Bowel resection, also known as colorectal resection or colectomy, is a surgical procedure in which a portion of the colon (large intestine) or rectum is removed. This surgery is often performed to treat various medical conditions, including colorectal cancer, inflammatory bowel disease (such as Crohn's disease or ulcerative colitis), diverticulitis, or other conditions that affect the large intestine. The specific type of bowel resection and the extent of the surgery depend on the underlying condition and its location.
Here is an overview of the procedure:
Preparation: Before the surgery, patients may undergo various pre-operative tests, including imaging scans and blood tests. They will also need to follow certain dietary restrictions and bowel preparation to empty the colon.
Anesthesia: The procedure is performed under general anesthesia, which means the patient is asleep and doesn't feel pain during the surgery.
Incision: The surgeon makes an incision in the abdominal area. The size and location of the incision can vary depending on the type of surgery and the patient's condition. In some cases, minimally invasive techniques, such as laparoscopic or robotic-assisted surgery, are used, which involve smaller incisions.
Resection: The affected portion of the colon or rectum is removed, and the remaining healthy ends are reconnected. In some cases, a colostomy or ileostomy may be created temporarily or permanently, depending on the specific situation. A stoma, which is an opening in the abdomen, allows waste to exit the body into a collection bag.
Closure: The incision is closed, and the patient is taken to the recovery room.
After a bowel resection, patients will typically stay in the hospital for a few days to recover. The recovery time varies depending on the extent of the surgery, the patient's overall health, and the reason for the resection.
Potential complications and side effects of bowel resection may include infection, bleeding, leakage from the reconnection site, changes in bowel habits, and the need for a temporary or permanent stoma. Patients may also need to make dietary and lifestyle adjustments post-surgery.
The decision to undergo a bowel resection is made in close consultation with a medical team, including surgeons and gastroenterologists. It's important for patients to have a thorough understanding of the procedure, its potential risks, and the post-operative care plan. The specific details of the procedure and the recovery process can vary based on the individual patient's condition and the surgical approach chosen.