To remove the foreskin in adults, there are many indications. They can be divided into:
Urologists believe that circumcision in adults should be performed only for medical reasons. The most common cause for circumcision is phimosis, paraphimosis, a shortened frenulum of the glans penis.
These defects interfere with normal sexual activity, in some cases they can make urination difficult. Usually, surgery is performed at a young age, but sometimes pathologies occur in elderly patients.
At the age of 60-70 years, the uncircumcised foreskin can grow, blocking the urethra.
Another good reason for circumcision is to reduce the risk of cancer. They are provoked by smegma - a secret that accumulates under the foreskin. Removing the skin fold by 80% reduces the risk of penile head cancer in men and malignant cervical tumors in their partners. There is evidence that male circumcision helps reduce the incidence of AIDS.
There are practically no contraindications to the procedure. Some caution should be observed for men with reduced blood coagulation. Circumcision is not done in acute inflammatory diseases, with a severe form of chronic ailment, a specialist consultation is necessary.
Surgical methods
Circumcision refers to plastic surgery. Modern surgery offers several options for intervention, the choice depends on the joint decision of the patient and the doctor.
The following options for circumcision are possible:
The choice of circumcision technique depends on the size of the foreskin, the appearance of the penis, the patient's wishes and other factors.
The circumcision operation is irreversible, therefore, before its beginning, it is necessary to weigh all the advantages and disadvantages. Complications are rare, in some cases an allergy to medications or scar formation is possible.
Preparation for the procedure
An adult circumcision is performed on an outpatient basis or in a hospital.
- For adolescents, general anesthesia is used, adult men are more often given local anesthesia. Without anesthesia, circumcision is impossible.
- Before the procedure, you must pass a blood test, confirming the absence of infections and inflammations.
- If there are sexually transmitted diseases, it is necessary to completely cure them and only then think about circumcision.
Before surgery, the penis is disinfected with special preparations and clamped with a tourniquet at the base. Anesthetics (lidocaine, ultracaine, ubitezin) are injected into the tissue of the penis with a thin needle.
The operation is not painful, in the foreskin there are practically no nerve endings and large vessels, the damage of which causes severe bleeding.
How does the circumcision operation go?
So, how does male circumcision occur? The operation of circumcision will be as follows:
- After anesthesia, the foreskin is pulled back by clamps, an incision is made on the skin, after which the foreskin is removed in a circle with a scalpel or surgical scissors. The amount of skin removed depends on the circumcision technique chosen.
- Usually the bridle of the head is not affected, but with its defect, simultaneous plastic is possible. A too short bridle is dissected along with a scalpel and then stitched with an extension suture. As a result, the skin becomes less sensitive to tears.
- After circumcision, the sutures are applied using self-absorbable sutures. The success of adult circumcision surgery depends entirely on the skill of the doctor. Particular attention is required when completely removing the foreskin, as there is a high risk of damage to the head of the penis. Only a specialist can properly circumcise a member!
How long does circumcision take? The average duration of the procedure is 60 minutes.
The following shows how men are circumcised - a photo of the foreskin: 
Useful video
You can see the whole process of circumcision in men in the video below:
Postoperative Care: Quick Recovery Secrets
In the first hours after the operation of circumcision and weakening the effects of anesthesia, the patient may feel pain, which is removed with the help of anesthetics, discomfort completely disappears after 1-2 days.
- Postoperative sutures are treated daily. In the first 3 days, the sterile dressing is changed 3 times a day.
- Then the procedure can be carried out 1 time per day. The dressing is soaked in hydrogen peroxide or a decoction of pharmacy chamomile, this allows you to remove it without pain and not injure the wound.
- Dressings change 10 days, then the seam area remains open. For disinfection, it is treated with hydrogen peroxide or chlorhexidine. Seams do not need to be removed, the threads dissolve on their own.
In some cases, patients observe anemic discharge. Treatment of sutures with Levomekol, a solution of furatsilin or potassium permanganate will help to remove them. Accelerate wound healing will help taking Methyluracil. If bleeding does not stop, urgent consultation of a urologist is necessary.
