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Open Colostomy Reversal

WHAT YOU NEED TO KNOW:

What do I need to know about open colostomy reversal?

Open colostomy reversal is done to reconnect your intestines and remove the stoma.

How do I prepare for my surgery?

  • Follow the directions your healthcare provider gives you to prepare your bowels for surgery. You may be told to drink only clear liquids and to eat no solid foods for a few days before surgery. Clear liquids include water, broth, apple juice, or lemon-lime soft drinks. You may also suck on ice chips or eat gelatin. You may need to drink a special fluid or take medicine to empty your bowels the day before your surgery.
  • You may need to check into the hospital the night before your surgery. You may be given medicine or an enema to help empty your bowels.
  • If you are not admitted to the hospital, your healthcare provider will give instructions. You may be told not to eat or drink after midnight the night before your surgery. You will also be told what medicines to take or not take the morning of your surgery.

What will happen during my surgery?

  • You may get antibiotics before your surgery to help prevent an infection caused by bacteria. You may also get antibiotics during and after your surgery.
  • You will be given anesthesia to keep you asleep and pain-free during your surgery.
  • Your healthcare provider will make an incision in the middle of your abdomen and around your colostomy. He or she may cut along the same incision that was used when you received a colostomy. Your healthcare provider will cut away your stoma from the skin. He or she will reconnect the cut ends to the rest of your colon with staples or stitches.
  • Your healthcare provider may put 1 or 2 drains under the skin near your surgery area. These drains may help your surgery wound heal. The drains will be removed when your wound stops draining fluid. The cut in the middle of your abdomen will be stitched or stapled closed. The area where your stoma was may be stitched or stapled closed. The area may also be left open to heal. If it is left open, the area will be filled with gauze. Bandages will be placed on your surgical wounds to keep them dry and to help prevent infection.

What will happen after my surgery?

You will be monitored until you are fully awake. Then you will be taken to your hospital room. You may have a tube that goes into your nose and is guided down to your stomach. This tube helps keep your stomach empty while your bowels start to work again after surgery. Your healthcare providers will help to walk the evening after surgery. When you walk, it helps your bowels to start working. It also helps prevent blood clots. You will be encouraged to walk several times daily while in the hospital.

What are the risks of open colostomy reversal?

  • You may bleed more than expected during or after your surgery. There is a chance your ureters, bladder, or bowels may be damaged during the surgery. You may get an infection. 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. Contents of your bowel can leak into your abdomen. This can cause a life-threatening infection.
  • Your intestines may become narrow or blocked after surgery. You could get a painful hernia, months or years after surgery. You may need another surgery to fix these problems. You may get a blood clot in your leg or arm. This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The blood clot can break loose and travel to your lungs. This can become life-threatening.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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