Ileostomy Reversal-Is there anything I can do to prepare?

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chrisca
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Location: Portland, Oregon

Re: Ileostomy Reversal-Is there anything I can do to prepare

Postby chrisca » Sun Jan 05, 2014 8:38 pm

If the hernia repair will create a large incision near the small bowel anastomosis (splice), ask your doctor beforehand about using Seprafilm between the abdominal wall and the bowel. Adhesions can form between the bowel and abdominal wall after the surgery, and if it happens you will have a bowel blockage and another large-incision surgery needed to remove them. This happened to me. For a normal ileostomy takedown, the incision is too small to place Seprafilm but in your case it may be large enough to do so. It could spare you from an expensive, traumatic surgery later on that has a long recovery time.

-Chris.
Male, false negative colonoscopy age 48
DX: 12/2010 rectal cancer age 51
Stage T3N0M0 2 cm from anal verge
neoadjuvant rad/chemo Xeloda
Rectal resection (open surgery) straight anastomosis
Xeloda round 2
ileostomy reversal 11/2011
Successful adhesion X-lap 8/2013
Ongoing LAR syndrome but NED 10 years

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GreenMonkey
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Re: Ileostomy Reversal-Is there anything I can do to prepare

Postby GreenMonkey » Tue Mar 18, 2014 10:50 am

Is "Seprafilm" the same a "mesh"?

my hernia is large!!! I call it my BABY HEAD. I need to know what to expect. Had zero warning about lifting. I won't see my surgeon until april 15th. and my surgery is may 6th.


to those of you who had your reversals in January - Rheaeliza and Stupidasscancer. How is it going?

I want a biobidet but hey....I'm spoiled.
RC - T3NXMX depth of invasion 3mm - diagnosed 5/26/13 age 53
High Dose, Internal Radiation at Johns Hopkins resulted in a PCR
LAR 9/10/13 - 0-26 nodes. CEA 1.9 post surgery
XELOX started 10/21/13(8 rounds)
11/14 NED
greenmonkeytales.blogspot.com

chasamba
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Re: Ileostomy Reversal-Is there anything I can do to prepare

Postby chasamba » Sat Mar 29, 2014 3:23 am

Hey Green Monkey! How's things?
My inlaws have a GREAT bidet, I'm round there all the time :D Seriously, it is a good investment.
Dx 11/15/2012, 50 yo
RC, T3N1
started radiotherapy and Xeloda 12/18/12
LAR 3/11/13, temporary ileostomy
Xelox 4/17/13
Ileostomy takedown 2/14, peritonitis and emergency surgery- Rt Hemicolectomy
CT clear 2/14
http://mybottomblog.blogspot.co.il

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O Stoma Mia
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Location: On vacation. Off-line for now.

No lifting after ileostomy surgery !

Postby O Stoma Mia » Fri Apr 25, 2014 12:38 am

GreenMonkey wrote:..My hernia is large!!! I call it my BABY HEAD. I need to know what to expect. Had zero warning about lifting. I won't see my surgeon until april 15th. and my surgery is may 6th...

GreenMonkey - Although you may not have had an explicit warning from your surgeon, the precautions to be taken are listed in various hospital leaflets, e.g., Going home after Stoma Surgery. Did your hospital give you a leaflet like this one? Good luck on your reversal on May 6th -- and for the three subsequent months!

Lifting
"It is important after surgery not to lift too soon as you risk damaging your abdomen.
Even if the suture line is healed completely the muscles below take many weeks or
months to heal. It is advisable to lift nothing heavier than a jug of water for three
months after surgery.
This means you may need help to undertake general duties
such as cleaning (vacuum cleaners are heavy to move about), washing (wet
washing is heavy to lift), shopping (food is heavy to carry), even caring for children
or others may involve activities that may put strain on the abdomen."

gtownguy
Posts: 151
Joined: Thu Nov 22, 2012 7:57 pm
Location: Washington, DC

Re: Ileostomy Reversal-Is there anything I can do to prepare

Postby gtownguy » Fri Apr 25, 2014 12:52 am

My surgeon definitely warned me about any heavy lifting. He also mentioned that I shouldn't do any exercises that involve abs until a year after surgery.
Sep 12 - dx rectal cancer - stage 3B - T3N1M0
Oct/Nov 12 - 6 wks daily radiation & Xeloda
4 Feb 13 - LAR w/ temp ileostomy
18 Mar 13 - install port
19 Mar - 02 Jul 13- FOLFOX chemo
23 Jul 13 - clean CT scans
26 Sep 13 - reverse ileo & remove port


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