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Laparoscopic Colostomy Reversal
WHAT YOU NEED TO KNOW:
What do I need to know about laparoscopic colostomy reversal?
Laparoscopic colostomy reversal is a surgery that removes your stoma and reconnects your colon. It is also called a colostomy takedown.
What will happen before my 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 my 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 surgeon 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 will be placed over the incisions.
What will happen after my 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.
What are the risks of a 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.
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