Most FAQS: Two-Step Surgery
Posted by Megan on June 20, 2008
Mark had a two step surgery. Mark’s Step 1 surgery was a laproscopic total proctocolectomy with ileoanal reservoir reconstruction or in doctor talk Ileal Pouch Anal Anastomosis (IPAA) or Ileoanal anastomosis (J-POUCH to us common folks). with a temporary loop ileostomy until the jpouch heals (’takedown’ is 2nd surgery). See J-Pouch Illustrated to understand how the temp ileo works until takedown is done. His surgery time frame were:
July 2007 – lapro IPAA.
July-October – Lived with Temporary Ileo.
October 2007 – Takedown surgery, temp ileo gone.
We are asked to clarify why it seems the U.K. and U.S. do surgeries different. We don’t have the technical reason, but this is how we explain it when asked: I’m not sure in the U.K. why it is done in so many steps. I do know in the U.S. that some people have one step, two step or three step depending on their health status (really sick people have 3 steps b/c their health can’t handle the more advanced surgery all at once so they do it in pieces to help the body heal). Also, doctors do the steps via what their training is and what they are comfortable doing. Here we have two camps: surgeons that do lapro and those that do open surgery. Since we’ve had some international attention to the blog, we’ve learned that the surgeries although the same really do vary between countries.
Photo via: J-Pouch Illustrated