Ileostomy Closure Surgery
An ileostomy is an opening in your abdomen that allows your intestinal wastes to leave the body without proceeding to the colon and rectum. To manage your stool evacuations, you are going to have to wear an ostomy bag the entire time because your stoma doesn’t have any sphincter muscles to help you control when to move your bowels. Most of the time, an ileostomy is created to allow the anastomosis to heal.
Once the anastomosis and the section of the GI tract ahead of it heal, your surgeon will perform another surgery to reverse the ostomy. This surgery is known as ileostomy closure surgery. This surgical procedure allows you to regain your ability to have bowel movements naturally.
After surgery, you will have a small wound at the site where you have had the stoma. It will take around four to six weeks for that wound to heal. During this time, you will have to change the bandage every day. Your nurse will tell you how to change your bandage.
Preparations for surgery start way before the day of operation. You can get in contact with an ostomy care nurse or your doctor to discuss what changes you will need to bring into your daily routine. It will include the medication you are on and your dietary routine.
You will need to let your doctor know if you are taking any blood-thinning or prescription medications. You may even have to tell them if you are taking any over-the-counter drugs or supplements. If you have any problem with anesthesia, make sure to bring it to your doctor’s notice.
A few habits can turn out to be quite disastrous in case you need to undergo a surgical treatment. For instance, you may want to quit consuming alcohol and smoking because both these habits can impair the healing ability of your body.
You will need to be in contact with your doctor consistently during the last seven days. The changes that you have to bring into your routine during this time may be quite drastic ones. Make sure to follow all those instructions because the chances of a successful surgical procedure depend heavily on it.
Your surgeon will perform surgery when you are under the influence of anesthesia. When you wake up, you will be in the Post-Anesthesia Care Unit (PACU).
A nurse will monitor your body temperature, blood pressure, pulse, and oxygen levels. You may be getting oxygen through a thin tube passing through your nose or a mask covering your nose and mouth. The hospital staff will move you to the hospital room within 90 minutes of surgery completion.
The duration of your stay in the hospital will depend on your recovery. In most cases, the patient is allowed to go back home after two days of surgery. You can discuss it in detail with your doctor.
During your hospital stay, your nurse will teach you how to take care of your body while you recover. He or she may encourage you to move around a bit.
There will be some pains after surgery. You can talk about those pains with your doctor. They will give you medication for pain relief.
Care at home
You may have to have complete bed rest for a few weeks after surgery. This bed rest will allow you to recover well. Make sure to follow diet instructions strictly. You can move around, but your doctor will not recommend you to engage in any strenuous physical activity until you recover. In case you have any questions, speak to your doctor or ostomy care nurse.