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    Lower Gastrointestinal Surgery

    Laparoscopic small bowel resection

    A small bowel resection removes a section of the small bowel that is diseased, usually due to benign and malignant tumors or bowel obstruction.

    Using laparoscopic surgical methods 4-5 small incisions are made in the abdominal area. The laparoscope equipment enters the body through these small incisions. The section of the small bowel that needs removal is clamped, cut away and removed, the small bowel is than reconnected. The average hospital stay using the laparoscopic surgical procedure is reduced to approximately 5 days with a much shorter recovery period.

    Using standard "open" surgical methods, an large incision is made in the abdomen, the muscles are separated or cut and the abdomen is entered and the diseased section is removed. The average hospital stay, using this method, is from 7 to 10 days with a much longer recovery of period of 4-weeks.
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    Laparoscopic lysis of adhesions

    Lysis of adhesions is a procedure commonly used to resolve small bowel obstruction caused by adhesions. The etiology of adhesions is usually related to prior abdominal surgery. During the procedure the small bowel is grasped with laparoscopic clamps and the obstruction is located. The adhesions are then divided. The results with this technique have been favorable and most patients having this procedure average a 4-5 day length of stay in the hospital.


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    Laparoscopic colectomy

    Laparoscopic colectomy for benign and malignant tumors of the colon uses an average of 4 to 5 small incisions. Utilizing the laparoscopic equipment, the colon lesion or lesionsare localized and a partial or complete removal of the colon and rectum is performed. This surgery which used to take several hours to perform has been reduced to approximately two to three hours using laparoscopic surgery methods. Patients usually experience a 7 to 10 day hospital stay with a 6-week recuperation period.
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    Laparoscopic intestinal resection

    Laparoscopic intestinal resection for Crohn's disease and ulcerative colitis is sometimes recommended when medication can no longer control the symptoms or when other complications occur. Using laparoscopic equipment, the abdominal cavity is entered. The small bowel is clamped above and below the diseased section and this section is removed. The small bowel ends are reattached using staples or sutures. With Crohn's disease and ulcerative colitis, the surgeon may need to remove more than one portion of the diseased intestine. Utilizing the laparoscope versus open surgery provides the patient with many advantages, such as decreased blood loss, fewer days in the hospital and quicker return to normal bowel function.
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