COLECTOMY (PARTIAL)

REASON FOR VISIT:

• Colon cancer
• Diverticulitis
• Intestinal obstruction
• Ulcerative colitis
• Traumatic injuries to the bowel
• PRE-cancerous polyps. A colorectal polyp Familial adenomatous
Polyposis (FAP)
• Hirschsprung's disease (HD)

RISK ASSESSMENT

• Old age
• Family history of bleeding disorders
• History of bleeding disorders
• History of allergy to
Medications
Anesthesia
• Having neurological, cardiovascular, or respiratory conditions
• Obesity
• Smoking
• Previous abdominal surgery
• Acute perforation or infection

PREPARATION OF THE PATIENT:

• Blood tests
• Urine tests,
• Chest x-ray
• Angiography
• ECG
• Plain abdominal radiography
• Contrast enema
• Ultrasonography
• CT scanning
• Magnetic Resonance Imaging (MRI)
• Colonoscopy with biopsy samples
 • Antibiotics are to be given to the Patients with diseases of the
heart valves
• Stop oral feeding from mid night.
• Stop aspirin and other blood-thinning medications for several
days before the surgery
• Drink at least eight, 8-ounce glasses of water daily.
• Follow a special diet,
• Part was prepared

ANESTHESIA:

General

THE PROCEDURE

Open

Laparoscopic

OPEN COLECTOMY

• Patient was carefully positioned, padded, and strapped to the

operating table to prevent movement
• A lower midline incision in the abdomen/ a lateral lower
transverse incision was given
• Abdomen was opened in layers
• The colon was recognized and the diseased portion was
identified.
• The ascending colon/ transverse colon/ descending colon/
sigmoid colon was retracted
• Colon attachments were divided
• Mesentery was divided &mesenteric vessels were dissected and
divided
• The colon was divided with special stapling devices
• Colon was removed in staple lines.
• Two healthy portions were sutured/stapled together
• The peritoneum and fascia of the transversalis muscle was
closed with a running absorbable suture.
• The remaining fascial layers were closed with the running or
interrupted absorbable sutures.
• The skin was closed with a subcuticular absorbable suture such
as Monocryl.
• Collodian or adhesive Steri-strips are placed on the wound
LAPAROSCOPIC COLECTOMY

• Three to four small incisions were made in the abdomen / in the

umbilicus (belly button).
• Laparoscope was inserted in an incision. The abdomen was filled
with gas
• Camera was inserted through one of the tubes
• The colon was recognized and the diseased portion was
identified.
• The ascending colon/ transverse colon/ descending colon/
sigmoid colon was retracted
• Colon attachments were divided
• Mesentery was divided &mesenteric vessels were dissected and
divided
• The colon was divided with special stapling devices
• A small abdominal wall incision was made at this point to bring
the bowel outside of the abdomen Colon was removed in staple
lines.
• Two healthy portions were sutured/stapled together
• The small incisions were closed with sutures or surgical tape.

The removed portion of the bowel is sent to the histological

/pathological examination

FINDINGS:

• In the removed bowel Colon cancer /Diverticulitis /Intestinal

obstruction /Ulcerative colitis / injuries to the bowel / polyps
/Hirschsprung's disease (HD) was found.

AFTER PROCEDURE:

• Immediately after surgery the patient will be taken to a recovery

area
• Monitoring the blood pressure/pulse/temperature
• Nothing is taken for_____hr

DURATION

_______hrs.
POSTOPERATIVE CARE

• Take antibiotic treatment as prescribed

• Take pain medications prescribed
• Observe for in discharge from suture site
• Surgical wound dressings will be kept clean and dry
• Take liquid diet for_____days

COMPLICATIONS

• Excessive bleeding
• Surgical wound infection
• Incisional hernia (an organ projecting through the surrounding
muscle wall, it occurs through the surgical scar)
• Thrombophlebitis (inflammation and blood clot to veins in the
legs)
• Narrowing of the opening (stoma)
• Pneumonia
• Pulmonary embolism (blood clot or air bubble in the lung blood
supply)
• Reaction to medication
• Breathing problems
• Obstruction of the intestine from scar tissue

FOLLOW UP

After ____days