laparoscopic surgeon in Delhi
It is surgery to remove a part of the small intestine. This is done when part of it is clogged or sick. The small intestine is also called the small intestine. Most of the digestion (breakdown and absorption of nutrients) of the food you eat takes place there.

Description
You will receive general anesthesia at the time of surgery. This will keep you asleep and you won’t feel pain.
The surgery can be performed laparoscopically or with open surgery. If you have laparoscopic surgery:

  • The surgeon makes 3 to 5 small cuts (incisions) in your lower abdomen. A medical device called a laparoscope is inserted through one of the cuts. This device is a thin and illuminated tube with a camera at the end. This allows the surgeon to see inside the abdomen. Other medical instruments are introduced through the other cuts.
  • It is also possible that a cut of approximately 2 to 3 inches (5 to 7.6 centimeters) be made if the surgeon needs to insert the hand into the abdomen to palpate the intestine or remove the affected segment.
  • Your abdomen is filled with harmless gas to expand it. This facilitates visualization and work in the area.
  • The affected part of the small intestine is located and removed.

If you had an open surgery:

  • The surgeon makes a cut of 6 to 8 inches (15 to 20.3 centimeters) in the middle part of your abdomen.
  • The affected part of the small intestine is located and removed.

In both types of surgery, the following steps are:

  • If enough healthy small intestine remains, the ends are sutured or stapled. This is called anastomosis. This is done to most patients.
  • If there is not enough healthy small intestine to reconnect, the surgeon makes an opening called a stoma through the skin of your abdomen. The small intestine is fixed to the outer wall of your abdomen. The stool will pass through the stoma into a drainage bag that is outside your body. This is called ileostomy. The ileostomy can be short term or permanent. Resection of the small intestine usually takes between 1 and 4 hours. Why the procedure is performed

Small bowel resection is used to treat:

  • A blockage in the intestine caused by scar tissue or congenital (birth) deformities
  • Bleeding, infection or ulcers caused by inflammation of the small intestine from conditions such as Crohn’s disease
  • Cancer
  • Carcinoid tumor
  • Injuries to the small intestine
  • Meckel’s diverticulum (a pouch in the wall of the lower part of the small intestine that is present at birth)
  • Non-cancerous (benign) tumors
  • Precancerous polyps

Risks
The risks of anesthesia and surgery in general are:

  • Drug reactions
  • Respiratory problems
  • Blood clots, bleeding, infection

The risks of this surgery include:

  • Tissue protrusion through the incision, called surgical herniation
  • Damage to nearby organs in the body
  • Diarrhea
  • Problems with your ileostomy
  • Scar tissue may form in the abdomen and cause blockage in the intestines
  • Short bowel syndrome (when it is necessary to remove a large amount of the small intestine), which can lead to problems absorbing important nutrients and vitamins
  • Chronic anemia
  • Separation of the ends of the intestine that are sutured (anastomotic filtration, which can be fatal)
  • Wound opening
  • Wound infection

Before the procedure
Always tell your surgeon or nurse what medications you are taking, including drugs, supplements or herbs that you have bought without a prescription. Talk to your surgeon or nurse about how the surgery will affect the following aspects:

  • Intimacy and sexuality
  • Pregnancy
  • sports
  • Job

During the 2 weeks before surgery:

  • You may be asked to stop taking blood thinners. These include acetylsalicylic acid ( aspirin ), ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn) and others.
  • Ask your surgeon what drugs you should take even the day of surgery.
  • If you are a smoker, try to quit. Smoking increases the risk of problems such as a slow recovery. Ask the doctor or nurse to help you leave.
  • Tell the surgeon immediately if you have a cold, flu, fever, herpes outbreak or another illness before surgery.
  • You may be asked to undergo an intestinal preparation to remove all feces from your intestines. This may involve eating a liquid diet for a few days and using laxatives.

The day before surgery:

  • You may be asked to drink only clear liquids such as broth, clear juice and water.
  • Follow the instructions on when to stop eating and drinking.

On the day of surgery:

  • Take the medications that your surgeon indicated with a small sip of water.
  • Arrive at the hospital on time.

After the procedure

You will be in the hospital for 3 to 7 days. You may have to stay longer if your surgery was an emergency operation. You may also need to stay longer if a large amount of your small intestine was removed or if you have problems. On the second or third day, you can probably drink clear liquids. Thicker liquids and then soft foods will be added as your intestines start working again. If a large amount of your small intestine was removed, you may need to receive liquid nutrition through a vein (IV) for a while. A line will be placed in your neck or upper chest to provide nutrition. After you go home, follow the instructions on how to take care of yourself until it heals.

Expectations (prognosis)
Most people who undergo resection of the small intestine recover completely. Even with an ileostomy, most can perform the activities they were doing before the operation. These include most sports, travel, gardening, hiking and other outdoor activities, as well as most types of work. If a large part of your small intestine was removed, you may have problems with loose stools and getting enough nutrients from the food you eat. If you have a prolonged (chroni) illness, such as cancer, Crohn’s disease or ulcerative colitis, you may need ongoing medical treatment.