It is important to monitor the drinking regimen. You can’t drink too much liquid, instead of diuretics such as coffee and black tea, herbal infusions, homemade fruit drinks and clean still water are recommended.
The recovery period lasts about 2 weeks. During this time, the sutures completely heal, swelling subsides, the penis acquires a normal appearance. Another 2 weeks is necessary to refrain from sexual intercourse and masturbation.
In the next few months, it is better to use barrier contraceptives (condoms), which reduce the risk of infection or microtrauma. When swelling occurs, baths with table salt are recommended (1 teaspoon per glass of warm water).
Circumcision in adult men is an operation that is performed for medical, hygienic and other indications. There will be no complications, and the recovery period will not be delayed and the patient will quickly return to normal life, subject to the rules of hygiene. Thanks to the article, you learned about circumcision, with the patient’s placement in the hospital or on an outpatient basis, got acquainted with the photo after circumcision surgery. We hope this information was useful to you!
Your loved one has serious health problems. This may be due to illness, injury, surgery, or other causes. His health problems require specialized medical care, the so-called "intensive care" (colloquially - "resuscitation"). The resuscitation and intensive care unit in avian medical language is often abbreviated as ICU.
Important!Getting into the ICU does not mean that your loved one will die.
After successful intensive care in the ICU, the patient is usually transferred to continue treatment in another department of the hospital, for example, in surgery or cardiology. The prognosis depends on the severity of the patient’s condition, his age, concomitant diseases, the actions and qualifications of doctors, the equipment of the clinic, as well as numerous random factors, in other words, good luck.
What do you do?
Calm down, concentrate and first of all take care of your own mental and physical condition. For example, you should not fall into despair, drown out fear and panic with alcohol, turn to fortune-tellers and psychics. If you act rationally, you can increase the chance of survival and speed up the recovery of your loved one. Upon learning that your relative is in intensive care, notify the maximum number of loved ones, especially those related to medicine and healthcare, and also evaluate how much money you have and how much you can find if necessary.
Could you not be allowed to resuscitation?
Yes they can. Federal Law No. 323 “On the Basics of Protecting the Health of Citizens in the Russian Federation” is rather controversial. It guarantees free visits to patients by their relatives and legal representatives, but it categorically requires compliance with the requirements established by the internal regulations of the clinic. The reasons for the ban on the admission of a relative to the intensive care unit at the clinic can be quite understandable: the presence of infection, inadequate behavior, staff employment during resuscitation.
If it seems to you that your right to communicate with a relative in ICU is violated, it is usually useless and even harmful to conflict with security guards, nurses, nurse practitioners, or medical doctors on duty. To resolve conflicts, it is advisable to contact the head of the department or administration of the clinic. The good news is that the staff of most intensive care units behave more affably if they demonstrate a desire to cooperate and adequacy.
What is helpful to ask doctors?
Ask these questions.
- Is there a need to purchase some drugs that are absent (for example, expensive antibiotics)?
- Do I need to buy additional care products? For example, a “duck” made of synthetic material, not metal, an anti-decubitus mattress, diapers.
- Is it worth it to hire an individual nurse? If so, is it necessary to negotiate with the junior staff of the department or is it necessary to bring a person from the outside (for example, from the patronage service)? Remember that in some diseases, the patient’s life directly depends on care. Do not spare money for a nurse, if necessary.
- How is food organized and is there a need to purchase special food for seriously ill patients?
- Do you need external consultations of specialists? Suppose there is no full-time neurosurgeon in the clinic, and his consultation in case of a disease of your loved one is advisable. Formally, doctors themselves are obliged to take care of this, in practice - this is often organized by relatives.
Finally, ask what else you can bring to a loved one. Some familiar things: toys for a child, personal medicines, hygiene items and household items. Sometimes a telephone, a tablet, and even a television.
How to behave in intensive care?
Get dressed as you are told. As a rule, these are clothes made of synthetic fabrics (no wool), comfortable removable shoes, a disposable bathrobe, hat, mask (you can buy in a pharmacy). If you have long hair, put it in a bun. Carry antiseptic fluid and handle your hands. Sometimes it even makes sense to have your own removable surgical suit (you can buy it at a medical clothing store).
