Temporary Loop Ileostomy to Permanent

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Ohio43
Regular Member


Date Joined Aug 2007
Total Posts : 212
   Posted 1/20/2009 11:06 PM (GMT -6)   
Question: I may have to go to a permanent ileostomy. Does anyone know if the surgeon can use the same stoma or will a new one have to be pulled through? Does it make a difference since it's a loop ileostomy? I currently have poo coming through my rectum on a weekly basis since the intestines was not completely severed. Will I have to have my rectum sewn shut with a permanent one? I'm still dealing with a rectovaginal fistula so I'm very concerned about this. When I'm on my period there is a little bit of blood that comes through my rectum. I'm very worried about having my rectum sewn shut with the fistula.

Anyone have answers?

Thanks!

Mary

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 1/21/2009 12:01 PM (GMT -6)   
Well I had that done a year ago...My surgeon (Cleveland Clinic) did use the same spot for the stoma, but I had a proctocolectomy so I also had a large incision...I am sewn shut and I had three fistulas at the time...they have all healed but they were rectal/to skin...I don't know if the rectal/vaginal would be the same. I really wished I had skipped the loop and gone right to permanent but my surgeon was conservative and I appreciated that, too. If you don't have it removed, you'll continue to have drainage (mucous)...if that is the case, I'd stick with the loop...just have the "lower hole" closed with a few stiches (they'll last a year or so and don't hurt at all when put in).

justjenjen
Veteran Member


Date Joined Nov 2003
Total Posts : 518
   Posted 1/21/2009 4:09 PM (GMT -6)   
I got a new stoma but I desperately needed it! My old one was so stretched out from pregnancy and scarred around it from pyoderma. --Yes, I'm all sewn shut. I had a r.v. fistula which the surgeon had to fix, too.

Ohio43
Regular Member


Date Joined Aug 2007
Total Posts : 212
   Posted 1/21/2009 9:57 PM (GMT -6)   
Thanks for your replies. Ohio76, what is a proctocolectomy?

justjenjen, this will be the third time the surgeons will try to fix my rectovaginal fistula. Dr. Hull is going to use tissue from the inside of my thigh this time to fix it. I'm wondering how much and how deep she have to go/use. My first surgeon thought I'd only have my loop ileostomy for three months. It's been over 19 months. Because of this horrible abcess I got two days after my for rectal surgery everything the doctor did fell apart. Now I hardly have any control down below. I continue to do Kegal excercises, hoping someday, I'll have some control.

justjenjen
Veteran Member


Date Joined Nov 2003
Total Posts : 518
   Posted 1/21/2009 10:18 PM (GMT -6)   
Oh, geez what a pain..literally and figuratively!! My rv fistula had scarred down so I had a permanent tunnel. I did have crohn's and pyoderma on my backside at the time of surgery but I guess my surgeon was able to cut it out and pull me together?--I'm not sure...I do know for months after it felt like someone taped my butt cheeks together. Also, no skin was used from other areas. Unlike some of this board, I did not have an open wound when it was said and done. Staples done my front and subcutaneous sutures down my rear.
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