Question:
> Thanks for your anethesia suggestion. I told my daughter but she said > she wanted to be out. Were it me, I would pick the epidural.
You go out. They inject the pain killers and initial relaxation anesthesia in the epidural. Then you are OUT! 100, 99, 98, 9…..zzzzzzzz The best thing for me was the post surgical pain control. Very effective! Best ever. Just an option, PP
Response:
I hope all goes well for you daughter. When I spoke to my surgeon about doing my last surgery with the laprascope he told me that what his practice does is a hand assisted laprascopic surgery. Meaning they use the scope but the still have to cut an incision large enough to get a hand in the gut to work with the scope. His advice to me though was to do the normal full surgery for the fact that there could be active Crohn’s elsewhere in the bowel which the might not otherwise see and fix and soon you could be in for another surgery. Ask about that and see what they say. Tony
– Hide quoted text — Show quoted text -> Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
Response:
And, in the case where they had to switch to conventional surgery, she can wake up with a morphine pump for pain control. When I chose the epidural, the hardest part was bending over enough to curve my spine and this was because of how much swelling and tenderness I had in my abdominal area. Once it was in, I laid back and was awake for maybe a minute longer. Good luck!
mgbio – Hide quoted text — Show quoted text ->Thanks for your anethesia suggestion. I told my daughter but she said >she wanted to be out. Were it me, I would pick the epidural. > You go out. They inject the pain killers and initial relaxation anesthesia > in the epidural. Then you are OUT! 100, 99, 98, 9…..zzzzzzzz > The best thing for me was the post surgical pain control. Very effective! > Best ever. > Just an option, > PP
Response:
His advice to > me though was to do the normal full surgery for the fact that there could > be active Crohn’s elsewhere in the bowel which the might not otherwise see > and fix and soon you could be in for another surgery. Ask about that and > see what they say.
I have been told this too. PP
Response:
I also had the epidural and it took a few days to regulate the right amount of morphine. My legs were numb for a couple days. Now I know what it feels like when you have limbs you can’t use. Not fun. I also had trouble bending over and soreness in my back for a couple months after the surgery in the spot where the epidural was. Everything is fine now. They say a faster road to recovery is to be as pain free as possible.
– Hide quoted text — Show quoted text -> And, in the case where they had to switch to conventional surgery, she can > wake up with a morphine pump for pain control. > When I chose the epidural, the hardest part was bending over enough to > curve my spine and this was because of how much swelling and tenderness I > had in my abdominal area. Once it was in, I laid back and was awake for > maybe a minute longer. > Good luck! >
mgbio >>Thanks for your anethesia suggestion. I told my daughter but she said >>she wanted to be out. Were it me, I would pick the epidural. > You go out. They inject the pain killers and initial relaxation > anesthesia in the epidural. Then you are OUT! 100, 99, 98, > 9…..zzzzzzzz > The best thing for me was the post surgical pain control. Very > effective! Best ever. > Just an option, > PP
Response:
> Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
That (illieum) was my first surgery before laparoscopic was done for crohns. I had to take a huge antibiotic "horse" pill as part of the pre operative preparation and bowl cleansing. I had strictures. And it got stuck. Very painful. Suggestion – Ask the surgeon about that (above). Perhaps small multiple pills would be effective. I have had both Conventional and laparoscopic. I much rather prefer the laparoscopic!!! Good luck, PP FWIIW I try not to direct or tell people what to do since I am not a doctor. I do try to relate experiences that may be of some value.
Response:
> You also might ask for epidural anesthesia rather than general. Post op > pain is much better controlled with an epidural. I’ve had both and I > would pick epidural over general anytime, anyplace…
BIG 10-4 for a first timer!
Response:
I’ve been resected three times..july 97, march 2002 and june 2004. Some disease was left behind from the 2nd surgery and the surgeon was being conservative;however, I didn’t get much relief. So this last time, he took it all so I would be completely clear. My surgeon asked if I wanted a strictureplasty or a resection. I told him to use his best judgment. I had 6 or 7 hospitalizations for obstructions between May 2002 to June of 2004. I think they have all been the same in terms of healing and the amount of time I was in the hospital. Fortunately, my surgeon has a very low complication rate and rarely has to use a blood transfusion during procedures. I think how one does in these situations depends on the skill of the surgeons, anesthesia dr. and the care within the hospital. I live in Houston and have access to some terrific physicians and hospitals and I know that has a lot to do with my personal outcomes. good luck.
