fondreflections
New member
I finally got the post-operative report from when my colon was removed 12 years ago. As remembered, the surgery was 4 days before my 15th birthday. I remember not being able to have any cake that year...
Below is the actual report. I will then translate the heavy stuff because it is VERY HARD for some to interpret with all the medical jargon. I even took a couple minutes to absorb it all.
<b>Preoperative Diagnosis: 1. Cystic Fibrosis, 2. Fibrosing colonopathy.
Postoperative Diagnosis Same plus lobular liver changes.
Operation Performed: 1. Right hemicolectomy with ileotransverse colostomy. 2. Trucut needle liver biopsy under direct visualization.
Anesthesia: General endotracheal.
Complications: None
Prep: Betadine
Estimated Blood Loss: Minimal
The nearly 15-year-old female with cystic fibrosis has had months of abdominal pain. She had previously undergone an appendectomy for chronic appendiceal perforation related to appendiceal mucocele. She has had CT scans and colonscopy which were consistent with fibrosing colonopathy of cystic fibrosis treatment. Right hemicolectomy has been discussed with Jennifer and her family with the risks including, but not limited to bleeding, infection, stricture, leak, need for re-operation, failure to resolve symptoms, persistent abdominal pain and they have agreed for us to proceed.
Operation:
A midline incision was made from a point 2 cm above the umilicus, extending midway to the pubis. The subcutaneous tissue and midline fascia were divided and the peritoneum was entered. Fimly adhesions in the lower right quadrant between the terminal ileum, cecum, and abdominal wall were taken down to mobilize the cecum and TI. The retractor was used for right abdominal exposure. The right colon was brought up into the wound by releasing its retroperitoneal attachments. The omentum was split and a portion coming down from the hepatic flexure remained with the specimen. The right colon was thus full mobilized. The mesentery was opened in the very proximal transverse colon and a nice area of normal, non-thickened colon identified. Similarly, about 10 cm of terminal ileum was thickened and the mesenteric border was identified and opened at that level. The GIA stapler was used to divide the terminal ileum and the proximal transverse colon. The itervening mesentery was scored on its surface and the vessels were individually clamped and doubly ligated with #2-0 silk. The right colon and terminal ileum was thus removed. The area was cordoned off with antibiotic soaked sponges and the terminal ileum and the proximal transverse colon brought together for anastomosis. A posterior row of interupted #3-0 PDS was performed, circumferentially in an inverting fashion and the two tails tied completing the circumferential inner layer. A second layer of #3-0 silk Lemberts were placed on the anterior surface of the anastomosis, completing the anastomosis. It was finger patent at its conclusion. The area was irrigated with antibiotic saline and all of the packs were removed. The mesneteric defect was closed with interrupted #3-0 silk sutures and the bowel placed back in the peritoneal cavity. The small bowel was run from ileum to the ligament of Treitz and there were no other anatomic abnormalities. The small bowel was returned to the peritoneal cavity in an orderly fashion.
Inspection of the liver revealed multiple lobular changes without any micronodular changes. A liver biopsy was therefore performed. In the leading edge of the right lobe of the liver, a Trucut needle was passed and a good core of specimen was obtained. Pressure was held over the site and a #4-0 Polysorb pop-off figure-of-eight suture was placed at the exit site. There was no bleeding after the biopsy. The midline fascia was then closed with running #1 Polysorb. The subcutaneous tissue irrigated with Kefzol powder placed and the skin closed with
#4-0 Polysorb intradermal suture. A Steri-Strip and Telfa Tegaderm dressing was applied to the wound. The patient tolerated the procedure well, was extubated and returned to the Recovery Room in stable condition.
The nature of her operative procedure was discussed with her family.</b>
Now for the translation...
Upon opening me up, I already had pretty heavy adhesions on the right side from the burst appendix 1 year prior. They firstly had to remove them in order to fix my colon. Once the colon was checked out, they removed a TOTAL of nearly 4 feet!!! 3.9 feet to be exact!!! I lost the very last couple inches of small intestine and the whole right side of my large intestine (colon). Also, I lost a few inches of the transverse part of the colon that runs from the right side to the left. The left side of my colon was in good shape. Then, they literally 'reworked' me. They shifted my small intestine around so that some of it was in the place of where the large intestine use to be. In other words, the small intestine was now my large intestine is some places.
Finally, they did a liver biopsy because my liver appeared 'abnormal'. I was then diagnosed with Cirrohis. I have been on Actigal for my liver since I was 15! All of these problems caused by a burst appendix. It's pretty sad.
My doctor appointment is May 1st so we'll see what he thinks. No real hope but at least I have actual answers.
So yes, my RE 'thought' that my eggs were never making it to the tubes. The evidence of scar tissue was already there years ago. I can only imagine how it is now...Basically, I don't have a shot in h*ll of conceiving naturally.
