Surgical Expert in Chandigarh

how to avoid permanent colostomy

Colon and rectal cancer survivors can lead an energetic way of life after surgical treatment, and also most can avoid the need for a colostomy bag with innovative operations available

There is an increase in colon and rectal cancer in people those in their 20s to 40s; millennials have actually seen a 1.3% annual boost in colon cancer as well as a 2.3% annual rise in rectal cancer from the mid-1990s. This is an extremely active  population that is in prime of their lives,  building families and also occupations. When they get cancer, they are worried about getting an ileostomy or a colostomy — a surgically created opening in the body that directs faeces into an external waste collection receptacle called a colostomy bag. Both colostomy or ileostomy are also referred to as a stoma

Contrary to common belief, about 80% to 90% of patients who have surgical procedure to get rid of a rectal or colon cancer will not require a permanent ileostomy or colostomy. The mix of advanced imaging technology as well as sophisticated investigation permits us to identify cancers earlier and also remove them with even more accuracy, typically eliminating the need for a colostomy bag.

For colon cancer, it is rare that a person will require a permanent ileostomy or colostomy. Those at greater risk can consist of people in bad general health and wellness prior to surgery as well as those that need emergency surgical treatment.

Rectal Cancer Surgery

How sophisticated rectal cancer surgery can avoid a permanent stoma

Sphincter-sparing surgical treatment is an innovative procedure in which we remove a cancer that is close to the anus without needing to operate on the sphincter. One research study showed that from 1990 onward for 20 years, 67% to 73% of people who had rectal cancer cells got sphincter-sparing surgical treatment. Executing this technique calls for knowledge, skill and dexterity far beyond a general surgeons skills. Colorectal surgeon have that requisite skill.

Before performing the sphincter-sparing surgery for rectal cancer, we need to initially find the cancers relationship to the anal sphincters. If there is a chance to go beyond the tumour for 2 cm without damaging the sphincter, permanent colostomy is avoided.

Once the part of rectum containing the cancer is eliminated, along with the fat as well as lymph nodes that surround the anus, the colorectal surgeon will reconnect the colon to the cut end of the rectum. This avoids cutting into the sphincter and removes the requirement for an irreversible colostomy in most patients. Special equipment to connect the two ends is used, which is called stapling devices. Multiple kind of these stapling devices are available and are chosen according to the patients requirement.

Ileostomy may be required, but it is temporary and reversed after 12 weeks. It will depend on the patient’s anatomy and how much rectum we got rid of, a short-term ileostomy typically is required as the body heals. Timing to connect back will also depend upon on whether the person needs to receive further chemotherapy treatment and when the person feels strong sufficient to undertake a 2nd surgery.

Living an active life with an ileostomy or colostomy

If you are among the little percent of individuals who do need a permanent ileostomy/colostomy, we’ll review your current activity level before surgical treatment and also give thorough guidelines on exactly how to keep your way of life with a stoma. To help attain these outcomes, a team strategy along with a stoma therapist is utilized to plan each person’s care.

Looking after a temporary or permanent ileostomy or colostomy

Dealing with a stoma takes some getting used to, but everyone gets used to it. One of the greatest problems is whether a stoma be apparent to others; in the majority of scenarios, it is not visible.

Stoma nurses are professionals in ileostomy care. They’ll educate you in correct cleaning and also upkeep methods, along with offer suggestions to adjust your wardrobe and regular activities as you accommodate to your new routine. When you return house, you will have accessibility to Stoma Care nurse who will certainly help you in taking care of the ileostomy or colostomy.

A colostomy irrigation protocol followed daily removes the need for wearing a colostomy bag for almost all patients with a permanent colostomy.


* Only 20 to 30 percent of patients with rectal cancer surgery require a permanent stoma.
* Specialized sphincter saving surgery prevents permanent stoma in 20-30% of patients.
* Less that 5% of patients with colon cancer get a permanent stoma.
* Temporary stoma is required in almost 50% of patients with rectal cancer surgery.
* Temporary stoma is reversed in about 12 weeks in almost all patients.
* Stoma is not visible to the general public.
* Normal life is possible with a permanent ileostomy or colostomy.

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