What is taken in a total colectomy

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gfkak
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Date Joined Sep 2006
Total Posts : 44
   Posted 7/26/2008 3:45 PM (GMT -6)   
hi im 24 years old i had what i think is a total colectomy about 2 years ago my specialist how ever arnt the best in the world (not anywhere close to either lol) and did alot of lying both before and after my opperation so im uncertain of what actually went on. my gp has been a big help and has even done some research into it for and seems to think that they took my gall bladder and apendix. But i was wondering if anyone can help me on this one after so long id really like to just know the truth of what happens
thanks

suebear
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Date Joined Feb 2006
Total Posts : 5691
   Posted 7/26/2008 4:26 PM (GMT -6)   

Your appendix is attached to your colon.  Everyone who loses their colon automatically loses their appendix. 

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


summerstorm
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Date Joined Aug 2006
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   Posted 7/26/2008 7:18 PM (GMT -6)   
really? i did not know that. I guess that's another good thing about having a bag, no appendictis!
can you get your medical records from the doctor that did your surgery, that would probably help. Or actually if you think that dr wasn't on the up and up try getting the records from the anethosoligist (i spelled that worng, the person that puts you to sleep) or even the nurses records from the OR, some hospitals, not all though, the head nurse in the OR at the time keeps his/her own records of the surgery. Or also the pathology report could help you, because anything they took out had to be sent to pathology before having something done to it, i dont' know what they do with old body parts though.

mommyphotographer
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Total Posts : 159
   Posted 7/26/2008 7:28 PM (GMT -6)   
really.................so it is possiable my appendix was taken out in my surgery??

suebear
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Date Joined Feb 2006
Total Posts : 5691
   Posted 7/26/2008 8:45 PM (GMT -6)   

Yes really.  The appendix is attached to the colon.  There is no way to remove the colon without removing the appendix.

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


summerstorm
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   Posted 7/26/2008 9:27 PM (GMT -6)   
i wonder why noone told me that

rocky road
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   Posted 7/26/2008 9:49 PM (GMT -6)   

I work at Anatomical Pathology where these fresh samples from the operating go. I had a total colectomy. And just an info what I know when it says TOTAL colectomy, it means the whole ,entire colon or large intestine out. And its true appendix is attached to the colon, so to remove the colon entirely appendix is also out.

But Gall Bladder is different. Check your records for that ,if they took it out too at the same time but the procedure Total colectomy doesn't include gall bladder removal.


rocky road
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   Posted 7/26/2008 9:56 PM (GMT -6)   
Oops... I forgot to mention where most are confused I think. When it says TOTAL colectomy the entire colon or large intestine out but when it says PARTIAL colectomy it means only a part of the colon out, one has still a remaining portion or segment of the colon. Colon has three parts Ascending colon, Descending colon and Transverse, so it depends where the damage part is and needs to be taken out, that is called PARTIAL. If all of the three parts remove , the whole colon plus the appendix for sure is taken out. So to conclude not all colectomy procedure is the appendix is remove. Check human anatomy digestive system, to furtherly know what I am talking about.

summerstorm
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   Posted 7/26/2008 10:12 PM (GMT -6)   
rockyroad-where do they put the parts after they are done with them?

rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/26/2008 10:15 PM (GMT -6)   
Appendix is attached to the cecum area (Ascending colon) to add more info. Hoping I had help to clear this topic.

summerstorm
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Date Joined Aug 2006
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   Posted 7/26/2008 10:17 PM (GMT -6)   
yeah i just looked all that up cause i didnt' believe that they were attached, lol.

what i meant though was, when pathology gets done doing whatever they do with say, colons or placentas or whatever, where do they put them? do they just throw them away? cause that seems kind of gross

rocky road
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Total Posts : 32
   Posted 7/26/2008 10:31 PM (GMT -6)   

summerstorm- to the lab where I work what we do with these samples, if all colon is out, we basically give a brief description on the sample, open it out. It is a tube like thing so we open it ,rinse with water then GROSS exam it. What I mean with gross is to give a description what sample was received, if tumor is seen and where it is located or whatever abnormality you can observe or describe it too as normal to the parts where you can see that it is unremarkably normal. After Grossing, colon sample will be soak in Formaldehyde for 24 hours for FIXATION.

After fixation, representative samples from the different parts of the colon so as the damage part or tumor will be taken for processing in a machine which will take again another 24 hours. Then, a lab technologist will embed these samples in what they call paraffin. After embedding, then tissue cutting. Tissue cutting means the representative samples will be cut in microns (very,very thin)to be able to put this in a slide. Once slides were prepared it is given to the Pathologist for him or her to see in a microscope. The pathologist is the one who makes and confirms the diagnosis. Then report will be given to the doctors or surgeons in charge to relay the pathological report of the sample.

