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Abdominal Perineal Robotic Surgery Scheduled In 2 Weeks For Removal Of Rectal Cancer

Posted: Mon Jan 07, 2019 2:19 am

Does anyone had this surgery done? Please let me know of your experience such as recovery days, healing of your the perineal wound, use of the ostomy pouch, etc. Thanks for your replies 

Posted: Mon Jan 07, 2019 9:22 am

Hi Jabra,   I had the same surgery, but it wasn't done robotically.  I imagine it's pretty much the same though.    The frontal incision and the stoma healed up pretty quickly.  About a month, I'd say until it was totally healed. However the bottom incision took about 3 months until everything was good again.   I had a lot of fluid leakage around the incision even after the stitches were removed.

The sugical fluid seems to build up after they take the drain out.  At least it did with me.  Maybe they took the drain out too quickly.  I don't know.  But it made it painful to sit down for at least 3 months.  The fluid eventually went away and then everything was good.

Your ostomy nurses will get you going with the pouches, etc...but there is also a lot of information to be found on this site.  I got more info from this site than I did from my ostomy nurses.  It's a trial and error thing with the pouches, until you find the exact right one for you.  But you will.  They tend to give you a kind of basic set up in the hospital to begin with but there are a lot of different kinds on the market besides what they give you there.  You can get all kinds of supplies to test out for free from the various companies who make them.   Good luck to you.  You'll be okay.

Linda

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Posted: Mon Jan 07, 2019 9:58 am

Hi Jabra, 

i has basically the same experience as WeirdNewLife above. No leakage but did for big bubbles along my incision that had to be popped! Not a big deal. If I had it to do over again, I would have my supplies already in place because Ostomy nurses in my area were of little use! They helped me learn to empty by pouch but there was nothing g to empty at that time in the hospital so it was nothing like the real thing! The pouches they use in the hospital are horrible. Convetec one piece. They leak all over the place and life was hell for a while until I found what works for me!  Call all the companies and ask for Samples of their one piece and two piece pouches. Since you don’t know the size of your stoma yet, ask for the cut to fit. 

Posted: Mon Jan 07, 2019 10:04 am

Had rectal cancer 4 years ago! Tumor removed! Ileostomy for 8 months! Reconnection failed! Have colostomy for life! Saved my life! Will take up to a year to heal! Good luck! Any questions, let me know!

Posted: Mon Jan 07, 2019 10:11 am

Sorry, this program is not the most user friendly one ! Lol. 

You will need to use a medical supply distributor for your supplies once you decide on what you want. Some file to you insurance so be sure you use them or it will be a nightmare. I use Edgepark and that have been very good. Your Ostomy nurse will give you a list and you will need to call to set up an account before you order and they will send you a catalog of all products. You may want to order just one month at a time until you find what works best for you and then you can order three months supply at a time.

Hope his helps! Good luck with your surgery! It will be a bit tender for a while but I think I had more pain from my Hysterectomy! The booty will take a lot longer to feel like it belongs to you! Expect that! 

Please ask any questions you may have! We have all been there and are glad to help!

Puppyluv

Posted: Mon Jan 07, 2019 12:24 pm

Thanks for your reply. 

What about your diet after surgery?  Was it a low fiber diet?

Did you have problems with urination(incontinence or retention of urine).

Did you undergo chemo after surgery? If you did how long after the surgery?

Appreciate very much your replies.Merry 

Posted: Mon Jan 07, 2019 12:47 pm

After first surgery, had ileostomy and had to watch what I ate! Yes low fiber diet for a while! No problems with urination or bladder issues! Had couple months of chemo before and after surgery! Radiation did not shrink tumor! I like my colostomy as I can eat anything! 

Posted: Mon Jan 07, 2019 1:11 pm

Hi again Jabra.  It depends on what kind of an ostomy you get as to waht your diet should be.  I'm assuming you'll have a descending colostomy like I do.  If that's the case,  after it all heals up and things start working again, you can probably eat anything you want.  I was told I could go back to my regular diet, which I did.  No problems at all.

Posted: Mon Jan 07, 2019 2:47 pm

i also use edgepark

Posted: Mon Jan 07, 2019 9:09 pm

I was not given any dietary restrictions with a Colostomy! I did not eat much after surgery and lost a bunch of weight but was not long before I was back to normal! As everyone here will tell you! Try little amounts of anything you want and see how your new system reacts! Chew chew chew! There is nothing that I cannot eat! There are things that cause a lot of gas, such as my favorite Bananas so I only eat them when I know I will be in a place to release that gas frequently! I eat Mexican a lot with no issues! I was scared about eating prior to surgery because I read the horror stories about blockages and the restricted diet but my Ostomy nurse said differently so All is good! I love food! Lol

puppy

Posted: Mon Jan 07, 2019 9:19 pm

Walk as much as you can! Will help!

Posted: Mon Jan 07, 2019 10:56 pm

Thanks so much for your replies. They are all helpful hints.

Posted: Mon Jan 07, 2019 11:43 pm

My cancer was rectal, too.  I did not have robotic surgery since I also had a hernia. After my sugery, I was put on a low-residue diet and was 'stepped' up to more foods each time I saw my surgeon post op. The low residue diet is no fun--but it will give you plenty of time to learn all about your ostomy and how to take care of it. Due to my hernia, I was severly imited in lifting, bending and certain activities for quite a while, but that should not be an issue for you. Try to get as much info as you can NOW: after surgery you may not feel like learnig a new skill.  The more knowledge you have before the surgery, the better prepared you'll be, and less frightened or intimidated.  After several weeks, sometimes longer, as everyone has said, you'll be able to eat anything you want, just as you did before your surgery.  Take this time to educate yourself, then relax and concentrate on a good result.  Let us know, you'll do great, and I'm fascinated by this robotic thing...when you can tell us all about it.  Gee, I just got a guy with a knife...

Posted: Mon Jan 07, 2019 11:52 pm

Thanks for the advice. I’ll let you know the outcome. It’s suppose to be less invasive.

Posted: Tue Jan 08, 2019 2:28 am

Thanks for the post. I wasn't fully aware of what robotic surgery was but I googled it  and was fascinated to be enlightened as to the modern advances in medical technology.  It sounds as if you will be fine having it done this way,

Let us know how you get on.

Best wishes

Bill 

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