Ileocolectomy and Right Colectomy (Removal of the Right Colon)
Step 3: Removing the Diseased Bowel
Because the incisions used in laparoscopy are very small, the diseased section of bowel must be removed in a special way. Your surgeon will enlarge one of the incisions and place a bag into the abdominal cavity. The diseased bowel is placed into this bag. The bag is then pulled out of the enlarged incision.
Step 4: Rejoining the Ends of the Colon
After the bag has been removed, the ends of the colon will be pulled through the enlarged incision. Your surgeon will then use a stapling device or sutures (stitches) to rejoin the bowel. This rejoining is called an "anastomosis."
Before the operation is completed, the surgeon will rinse out the abdominal cavity and check the anastomosis for leaks. Lastly, all of the incisions in the abdomen will be stitched or taped closed.
Recovering at Home
You will be encouraged to increase your activity level steadily once you are home. Walking is great exercise! Walking will help your general recovery by strengthening your muscles, keeping your blood circulating to prevent blood clots, and helping your lungs remain clear. If you are fit and did regular exercise before surgery, you may resume exercising when you feel comfortable and your doctor gives the approval. However, strenuous exercise, heavy lifting, and abdominal exercises such as sit-ups should be avoided for six weeks after the surgery.
You will be sent home on a soft diet, which means you can eat most everything except raw fruits and vegetables. You should continue this diet until your post-surgical check-up. If the diet is making you constipated, please call your doctor for advice.