Moderate your emotions. You will find yourself in an extremely unusual environment, there will be seriously ill people around, there will be many smells and sounds. Do not disturb the staff. For you it is stress, for employees - everyday life. Your loved one may not speak, or speak wrong or wrong, numerous tubes may stick out of it, there may be bandages, stickers on it. It may be a strange color, edematous, smell unusual.
Do not be alarmed, this is not forever. He's just sick.
How can you help him?
No one knows how this works, but experienced medical practitioners, even at the first conversation with the patient, can determine the probability of the patient's survival in case of complications. Much depends on the psychological state of the patient. And this condition is almost entirely dependent on loved ones, that is, on you.
If possible, speak with the patient as if healthy. In no case do not cry, do not hysteria, do not look at him with despair and pain, even if you feel them, do not wring your hands, do not shout: "Oh, what is wrong with you ?!" Do not discuss the circumstances of the injury on your own initiative if the matter is injury. Do not discuss the negative. Talk about the most practical things, both related to the disease, and purely household, family.
Remember: while your loved one is sick, but alive, he can and should participate in the life of his family.
But what if he is afraid of death?
I do not know, you decide. But, in any case, listen. If a loved one requests a meeting with the priest, organize it. As a rule, those are admitted to intensive care even to terminal patients. If a loved one has a chronic impairment of consciousness (for example, is in a coma), spend a lot of time verbal and non-verbal (touching, massage, things familiar to him in the accessibility zone) communicating with him. Recent scientific studies show that this has a positive effect on the rehabilitation process. Many patients who seem “comatose” to a non-specialist actually see and hear everything that happens around them.
If you have to look after your loved one for weeks, months or years, resuscitation becomes an important part of life. You will need endurance and composure. Help the staff as soon as you feel that you have mastered the basic skills. I know of cases where relatives of resuscitation patients subsequently changed their life paths and became nurses, doctors.
For relatives of his patients wrotepracticing neurosurgeon Alexei Kashcheev.
I recently went to the hospital. It's okay, alive, healthy.
In this post I decided to describe how operations are conducted in our Krasnodar, so to speak, my experience.
Disease background
Recently, I found a solid small lump above my belly button. Perhaps I am one of the few who feel themselves)) But this is a necessary thing. I got worried because since the period of breastfeeding, I remember that there should not be any hardness on the human body, unless it is of course bone))
I went to the state clinic, where they told me that it was a hematoma. The doctor thought that someone hit me in the stomach, and I don’t want to admit it. I was prescribed to make compresses and if the hematoma does not resolve after 2 weeks, come again.
I did compresses so intensely that I even burned my skin)) Hardness in the morning was sometimes not even felt, and in the evening I returned to visit. Compresses did not help. I come again. Here, the doctor shrugs his hands and gives a referral to the KBC hospital to a more experienced surgeon.
In CBC, a seemingly burnt surgeon from the first feeling gives a diagnosis of hernia. And right away without explanation or other conversations, it was as if a distant relative of Ellochka the cannibal, somewhere he was starting to write me down and give me a list of tests that I should pass.
And what is it for, doctor?
- For the operation.
Of course, I did not expect the doctor to deliver his verdict as quickly as the executioner on the scaffold, as if behind me there was already a queue of people as unhappy as I was. As it turned out, the queue has accumulated. In the hospital, everything is on stream. Wait, which is good, not for long - 3 weeks. They assign an exact date and begin to shred to the sounds of city radio.
Of course, I tried to ask the surgeon questions, he looked at me in surprise, as if I had to read about my problem on the Internet and graduate in absentia from the medical institute. I really already read about my problem on the Internet and it wasn’t scary. But the surgeon did not really answer, spoke 1-2 words and made it clear that these conversations did not make sense.
I'm certainly not a fan of chatting idle. But as for my navel or other part of the body, I would still like to know specifically about my pain. I really didn’t receive answers to my questions. Maybe you had to go to another doctor? I do not know. But for some reason, this stern man in a white coat inspired confidence.
