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Diverticulitis
Surgery:
ProcedureandRecoverySouthlake
By Dr. Valeria Simone MD
(SOUTHLAKE GENERAL SURGERY, TEXAS)
1
Overview
Diverticulitis happens when small pockets in the digestive tract, called
diverticula, get inflamed. Diverticula frequently become inflamed once they
become infected.
Diverticula are generally found in the colon, the largest segment of the large
intestine. They typically aren’t harmful to the digestive system. However, when
they become inflamed, they can create pain and different symptoms that can
disturb your everyday life.
2
Who needs diverticulitis surgery?
Diverticulitis surgery is normally performed if diverticulitis is serious or perilous.
You can generally deal with your diverticulitis by doing the following:
• taking prescribed antibiotic medicines
• using nonsteroidal anti-inflammatory drugs (NSAIDs), for example, ibuprofen
• drinking liquids and avoiding solid meals until symptoms disappear
3
The doctor may suggest surgery if you
have:
• multiple extreme events of diverticulitis uncontrolled by drugs and way of life changes
• intense pain in the abdomen for a couple of days or more
• constipation, vomiting, or diarrhea, that keeps going longer than a couple of days
• a hole or opening in the colon (perforation)
•bleeding from rectum
• colon blockage, restricting you from passing waste (bowel obstruction)
• sepsis signs and symptoms
4
How many types of diverticulitis
surgery are there?
The two principal types of surgery for diverticulitis are:
• Bowel resection with primary anastomosis: In this process, the surgeon removes any infected
or unhealthy colon (called a colectomy) and sutures together the cut closures of the two healthy
parts from one or the other side of the formerly infected region (anastomosis).
• Bowel resection with colostomy: In this procedure, the surgeon performs a colectomy and joins
the bowel through an opening in the abdomen (colostomy). This opening is known as a
stoma. Surgeon may perform a colostomy if there’s an excessive amount of colon inflammation.
Contingent on how well you recuperate throughout the following few months, the colostomy
might be either transitory or lasting.
5
Types of Diverticulitis Surgery
6
Open: The surgeon makes a six- to
eight-inch incision in the abdomen
to open the intestinal location to
see.
Laparoscopic Surgery: The surgeon
makes a few small incisions and
inserts a laparoscope which has a
small camera and other surgical
instruments into the body through
small tubes (trocars) that are
normally less than one centimeter in
size.
Risk factor in Diverticulitis Surgery
Similarly, as with any surgical procedure, your risk of complexities might be expanded if you:
• are overweight
• are above the age of 60
• are in generally weak health or not receiving enough nutrition
• are going for emergency surgery
• have had diverticulitis surgery or any other abdominal surgery earlier
• have other severe medical conditions like diabetes or high blood pressure
7
How would I plan for Diverticulitis
Surgery?
A few weeks prior to your diverticulitis surgery, your surgeon may request that you do the
following:
• Stop taking medicines for blood thinning, like aspirin or ibuprofen.
• Quit smoking since it makes it difficult for your body to heal after surgery.
• Wait until for any existing fever, flu, or cold to break
• Change your diet with fluids and take laxatives to clear your bowels.
8
A day before surgery, you may be required to:
• Only take water or clear fluids like clear juice or broth
• Don’t eat or drink anything for at least 12 hours prior to the surgery.
• Only take those medicines that your surgeon has prescribed just before surgery.
Ensure you take a break from work or other duties, in any event, fourteen days to recuperate in
the hospital and at home. Have somebody with you to take you home whenever you’re
discharged from the hospital.
9
Treatment of Diverticulitis Surgery at
Southlake General Surgery, Texas
To go for a bowel resection with primary anastomosis, the surgeon will:
1. Make three to five small openings in the abdomen (to insert laparoscopy) or make a six-to eight-
inches long incision to see the intestine and different organs (to open a surgical procedure).
2. Embed a laparoscope and other special surgical equipment through the incisions (for laparoscopy
surgery).
3. Fill the abdominal area with gas to inflate the abdomen and make room to perform the surgery (for
laparoscopy).
4. See the organs to ensure there aren’t any other problems.
5. Locate the unhealthy part of the colon, remove it from the rest of the colon, and take it out.
6. Suture the two leftover ends of the colon back together (primary anastomosis) or open a hole in the
abdomen and connect the colon to the hole (colostomy).
