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Colectomy may be performed open, laparoscopically, or robotically. Following removal of the bowel segment, the surgeon may restore continuity of the bowel or create a colostomy. Partial or subtotal colectomy refers to removing a portion of the colon, while total colectomy involves the removal of the entire colon.
The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon. During this procedure, the lesion is removed, the distal bowel closed intraperitoneally, and the proximal bowel diverted with a stoma .
Only the proximal stoma is functioning. Most often, double-barrel colostomy is a temporary colostomy with two openings into the colon (distal and proximal). The elimination occurs through the proximal stoma. Colostomy surgery that is planned usually has a higher rate of long-term success than surgery performed in an emergency situation.
Gastrostomy (Percutaneous endoscopic gastrostomy) · Gastroduodenostomy · Gastroenterostomy · Ileostomy · Jejunostomy · Colostomy · Cholecystostomy · Hepatoportoenterostomy · Sigmoidostomy: Uvulotomy · Myotomy (Heller myotomy · Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy
Gross pathology of a tubulovillous adenoma resected by minimally invasive colorectal surgery.. Surgical forms of treatment for these conditions include: colectomy, ileo/colostomy, polypectomy, strictureplasty, hemorrhoidectomy (in severe cases of hemorrhoids), minimally invasive surgery, anoplasty, and more depending on the condition the patient has.
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Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy, which covers the sense of large bowel resection. Bowel resection may be performed to treat gastrointestinal cancer , bowel ischemia , necrosis , or obstruction due to scar tissue, volvulus, and hernias.
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