Ileostomy

Ileostomy

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Minimum Cost
35,700
Average Cost
70,350
Maximum Cost
1,10,000
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What Is Ileostomy Surgery?

Ileostomy surgery is a surgical procedure in which the doctors make an opening in the wall of the abdomen, which allows the small intestine (ileum) to be brought up to the skin level. This opening is called a stoma, which is covered with a bag that collects the digestive waste. Ileostomy surgery is often performed to treat conditions that affect the large intestine (colon) or rectum, such as Crohn's disease, ulcerative colitis, or colorectal cancer. It may also be performed as a temporary measure to allow the colon to heal after surgery or to relieve pressure on the colon during radiation therapy.

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Types of Ileostomy Procedure

There are various types of ileostomy procedures, and the procedure choice depends on the underlying condition, surgery extent, and the patient's health status. Here are the common types of ileostomy procedures:
  • End ileostomy

    An end ileostomy is a procedure in which the end of the ileum is brought through the abdominal wall to form a stoma. This type of ileostomy is usually performed when the patient's colon or rectum needs to be removed due to cancer, inflammatory bowel disease, or trauma. The waste products are collected in a pouch attached to the skin around the stoma.

  • Loop ileostomy

    A loop ileostomy is a procedure in which a loop of the ileum is pulled through the abdominal wall to form a stoma. This type of ileostomy is usually performed as a temporary measure to allow the colon to heal after surgery or to relieve pressure on the colon during radiation therapy. The waste products are collected in a pouch attached to the skin around the stoma.

  • Continent ileostomy

    A continent ileostomy is a procedure in which a pouch is created inside the body to store waste products. The pouch is made from a section of the ileum and is connected to the stoma. The patient needs to empty the pouch several times a day by inserting a catheter through the stoma. This type of ileostomy is usually performed in patients who are not suitable for a conventional ileostomy.

  • pouch ileostomy

    pouch ileostomy is a procedure in which the colon and rectum are removed, and a pouch is created from the end of the ileum to form a new rectum. The pouch is connected to the anus, letting the patient pass stool in a more natural way. This type of ileostomy is usually performed in patients who are suffering from ulcerative colitis or familial adenomatous polyposis. Ileostomy surgery can have a major impact on a patient's life. It is important to discuss the risks and benefits of the different types of ileostomy procedures with a healthcare provider to determine the best course of action for each individual. With proper care and management, patients with ileostomies can lead full and active lives.

  • When is Ileostomy Operation Required?

  • Ulcerative colitis or Crohn’s disease:

    These are inflammatory bowel diseases that affect the digestive tract and can cause severe health issues like abdominal pain, diarrhea, and rectal bleeding. In some cases, surgery may be required to remove the affected part of the intestine, which may result in an ileostomy.

  • Bowel obstruction:

    A blockage in the bowel may require surgery, which can result in an ileostomy. This may occur due to tumors, scar tissue, or other conditions.

  • Colon or rectal cancer:

    Surgery to remove cancerous tissue from the colon or rectum may require an ileostomy. This is often a temporary measure until the bowel heals and can be reconnected.

  • Injury or trauma:

    In some cases, a severe injury or trauma to the bowel may require surgery, which can result in an ileostomy.

  • How to Prepare for Ileostomy Surgery?

    Preparing for ileostomy surgery can be a stressful time, but there are a few things you can do to help make the process as smooth as possible.
  • Talk to your doctor

    Your doctor will be able to provide you with information about the surgery, what to expect, and how to prepare. They may also refer you to a specialist nurse who can provide additional advice and support.

  • Get in good physical shape

    Being in good physical shape can help you recover more quickly from surgery. Try to eat healthy, prefer a balanced diet, exercise on a regular basis, and get a lot of rest in the weeks leading up to the operation.

  • Prepare your home

    You may need to make some adjustments to your home to accommodate your ileostomy. You could install grab bars in the bathroom, lower the height of your bed, and ensuring that your home is easily accessible.

  • Stock up on supplies

    You will need to purchase supplies for your ileostomy, such as bags, adhesive, and skin barriers. Your doctor or specialist nurse can provide you with a list of recommended supplies and where to purchase them.

  • Arrange for help

    You may need help with daily tasks such as cooking, cleaning, and getting dressed after the surgery. Arrange for a friend or family member to help you during your recovery period.

  • Prepare emotionally

    Having an ileostomy can be a big adjustment, both physically and emotionally. It’s important to take time to process your emotions and seek support from friends, family, or a therapist if needed.

