Having Open Colon Surgery (2024)

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During open colon surgery, parts of the colon are surgically removed. You'll be given instructions on how to get ready for your surgery. Follow these instructions carefully. You'll likely be admitted to the hospital on the day of your surgery. In some cases, you may need to be admittedto the hospital the day before. Ask questions if something is unclear.

Getting ready a few weeks before surgery

Here's what you can do to get ready in the weeks before surgery:

  • Have a complete physical examas instructed by your healthcare provider.

  • Ask about medicines.Tell your surgeon about all the medicines you take, and ask if you should stop taking them before surgery. This includes prescription and over-the-counter medicines, aspirin, andother nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. It also includes any vitamins, herbs, or other supplements.

  • Quit smoking.Smoking increases surgery risksand slows healing. Don't smoke on the day of surgery.

  • Exercise. Stay ona program of regular exercise.

Getting ready the day before surgery

Follow any directions you're given for taking medicines and for not eating or drinking before surgery. This includes any instructions you're given for doing bowel prep. Bowel prep is done to clean out the colon before surgery. It usually involves not eating (fasting) for a day. You'll also drink a special liquid that causes you to have bowel movements until the bowel is empty. You'll get specific instructions for this prep. You may be asked to wash with a special soap called CHG (chlorhexidine gluconate).

Having Open Colon Surgery (1)
The incision may run vertically around your navel.

The day of surgery

When you arrive at the hospital, you'll be asked to fill out certain forms. You'll then change into a gown. An IV (intravenous) line will be inserted into your hand or arm. This gives you fluids and medicines. You’ll meet with your anesthesiologist or nurse anesthetist to discuss the medicine (anesthesia) that helps you sleep during surgery. Ask any questions you have at this time. Before surgery starts, you’ll be given general anesthesia to put you into a deep sleep. A soft tube (catheter) may be placed into your bladder to drain urine.

During your surgery

Here's what you can expect during surgery:

  • Your surgery will be done through a cut (incision) in your belly. This is called open surgery. The incision may be several inches long. Your surgeon can tell you about the incision you'll have.

  • The problem part of the colon is removed (resected). Sometimes the 2 ends of the colon are joined. This is called an anastomosis.

  • After surgery, you’ll be taken to the PACU (post anesthesia care unit) to be closely watched..

Types of colon resection

The idea of having part of your colon removed may sound scary. But part or all of the colon can be removed without causing serious problems. After the section of bowel is removed, the 2 ends may be reconnected (anastomosis). Below are some of the surgeries that can be done on the colon. The type of surgery depends on where the problem is.

Having Open Colon Surgery (2)
Right hemicolectomy Part or all of the right side (ascending) colon is removed. The remaining colon is then reconnected to the small intestine.
Having Open Colon Surgery (3)
Left hemicolectomy Part or all of the left side (descending) colon is removed. The remaining colon is then reconnected to the rectum.
Having Open Colon Surgery (4)
Sigmoid colectomy (sigmoidectomy) Part or all of the sigmoid colon is removed. The descending colon is then reconnected to the rectum.

Other times, the exposed end of the colon or small intestine is sewn to the belly (abdominal) wall through an incision. It will then drain into a special bag outside your body. This is called a colostomy or ileostomy. Your surgeon can discuss this with you at your visit before surgery.

Risks and possible complications

Risks and possible complications of colon surgery include:

  • Infection

  • Injury to nearby organs, such as the kidneys

  • Leaking or separation of anastomosis

  • Scar tissue forms that blocks the bowel (adhesions)

  • Internal bleeding

  • Blood clots

  • A pus-filled infection (abscess) forms

  • Risks of anesthesia

  • The condition comes back

Online Medical Reviewer:Heather M Trevino BSN RNC
Online Medical Reviewer:Robyn Zercher FNP
Online Medical Reviewer:Ronald Karlin MD

Date Last Reviewed:4/1/2024

© 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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Having Open Colon Surgery (2024)

FAQs

What is the recovery time for open colon surgery? ›

Following colorectal laparoscopic surgery, the average hospital stay is 6.5 days and normal activities usually resume within 1 to 2 weeks. With open surgery, the average hospital stay is 9 days and typically 6 weeks of recovery.

