Gut Check

So we are about T-2 weeks to surgery!  Yikes!  So not looking forward to it, but then again when would someone ever look forward to surgery?

Friday I'll have my first dose of Ipi and I'll also have the pre-surgical screening done.  Usually that involves things like another EKG, chest x-ray, blood work etc.  Friday will be a LONG day!

I was asking my surgeon a few more ?'s about what this will be like.  You'll see below a description about doing a laparoscopic surgery vs. open surgery.  Here were some of her responses:

I try to take out as little bowel as necessary- just the mass with clean margins.  At most this is usually about 5-10 inches depending on the size of the mass and the surrounding tissue. 
While I do laparoscopic surgery, I do recommend open for this.  The reason is that then I can feel all your intestine and make sure there are not any other trouble spots.  We make the incision small, not much bigger than the incision that is used for removal of the laparoscopic specimen.
Some of the nodes will be removed, but not all

Loving the morning weather!

Dublin is doing well!  Vet says he's healing well!

If you want some details on what the surgery may be like check out HERE (or below)

If you have laparoscopic surgery:
  • You will have three to five small cuts in your lower belly. The surgeon will pass a camera and medical instruments through these cuts.
  • You may also have a cut of about 2 to 3 inches if your surgeon needs to put a hand inside your belly to feel the intestine or remove the diseased segment.
  • Your belly will be filled with gas to expand it. This makes it easy for the surgeon to see and work.
If you have open surgery, you will probably have a cut about 6 inches long in your mid-belly.
  • Your surgeon will locate the part of your small intestine that is diseased.
  • Then your surgeon will put clamps on both ends of this part to close it off.
  • The surgeon will remove the diseased part.
In both kinds of surgery:
  • If there is enough healthy small intestine left, your surgeon will sew or staple the healthy ends of the small intestine back together. Most patients have this done.
  • If you do not have enough healthy small intestine to reconnect, your surgeon will make an opening called a stoma through the skin of your belly. Your small intestine will be attached to the outer wall of your belly. Stool will go through the stoma into a drainage bag outside your body. This is called an ileostomy. The ileostomy may either be short-term or permanent.
Your surgeon may also look at lymph nodes and other organs in your belly area. Before surgery, the surgeon will talk with you about the possible need to remove other organs.
This surgery usually takes 1 to 4 hours.

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