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A bowel resection or enterectomy (enter-+ -ectomy) is a surgical procedure in which a part of an intestine (bowel) is removed, from either the small intestine or large intestine. Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy , which covers the sense of large bowel resection.
[9] [10] Adding a mechanical bowel cleansing in these patients might not be beneficial after colonic resection, but is still used and recommended by many before rectal resection (ideally in combination with oral antibiotics) [10] [11] [12] However, some options include antibiotic coated sutures, antibiotic impregnated cement or locally ...
The laparoscopic approach is safer than open surgery, [4] and there is less risk of complications after the procedure. [24] There is also less blood loss, less pain after the procedure, shorter average length of stay in hospital and faster recovery. [8] [24] Rarely, the procedure must be converted into an open abdominal surgery. [7]
The staple line may be straight, curved or circular. Circular staplers are used for end-to-end anastomosis [broken anchor] after bowel resection or, somewhat more controversially, in esophagogastric surgery. [10] The instruments may be used in either open or laparoscopic surgery, different instruments are used for each application.
Those with bowel resection or lysis of adhesions usually stay in the hospital a few more days until they can eat and walk. [39] Small bowel obstruction caused by Crohn's disease, peritoneal carcinomatosis, sclerosing peritonitis, radiation enteritis, and postpartum bowel obstruction are typically treated conservatively, i.e. without surgery.
Total mesorectal excision (TME) is a standard surgical technique for treatment of rectal cancer, first described in 1982 by Professor Bill Heald at the UK's Basingstoke District Hospital. [ 1 ] [ 2 ] It is a precise dissection of the mesorectal envelope comprising rectum containing the tumour together with all the surrounding fatty tissue and ...
Low anterior resection syndrome (LARS) comprises a collection of symptoms mainly affecting patients after surgery for rectal cancer characterized by fecal incontinence (stool and gases), fecal urgency, frequent bowel movements and bowel fragmentation, while some patients only experience constipation and a feeling of incomplete bowel emptying.
Suture anastomosis of sigmoid colon. When the resection is complete, the surgeon has the option of reconnecting the bowel by stitching or stapling together the cut ends of the bowel (primary anastomosis) or performing a colostomy to create a stoma, an opening of the bowel to the abdominal wall that provides an alternate exit for the contents of ...