There are really two options for my problem: applying onions or a surgical knife. Of course, I believe in the power of onions, especially after the tale of Cipollino. But if you choose between a bow and a knife, I will choose a knife, somehow more reliable and faster, although I am not enthusiastic about modern medicine.
Of course, a hernia is not an emergency operation, they live with it for years, it may not grow, you may not feel pain, you may not be bothered, and you may not even know about it, or you will have surgery after ... years. Yes, they do that too. But I decided to end this thing now once and hopefully forever.
So, the tests were handed over, day X was approaching, I was almost not afraid, because I survived an emergency cesarean section and was in the balance of death. What are they afraid of here, where everything will be much simpler. But of course, on the eve of the operation, I was upset, I was offended, because in fact I got a hernia because of my stupidity and forgetfulness. What to do? Women are getting stupid over the years - this is about me. But I hope this will be a lesson to me as with my knees, which I almost lost. If desired, I’ll tell you about knee injuries another time how I cured them without any doctors or operations.
The day of surgery came.
I was told to come by 8 in the morning, and I should leave the next day at 9 in the morning. That is to lie a day. In fact, it is a day hospital. As they said, there is a department where they lie for days, but very serious patients are sent there.
There are only three chambers on the floor: a man’s, a woman’s, and a VIP-chamber with two beds, which we still didn’t understand. During the day, no more than 4 operations are performed, and two operations are performed simultaneously in the same operating room, that is, you can wave the handle to another patient))
That day had to undergo 3 operations. We were waiting in the wings. With me lay two young girls of 25-35 years old who decided to remove leg veins (varicose veins). Their varicose veins were visible per kilometer, they have specific problems, as they say, varicose veins began in school. As I understand it, they removed the veins. I don’t believe in this operation, because I recall my grandmother, who in her 60s decided to cut her veins and died a couple of months after the operation. Then everyone concluded: it would be better to go with bloated veins. In general, in my opinion this is a dubious operation. It’s all about nutrition and lifestyle, and maybe something else. But I can certainly be wrong.
This is what our chamber looks like. Everyone has water, because as soon as you can drink water. In general, you don’t eat almost a day before the operation, and you can only drink water, then you cleanse the intestines and go half-dead under the knife.
Before operations, they all give a painful asshole injection - sedative so that they probably won’t twitch, and if they had given permission, they would probably be tied to a bed))
Then the doctor comes, takes the girl with varicose veins and with a black marker draws crosses and lines on the legs, where he will cut. I didn’t have this, felt and let go to bed for a couple of hours.
While there is time, I walk on the floor. When you are on the verge of death, you become closer to nature and feel all its charms. So I noticed that the trees had already turned completely green. 
There, a normal life follows the fence: children go to school, adults scratch at work, and you stand and feel sad as if you are in prison, although only an hour has passed in this room)) 
Wand-lock for the window. 
Already almost native wheelchair)) 
The place of the doctor on duty. 
The floor is essentially empty, because there are only three patients on this day. 
After a couple of hours, they call me and another girl with varicose veins. We need to completely undress and put a white sheet on ourselves as if we were going to steam in a bathhouse. Oh, if so! Already in the operating room we wear special white slippers, shoe covers, which no longer inspire confidence in the future. And before my eyes is a white operating room with a white ceiling. Well, why not stick butterflies on the ceiling? It would not be so dreary and lonely in this world.
I lay down on the operating table, having seen a lot. A bearded big anesthesiologist approaches, asks to turn his back. Well, I think in the maternity hospital they did me an epidural anesthesia - it's not scary. But then this big uncle takes the thickest needle and presses on the spine. It was very painful! And then I have a shot in the leg with great pain. It hurt so much that I scream, tears immediately pour from my eyes and I jumped to the ceiling! What was it your mother ?! Doctors are surprised by my jumps. A "good" anesthetist calmly says: "What shot? It happens." It happens? Damn, they gave me anesthesia in the hospital so much that I didn’t even feel the needle! It happens with him!
