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Laparoscopic Colostomy Reversal

AMBULATORY CARE:

Laparoscopic colostomy reversal

is a surgery that removes your stoma and reconnects your colon. It is also called a colostomy takedown.

How to prepare for your surgery:

  • You may need tests before your surgery. The tests will tell your healthcare provider if there are problems with your intestines. The tests may include a barium enema.
  • Your healthcare provider may tell you to only eat and drink clear liquids for 2 days before your surgery. This helps to begin cleaning out your intestines for surgery.
  • You may need to be admitted to the hospital the night before your surgery. Healthcare providers may give you medicine or an enema to make sure your intestines are empty.
  • If you are not admitted, you will be told not to eat or drink anything after midnight the night before your surgery. Your healthcare provider will tell you what medicines to take or not take the morning of your surgery.

What will happen during your surgery:

  • You will be given antibiotics before your surgery to prevent an infection. You may also be given antibiotics during and after your surgery. You will be given anesthesia to keep you asleep and pain-free during your surgery.
  • Your surgeon may make several small incisions to place the scope and small tools through to complete the surgery.
  • Your surgeon will cut your stoma away from your abdomen. He or she may need to use a gas to move other organs out of the way. Your healthcare provider will sew or staple the ends of your colon together, then check for leaks. The opening in your abdomen will be sewn or stapled shut. Your surgeon may need to leave part of the area open to allow it to heal from the inside out. A bandage will be placed over the area. Steristrips may be placed over the incisions.

What will happen after your surgery:

You will be monitored until you are fully awake, then taken to your hospital room. You will not be able to eat or drink until you pass gas or have a bowel movement. You may need a tube placed in your nose and guided to your stomach if you vomit and have nausea. The tube will remove anything in your stomach. It is removed after your bowels start working. Healthcare providers will help you get up and walk the evening after surgery. When you walk, it helps prevent blood clots and also helps your bowels to start working.

Risks of laparoscopic colostomy reversal:

You may bleed more than expected during or after your surgery. You may have problems that require open surgery. Your healthcare provider may not be able to reconnect your colon. If this happens, you will need to keep your colostomy. Your colon may leak or pull apart around the area where it was put back together. This can cause a serious infection that can become life-threatening. You may get a blood clot in your leg or arm. The blood clot can break loose and travel to your lungs. This can be life-threatening.

Call 911 if:

  • You suddenly feel lightheaded and short of breath.
  • You have chest pain when you take a deep breath or cough. You may cough up blood.

Seek care immediately if:

  • You have severe pain in your abdomen.
  • Your abdomen becomes swollen and hard.
  • Your vomit or bowel movements are black or have blood in them.
  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

Contact your healthcare provider if:

  • You have a fever of 101ºF (38.3ºC) or higher.
  • You are not able to have a bowel movement for 3 days.
  • You have nausea or are vomiting.
  • Blood soaks through your bandage.
  • Your wound is red, warm, swollen, or draining pus.
  • You have questions or concerns about your condition or care.

Surgical wound and bandage care:

Check your surgical wound for signs of infection daily. Signs of infection include redness, swelling, foul smell, pain, and draining of pus. Change your bandage if it gets wet or dirty and as directed by your healthcare provider. The steristrips will fall off on their own in about 3 weeks.

Self-care:

  • Use adult incontinent briefs. As your bowel function gets back to normal, you may have accidents. Your bowel movements may be more liquid.
  • You may need a barrier cream to keep your anus from getting irritated from wiping. Clean your anus with warm water after each bowel movement. Reapply barrier cream after cleaning. Avoid baby wipes and powder. These can cause more irritation.
  • Do not lift more than 10 pounds for 4 weeks or as directed. Do not bend or twist. This will help your surgery area heal and decrease your risk for a hernia.
  • Do not drive until your healthcare provider says it is okay.

Do not smoke:

Nicotine and other chemicals in cigarettes and cigars can cause blood vessel damage. Blood vessel damage can keep your surgery from healing properly. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.

Nutrition after surgery:

  • Do not eat late at night. You may have bowel movements through the night. Your digestive system needs time to work properly.
  • Eat a variety of high-fiber foods to prevent constipation. High-fiber foods include cooked beans, fruits, vegetables, and some cereals. Ask your healthcare provider how much fiber you should have.
  • Avoid or limit foods that can irritate your digestive system. These foods include spicy and fatty foods, and citrus fruits, such as lemons and oranges. Also avoid foods that cause gas, such as broccoli, cabbage, and cauliflower. Beans, eggs, and fish may also cause gas. Limit alcohol and carbonated drinks, such as soda.
  • Drink liquids as directed to prevent constipation. Ask your healthcare provider how much liquid to drink each day and which liquids are best for you.
  • Exercise regularly. Exercise helps move bowel movements through your colon. It also helps prevent blood clots. Ask your healthcare provider about the best exercise plan for you.

Follow up with your surgeon as directed:

You may need more tests to make sure your colon is healing properly. Write down your questions so you remember to ask them during your visits.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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