7. Stitch the surgical incisions and clean the areas around them.
10
Complications of Diverticulitis Surgery
• blood clots
• infection at the surgical site
• hemorrhage (internal bleeding)
• sepsis (an infection all through your body)
• stroke or heart attack
• respiratory failure leading to the use of a
ventilator for breathing
• heart or kidney failure
11
• narrowing or blockage of the colon from scar
tissue
• formation of an ulcer close to the colon
(bacteria-infected pus in a wound)
• leaking from the location of anastomosis
• close by organs getting injured
• incontinence, or not having the option to control
when you pass stool
Potential complications of diverticulitis surgery may include:
Recovery after Diverticulitis Surgery
After surgery, you might have to stay in the hospital for about two to seven days. Doctors will
continuously observe you and ensure that you pass stools again.
Once you are discharged and go home, do the accompanying to help yourself recover:
• Don’t work out, lift heavy objects, or engage in sexual relations for in any event fourteen days
after you leave the hospital. Depending on your preoperative status and how your surgical
procedure went, your primary care physician may suggest this limitation for a short or long time.
• Have just cleared fluids from the initial days. Gradually switch to regular meals as your colon
heals or as your primary care physician teaches you to.
• Follow guidelines you were given for dealing with a stoma and colostomy bag.
12
Takeaway
The viewpoint for diverticulitis surgery is acceptable, particularly if the surgical procedure is
performed laparoscopically and you don't need to bother with a stoma.
Consult with your primary care physician immediately if you experience any of the following:
• bleeding from your closed incisions or in your stools
• constipation or diarrhea for more than a couple of days
• nausea or vomiting
• intense abdominal pain
• fever
You might have the option to have a stoma closed a couple of months after the surgical procedure if
your colon heals completely. If a large part of the colon was eliminated or if there’s a high risk of
reinfection, you may have to save a stoma for a long time or forever.
While the reason for diverticulitis is obscure, making healthy lifestyle changes may prevent it from
occurring. Eating a high-fiber meal is one prescribed approach to help forestall diverticulitis.
13
Appointment
For more information on causes, symptoms, consultation, or surgery on diverticulitis surgery at
Southlake General Surgery, Texas. Our healthcare expert will help you answer all your questions.
We are just a call away +1 817-748-0200. Click here to Book an online appointment with us.
14
THANK YOU!
15
SOUTHLAKE GENERAL SURGERY
1545 E. Southlake Blvd, Suite 270 Southlake, TX 76092
EMAIL: info@southlakegeneralsurgery.com
VISIT US AT: www.southlakegeneralsurgery.com

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Diverticulitis Surgery - Procedure and Recovery Southlake.pdf

  • 1. Diverticulitis Surgery: ProcedureandRecoverySouthlake By Dr. Valeria Simone MD (SOUTHLAKE GENERAL SURGERY, TEXAS) 1
  • 2. Overview Diverticulitis happens when small pockets in the digestive tract, called diverticula, get inflamed. Diverticula frequently become inflamed once they become infected. Diverticula are generally found in the colon, the largest segment of the large intestine. They typically aren’t harmful to the digestive system. However, when they become inflamed, they can create pain and different symptoms that can disturb your everyday life. 2
  • 3. Who needs diverticulitis surgery? Diverticulitis surgery is normally performed if diverticulitis is serious or perilous. You can generally deal with your diverticulitis by doing the following: • taking prescribed antibiotic medicines • using nonsteroidal anti-inflammatory drugs (NSAIDs), for example, ibuprofen • drinking liquids and avoiding solid meals until symptoms disappear 3
  • 4. The doctor may suggest surgery if you have: • multiple extreme events of diverticulitis uncontrolled by drugs and way of life changes • intense pain in the abdomen for a couple of days or more • constipation, vomiting, or diarrhea, that keeps going longer than a couple of days • a hole or opening in the colon (perforation) •bleeding from rectum • colon blockage, restricting you from passing waste (bowel obstruction) • sepsis signs and symptoms 4
  • 5. How many types of diverticulitis surgery are there? The two principal types of surgery for diverticulitis are: • Bowel resection with primary anastomosis: In this process, the surgeon removes any infected or unhealthy colon (called a colectomy) and sutures together the cut closures of the two healthy parts from one or the other side of the formerly infected region (anastomosis). • Bowel resection with colostomy: In this procedure, the surgeon performs a colectomy and joins the bowel through an opening in the abdomen (colostomy). This opening is known as a stoma. Surgeon may perform a colostomy if there’s an excessive amount of colon inflammation. Contingent on how well you recuperate throughout the following few months, the colostomy might be either transitory or lasting. 5
  • 6. Types of Diverticulitis Surgery 6 Open: The surgeon makes a six- to eight-inch incision in the abdomen to open the intestinal location to see. Laparoscopic Surgery: The surgeon makes a few small incisions and inserts a laparoscope which has a small camera and other surgical instruments into the body through small tubes (trocars) that are normally less than one centimeter in size.
