This topic is about the process and expectations surrounding stoma relocation surgery. The person involved is having their stoma moved from the right to the left side due to a painful parastomal hernia from previous surgeries. They are curious about what to expect regarding incisions, hospital stay, and recovery time. Here are some insights and advice shared by others who have gone through similar experiences:
1. The surgery is often done using a laparoscopic or minimally invasive approach, which means only small incisions are needed.
2. The old stoma site is usually closed and reinforced with mesh, especially if a hernia is repaired. It heals like a normal surgical wound and typically leaves a small scar, rather than being left open.
3. During the procedure, surgeons might remove 6 to 12 inches of the intestine to ensure healthy tissue is used for the new stoma.
4. The typical hospital stay for a laparoscopic relocation without complications is 2 to 4 days. However, if open surgery is required or complications arise, such as cardiac issues, the stay could be longer. For instance, one person stayed 11 days due to postoperative atrial fibrillation.
5. Recovery times can vary:
- Light activities can usually be resumed in about 4 weeks, with full core or abdominal exercises possible in a few months.
- Older patients, particularly those in their late 60s who had open surgery, reported regaining energy in 8 to 10 weeks. Those who had hernia repairs were "out of commission" for about 6 weeks.
6. Closure of the surgical site might involve staples or sutures. Sometimes, a small part of a long midline incision is left open briefly for drainage.
7. When deciding on the new stoma placement, consider whether you prefer it above or below the beltline and away from natural skin creases. Surgeons often mark the site while you are sitting and standing to ensure comfort with pouching.
8. Many people have shared that their previous stoma sites healed well and did not cause any long-term issues.
The surgery has been delayed due to COVID-19 restrictions, but the hospital plans to resume elective procedures in mid-May, and the person is high on the priority list.
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