Well, thinking the fun began. But as it turned out, then everything was fine. I did not feel my stomach, and my legs refused over time. They hung the curtain so that I could not see my intestines, but in vain, I always wanted to know how my organs looked)) I remember there was also a hospital, only there was a glass lamp above me, which reflected the whole operation. In theory, I should have fallen asleep then, but the process of taking life out of my stomach was so interesting that I looked at the ceiling that I had strength, then fell out, then looked again, and when they showed the baby, I recorded the time with my ears and failed somewhere. .
Here the guts were not visible. The two above me grouped and began to cut. The knife feels, but it’s as if a felt-tip pen is being carried across your stomach, i.e. not hurt. Then, according to the sensations, they began to wind the guts into a fist, it was not very pleasant, but it didn’t hurt, as if your hair was wound into a fist and pulled somewhere.
I am bored, I look around, I see how doctors gathered over another girl and cut her legs, she seems calm, probably waiting a long time for this day.
My operation is quick - about an hour. It is sewn up beautifully, I already saw it later. Straight courses in cutting and sewing took place. In a word - well done!
They put me on a gurney because my legs do not belong to me, they start taking them out somewhere - this is the most pleasant thing in operations! They ride you, and you lie! They carefully dump them in my bed in the room and say that my legs will come to me soon.
I lie, I feel up, but I don’t. I try to twitch my toe and I can’t. This is a terrible feeling when you want to move your finger, and he does NOT move! It's like you're paralyzed. Then the right leg comes to life, I do not stop moving it like a fool, I am glad that I can walk)) The second leg comes later, I am happy again. And I got bored, I'm starting to read a book. Later, a girl with varicose veins is brought; her leg is bandaged from the heel to the perineum. The operation was also about an hour.
Then the third girl leaves, she is operated on for a long time, we are already exchanging glances with a neighbor, they say, is she alive? What took so long? 3.5 hours pass and she still comes back, says that she was told that the veins of an old woman are sealed. I don’t know what this means, but she is cheerful and cheerful. Then she learned that each leg was operated on different days, i.e. You can’t two legs in one day. And if varicose veins on both legs, then we must again enroll in the queue and take hundreds of tests for a new operation.
We are lying, chatting, reading books. So the evening goes. In the evening I want to eat, because I haven’t eaten for almost 1.5 days. I am not allowed to eat until morning, but my neighbors can and they chew cookies, and my stomach screams with good obscenities, so that I also eat at least something! And I ate. This is probably my mistake.
Then I sit down. Doctors tell me that you can’t sit and walk until the morning, but they don’t explain why. I think that here, as with Caesar’s, the faster you get up, the faster it will become easier, and because lying down is even worse. Maybe I'm certainly not right. But I myself walked in the evening, not much, but I walked, I didn’t feel pain in the abdomen, but I got up from the bed sideways so as not to strain my abdominal muscles.
I’m twice offered to do painkillers, but I refuse, because I almost do not hurt.
It is worth noting that all the staff was sent to me by God - all friendly, smiling, with jokes and jokes. No one screamed or scoffed as is usually practiced. I got such negative experience in the 4 maternity hospital, where almost all the nurses were animals in robes, and almost all the doctors were indifferent and squeamish as if you were a piece of dead meat for them. Everything was wonderful here, just some kind of medical paradise. I even talked with one hospital employee who said that there were two operating rooms on the floor, more operations were done, and now the hospital receives almost no financing (they asked me to buy saline before the operation for 100 rubles in a pharmacy). Salaries used to be normal, but now they have cut 2 times, many have left.
I walked along the floor, looked out the window, clouds came running and in my opinion it started to rain. 
I look at the doctor’s workplace and go bainki. 
The next day I got up early, began to pack faster, I was eager to jump out of here as soon as possible, because I had not been on the street for a day! I was examined and quickly released. Then they said to come to the dressing. At the dressing I was only a couple of times. At the same time, it was impossible to wash the abdominal region for 2 weeks while the wound heals. And then the stitches were removed already in my clinic, before that the navel was always under the adhesive plaster, I could not even touch the wound area.
