Constipation surgery, more accurately referred to as surgery for severe constipation, typically involves the surgical removal of a portion or all of the large intestine. This is often considered when other treatments fail to provide relief. One specific procedure mentioned in the provided reference is a total colectomy, also known as a colorectal resection.
Understanding Total Colectomy
What is it?
Total colectomy involves:
- Surgical removal (resection) of the entire large intestine (colon).
- Ileorectal anastomosis: Connecting the small intestine directly to the rectum. This "hookup" allows the body to continue processing and eliminating waste.
Why is it done?
Total colectomy may be recommended for severe cases of constipation that:
- Are resistant to other treatments, such as medication, diet changes, or lifestyle modifications.
- Result from underlying medical conditions affecting the colon's function.
- Lead to significant quality of life impairment for the patient.
How is it Performed?
The reference emphasizes a minimally invasive approach using laparoscopic techniques:
- Small incisions: This approach results in less scarring and a faster recovery.
- Laparoscopic colectomy: Surgeons use specialized instruments and a camera to perform the surgery through these small incisions.
Table: Summary of Total Colectomy
| Aspect | Description |
|---|---|
| Procedure Name | Total Colectomy / Colorectal Resection |
| Action | Surgical removal of the entire large intestine. |
| Reconnection | The small intestine is attached to the rectum. |
| Approach | Minimally invasive laparoscopic approach (using small incisions). |
| Use Cases | Severe constipation resistant to other treatments; underlying conditions affecting colon function; quality of life impairment |
Key Points
- Surgery for constipation is a significant step usually considered when conservative methods have been ineffective.
- Not all constipation cases require surgery.
- A specialist, such as a colon and rectal surgeon, performs these complex surgeries.
- Laparoscopic techniques are often used, providing benefits such as less pain and faster recovery.