– Hide quoted text — Show quoted text -> Hi Julie, > Thanks for your response. Having had both kinds of reection which do > you think went better? How long between your surgeries and since you > had a surgery? > I had my second resection done laproscopically…it just took longer > for the > surgeon to do the surgery. Apparently I had alot of adhesions he had > to cut > through. I think I was under for about 5 hours as compared to less > than two > the first time. good luck! > > Hi, > > My daughter is planning to have an illieum resection for her > Crohn’s. > > Has anyone had experience with laprascopic surgery for Crohn’s? > What > > were your experiences? Problems with infection, wound healing, > etc.? > > Thanks in advance for all of your help.
Response:
[CrohnFaye] > Thanks for your response. I am sorry about your infection. What > exactly got infected?
I developed what the surgeon termed "a collection", i.e. a group of abscesses on the ileum and colon. I had to have one drain out of the left side of my abdomen, and another coming out of my rear-end, which was particularly unpleasant. I saw the microbiology report: I was infected with Proteus Mirabilis and a strain of E. coli. I have no idea what caused the infection, but I was in poor shape when I went in for the surgery, having languished on a waiting list for 17 months … > How do you feel now?
Much better after the surgery than I was before! > Thanks for the tips on the > small holes sewing. I told my daughter and will tell the surgeon.
Make a checklist! You’d be absolutely amazed at what slips your mind when you actually start talking to the people who are going to cut you open and re-arrange your insides. > What did you have removed?
A stricture at the anastomosis from the previous surgery (which was at the site of the anastomosis from the *previous* surgery, etc). It was pretty amazing, they took out about 20cm of bowel, plus a "mass", and took it all *out* through a 6cm incision, which they made in a pre-existing scar, so it was cosmetically minimal. > Have you had any surgeries since?
No, thankfully
But I did have the spooky experience of being wheeled into an operating theatre and made lie on the table for a simple ‘rhoid injection: anaesthetic, the whole works. Although everything went fine, but it sure was spooky lying under that big circular light fixture, surrounded by people with green clothes, masks and clogs, ….. Take care, Alan.
Response:
Hi Julie, Thanks for your anethesia suggestion. I told my daughter but she said she wanted to be out. Were it me, I would pick the epidural. – Hide quoted text — Show quoted text – > You also might ask for epidural anesthesia rather than general. Post op > pain is much better controlled with an epidural. I’ve had both and I would > pick epidural over general anytime, anyplace… > Princess, > Thanks for your response and good wishes.
Response:
Hi, Thanks for your response. Have you had surgery since 1999? What was removed? That is great you had such a quick recovery.
Response:
Hi Alan, Thanks for your response. I am sorry about your infection. What exactly got infected? How do you feel now? Thanks for the tips on the small holes sewing. I told my daughter and will tell the surgeon. What did you have removed? Have you had any surgeries since?
Response:
Hi Julie, Thanks for your response. Having had both kinds of reection which do you think went better? How long between your surgeries and since you had a surgery? – Hide quoted text — Show quoted text – > I had my second resection done laproscopically…it just took longer for the > surgeon to do the surgery. Apparently I had alot of adhesions he had to cut > through. I think I was under for about 5 hours as compared to less than two > the first time. good luck! > Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
Response:
You also might ask for epidural anesthesia rather than general. Post op pain is much better controlled with an epidural. I’ve had both and I would pick epidural over general anytime, anyplace…
– Hide quoted text — Show quoted text -> Princess, > Thanks for your response and good wishes.
Response:
I had my second resection done laproscopically…it just took longer for the surgeon to do the surgery. Apparently I had alot of adhesions he had to cut through. I think I was under for about 5 hours as compared to less than two the first time. good luck!
– Hide quoted text — Show quoted text -> Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
Response:
Thanks mgbio for your response and good wishes.
Response:
Princess, Thanks for your response and good wishes.
