An ileostomy creates an opening from the ileum to the outside of the body through the abdominal wall. A colostomy or an ileostomy can be temporary or permanent. The doctor may do a temporary colostomy or ileostomy to allow the intestine to rest and heal after surgery. A colostomy or an ileostomy will be permanent if the lower part of the rectum and anal sphincter are removed during the bowel resection.
Find out more about colostomy and ileostomy. Some people have many side effects. Other people have few or none at all. Side effects of a bowel resection are usually temporary.
The side effects that you may have depend mainly on the type of bowel resection done and your overall health. Side effects of a bowel resection include: pain fatigue bleeding blood clots diarrhea constipation bowel obstruction infection paralyzed or inactive intestine called paralytic ileus damage to nearby organs, such as the small intestine, bladder, ureters or spleen leaking from where the 2 ends of the intestine were joined called an anastomotic leak sexual problems, such as erectile dysfunction for men or pain during sex for women bladder problems, including the inability to control urination, the need to urinate often or an intense need to urinate.
Find out more about side effects of surgery. After a bowel resection, you will need to stay in the hospital for several days. You will be given pain medicines to keep you comfortable.
You will be offered clear fluids for 1 to 2 days after surgery. Solid foods will be introduced slowly. You may be referred to an oncologist if the bowel resection was done to remove cancer. If you had a colostomy or an ileostomy, a WOC wound, ostomy and continence nurse will teach you how to live with and care for the ostomy. Before you go home, the healthcare team or WOC nurse will talk to you about: changing the bandages or dressing showering and bathing how and when to take any medicines eating and drinking physical activity what to do if you have problems when to visit the surgeon for follow-up.
Preparing children before a test or procedure can help lower their anxiety, increase their cooperation and develop their coping skills. This includes explaining to children what will happen during the test, such as what they will see, feel and hear. Preparing a child for a bowel resection depends on the age and experience of the child. Find out more about helping your child cope with tests and treatments.
Home Treatments Tests and procedures Bowel resection. Bowel resection. Diagram of the small and large intestine. Why a bowel resection is done. Types of bowel resections. Segmental small bowel resection. The entire procedure may be completed through the cannulas or by lengthening one of the small cannula incisions.
In a number of patients the laparoscopic method cannot be performed. The decision to perform the open procedure is a judgment decision made by your surgeon either before or during the actual operation. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgment.
The decision to convert to an open procedure is strictly based on patient safety. Although many people feel better in a few days, remember that your body needs time to heal. It is important for you to recognize the early signs of possible complications. Contact your surgeon if you notice severe abdominal pain, fevers, chills, or rectal bleeding. This brochure is intended to provide a general overview of a laparoscopic colon surgery.
It is not intended to serve as a substitute for professional medical care or a discussion between you and your surgeon about the need for a laparoscopic colon surgery. It will also help you start passing gas and having bowel movements pooping again. Read your recovery pathway to learn about your specific moving and walking goals.
Your nurse, physical therapist, or occupational therapist will help you move around, if needed. Read your pathway and talk with your care team for more information. If you have questions about your diet, ask to see a clinical dietitian nutritionist.
This will help keep your incision clean and prevent infections. Before you leave, look at your incisions with one of your healthcare providers. Knowing what they look like will help you notice any changes later. On the day of your discharge, plan to leave the hospital between am and am. Before you leave, one of your healthcare providers will write your discharge order and prescriptions.
One of your healthcare providers will review them with you before you leave. A member of your care team will give you more information. These questions are known as your Recovery Tracker. Fill out your Recovery Tracker every day before midnight am. It only takes 2 to 3 minutes to complete. For more information, read the resource About Your Recovery Tracker. People have pain or discomfort for different lengths of time.
You may still have some pain when you go home and will probably be taking pain medication. Some people have soreness, tightness, or muscle aches around their incisions as they recover. Some prescription pain medications such as opioids may cause constipation having fewer bowel movements than usual. Talk with your healthcare provider about how to manage constipation. You can also follow the guidelines below. Your colon will start to adapt shortly after your surgery.
During this time, you may have gas, cramps, or changes in your bowel habits such as diarrhea or frequent bowel movements. These changes may take weeks or months to go away. You can also try the tips below. If you have gas or feel boated, avoid foods that can cause gas. Examples include beans, broccoli, onions, cabbage, and cauliflower. Drink water and drinks with salt, such as broth and sports drinks such as Gatorade.
This will help you keep from becoming dehydrated and feeling weak. This happens because some of your nerves were cut during your surgery, even if you had a nerve-sparing procedure. The numbness will go away over time. Change your bandages at least once a day, or more often if they become wet. Call your healthcare provider if you develop any of the following signs of an infection:.
Clean your hands with soap and water or an alcohol-based hand sanitizer before you touch your incisions. If you go home with staples or sutures in your incisions, your healthcare provider will take them out during one of your appointments after surgery. Shower every day. Taking a warm shower is relaxing and can help ease muscle aches. Take your bandages off before you shower.
When you shower, gently wash your incisions with a fragrance-free, liquid soap. This could irritate them and keep them from healing. Let them air dry completely before getting dressed. Parts of your colon can be removed without having a major impact on your nutritional health. Your healthcare provider will give you dietary guidelines to follow after your surgery. If you need to reach a clinical dietitian nutritionist after you go home, call For the first 6 weeks after your surgery:.
Walking is a good way to increase your endurance. You can walk outside or indoors at your local mall or shopping center. Recovery time is different for everyone. Increase your activities each day as much as you can.
Always balance activity periods with rest periods. Ask your healthcare provider when you can drive. You can ride in a car as a passenger at any time after you leave the hospital. Talk with your healthcare provider about your job and when it may be safe for you to start working again.
If your job involves lots of movement or heavy lifting, you may need to stay out a little longer than if you sit at a desk. After your surgery, the tumor and the tissue around it will be sent to a pathologist. Your test results will be ready about 7 business days after your surgery. Your surgeon will talk with you about the results and whether they recommend any additional treatments.
You can call your healthcare provider if you have questions between these appointments. After surgery for a serious illness, you may have new and upsetting feelings.
Many people say they felt weepy, sad, worried, nervous, irritable, and angry at one time or another. The goal of bowel resection is to take out the part of the colon or rectum where the problem is. If the doctor is removing cancer from the colon, nearby lymph nodes are taken out and tested for cancer. Then healthy parts of the colon or rectum are sewn back together. Bowel resection is done either by opening the abdomen open resection or by laparoscopy.
Laparoscopy for bowel resection usually involves 3 to 6 very small incisions instead of one large one. Recovery time is faster. You and your doctor will think about several things in deciding whether you should have open resection or a laparoscopy. These include:. Bowel resection requires general anesthesia. You may stay in the hospital for 4 to 7 days or as long as 2 weeks after surgery. Sometimes the two parts of the colon or rectum cannot be reattached, so the surgeon performs a colostomy.
This creates an opening, called a stoma, on the outside of the body for the stool, or feces, to pass through into a colostomy bag. Usually the colostomy is temporary, until the colon or rectum heals. If the lower part of the rectum has been removed, the colostomy is permanent. When the two-stage operation is done, the time between operations is usually 6 to 12 weeks. The recovery time after a one-stage operation or after the final operation of a two-stage surgery is usually 6 to 8 weeks.
Bowel resection may be done to remove cancer or when the colon cannot function normally because of damage or disease.
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