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| Colectomies |
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The idea of having part of your colon removed may sound scary. But part or all of the colon can be resected (removed) without causing serious problems. After the section of the bowel is removed, the two ends are then reconnected (anastomosis).
Depending on the situation, surgery can consist of:
Total Colectomy, where the entire colon is removed. The small intestine is reconnected to the rectum.
Total Proctocolectomy, where the entire colon is removed, along with the rectum and anus. The small intestine is then connected to a new opening on the abdomen.
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| Colonoscopy |
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Colonoscopies are a safe, very effective means of visualizing and examining the entire lining of the colon and rectum, as well as removing a polyp utilizing a colonoscope which is a long, flexible sterilized tubular instrument. We perform our colonoscopies under IV sedation and on an outpatient basis in our new state of the art Endoscopy Center with minimal inconvenience and discomfort. |
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| Flexible Sigmoidoscopy |
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The inspection of the left colon with a flexible fiberoptic tube with a viewing lens and light. |
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| Infrared Coagulation |
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Infrared coagulation (IRC) is currently our most widely used office treatment for hemorrhoids. It is fast and well tolerated by patients, especially pain free and unlikely to have any complications.
A small probe contacts the area above the hemorrhoid, exposing the tissue to a burst of infrared light for approximately one second. This coagulates the vein above the hemorrhoidal complex, causing it to shrink and recede. Our patients may feel a sensation of heat very briefly, but this is generally not painful, therefore anesthetic is not required.
Most patients do not experience any after effects, other than perhaps some slight bleeding with bowel movements for a few days. At times, our patients can generally return to normal activity the same day. Depending on the extent and number of hemorrhoids, more than one office visit is needed, usually at 3-4 week intervals. At that time, different portions of the anal canal hemorrhoids are treated.
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| Ileoanal J Pouch/Ileostomy |
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Ileostomy is a surgical practice where the large intestine and in some cases the last section of the small intestine are removed or disconnected. If disease has occured in the intestine these sections are removed. When this happens, a small opening is created to the outer abdomen where the body must pass stool. This is called a stoma.
The stoma or opening is created by bringing the end of the ileum through the abdominal wall and turning it back on itself like a cuff.
When the ileostomy is complete stool is collected into a pouch that attaches to the body around the stoma. Holding the pouch in place is an adhesive skin barrier, which keeps the pouch from leeking stool onto the skin. The pouches are made of lightweight, odorproof plastic.
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| Hemmorrhoidectomies |
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Ferguson Technique is a technique in which a retractor is used to expose the hemorrhoidal tissue which is removed surgically. The remaining tissue is sutured to close the defect. This procedure is done on an outpatient basis in the operating room under anesthesia. |
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PPH is a technique in which the prolapse of hemorrhoidal tissue is reduced by using a band excised of the prolapsed anal mucosa membrane by using a circular staplin device. During PPH, the prolapsed tissue is pulled into the device and allows the excess tissue to be removed. Once this is completed the excess hemorrhoidal tissue is stapled and restores the tissue back to position. |
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