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Colon Removal Surgery

Colon removal or colectomy

Your doctor told you that you will need to have colon removal surgery. This will be a big step for you. Naturally, you have questions and fears about the procedure. This is normal. The key to fear management is knowledge. Make a list of your questions and concerns and meet with your doctor to get answers. Ask about alternative treatments involving diet change or medication. You really should get a second opinion from another doctor.

Going forward with colon removal surgery? If the answer is yes, then there are some things that you should know about.

Significant Knowledge

  • As with most surgery, proper nutrition and exercise in the weeks prior to surgery can improve your body's healing ability.
  • Before surgery, you must take a laxative to empty your colon or large intestine.
  • Colon removal surgery can be traditional "open surgery" or a less invasive technique (laparoscopic surgery) Open surgery will require a 12-inch incision in your abdomen. Yes, there will be a scar.
  • You will be given a general anesthetic to make you "sleep" during the surgery.
  • Colon surgery times can vary, so ask your doctor how long you will be "under."
  • The doctor will remove the parts of your colon containing the diseased tissue.
  • When the surgery is complete, you will have a colostomy bag to collect your body waste. The medical care givers will train you how to use and care for the colostomy bag.
  • You will need pain medication for several days, maybe longer. Ask your doctor about the merits of intravenous versus epidural delivery of pain medication.
  • It generally takes longer to recover from open surgery than it takes for laparoscopic surgery. The recovery time for open surgery could be as long as 8 weeks.
  • Hospitalization time will be about 7 days if you have open surgery or 5 days for laparoscopic surgery.

Possible Complications

You are wondering about possible complications. As with most surgeries, possible complications include internal bleeding and infection. Consult your doctor for a complete list of possible complications to a colectomy. Each case is different, so ask about complications that are likely in your case.

Survival Rate

The survival rate after a colectomy is very good. Clinical studies have shown a survival rate of about 86%. Since this is major surgery with serious consequences, you want to make certain you have the best team of doctors with the most experience.

Now you have a list of topics to discuss with your doctor. Ask your questions. Get your answers before proceeding with colon removal surgery. Get peace of mind.

Written by Steve Northcott - 2/24/09

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