Response:
Hi! I had a laparoscopic surgery in 1999. I was sore after the surgery, but honestly felt better than I had in a very long time. I had no problem with infection, but here is one bit of advice. If they don’t give her one in the hospital (and they most likely will), make sure to get your daughter a "cough pillow". This was truly a lifesaver for me. Make sure she holds it firmly against the incision when trying to get up, coughing, sneezing, etc. I even made one for myself when I got home out of a folded bath towel. Best wishes for your daughter’s speedy recovery. I was up and walking (very important!) soon after I woke up from the surgery, and I had a very quick recovery time and a fairly small scar. Feel free to email me with any questions. Please keep us informed.
Response:
> My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.?
I’ve had 4 surgeries: 1 laparoscopy (keyhole), 2 central laparotomies and 1 which started as a appendectomy. The laparoscopy was *far* less invasive than the others. After a central laparotomy, where they cut from belly-button to pubic bone and go right through the muscle wall, recovery was seriously prolonged. It’s very difficult to move for a few days after the surgery, since you can’t move your abdominal muscles at all, and have to push yourself around the bed with your arms and legs, slide out of bed, etc. Even after a couple of weeks, you still need to hold a pillow against your abdomen when you sneeze/cough/etc. The wound doesn’t fully heal for a couple of months, and you’ve got a greater risk of hernias, etc. Compared to that, the laparoscopy was a walk-in-the-park. I was stunned to find myself able to sit up in bed (without needing help) within an hour of waking up after surgery. There was hardly any pain, and healing was *much* quicker. Cosmetically, from a scarring point of view, I don’t think it’s that much better than other techniques, because you get 4 or 5 "small" holes, e.g. ~1cm, instead of one big one. But in my case, I’m fairly sure that a student got to close me up: every one of the incisions looks messy. Perhaps, if cosmetic concerns are important to your daughter, you could discuss it with the team. But the downside is that I *did* get a nasty post-op infection/abscess, which required drainage over several days, followed by antibiotics. So my hospital stay ended up being 3 weeks longer than it should have. But even still, I wouldn’t volunteer for the old-style laparotomy again: it’s too invasive: I would still choose the keyhole approach, if I had a choice. Best wishes for good health for your daughter. Regards, Alan. CD, class of 1979.
Response:
I would assume that the incision is much smaller and if anything has to be removed that is how they do it. I have heard that recovery time and pain is greatly minimized. It usually cannot be done for an emergency. I hope if I ever need surgery I can do it this way. Best wishes to your daughter and I hope for a smooth ride. – Hide quoted text — Show quoted text – >I wish my surgery could have been done laproscopically. Recover time is >quicker, the surgery less invasive, the anesthetic less dangerous and the >only "wound" are several small holes used to insert the instruments, >usually covered with band aids or other sterile coverings. Do keep in >mind, that if the surgeon has any difficulty, unexpected inflammation, >unexpected fistulas or other repair work that he/she sees needs to be done, >the team may decide to change from laproscopic to conventional surgery >while on the table. So long as your surgeon is skilled in laproscopic >procedures and well trained, it is much safer IMHO. > I wish your daughter much luck on her surgery! >
mgbio > Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
Response:
I wish my surgery could have been done laproscopically. Recover time is quicker, the surgery less invasive, the anesthetic less dangerous and the only "wound" are several small holes used to insert the instruments, usually covered with band aids or other sterile coverings. Do keep in mind, that if the surgeon has any difficulty, unexpected inflammation, unexpected fistulas or other repair work that he/she sees needs to be done, the team may decide to change from laproscopic to conventional surgery while on the table. So long as your surgeon is skilled in laproscopic procedures and well trained, it is much safer IMHO. I wish your daughter much luck on her surgery!
mgbio – Hide quoted text — Show quoted text – > Hi, > My daughter is planning to have an illieum resection for her Crohn’s. > Has anyone had experience with laprascopic surgery for Crohn’s? What > were your experiences? Problems with infection, wound healing, etc.? > Thanks in advance for all of your help.
Response:
Hi, My daughter is planning to have an illieum resection for her Crohn’s. Has anyone had experience with laprascopic surgery for Crohn’s? What were your experiences? Problems with infection, wound healing, etc.? Thanks in advance for all of your help.
Posted in