Ileostomy
Ileostomy
What is it:

An ileostomy is a gap within the abdominal wall that's created throughout surgery. The top of the small intestine is brought through this gap to create a stoma, sometimes on the lower right facet of the abdomen. When you inspect your stoma, you're really observing the liner of your bowel that appearance plenty just like the lining of your cheek. The stoma can look pink to red. It's heat and damp and secretes little amounts of secretion. It'll shrink over a brief amount of your time once surgery is done. The form is spherical to oval. Some stomas could stick out somewhat whereas others are flush with the skin. Unlike the opening, the stoma has no valve or shut-off muscle. This suggests you may not be able to manage the passage of stool from the stoma. There are not any nerve endings within the stoma therefore the stoma itself isn't a supply of pain or discomfort. As a part of this surgery, the colon and rectum are usually removed. This suggests that the traditional colon and rectum functions are not any longer present. Sometimes, solely a part of the colon and rectum are removed

Before the operation:
  • Make sure your doctor is aware of that supplements, drugs and herbs you're taking. Several medications have an effect on the operation of the intestine slowing it down. This is applicable to over-the-counter moreover as prescription medications
  • Smoking cigarettes makes it more durable for your body to heal once surgery is done. If you’re a smoker, quit it before the operation
  • Drink more water and eat foods that are high in fiber for one week before the operation
  • One day before surgery, doctor will advise you to eat light food. At some selected time throughout the day, your doctor might advise you to take clear liquids solely. You'll be suggested to drink nothing, not even water, concerning twelve hours before surgery
  • Talk to your doctor regarding any issues you've got relating to the requirement for this operation, its risks, how it'll be done or what the results can mean
The operation:
  • Doctor will give you general anesthesia. Once you're unconscious, the doctor makes an eight-inch cut your midline. Looking on your condition, the doctor takes away your rectum and colon. Your opening is sewn closed
  • There are of various forms of ileostomies. For a traditional ileostomy, the doctor makes a little incision that may be the positioning of your ileostomy. Doctor pulls a loop of your small intestine through the incision. Your doctor places a rod underneath the loop. Then he or she cuts the loop open and stitches one facet to your abdomen
  • Individuals with this kind of ileostomy conjointly referred to as a Brooke ileostomy, won't have management of once their soiled waste flows into the external plastic pouch
  • Another way of ileostomy is that the continent, or Kock ileostomy. The doctor uses a part of your small intestine to make an inside pouch with an external stoma that is a valve. These are sewn to your stomach wall. Sometimes a day you insert a versatile tube through the stoma and into the pouch. You remove your urine through this tube. The benefits are that there's no external pouch and you'll exercise manage over once you empty your urine
After the operation:
  • Hospital stay is sometimes 3-5 days though this could vary
  • After the operation patients can have a trickle that is often in situation for twenty-four hours or until a standard fluid intake is resumed. A tube could also be passed at the time of the procedure and is often unbroken in situation for twenty-four -48 hours
  • Patients should allowed to eat and drink as shortly as they feel ready once the operation is done
  • Following discharge from hospital, patients are inspired to stay mobile. They ought to avoid work or accumulated physical activities for concerning six weeks. Patients will commonly resume driving once concerning 2-4 weeks however this could vary
Possible complications:
  • Complication may include blood clot within the leg, breathing issues, bleeding within the belly, infection, together with within the lungs, tract or belly and damage to near organs