  • 7. Risk factor in Diverticulitis Surgery Similarly, as with any surgical procedure, your risk of complexities might be expanded if you: • are overweight • are above the age of 60 • are in generally weak health or not receiving enough nutrition • are going for emergency surgery • have had diverticulitis surgery or any other abdominal surgery earlier • have other severe medical conditions like diabetes or high blood pressure 7
  • 8. How would I plan for Diverticulitis Surgery? A few weeks prior to your diverticulitis surgery, your surgeon may request that you do the following: • Stop taking medicines for blood thinning, like aspirin or ibuprofen. • Quit smoking since it makes it difficult for your body to heal after surgery. • Wait until for any existing fever, flu, or cold to break • Change your diet with fluids and take laxatives to clear your bowels. 8
  • 9. A day before surgery, you may be required to: • Only take water or clear fluids like clear juice or broth • Don’t eat or drink anything for at least 12 hours prior to the surgery. • Only take those medicines that your surgeon has prescribed just before surgery. Ensure you take a break from work or other duties, in any event, fourteen days to recuperate in the hospital and at home. Have somebody with you to take you home whenever you’re discharged from the hospital. 9
  • 10. Treatment of Diverticulitis Surgery at Southlake General Surgery, Texas To go for a bowel resection with primary anastomosis, the surgeon will: 1. Make three to five small openings in the abdomen (to insert laparoscopy) or make a six-to eight- inches long incision to see the intestine and different organs (to open a surgical procedure). 2. Embed a laparoscope and other special surgical equipment through the incisions (for laparoscopy surgery). 3. Fill the abdominal area with gas to inflate the abdomen and make room to perform the surgery (for laparoscopy). 4. See the organs to ensure there aren’t any other problems. 5. Locate the unhealthy part of the colon, remove it from the rest of the colon, and take it out. 6. Suture the two leftover ends of the colon back together (primary anastomosis) or open a hole in the abdomen and connect the colon to the hole (colostomy). 7. Stitch the surgical incisions and clean the areas around them. 10
  • 11. Complications of Diverticulitis Surgery • blood clots • infection at the surgical site • hemorrhage (internal bleeding) • sepsis (an infection all through your body) • stroke or heart attack • respiratory failure leading to the use of a ventilator for breathing • heart or kidney failure 11 • narrowing or blockage of the colon from scar tissue • formation of an ulcer close to the colon (bacteria-infected pus in a wound) • leaking from the location of anastomosis • close by organs getting injured • incontinence, or not having the option to control when you pass stool Potential complications of diverticulitis surgery may include:
  • 12. Recovery after Diverticulitis Surgery After surgery, you might have to stay in the hospital for about two to seven days. Doctors will continuously observe you and ensure that you pass stools again. Once you are discharged and go home, do the accompanying to help yourself recover: • Don’t work out, lift heavy objects, or engage in sexual relations for in any event fourteen days after you leave the hospital. Depending on your preoperative status and how your surgical procedure went, your primary care physician may suggest this limitation for a short or long time. • Have just cleared fluids from the initial days. Gradually switch to regular meals as your colon heals or as your primary care physician teaches you to. • Follow guidelines you were given for dealing with a stoma and colostomy bag. 12
  • 13. Takeaway The viewpoint for diverticulitis surgery is acceptable, particularly if the surgical procedure is performed laparoscopically and you don't need to bother with a stoma. Consult with your primary care physician immediately if you experience any of the following: • bleeding from your closed incisions or in your stools • constipation or diarrhea for more than a couple of days • nausea or vomiting • intense abdominal pain • fever You might have the option to have a stoma closed a couple of months after the surgical procedure if your colon heals completely. If a large part of the colon was eliminated or if there’s a high risk of reinfection, you may have to save a stoma for a long time or forever. While the reason for diverticulitis is obscure, making healthy lifestyle changes may prevent it from occurring. Eating a high-fiber meal is one prescribed approach to help forestall diverticulitis. 13
  • 14. Appointment For more information on causes, symptoms, consultation, or surgery on diverticulitis surgery at Southlake General Surgery, Texas. Our healthcare expert will help you answer all your questions. We are just a call away +1 817-748-0200. Click here to Book an online appointment with us. 14
  • 15. THANK YOU! 15 SOUTHLAKE GENERAL SURGERY 1545 E. Southlake Blvd, Suite 270 Southlake, TX 76092 EMAIL: info@southlakegeneralsurgery.com VISIT US AT: www.southlakegeneralsurgery.com