4 Circumstances Need Intestinal Cutting Surgery
Windowofworld.com – Intestinal cutting surgery is surgery to remove part of the intestine, including the small intestine, large intestine, or end of the intestine (rectum). Bowel cutting surgery is usually performed to treat bowel abnormalities or blockages.
In an intestinal cutting surgery (bowel resection), the doctor will remove the affected part of the intestine, then connect the healthy part of the intestine. Under certain conditions, your doctor may also make a stoma if the healthy intestine is not good enough to extend to the rectum.
In making a stoma, the doctor will make a hole in the stomach wall and attach the end of the intestine to the hole. This hole will be connected to a replaceable dirt collection bag. The goal is that stool or stool passing through the intestine will pass through the stoma into the bag, not through the rectum.
When Is Intestinal Cutting Surgery Needed?
The following are conditions that can be treated with intestinal cutting surgery:
1. Colon cancer
The length of the bowel that is cut depends on the size and location of the colon cancer. The doctor may also remove the lymph nodes around the colon that are affected by cancer.
Diverticulitis is an infection of the small pockets (diverticulum) along the gastrointestinal tract. Intestinal cutting surgery is necessary if the infection is severe or if these pouches burst.
3. Intestinal blockage
When intestinal blockage occurs, the food that is swallowed cannot pass through the intestine and cannot be excreted as waste through the rectum. In addition, blood flow in the blocked part of the intestine can also be disrupted, resulting in tissue death in the intestine.
Cutting the intestine is needed in this condition to re-launch food flow and blood flow to the intestine.
4. Severe intestinal bleeding
If there is bleeding from the intestine that cannot be stopped with medication, surgical excision of the intestine may be needed to treat it.
How is the bowel excision surgical procedure performed?
You will be given general anesthesia before the operation begins. The goal is to make you fall asleep and feel no pain during the operation.
The intestinal cutting surgical procedure can be done in 2 ways, namely open surgery and laparoscopy. In open surgery, the doctor will make a wide incision in the abdomen to see the condition of the intestines directly.
Whereas in laparoscopic surgery, surgery is performed by making several small incisions in the abdomen. After that, special surgical equipment with a small camera will be inserted through the incision hole, and the doctor will perform the operation guided by the image captured by the camera.
In an intestinal excision surgery, the intestines that are damaged or damaged are removed. Any remaining intestines that are still healthy are sutured together. This process is known as gut grafting. If needed, the doctor will also make a stoma.
What are the preparations for intestinal excision surgery?
The intestinal excision surgery is performed under general anesthesia so you should not eat or drink for about 8 hours before the anesthesia is performed. However, if the surgery is performed in an emergency, it may not be possible to fast before the anesthesia.
Before surgery, it is important to tell your doctor about any medications you are currently using, including supplements and herbal remedies. The reason is, certain drugs can cause problems during surgery.
For example, blood-thinning medications can cause excessive bleeding during surgery. Therefore, blood thinners need to be stopped a few days before the operation is carried out.
If bowel excision surgery is planned and is not an emergency, you need to avoid cigarette smoke a few days before the operation. You are also advised to eat a high-fiber diet and drink enough water for a few days before surgery.
The doctor will tell you the preparations that need to be done before surgery, including using laxatives or fasting with only water, clear juice, or broth.
Sometime before the operation, you will need to change into hospital clothes. The nurse will place an IV into your vein so you can receive the fluids and medicines needed during and after the operation.
After that, you will be taken to the operating room and transferred to the operating table. A urinary catheter will be inserted into the urinary tract to collect urine. The doctor may also insert a tube through your nose into your stomach to drain fluid from the stomach.
What Are the Risks of Bowel Cutting Surgery?
The following are some of the risks that can occur due to undergoing intestinal cutting surgery:
Your surgical wound can become infected, especially if the surgical wound care is not good. You can also get an infection in the lungs (pneumonia) or urinary tract.
2. Organ injury
During surgery, the healthy intestinal tissue, bladder, or blood vessels near the intestine can be injured and damaged.
3. Intestinal leak
If the intestinal junction does not heal properly or becomes infected, the intestine can leak. This condition can cause dangerous and life-threatening infections. Tell your doctor right away if you experience abdominal pain, fever, or a fast heartbeat after cutting and gut surgery.
4. Hernia on abdominal surgery scar
This condition, called an incisional hernia, can occur when the surgical wound on the abdominal wall does not heal completely, leaving a hole where the internal organs of the stomach can stick out through the hole.
In essence, intestinal cutting surgery is a medical procedure that aims to treat intestinal obstruction or intestinal disorders, such as bowel cancer, diverticulitis, or severe intestinal bleeding.
Therefore, if you experience symptoms of these conditions, consult a doctor immediately so that treatment can be given as soon as possible. That way, the chance of recovery will also be greater.