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There are a range of possibilities which depend upon the site of the polyp and whether it is benign or malignant. If it is benign and in the rectum or even up to 20 cm from the anus it could be removed through the anus using an operating sigmoidoscope. Benign polyps higher up the colon can still be removed even if large or have recurred after previous removal using a technique called endoscopic mucosal resection. If the polyp is still not suitable because it is too large the bit of colon containing the polyp can be removed with laparoscopic (keyhole) surgery. Malignant polyps can be treated in the same fashion if they are following a particular growth pattern and have not breached the lining of the colon but this requires a careful assessment of the polyp and it is not always the best approach for treatment.

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Mr. Donald Menzies

Gastrointestinal Surgeon, General Surgeon, Medico Legal Expert

Colchester

It depends how the colostomy was formed. If it is a double barrelled colostomy then both ends of the colon will be at the skin. These are relatively easy to close the operation takes about an hour and if there are no complications about a 4 day stay. If only one end of the colon is at the skin the other will be inside the abdomen. this is called a Hartmann's procedure. This is more complicated to close and the operation may take longer. The operation may be done by Keyhole surgery or open surgery and the recovery may be anything from 4 days to 14 days the average in about 7 days.

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Mr. William Frederick Anthony Miles

Colorectal Surgeon, General Surgeon

Worthing

The colostomy is an opening of the bowel on the abdomen. It will heal like any other wound over a few weeks and usually needs attention from trained nurses called stoma therapy nurses.

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Mr. Abhay Chopada

Gastrointestinal Surgeon, General Surgeon

London

This rather depends on what sort of reconstruction you have had. If you have had part of you colon removed then your bowel will start working any time from 48hours to 5-6 days. It is usually quicker if it is the right colon that has been removed and the return to a regular habit will be 1-4 weeks. If the left colon or your rectum has been removed then a normal bowel habit may take longer to acheive. If you have had a colostomy closed or reversed then your bowels should start to work 2-3 days later, but may take some weeks to settle into a regular habit.

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Mr. Donald Menzies

Gastrointestinal Surgeon, General Surgeon, Medico Legal Expert

Colchester

See all 4 questions about Colostomy

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