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Doctor insights on: What Is Ileoanal Reservoir Surgery

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What is ileoanal reservoir surgery?

What is ileoanal reservoir surgery?

J pouch: Ileoanal reservoir surgery is something used if a person needs their entire colon removed due to disease such as ulcerative colitis. It is an internal reservoir made from the small bowel at surgery to help control your bowel function after colon removal surgery. J pouch is one form, and there have been some other pouches made. ...Read more

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Ileoanal Reservoir (Definition)

An ileoanal reservoir is surgically created pouch to hold stool in a person who has had his colon (large intestine) removed, but still has a healthy anus. The surgeon creates the pouch from the last several inches of the ileum (small intestine). Stool collects in the ileoanal reservoir and then is pooped out through the anus ...Read more


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What is an ileoanal reservoir?

What is an ileoanal reservoir?

J-pouch: It is a way of removing the entire colon without the need for a permanent colostomy. The end of the small intestine (ileum) is sewn in such a way to make a j-shape which allows for more reserve for stool to allow for fecal continence. ...Read more

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What is the procedure for a ureterovesical fistula surgery ?

What is the procedure for a ureterovesical fistula surgery ?

Rare condition: Ureter runs into the bladder. Ureterovesical fistula has to be between the intrvesical ureter and bladder & is usually a complication following ureteral reimplant surgery. Procedure for repair is a redo ureteral reiplant excising portion of ureter distal to the fistula. This often requires a so called "boari flap", bringing up flap of bladder to shorten length of ureter needed for reimplant. ...Read more

Dr. Marc Neff Dr. Neff
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Is hernia surgery an out patient surgery . What is the recovery time?

Dr. Marc Neff Dr. Neff
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Is hernia surgery an out patient  surgery . What is the recovery time?

Hernia surgery : Hernia surgeries are commonly performed as outpatient procedures. They may be performed in an open or laparoscopic fashion. Some details could determine whether or not it is inpatient such as complicating medical conditions like diabetes, heart disease, or sleep apnea. Also, size and location of the hernia and age of the patient. The recovery times varies, but if outpatient, would expect 3 wks. ...Read more

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What is the "whipple procedure"?

What is the "whipple procedure"?

Pancreas resection: The whipple procedure is an operation where the head of the pancreas is removed. In doing this the duodenum, gallbladder, distal bile duct and sometimes part of the stomach is removed. All theses structures are closely linked to the head of the pancreas. The gut then has to be reconstructed. The small intestine is attached to the stomach, remaining pancreas and bile duct. ...Read more

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What exactly is a continent ileostomy?

What exactly is a continent ileostomy?

Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy. ...Read more

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What causes an anastomotic leak? Is an Exploratory Laparotomy the procedure needed to correct? What are Exploratory Laparotomy usually needed for?

What causes an anastomotic leak? Is an Exploratory Laparotomy the procedure needed to correct? What are Exploratory Laparotomy usually needed for?

Variety of causes: Anastomotic leak is a term used to describe the breakdown between two surgically connected sites and is often used to describe GI anatomy. This may be where two pieces of bowel are brought together, or the outflow of an organ such as the liver or kidney is connected. When organs leak, infection in the abdomen can ensue. An exploratory laparotomy is the right choice to find and fix the leak. ...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 is an endoscopic surgery for?

What is an endoscopic surgery for?

Laparoscopic surgery: You probably mean laparoscopic surgery and it can be used from anything including knees surgery to thyroid surgery to abdominal surgery to brain surgery. ...Read more

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Pyloric stenosis reconstructive surgery, what is this like?

Pyloric stenosis reconstructive surgery, what is this like?

Open stenosis: If there is stenosis and a bypass of small bowel to stomach not employed then a pyloroplasty performed. A vertical incision just above pylous extending to upper duodenum and about 5cm is created thru mucosa into muscular layer. It is then closed in a transverse direction where the top of the incision is brought midline to the lower incision opening the stenosis. ...Read more

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How is a laparoscopic j-pouch procedure done?

How is a laparoscopic j-pouch procedure done?

Carefully!: Using 4-5 small incisions we free up all the attachments of the colon and rectum. Then we divide the rectum above the anal muscles or sphincters and make an extraction incision. About 3 inches in size. After removal of the colon and rectum we create the pouch and then attach it to the anal muscles. Sometimes you need a bikini incision to help with the pelvic part of the surgery. ...Read more

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Where is ileoanal pouch?

Where is ileoanal pouch?

In the pelvis.: The pouch is made out of small intestine and sewn to the anal muscles. The actual location of the pouch is the pelvis. The pouch is completely inside you. ...Read more

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

Yes it might: Removing part of the intestines, specially the ileum can cause mal-absorption of nutrients and vitamins. Reversal of the ileostomy is just putting the intestines back to normal, which may improve the mal-absorption of nutrients and vitamins and water. ...Read more

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What is arthroscopic surgery used for?

What is arthroscopic surgery used for?

Joint procedures: Are the typical reason we use arthroscopy. It is basically the use of a small pencil sized camera and tools through two or more poke holes in the joint being addressed. Water is infused into the joint and the camera is inserted. Arthroscopy can be performed most commonly on shoulders and knees, but also, wrists, ankles, hips, elbows, even big toe joints and parts of the soft tissue in your leg. ...Read more

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