  • What Happens Before Ileostomy Surgery?

  • Consultation with a surgeon:

    Before the surgery, the patient will meet with a surgeon to discuss the procedure details, including the risks and benefits.

  • Preoperative testing:

    The patient will undergo several tests to determine their overall health and to ensure that they are a good candidate for surgery. These tests may include blood evaluations, imaging tests, and other diagnostic procedures.

  • Bowel preparation:

    To prepare for the surgery, the patient will need to undergo a bowel preparation. This may include taking laxatives or enemas to empty the bowels.

  • Dietary changes:

    The patient may need to make dietary changes in the days leading up to the surgery. He/She may need to temporarily avoid certain foods or liquids to help prepare the bowels.

  • Medication adjustments:

    The patient will also need to adjust their medication regimen in the days leading up to the surgery. This may include stopping certain medications or switching to alternative medications.

  • What Happens During Ileostomy Operation?

  • Anesthesia:

    The patient will be administered general anesthesia. Once this is given, the patient will become unconscious and not feel any pain during the surgery.

  • Surgical procedure:

    The surgeon will make a cut in the abdomen and remove the diseased portion of the small intestine. They will then create a stoma, which is a small opening in the abdomen through which waste will pass into a collection bag.

  • Closure:

    The surgeon will then close the incision and apply a dressing over the stoma. Once the procedure is done, the patient is made to move to a recovery room, where he/she is monitored closely for any complications.

  • Postoperative care:

    The patient will need to remain hospitalized for recovery. During this time, they will be given painkillers, antibiotics, and other medicines, as per need. They will also receive instructions on how to care for their stoma and how to manage their diet and bowel movements.

  • Follow-up appointments:

    These consultations are set up so that the doctor can examine the patient for a certain period after the procedure and ensure that the stoma is functioning properly. During this time, the doctor will monitor the patient's progress using reports of blood tests, scans and imaging exams.

  • Methods/Techniques Used for Performing Ileostomy Procedure

  • Open Surgery:

    This is the conventional method of performing ileostomy surgery. An incision is made on the abdomen to access the small intestine. A stoma is created by pulling a portion of the small intestine through the incision and attaching it to the skin. The stoma is then covered with a pouch to collect waste.

  • Laparoscopic Surgery:

    This technique involves making small incisions on the abdomen to insert a laparoscope and surgical instruments. The surgeon uses the laparoscope to view the internal organs and perform the surgery. This technique has a shorter recovery time and less scarring than open surgery.

  • Robotic Surgery:

    This is a newer technique that uses a robotic system to perform surgery. The surgeon controls the robotic arms to do the surgery through small incisions on the abdomen. This technique has a faster recovery time and less scarring than open surgery.

  • Post Procedure Details

  • Pain Management:

    Painkillers are prescribed to manage any discomfort after the surgery.

  • Diet:

    The patient will be advised to follow a specific diet after the surgery to allow the stoma to heal. Initially, the patient will be on a liquid diet and then gradually be given solid foods.

  • Stoma Care:

    The patient will be taught how to care for the stoma and change the pouch. The pouch should be emptied when it is one-third to one-half full to prevent leakage. The stoma and surrounding skin should be cleaned daily to prevent infection.

  • Physical Activity:

    The patient should avoid strenuous activity for a few weeks after the surgery. Walking is encouraged to promote healing and prevent blood clots.

  • Follow-up Appointments:

    The patient will need to schedule follow-up visits with the surgeon to keep an eye on the healing process and adjust the pouching system if necessary.

  • Risks and Complications Associated with Ileostomy Surgery

  • Bleeding:

    Bleeding can happen during the surgery or postoperatively. It is rare but can be life-threatening if not treated promptly.

  • Infection:

    Infection is likely at the site of the incision or the stoma. This can lead to fever, pain, and swelling.

  • Blockage:

    A blockage can occur in the small intestine, causing pain and nausea. This can be caused by scar tissue, food, or other objects.

  • Hernia:

    A hernia can occur if the stoma bulges through the incision. This can cause pain and require surgery to repair.

  • Dehydration:

    Dehydration can occur if too much fluid is lost through the stoma. This can cause weakness, dizziness, and confusion.

  • Pouching Problems:

    Pouching problems can occur if the pouch does not fit properly or leaks. This can cause skin irritation and infection.

  • Psychological Issues:

    Ileostomy surgery can have a psychological impact on the patient. The patient may feel embarrassed or self-conscious about the stoma and the pouching system.

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    DisclaimerThe cost of ileostomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.