. ...Read more

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Hi my husband had a colectomy now ever since the op he gets black outs do we need to worry?

Hi my husband had a colectomy now ever since the op he gets black outs do we need to worry?

Post op complication: If he has had major surgery and is now experiencing 'blackouts' he needs to be seen. ...Read more

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Constipation after a colectomy?

Constipation after a colectomy?

Yes: Could be ileus or obstruction depending on timing after surgery. Also is taking lots of narcotics this can leadto constipation. Best is to see surgeon. ...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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What causes deudonal perforation during colectomy?

Possible: It's possible while manipulating the colon that an instrument could have "knicked" the duodenum - the first part of the small intestine. It wouldn't be the most common complication of a colectomy though. ...Read more

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Which is best after colectomy: ileostomy or j-pouch?

Which is best after colectomy: ileostomy or j-pouch?

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

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Is it ever recommended to get a colectomy for constipation?

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