What is the life expectancy after a colon resection? ›

The five-year relative survival rates for the open colectomy and National Cancer Data Base groups were 75 and 70 percent, respectively, for Stage I, 65 and 60 percent for Stage II, 46 and 44 percent for Stage III, and 11 and 7 percent for Stage IV.

What to expect after open bowel resection at home? ›

You are likely to have pain that comes and goes for the next few days after bowel surgery. You may have bowel cramps, and your cut (incision) may hurt. You may also feel like you have influenza (flu). You may have a low fever and feel tired and nauseated.

What can you not do after colon surgery? ›

How can you care for yourself at home?
  • Rest when you feel tired. ...
  • Try to walk each day. ...
  • Avoid strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay.
  • Avoid lifting anything that would make you strain. ...
  • Ask your doctor when you can drive again.

How long after colon surgery do you poop? ›

Opening your bowels

It is quite normal for it to take several days for your bowel to open after surgery. You will begin by passing wind and then you will get the normal sensation of needing to open your bowels. It may be unpredictable to begin with and can be looser than usual.

Can you live a normal life after colon resection? ›

Can patients live a normal life after a colon resection? Yes, most patients have a successful colon resection procedure and go on to live full and comfortable lives. If there is an underlying disease, of course, continuing treatment may be necessary.

What is the death rate of colon resection? ›

The 30-day mortality rate was 4% after elective and 11% after emergency resections. Most deaths were caused by medical complications, reflecting increased co-morbidity in the elderly. Post-operative mortality was 1% in patients under the age of 59.

Is colon resection a high risk surgery? ›

Colectomy carries a risk of serious complications. Your risk of complications is based on your general health, the type of colectomy you undergo and the approach your surgeon uses to perform the operation. In general, complications of colectomy can include: Bleeding.

How much weight do you lose after colon surgery? ›

Before subtotal colectomy, the median body mass index decreased to 21.3 kg/m2, a reduction of 8.5%. One month after subtotal colectomy, the median body mass index was at its lowest level of 20.8 kg/m2, which represented a 10.7% decrease from the healthy weight.

How long does your stomach hurt after colon resection? ›

You are likely to have pain that comes and goes for the next few days after bowel surgery. You may have bowel cramps, and your cut (incision) may hurt. You may also feel like you have the flu. You may feel tired and nauseated.

What is the fastest way to recover from bowel surgery? ›

Getting back to normal at home
  1. Stay active. But avoid hard exercise and heavy lifting in the first few months.
  2. You can walk, climb stairs, shower, and bathe soon after surgery. ...
  3. Follow all special diet instructions you are given.
  4. Take care of your cut (incision) and any drains, as directed by your provider.

How long does it take to heal internally from a colon resection? ›

Recovery After Colon Resection Surgery

Colorectal Surgical Associates will instruct you when you can begin solid foods. Expect you will be sore at the incision(s) and weak for the first one to two weeks. It will take approximately six weeks for full recovery from colon resection surgery.

Why am I so tired after colon resection? ›

Fatigue is your body's way of telling you that you need to rest. Fatigue is normal following surgery and should improve day after day as your body begins to heal itself.

What is the most common complication of colorectal surgery? ›

One of the most common problems after surgery is your bowel can shut down. It is called an ileus. This means food and gas have trouble passing through your intestines. If you do get an ileus, it usually lasts two to three days.

Is colorectal surgery a major surgery? ›

What to Expect on the Day of Surgery. Colorectal surgeries are major surgical procedures done under general anesthesia. These surgeries can be done with open or minimally invasive procedures. Either option will take several hours and you will have to stay in the hospital for at least a few days.

Can you walk after colorectal surgery? ›

Exercise and general activities

Start by going for short walks every day, gradually increasing the distance you walk. Most patients are able to get back to normal (including participating in sport or exercise) approximately 6–8 weeks after they go home. You should not go swimming until your wound is completely healed.

Do you always have to have a colostomy bag after colon surgery? ›

You may need to wear a colostomy bag to catch the poop when it comes out. Some people only have a colostomy for a few months, and others need it for life. A colostomy often follows a colectomy, a procedure to remove part or all of your colon.

Can you eat normal after a colon resection? ›

You will be able to go back to your normal diet after surgery, but you may find that some foods you used to eat are difficult to digest. It is best to avoid these foods for now. Over time, your body will adjust, and you should be able to eat what you want. No two people respond the same way after a colon resection.

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