Surgical complications are uncommon.
Blood loss is usually low. However, a transfusion or a preparation without transfusion (EPO, iron-rich diet) may be necessary to correct anaemia.
The main risk is failure of the anastomosis to heal, or anastomotic leak. This complication, which is potentially serious, may require a further operation.
The other complications are common to surgery in general.
Wound abscess occurring at the abdominal scar (under the skin), lung infections, cardiovascular complications, urinary infections…
In the immediate post-operative period, the consequences of the colonic resection may take the form of an increase in stool frequency and faster transit. These effects are often temporary and easily corrected by well-conducted medical treatment.
IN PRACTICE
Before the operation, a short preparation of the colonic contents may be carried out. Antibiotics are given during the operation to reduce the risks of infection. Anticoagulants are prescribed to prevent deep vein thrombosis. General anaesthesia may be combined with an epidural to improve pain management. Post-operative pain is managed by the anaesthesia team. Eating is resumed early. The hospital stay thus lasts from 5 to 10 days, on average. A stay in a convalescent home may be advised in some cases.
Dr Grégoire Deroide