I hope I have given you a brief information on how it works in the lab.


rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/26/2008 10:37 PM (GMT -6)   
Sorry, forgot to mention, the parts once it is done examined were kept for future reference. We have a huge storage room. The storage time will depend on each lab. I don't do the dumping but I think if its something positive (there's cancer), it depends on the pathologist if we will keep it for a longer period of time, if its not, once a report is made it can be dumped. Anyways, the representative slides were keep for a longer period of time ,positive  ones ,I think could be even up to 20 years of storage.

rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/26/2008 10:40 PM (GMT -6)   
Our means of dumping is through a biological incineration. We put them in a waste biological container, then waste diposal dept will take them to be incinerated.

summerstorm
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Date Joined Aug 2006
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   Posted 7/26/2008 11:17 PM (GMT -6)   
wow that is really alot to go through! thank you for telling me i have always wondered that,lol

awesomeame
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Date Joined Feb 2006
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   Posted 7/27/2008 5:16 AM (GMT -6)   
wow i didn't know it was such an involved process!!  thanks for telling!
 
--matt
Dec 2006: Proctocolectomy/permanent ileostomy
Since 1991: Indeterminate crohn's/ulserative colitis


gfkak
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Date Joined Sep 2006
Total Posts : 44
   Posted 7/27/2008 5:22 AM (GMT -6)   
wow thanks thats alot of info im not sure how to go about getting my medical records i can always ask my gp though she is very helpful. and as for the apendix woohoo one less thing i have to wrooy about now lol. thanks again for your help

mommyphotographer
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Date Joined May 2008
Total Posts : 159
   Posted 7/27/2008 1:45 PM (GMT -6)   
ok so my question is...................I had a subtotal colectomy and i have 10 inches left. from the rectum. does that part of your colon have the appendix in it or is it higher up. just wondering if my appendix was taken out or not. not that i care just wondering now.. had NO clue about this

rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/27/2008 6:10 PM (GMT -6)   
Mommy: To my understanding, I believe yes.. your appendix was taken out because appendix is attached to the cecum area which is the ascending part of the colon ( this is your right side), the 10 inches left from your rectum is a portion of the descending colon (this is your left side). The one that was taken out was the ascending and transverse colon (transverse part is horizontally located,just below your stomach). Check the human anatomy website digestive system to help you visualize what I am trying to say and you will gain more understanding on what was taken out from you. Hope I did help .

mommyphotographer
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Date Joined May 2008
Total Posts : 159
   Posted 7/27/2008 6:39 PM (GMT -6)   
that helped alot............thank you. i dont know of any good website to go to.. can you give me some site to look at...
thank you so much for you very good discription..

Irish_Mom
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Date Joined Apr 2007
Total Posts : 385
   Posted 7/27/2008 6:42 PM (GMT -6)   

Mommy

If you had a subtotal, they most likely connected the ascending colon to your rectum, so in that case you'd still have your appendix. There is a joke where I work at because of the amount of surgeries I've had (33) and the number of times they've been in my abdomen (12) that I still have my appendix. I also had a subtotal and have about a foot left.


Terri
 
_________________________________________________________________________________
Breast Cancer at 37; bilateral mastectomy with reconstruction.
Colon resection 2004; Sub-Total colectomy September 2007 for colonic inertia - didn't work.
Son with UC; taking Asacol and 6MP with Prednisone and Rowasa added during flareups. Recently diagnosed with ankylosing spondylitis - now on Humira.
Husband with ankylosing spondylitis and psoriatic arthritis.


rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/27/2008 7:08 PM (GMT -6)   
mommy: just go to Google.ca, enter human anatomy -digestive system

rocky road
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Date Joined May 2008
Total Posts : 32
   Posted 7/27/2008 7:14 PM (GMT -6)   

mommy:

correction go to google.ca enter digestive system -anatomy then click google search


rocky road
Regular Member


Date Joined May 2008
Total Posts : 32
   Posted 7/27/2008 7:22 PM (GMT -6)   

mommy sorry if you google.ca and type in digestive system -anatomy you can't find a good site. I went through it. A better one is digestive system -human anatomy. don't forget to type human.

choose the topmost.


Ohio43
Regular Member


Date Joined Aug 2007
Total Posts : 212
   Posted 7/28/2008 7:31 PM (GMT -6)   
I heard they send your intestines to a sausage factory! : }
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