The cut was ill only a couple of days. I could walk, but when I walked for more than 30 minutes, my lower back hurt - this is a very unpleasant feeling, because she never hurt me. And here I was like an old grandmother constantly holding on to the lower back. Of course, I was prescribed 2 weeks of rest! But with my rhythm of life - it is impossible, what peace if you have a three-year-old active child? It was necessary to lock me in the hospital for this period, but no one suggested this to me, and I did not think of lying down somewhere. And who will look after the child while I am in the hospital for days?
So, when the stitches were removed from me ... I felt for hernia again. Again something solid rested over my belly button. WTF? A doctor at the local clinic said it seemed to me. And the doctor in the hospital said that the hernia could quickly come back if I was active, but refused to feel my stomach. He was probably afraid that the hernia would bite off his finger.
Maybe it all seems to me, and I'm fine. Or maybe my problem is so small that, as some doctors say, "it should become aggravated and then after the operation you will feel the difference."
After the operation, I can’t lift weights and even my 15-kg restless child for a month. You need to rest a lot, lie down and not move for 2 weeks as if you are already dead. After removing the seams, I felt great, even though I unloaded the cars, but decided not to experiment and wait exactly 30 days, although this is very difficult for a person who is always active.
During surgical treatment for colorectal cancer, sometimes there is a need for the formation of a stoma - an opening in the lateral part of the abdominal cavity through which stool is removed. The stoma is resorted to after resection of the intestine, connecting its surviving parts (the formation of an anastomosis) in cases where it takes time to restore the intestine after surgery.
When is an ostomy removal operation performed in Israel?
In most cases (more than 80%), the stoma is temporary - after healing of intestinal tissues, it is removed, restoring the natural way of excreting stool (through the rectum and anus). Occasionally, a stoma is constant. This happens after resection of a large part of the intestine, when there is no possibility to connect the intestine with the anus. This obstacle is not technically insurmountable, since there are a number of reconstructive techniques that can cope with the problem, but sometimes it is a question of the fact that the patient’s health condition impedes the operation - as a rule, this refers to severe oncological cases.
There are two ways to create a stoma, and it depends on what part of the intestine has been removed:
- Ileostomy - the formation of fistula of the small intestine;
- Colostomy - the formation of a fistula of the colon.
Reconstructive surgery after a stoma consists in excising an artificially created opening and suturing the two ends of the intestine with the restoration of its patency over the entire length. Surgical techniques may vary depending on which part of the intestine has been resected; operations can be performed openly and laparoscopically.
After surgery, it takes some time for the intestines to fully restore their functions, this can be a long process, from several months to a year or more, but in the end, in all patients who underwent reconstructive surgery after a stoma, intestinal functions are restored.
Reconstructive operations after a stoma in Israel are routine, their risk is minimal, in almost all cases they end with a full restoration of intestinal function. The approach of Israeli specialists is that even despite the fact that a person gets used to the stoma, and over time, with proper care, it ceases to cause serious inconvenience, the quality of life without it is much higher.
Reconstructive surgery after stoma is one of the surgeons' specializations.
Cost of restorative stoma removal surgery
How to prepare for recovery surgery to remove the stoma?
The period in which the recovery operation after the stoma is optimal is 2-4 months after its formation. Sometimes, according to indications, it can be increased up to a year, but at present, doctors have experience in successfully performing reconstructive surgery after a stoma after 10 or more years. However, the more time has passed since the formation of the stoma, the higher the risk of complications, and the more time will be required to restore the ability of the intestine to excrete feces in a natural way. The reason is a decrease in muscle tone of both the intestinal stump, the pelvic floor, and the anal sphincter. There is also a risk of developing structural changes in the gut.
Preparations for reconstructive surgery begin with a thorough examination, which includes:
- Colonoscopy or irrigoscopy;
- Colonography
- Computed or magnetic resonance imaging of the pelvis and abdominal cavity;
- Chest x-ray;
- Assessment of the preservation of the functions of the anal canal and sphincter.
In the preparatory period, the patient needs to prepare for a change in his life in connection with a temporary loss of working capacity and some other social functions.
What happens after stoma removal surgery?
