Colostomy Defunctioning Loop Surgery in India
What is it ?
The bowel is a tube of intestine which runs from the stomach to the back passage. It is much longer than the inside of your belly (tummy). It fits in by coiling up in loops. The upper part of the bowel is called the small bowel. It joins the lower part of the bowel (the colon) just to the right of the waistline. This is where the appendix pouches out from the colon. The colon runs up to the right ribs and loops across the upper part of the belly. Then it passes down the left side to run backwards into the pelvis towards the back passage, where it is called the rectum….
The Operation
You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin 25 cm (10 inches) long. The colon is freed inside your tummy. A loop of colon is brought out and stitched to the skin. The opening of the bowel is covered with a special bag. The original wound is closed up. Sometimes, if the colon is free enough, a colostomy can be made without the first big wound. This is a bonus for you. You should plan to leave hospital 2 weeks or so after the operation….
Before the operation
Stop smoking and try to get your weight down if you are overweight. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control….
After – In Hospital
You will have a drip tube in an arm vein connected to a plastic bag on a stand containing a salt solution or blood. You may have a fine plastic tube coming out of your nose and connected to another plastic bag to drain your stomach. Swallowing may be a little uncomfortable. You may have a fine tube (catheter) passing into the bladder through the front passage. This lets the bladder stay empty and small during the operation and helps control your body fluids afterwards….
Possible Complications
Complications are unusual but are rapidly recognised and dealt with by the nursing and surgical staff. If you think that all is not well, please ask the nurses or doctors. Chest infections may arise, particularly in smokers. Do not smoke. Occasionally the bowel is slow to start working again. This requires patience. Your food and water intake will continue through your vein tubing. Sometimes there is some discharge from the drain by the wound….
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