Cirugía General » Cierre de la colostomía
Cierre de la colostomía
Colostomy closure or colorectal anastomosis is a procedure that is done to close the opening created for a colostomy bag. When a patient is done wearing a colostomy bag after days, weeks or even months doctors remove the attachment and close the opening. This enables the patient to return to normal bowel function.
Length of the procedure: 1 hour
Hospital Stay: Most patents are released from care after 5 to 10 days in the hospital.
Recovery before traveling home: Patients seeking a colostomy closure through medical tourism can return home after they are released from care.
Travel Tip: The hospitalization required for this procedure can vary greatly depending on what happens during the surgery. For this reason, it is best to plan an extended stay or to travel on a flexible schedule.
Your surgery will begin with the administration of general anesthesia. The surgeon will then make an incision around the colostomy bag. This incision will free the bowel from the skin.
After the surgeon has freed the bowel from the skin they will reconnect the bowel. Once the bowel has been reconnected they will seal off the opening that was created for the colostomy bag. This is done with sutures.
In some cases the surgeon may need to reopen the primary wound in order to properly reconnect the bowels. If the surgeon deems this necessary the patient will require a longer period of hospitalization. If this is not necessary the patient should be released from care within 7 days of their procedure.
After the Procedure
After the procedure you will be taken to recovery. Your vitals will be monitored carefully during this time. Once you are stable you will be moved to your hospital room.
After the procedure you will have a catheter in your bladder to drain your urine. This is usually removed after about 4 days. Any drainage tubes will also be removed around this time. You will be given pain medication via an IV or in pill form so that you are comfortable.
Bowel movements usually return with 24 to 48 hours of your procedure. However, for the first 7 to 10 days they may be loose or runny. The stitches that closed the colostomy opening are typically removed 8 days after the procedure.
Self care after colostomy closure:
• Rest for 2 weeks
• No driving for 3 weeks
• No sexual activity for 3 weeks
• Light work can resume after 6 weeks
• Heavy work can resume between 8 to 12 weeks
In general colostomy closure is successful for the majority of patients. However, successful repair depends largely on a patients compliance to post-operative care and instructions. Most patients are able to return to normal activity within 3 months of the procedure.
Risks and Complications
As is with any surgery there are risks associated with colostomy closure surgery. The following is a list of the most common risks and complications:
• Reaction to anesthesia or medication
• Bowel leak
• Bowel movement problems
• Scar tissue
• Obstruction from scar tissue
• Blood clot
• Heart attack
• Breathing difficulty
Contact your physician if any of the following occur:
• Temperature above 101 degrees
• Abdomen is distended
• Cannot move your bowels
• Bowels are loose and uncontrollable
• Wound separates
• Discharge from would is green, yellow, bloody or foul smelling
• Redness around wound
• Warmth of surgical wound
• Pain is uncontrolled with medication
• Nausea or vomiting is severe
• Pain increases
• Swelling or pain in leg
• Breathing difficulty
• Chest pain