I guess luck just isn't on my side. The story of my life...
Below is the actual report. I will then translate the heavy stuff because it is VERY HARD for some to interpret with all the medical jargon. I even took a couple minutes to absorb it all.
<b>Preoperative Diagnosis: 1. Cystic Fibrosis, 2. Fibrosing colonopathy.
Postoperative Diagnosis Same plus lobular liver changes.
Operation Performed: 1. Right hemicolectomy with ileotransverse colostomy. 2. Trucut needle liver biopsy under direct visualization.
Anesthesia: General endotracheal.
Complications: None
Prep: Betadine
Estimated Blood Loss: Minimal
The nearly 15-year-old female with cystic fibrosis has had months of abdominal pain. She had previously undergone an appendectomy for chronic appendiceal perforation related to appendiceal mucocele. She has had CT scans and colonscopy which were consistent with fibrosing colonopathy of cystic fibrosis treatment. Right hemicolectomy has been discussed with Jennifer and her family with the risks including, but not limited to bleeding, infection, stricture, leak, need for re-operation, failure to resolve symptoms, persistent abdominal pain and they have agreed for us to proceed.
Operation:
A midline incision was made from a point 2 cm above the umilicus, extending midway to the pubis. The subcutaneous tissue and midline fascia were divided and the peritoneum was entered. Fimly adhesions in the lower right quadrant between the terminal ileum, cecum, and abdominal wall were taken down to mobilize the cecum and TI. The retractor was used for right abdominal exposure. The right colon was brought up into the wound by releasing its retroperitoneal attachments. The omentum was split and a portion coming down from the hepatic flexure remained with the specimen. The right colon was thus full mobilized. The mesentery was opened in the very proximal transverse colon and a nice area of normal, non-thickened colon identified. Similarly, about 10 cm of terminal ileum was thickened and the mesenteric border was identified and opened at that level. The GIA stapler was used to divide the terminal ileum and the proximal transverse colon. The itervening mesentery was scored on its surface and the vessels were individually clamped and doubly ligated with #2-0 silk. The right colon and terminal ileum was thus removed. The area was cordoned off with antibiotic soaked sponges and the terminal ileum and the proximal transverse colon brought together for anastomosis. A posterior row of interupted #3-0 PDS was performed, circumferentially in an inverting fashion and the two tails tied completing the circumferential inner layer. A second layer of #3-0 silk Lemberts were placed on the anterior surface of the anastomosis, completing the anastomosis. It was finger patent at its conclusion. The area was irrigated with antibiotic saline and all of the packs were removed. The mesneteric defect was closed with interrupted #3-0 silk sutures and the bowel placed back in the peritoneal cavity. The small bowel was run from ileum to the ligament of Treitz and there were no other anatomic abnormalities. The small bowel was returned to the peritoneal cavity in an orderly fashion.
Inspection of the liver revealed multiple lobular changes without any micronodular changes. A liver biopsy was therefore performed. In the leading edge of the right lobe of the liver, a Trucut needle was passed and a good core of specimen was obtained. Pressure was held over the site and a #4-0 Polysorb pop-off figure-of-eight suture was placed at the exit site. There was no bleeding after the biopsy. The midline fascia was then closed with running #1 Polysorb. The subcutaneous tissue irrigated with Kefzol powder placed and the skin closed with
#4-0 Polysorb intradermal suture. A Steri-Strip and Telfa Tegaderm dressing was applied to the wound. The patient tolerated the procedure well, was extubated and returned to the Recovery Room in stable condition.
The nature of her operative procedure was discussed with her family.</b>
Now for the translation...
Upon opening me up, I already had pretty heavy adhesions on the right side from the burst appendix 1 year prior. They firstly had to remove them in order to fix my colon. Once the colon was checked out, they removed a TOTAL of nearly 4 feet!!! 3.9 feet to be exact!!! I lost the very last couple inches of small intestine and the whole right side of my large intestine (colon). Also, I lost a few inches of the transverse part of the colon that runs from the right side to the left. The left side of my colon was in good shape. Then, they literally 'reworked' me. They shifted my small intestine around so that some of it was in the place of where the large intestine use to be. In other words, the small intestine was now my large intestine is some places.
Finally, they did a liver biopsy because my liver appeared 'abnormal'. I was then diagnosed with Cirrohis. I have been on Actigal for my liver since I was 15! All of these problems caused by a burst appendix. It's pretty sad.
My doctor appointment is May 1st so we'll see what he thinks. No real hope but at least I have actual answers.
So yes, my RE 'thought' that my eggs were never making it to the tubes. The evidence of scar tissue was already there years ago. I can only imagine how it is now...Basically, I don't have a shot in h*ll of conceiving naturally.
I guess luck just isn't on my side. The story of my life...