When is artificial endoscopic surgery?

Artificial endoscopic surgery is performed to create an opening of the ileum or colon outside the abdominal wall, the stool will move from the intestinal intestine through this opening to escape, rather than through the real anus. Artificial anus can be used permanently or temporarily.

1. In what cases is an artificial endoscopic surgery?

An artificial anus is a hole that opens beyond the abdominal wall of the colon or ileum, feces and gas will escape out of the body through this opening without passing through the real anus. Waste will be collected through an outer body bag.

The artificial anus consists of two types: a temporary artificial anus and a permanent artificial anus. The temporary artificial anus is a type that is used for a short time, about a few months to facilitate the lower pathology lesions to be rested. When the lesions recover, the surgeon closes the artificial anus and regenerates the circulation through the real anus. Permanent artificial anus is usually performed in patients with colon and rectal cancer, who will use this anus for the rest of their lives.

There are two methods of artificial surgery, which are open surgery and laparoscopic surgery. When performing open surgery, the doctor will perform a large incision in the abdominal wall, the patient often has prolonged postoperative pain and is at risk of many complications. Compared to open surgery, artificial laparoscopic surgery is less invasive, with few complications, patients are less painful and quickly recover. Due to its many advantages, artificial laparoscopic surgery is increasingly commonly performed.

Artificial laparoscopic surgery is in certain cases such as:

  • Late-stage colon cancer, no longer capable of removal.
  • Severe rectal ulcerative inflammation, bleeding
  • Colon disease, vaginal rectal fistula or bladder rectal examination
  • Injuries, complex fistula through the slum muscles, as an artificial anus to protect the connecting mouth,..

Colorectal ulcerative inflammation

Patients with rectal ulcerative inflammation who need laparoscopic surgery

2. How is artificial laparoscopy performed?2.1. Pre-surgery preparation

2.1. Pre-surgery preparation

Patients are consulted by medical staff about their current health status, the purpose of the operation, the risks of complications that may be encountered after surgery. Before surgery, patients will be tested to assess cardiovascular function, respiratory function, degree of intestinal obstruction. Patients need fasting 6 hours before surgery.

2.2. Steps for artificial endoscopy

  • The patient lies on his back on the operating table, his hands closed. The surgical team conducts inor administration anesthesia.
  • The surgeon puts the 10mm trocar under the navel, then inflates the CO2 into the abdomen with 12mmHg pressure. Through the image obtained about the screen, the doctor will assess the condition of the abdomen, the location of the lesions, thereby choosing the appropriate intestinal segment position to take out the abdominal wall as an artificial anus. After determining the right intestinal passage, the doctor will use the pan to clamp to the intestinal passage to fix it.
  • The doctor removes part of the round skin outside the abdominal wall, about 2.5cm in diameter, making a vertical incision to the scales. After separating the muscle fibers to the sides, the outer diagonal layer will be slashed and the rear weighing leaf is made. Upon arrival at the city'sitone, it will carefully close the abdominal wall with your fingers to create a tunnel.
  • The surgeon used Babcock to remove the colon from the abdominal wall. The end of the colon will be removed from the outer wall of the abdomen by about 2cm, then using the criteria to fix the colon to the abdominal wall balance with four stitches at four corners. Continue stitching again with separate stitches so that the colon rises 0.5-1cm above the abdominal wall.
  • The technique of making an artificial anus ileum does the same as above.

Artificial care

The majority of patients often go smoothly, circulating their intestines and eating well

2.3. Handling of complications that may be encountered after artificial endoscopy

Some complications patients may experience after artificial laparoscopic surgery such as:

  • Intestinal obstruction: There are many causes that can cause post-surgery intestinal obstruction such as the tunnel on the abdominal wall is too narrow, the artificial anus is twisted or turned upside down, and the lesion in the colon above the artificial anus,… Patients will usually be re-operated for processing.
  • Inflammation of the skin around the anus: Is a common condition that occurs in the artificial anus of the ileum. Patients will be instructed to take care of the skin by washing soap, applying ointments, applying antibiotics if necessary. Sticking bags outside the abdominal wall restricts fluid from flowing around.
  • Artificial anxectar: Part of the artificial mouth will be cut off only, separated from the edge of the skin to drain pus, clean, change dressings daily.
  • Artificial necrosis: If an artificial anus is suspected to be twisted or the necrosis part spreads after the overweight abdominal wall, the patient will be re-operated for processing.
  • The artificial anus lags into theitoneal drive; Artificial sa: the patient will be re-operated, artificial re-made.

Intestinal obstruction

Patients may have bowel obstruction after surgery

3. Patient care after artificial endoscopy

In the first 24 hours after surgery, the patient will be closely monitored for full body condition, pulse, body temperature, blood pressure, breathing,… The doctor will prescribe analgesic drugs, infusions, antibiotics to fight infections,… Patients will be snacked on porridge, milk after mediaity.

The majority of patients often go smoothly, circulating their intestines and eating well. The artificial anus usually produces feces about 2-3 days after surgery. Initially vapors and mucus and low amounts of blood, followed by loose stools and then thick stools. The artificial anus is usually light red or pink, painless to the touch. The artificial anus may swell edema in the first 3-5 days after being created. Patients are usually discharged from the hospital for about a week after surgery. The skin around the artificial anal opening should be cleaned daily to avoid infection. Artificial bags need to be cleaned several times per day.

The artificial anus does not have valves or muscles so the person cannot control the feces escaping. Artificial wearer is often anxious, self-deprecating because the smell from the artificial anus can alienate people around him. However, some new generation of artificial anal bags with deodorant filters and vents can solve this problem.

After artificial endoscopy, patients can continue to perform activities such as daily life, can go to work, go to school, do house work, play sports,… Reasonable movement will not damage the disease or affect the artificial anus.

Share99 International Health Hub with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neurological examination and treatment, patients can be assured of examination and treatment at the Health Hub.

To register for examination and treatment at Share99 International Health Hub, you can contact Share99 Health System nationwide, or register for an online examination HERE.

VIEW MORE

  • Common complications and artificial care
  • Commonly used types of artificial anus
  • How to treat anal fistula?
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  • Commonly used types of artificial anus
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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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