Typically, the patient is discharged from the clinic three to ten days after the recovery operation after the stoma - the exact time depends on the rate of recovery.
It should not be expected that this means a complete restoration of the normal bowel movement. As already mentioned above, for this a period of rehabilitation must pass, and rehabilitation is active, with the efforts of the patient himself and his relatives.
The following points must be considered:
- The bowel movement is established individually, but as a rule, in the early postoperative period, it is far from normal. For example, there may be imperative urges - that is, urgent. Episodes of fecal incontinence may occur (6-8 weeks after surgery). You must be prepared for this.
- Fecal masses often have a loose texture than usual, and their selection can be accompanied by flatulence that is not amenable to control.
- In connection with the above, some restrictions are introduced during rehabilitation: you can’t drive a car for about six weeks after the operation, exclude physical activity for 10 months, etc.
All the described disorders and unpleasant symptoms are transient, the body subsequently adapts, control over intestinal functions is restored, restrictions are completely removed or remain minimal.
After the operation, the patient is under the control of the Meir medical center specialists who teach him the correct behavior in the recovery period, paint a diet, and also give a number of recommendations for accelerating rehabilitation.
So, in order to speedy recovery of the intestine and its functions, it is recommended:
- Intestinal hydromassage;
- Drug therapy;
- Diet therapy.
Diet therapy in this case plays a crucial role, the length of the recovery period depends on how seriously the patient takes the diet.
Do I need a diet after stoma removal surgery?
After reconstructive surgery to remove the stoma, a ban on the use of fresh vegetables and fruits for 6 months is introduced. Heat-treated vegetables and fruits (baked, boiled, stewed) are allowed to be consumed no earlier than 3 months after the operation. Rough and irritating foods should be discarded for the entire recovery period. Such products include whole-grain bread, some cereals (barley, corn), spicy, fatty, fried, salted and smoked dishes. Fermentation products are excluded from the diet - kvass, cider, beer, wine, etc.
With a tendency to constipation, it is necessary to pay attention to the drinking regimen: drink at least 8 glasses of water per day.
With severe flatulence and intestinal cramps, tea made from fennel or peppermint helps.
It is important to observe the diet: food is taken in small portions at small intervals (fractional nutrition), the strict postoperative menu is expanded gradually. Do not eat before bedtime.
Is symptom control necessary after stoma removal?
In order to control the symptoms, patients are usually advised to keep a food diary: note the time of eating what exactly was eaten, then the bowel reaction indicating the time of this reaction. So the patient learns to control the activity of his intestines, select the optimal products and their combination, identify those products whose use should be limited or eliminated completely. This allows you to create an individual diet that will best contribute to the rehabilitation of this particular patient.
In some cases, the patient may be prescribed drug therapy aimed at regulating bowel function: antidiarrheal drugs or drugs that increase the amount of feces. Medicines are selected by the attending physician so that the patient can establish control over the symptoms, while avoiding side effects.
Special care for the skin around the anus after surgery
During the recovery postoperative period, care is required not only for the suture on the abdominal wall, but also for the anus. The skin in this place is sensitive, and frequent emptying leads to irritation, which in the absence of care can develop into an inflammatory process. To prevent this, after each act of defecation, it is recommended to wash the skin of the anus with warm water, and then dry it by gently patting it with a soft towel.
When this is not possible, you can use wet sanitary napkins. Once or twice a day, the skin of the perianal region (skin around the anus) should be lubricated with a baby protective cream.
Pelvic diaphragm and rectum muscle training after surgery
One of the consequences of stoma is the inevitable weakening of the muscles of the pelvic floor, rectum and anal sphincter, and the longer the stoma has functioned, the more pronounced is muscular dystonia. Its consequence is the most unpleasant symptom that patients have to experience in the postoperative period: fecal incontinence.
In order to restore muscle tone, special exercises are prescribed that strengthen the pelvic floor and sphincter, for example, Kegel exercises. The attending physician will help to master them, and the patient should approach their implementation with all responsibility. Such gymnastics can reduce the unpleasant period of loss of control over bowel movements from several months to several weeks.
