As you recover from surgery, waste leaves your body through the stoma and collects in the bag. Having bowel movements through the stoma enables your colon to rest and heal. A few weeks later, when the colon has healed, your doctor reconnects the two ends of the colon. He or she closes the stoma and removes the sutures in the rectum. Your bowels then return to their normal function.
How long you take them depends on your progress and the severity of the infection. You may remain in the hospital for a few days for observation. NYU Langone pain management specialists and ostomy nurses are available 24 hours a day to help you recover comfortably and adjust to the colostomy bag.
Before choosing elective surgery, you and your doctor discuss the benefits and risks. If you choose to have the procedure, your doctor performs minimally invasive colorectal surgery, which is done using traditional laparoscopy or robotic-assisted surgery. The procedure requires general anesthesia. During a laparoscopic procedure, the surgeon makes several very small incisions in the abdomen, through which the laparoscopic instruments are inserted. He or she performs the surgery with the help of a two-dimensional image on a video monitor.
It is possible to reduce the risk by eating a diet high in fiber, and by taking probiotics and drugs such as mesalamine. A person should follow instructions concerning dietary and other restrictions and inform a doctor of any unusual symptoms, including pain or rectal bleeding. A review of research found that 5—22 percent of people who underwent diverticulitis surgery experience a future attack.
The most common complications of diverticulitis surgery include:. When the surgeon is unable to reattach the colon during surgery, or when ongoing bleeding occurs, a person may need a permanent colostomy. An individual may develop a blood clot in the leg following surgery. The clot can break loose and travel to other areas, causing serious complications. In some cases, it may be fatal. Clots are more common in people with sedentary lifestyles or cardiovascular health problems.
Anesthesia can also cause complications, as with any surgery. People in poor health, children, and older adults have a higher risk. Also, some people experience urinary tract infections after surgery. Recovery can be painful, and the time span varies. A doctor can provide detailed estimations. In rare cases, diverticulitis surgery is fatal.
Diverticulitis is a complication associated with a normally harmless condition called diverticulosis, which causes small sacs or pouches to develop in the colon or large intestine.
Diverticulosis usually requires no treatment. It is common in people over 30, and the ASCRS estimate that diverticulosis affects 30—40 percent of people over 60, and more than half of those over Diverticulitis does not always cause symptoms, but those that occur may be painful. In many cases, lifestyle changes and antibiotics can treat symptoms and reduce the risk of future attacks.
If diverticulitis does not cause symptoms, or if symptoms go away on their own, surgery is not usually recommended. Surgery is usually a last resort, and it is important to weigh the risks and benefits. Laparoscopic surgery uses small cuts, cameras, and small tubes to perform the procedure while open surgery requires a large incision in your abdomen so that your intestines can be viewed in entirety.
Your surgeon will remove any parts or pieces of the infected colon in an effort to save the organ colectomy. In this procedure, your surgeon will remove any infected colon, but will then connect your bowel through an opening in your abdomen called a stoma.
This is only done if there is too much damaged colon tissue to retain full use of your bowels. Depending on recovery, the colostomy can be either permanent or temporary. Post-surgical complications are also possible with diverticulitis surgery. Some of the main complications include the following: 2. Since the surgery is invasive, you will need to spend up to a week in the hospital, where your recovery can be monitored to reduce the chance of any serious complication.
When preparing for your diverticulitis surgery , your doctor will have you do a few things to get ready. First, you will need to stop taking any medications that can thin your blood. If you come down with any illness leading up to the surgery, tell your doctor. When diverticula bleed, blood may appear in the toilet or in the stool. Bleeding can be severe, but it may stop by itself and not require treatment.
A person who has bleeding from the rectum—even a small amount—should see a doctor right away. Often, colonoscopy is used to identify the site of bleeding and stop the bleeding. Sometimes the doctor injects dye into an artery—a procedure called angiography—to identify and treat diverticular bleeding.
If the bleeding does not stop, surgery may be necessary to remove the involved portion of the colon. Abscess, Perforation, and Peritonitis Diverticulitis may lead to infection, which often clears up after a few days of treatment with antibiotics. If the infection gets worse, an abscess may form in the wall of the colon. An abscess is a localized collection of pus that may cause swelling and destroy tissue.
If the abscess is small and remains in the wall of the colon, it may clear up after treatment with antibiotics. If the abscess does not clear up with antibiotics, a radiologist may need to drain the abscess by inserting a catheter—a small tube — into the abscess through the skin. This process may be guided with the help of a CT scan. Infected diverticula may lead to a perforation of the colon.
In these cases, the perforations leak pus and stool out of the colon into the abdominal cavity, a condition called peritonitis. A person with peritonitis may be extremely ill with nausea, vomiting, fever, and severe abdominal tenderness. The condition requires immediate surgery to clean the abdominal cavity and remove the damaged part of the colon.
Without prompt treatment, peritonitis can be fatal. Fistula A fistula is an abnormal connection of tissue between two organs or between an organ and the skin. When damage, infected tissue comes into contact with normal tissue during an infection, they sometimes stick together.
If they heal that way, a fistula may form. The organs usually involved are the bladder, small intestine, and skin. The most common type of fistula occurs between the bladder and the colon. This type of fistula affects men more often than women. It can result in a severe, long-lasting infection of the urinary tract.
The problem can be corrected with surgery to remove the fistula and the affected part of the colon. Intestinal Obstruction Scarring caused by infection may lead to partial or total blockage of the intestine, called intestinal obstruction.
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