Small Bowel Resection

Small Bowel Resection treatment in Sarjapur Road

Small bowel resection is a procedure in which a part of the small intestine is removed as a treatment for certain conditions such as Crohn's disease, regional enteritis, regional ileitis, tumours, injury, blockage and others. During the procedure, which is done laparoscopically, the surgeon mostly removes the affected part of the small intestine and reconnects the healthy ends. 

How is small bowel resection done? 

Small bowel resection can be performed both as an open surgical procedure and a laparoscopic surgical procedure. For the minimally invasive surgical procedure, the laparoscope is used. The procedure is as follows,

  • You will be placed under general anaesthesia; therefore, you will not be aware or feel anything during the procedure. 

  • The surgeon starts by making a small incision over the belly button. The abdominal cavity is filled with carbon dioxide gas, making it easier to have a clear view of the surgical location and nearby organs and manoeuvre the surgical instruments around. It also gives a clear view of the abdomen. 

  • Thin tubes are placed into the hole to reach the small intestine. A specialised instrument with a light and a tiny video camera is inserted into the tubes to view the small intestine and identify the section that needs to be removed. 

  • The diseased section of the intestine is sealed off using surgical clamps. 

  •  The sealed-off section is cut and removed using a surgical knife. 

  • The healthy ends of the small intestine are sewn back together (anastomosis).

  • If necessary, an Ileostomy is performed, where a plastic pouch is temporarily used to store the digestive waste until the wound heals. 

What are the complications of the surgery? 

Small bowel resection is a major surgical procedure; hence you will have to stay at the hospital for a few days. The doctors closely monitor your improvement and look for complications in the meantime. Once discharged from the hospital, some patients might experience complications such as,

  • Incision breaking open (dehiscence)

  • Bleeding in the intestines

  • Frequent diarrhoea

  • Incisional hernia- intestines pushing through the surgical incision in the abdomen

  • Stricture- intestinal blockage caused by scar tissue

  • Short bowel syndrome

What to expect after surgery?

The doctors and staff will inform you about pain management post-surgery and throughout the recovery process. If you have had an Ileostomy along with the procedure, the ostomy specialists will show you the procedure to handle and adjust the ostomy bag. 

A temporary Ileostomy will require one more surgical procedure to reverse the procedure and reconnect the small intestine to the colon after you have healed from the resection. This procedure is typically done two or three months after the first surgery. 

Small Bowel Resection treatment in Sarjapur Road are generally recommended for those who have longer sections of damaged intestines or when strictureplasty is not an option. For those who have had the surgery as a treatment for Crohn's disease, the long-term prognosis is good as it can give many years of symptom relief. Consult with a team of doctors at Manipal Hospitals now. 

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