Doctor insights on:
Sigmoid Colectomy With Diversion Loop Colostomy
My father has a loop colostomy, and is hoping to reverse it. How difficult is the reversal procedure?
Simple: The loop is performed proximal to an anastomosis to allow it to heal. At the time of closure the proximal and distal parts of the opened loop are divided and at skin level the margins are anastomosed and then droped back into the now open loop site which is then closed at fascial and skin levels. ...Read more
What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. how easy or hard is the reversal procedure?
Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more
If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more
Husband had an end colostomy for a sigmoid diverticular abscess. 62 great shape. never smoked. Chance of success?
Once infection: has cleared, your husband can probably safely have another operation to take down the stoma and have the colon re-connected to his rectum in several months. The exact timing depends on the severity of the original infection and his response to treatment. Chances of success are very good. Ask his surgeon for specific details. ...Read more
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