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Doctor insights on: Surgical Construction Of Stoma Ostomy

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Dr. Adam Lewis
29 doctors shared insights

Stoma (Definition)

A stoma is a surgically created hole that creates a connection between the digestive tract and the skin so that liquid food can be put into the stomach, or liquid waste ...Read more


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How big/long is the surgical scar from the lap band or gastric banding surgery?

How big/long is the surgical scar from the lap band or gastric banding surgery?

1-2 inches and 1/3 : Laparoscopic scars - 3 will be 1/4 to 1/2 inch and one will be 1-2 inches. Although we have done single incision with 2 inch. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Is the intubation process of continent ileostomy painful?

Is the intubation process of continent ileostomy painful?

Maybe Initially : You need to work closely with your ostomy nurse. Once you've done it a few times - it becomes almost automatic. It really is like inserting a pressure release valve, you will get good at it overtime. ...Read more

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Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

DIFFERENT ORGANS: Different organ will have different name for surgical operation if you operate on the stomach it will have a different name than the pancreas or the gallbladder they are separate organs is that what you want to know the question was really vague i hope that help. ...Read more

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Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read more

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What are the features of a healthy ileostomy, jejunostomy, colostomy?

Healthy tissue: You should see pinkish or redish tissue protruding from the abdominal wall skin. This is healthy tissue. It should be functioning with gas and stool in the ostomy appliance or bag. ...Read more

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Could a surgical technologist suture in the operating room?

Could a surgical technologist suture in the operating room?

Legally , No: IN most of the States only a physician ( surgeon ) has privilege (s) to perform a surgical procedure , how ever a PA can do under supervision , surgical technologist may assist like cutting the suture , not allowed ...Read more

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What does the surgical procedure of achalasia involve?

What does the surgical procedure of achalasia involve?

Myotomy: Which means cutting of the muscle sphincter at the bottom of the esophagus. A partial "wrap" or anti reflux procedure is usually added. ...Read more

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Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Not typically.: Scar tissue/adhesions is a natural process that occurs as a result of any operation, no matter how skilled or novice a surgeon. It is a particular issue following surgery for thoracic outlet syndrome and can sometimes cause issues as bad or worse than the original reasons for having the surgery in the first place. Discuss with your surgeon on what steps can be taken to relieve your symptoms. ...Read more

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What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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What is the cost of uro-oncology - nephroureterectomy and bladder cuff excision surgery?

What is the cost of uro-oncology - nephroureterectomy and bladder cuff excision surgery?

Call.: The hospital should be able to give you an estimate of cost. Then, call your insurance company to determine what your out-of-pocket cost will be. ...Read more

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Are a colostomy and an ileostomy performed in the same location?

It depends: Depends on the operation. An ileostomy is usually placed in the right lower quadrant of the abdomen, but this can vary. A colostomy is typically formed in the left lower quadrant or right lower quadrant. Again, this can vary. Your surgeon should be able to tell you where a planned ostomy will be prior to surgery. It is important to meet with a stomal nurse before to optimize the location. ...Read more

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What is the procedure for surgical fixation of a prolapsed uterus?

What is the procedure for surgical fixation of a prolapsed uterus?

Depends: The risk/benefit analysis will take into consideration the degree of prolapse and the future need/use of the uterus. Removal with hysterectomy is one of several options available. Okay to take friend/family with you to gyn surgery consult to help ask questions and understand your options. Be well. ...Read more

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What is the surgical procedure involved in tongue-tie ankyloglossia?

What is the surgical procedure involved in tongue-tie ankyloglossia?

Easy overall: Generally, in young babies this is done with a snip in clinic under local anesthetic. In older babies and young children it is done in the operating room with anesthetic gas and a snip, possibly with melting sutures. In teens and adults, it can often be done in clinic with some numbing medicine and a snip. I'd put a few melting stitches as well. You can return to work right after. ...Read more

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Dr. Steven Fishman
68 doctors shared insights

Ostomy (Definition)

An ostomy is a surgical operation to create a new opening in the abdomen, often in the ...Read more