Home » MD » Baltimore MD » Colostomy

Colostomy Baltimore MD

Colon cleansing is a serious requirement before any colorectal surgeries are preformed in order to avoid potential intestinal infection risks. You should have already gone through a colonoscopy or barium enema before the decision for surgery was made. A colostomy is an opening that is made in the colon with surgery. It’s a reversible surgery that could be temporary or permanent depending on condition. After the opening is made, the colon is brought to the surface of the abdomen to allow stools to leave your body. The opening at the surface of the abdomen is called a stoma. The stool leaves the colon through the stoma and drains into a flat, changeable, watertight bag or pouch that’s attached to the skin with an adhesive. There are different types of colostomy bags so talk to your doctor about which one is best for you. Listed below you will find local gastroenterologists around Baltimore that can answer all your questions and give you more information.

Local Companies

Firas Fuad Mussa, MD
201 E University Pkwy
Baltimore, MD

View More Info

Thomas M Scalea
(410) 328-6566
22 S Greene St
Baltimore, MD

View More Info

Kelly L Alexander
(410) 332-9653
301 Saint Paul Pl
Baltimore, MD

View More Info

Sarkis G Aghazarian
(410) 554-2000
201 E University Pkwy
Baltimore, MD

View More Info

Dr.ROBERT ORD
(410) 706-6195
650 West Baltimore Street #1401
Baltimore, MD

View More Info

Harold Edward Ramsey, MD
410-523-5222
301 McMechen St
Baltimore, MD

View More Info

William C Chiu
(410) 328-6566
22 S Greene St
Baltimore, MD

View More Info

Rodney Grolman, MD
8 Charles Plz Apt 2704
Baltimore, MD

View More Info

Jogendra Singh, MD
410-243-0591
912 W 36th St
Baltimore, MD

View More Info

Mark D Kligman
(410) 328-6897
22 S Greene St
Baltimore, MD

View More Info

Data Provided by:

Colostomy

Preoperative Care

Preparation for colon surgery begins a few days prior to the procedure unless the surgery is being done on an emergency basis, such as for an injury or intestinal bleeding. Most patients have undergone a colonoscopy, sigmoidoscopy, or barium enema to diagnose the disease. These tests generally are not repeated. Prior to the operation, blood tests, a chest x-ray, an EKG, and an abdominal CT scan may be ordered.

The colon contains bacteria and waste products that can cause infection if they leak into the abdomen during surgery and precautions are taken to reduce this risk. Oral antibiotics are started several days before the operation is scheduled and the colon must be as empty as possible.

The procedure for colon cleansing depends on the physician, the patient's health and diagnosis, and the facility where the procedure is being performed. Generally, for 2 or 3 days prior to surgery, a soft or semi-liquid diet (i.e., foods that are quickly and easily digested) is ordered. For some patients, only clear liquids are permitted. These include fruit juice, sports drinks, clear broth, and gelatin. All patients must go on a clear liquid diet 24 hours prior to surgery. After midnight, the night before surgery, nothing may be taken by mouth.

Cleansing solutions and laxatives are used to cleanse the colon before surgery. Patients are given a laxative solution to drink that can cause severe diarrhea, so they may be admitted to the hospital the day before the surgery to receive intravenous fluids that prevent dehydration.

If the patient is unable to comply with this regimen, it is necessary to inform the physician as soon as possible. It may be unsafe to do the surgery as scheduled and it may have to be postponed.

During this period, it may not be possible to continue prescription medications. This must be discussed with the surgeon as soon as the decision to have the surgery is made. Blood "thinning" medications , including aspirin, must be discontinued one week before the operation to avoid excessive bleeding during the procedure.

The anesthesiologist (doctor who administers the anesthesia) speaks with the patient prior to surgery and performs a brief physical assessment. The anesthesiologist must be aware of medications that are being taken, any history of allergies, and prior adverse reactions to anesthesia. This information helps the anesthesiologist select the most suitable anesthetic agents and dosage and avoid possible complications.

An informed consent form must be signed acknowledging that the patient understands the procedure, the potential risks, and that they will receive certain medications.

The patient is then taken to a preoperative holding area and must remain in bed except to use the bathroom. An intravenous (IV) is started for fluids and medication, if one is not already in place. A sedative is given through the intravenous to induce drowsiness. Anesthesia is administered in the operating room.

Click here to read the rest of the article from surgerychannel

Resources

UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church