I feel stupid asking, but ....

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B'Dereh
Veteran Member


Date Joined Jun 2011
Total Posts : 1912
   Posted 8/14/2011 3:05 PM (GMT -6)   
What is a butt wound?
 
I've had a collectomy, will have a jpouch op in December and a takedown after that, and no one said anything about a butt wound. From what I am reading everyone seems to know what it is, but not me.

Brian84
Regular Member


Date Joined Mar 2005
Total Posts : 456
   Posted 8/14/2011 3:37 PM (GMT -6)   
A butt wound is when your rectum and anus is removed and the area is usually sewn up. Sometimes it doesn't heal together correctly or opens back up. So the area is packed with some kind of wound dressing or a wound vac is used to close it.

flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 8/14/2011 3:41 PM (GMT -6)   
It's okay... don't feel stupid. A butt wound is when you have your rectum and anus removed, so you essentially have a hole/wound there that has to heal from the inside out. It happens when people have a proctocolectomy (colon and rectum removed) and can take months to fully heal. I hope that helps explain it. :-)
Dx'd Crohn's in '99 at age 28. Proctocolectomy and permanent ileostomy in '06.
Disease-free and medicine-free since surgery and very thankful to be healthy again.

B'Dereh
Veteran Member


Date Joined Jun 2011
Total Posts : 1912
   Posted 8/15/2011 12:26 PM (GMT -6)   
Thanks, now I understand. Sort of. It only happens when in procedures where no jpouch is planned and the entire site there is permanently closed off?

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 8/15/2011 2:36 PM (GMT -6)   
Yes .... they basically take out the colon and everything below it (rectum and anus). I was a little surprised initially to find out that they take out the anus .... some dr's don't. It still produces mucous if it's left in, and you can still get cancer in it, so that's the logic behind taking it out.

It's a hard wound to heal for some of us.... deep and not easy to keep still.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

stripey
Veteran Member


Date Joined Feb 2011
Total Posts : 1059
   Posted 8/15/2011 4:18 PM (GMT -6)   
When I had my colon, rectum and anus removed, think I must have been really lucky as no probs in the healing at all and could sit without any pain in the butt after 2 weeks. Maybe it's the different ways surgeons do the operation that makes a difference, don't know.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, azathioprine, codeine, immodium, simethicone.

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 8/15/2011 5:22 PM (GMT -6)   
I got an abscess a week after I got home from the hospital, and that impacted the healing..... and I'd been on a ton of prednisone for the year or two before surgery....

Although at this point, I think it's just bad luck that I'm not healing..... glad yours healed well, stripey; you've had plenty of other stuff to deal with....

At least mine doesn't hurt....
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

B'Dereh
Veteran Member


Date Joined Jun 2011
Total Posts : 1912
   Posted 8/17/2011 12:02 PM (GMT -6)   
Well here's another question about butt wound. I had a collectomy in April. they left part of my rectum because I'm getting a pouch in December and take-down in January. When they do the take-down, they are going to remove what's left of my rectum, and leave the sphincters.
Am I going to have a butt wound then, when they take out the remaining rectum and connect my pouch?

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 8/17/2011 12:12 PM (GMT -6)   
No -- you'll keep your anus, so no butt wound. If you had a butt wound, then when it healed, you'd have no hole to get the poop out!
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

B'Dereh
Veteran Member


Date Joined Jun 2011
Total Posts : 1912
   Posted 8/17/2011 1:06 PM (GMT -6)   
Bluegrass, thank you so much. the doctors, no matter how great, never have time to tell you all these details. I was thinking tonight I should tell both my surgeon and GI just to read this forum and then they'd have a decent insight into what their patients actually need.!

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 8/17/2011 1:20 PM (GMT -6)   
You're welcome. Happy to be helpful..... always nice to know the answer to someone's question.

I agree, the doctors could learn a lot from reading this forum. My stoma nurse is dating a guy w/an ostomy .... complete coincidence; she didn't know at first he had it. She said she now has a completely different perspective on what it's like for us, even though she's an ostomy nurse (and a very good one, at that).

It's just different when you live with it 24/7. And also when it's the first time you're learning all this information.

I was kind of shocked when I found out about the butt wound..... had no idea they'd want to sew it shut.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery
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