What To Expect Before Your Stoma Surgery

Your Preoperative Assessment

Depending on your hospital you will probably be offered a pre-op assessment a few days/ weeks prior to your stoma surgery.

This assessment will involve a meeting with your surgeon to discuss any last minute concerns regarding your upcoming surgery, discuss the risks and make sure you fully understand the procedure and sign the consent forms. You may also meet the Anaesthetist to discuss your options for post surgery pain management.

A nurse will take some blood to check that you are physically well for surgery and an ECG (Electrocardiogram) may be performed to check your heart rhythm. This is a simple and painless test that involves having little sticky sensors placed at various pulse points on your chest, arms and legs. These sensors then record your heart’s rhythm and electrical activity.

You may also be given a combination of laxatives to take home in order to clear the bowel the day prior to your surgery. This isn’t essential and many surgeons choose not to do this as cleansing the bowel can cause you to lose vital minerals and electrolytes needed to maintain health. Your surgeon will be able to advise on whether preparing the bowel in this way is best for you prior to your surgery.

Marking your stoma site

Either during your preoperative assessment or on the day of surgery itself, your stoma nurse or a Colorectal Nurse Specialist will examine your abdomen and mark in ink the best position for your stoma. Usually a colostomy will be sited on the left hand side of your abdomen and an ileostomy/urostomy located on the right hand side of your abdomen. Your nurse may ask you some questions such as what type of clothing you generally wear and choose a site where the skin is as smooth, without dips or creases to make placing pouches on the skin as trouble free as possible.

The day before surgery

The day before surgery you will need to follow your bowel preparation instructions if they have been provided. You may be required to spend the night before your surgery under observation in hospital. You will need to refrain from eating and drinking at least 6 hours prior to surgery but the hospital will confirm the exact requirements.

What to take into hospital with you

带上睡衣、睡衣、睡袍、一些书籍和杂志、平板电脑或音乐设备和一些耳机、拖鞋,如果你想在水里加点味道的话,还可以带上一小瓶南瓜。如果你是一个浅睡者,耳塞也很有帮助。还记得服用任何你需要的原包装药物。

On the day

手术当天,医生会给你一种特殊的沐浴露,让你用来清洁皮肤。然后会给你一件病号服和压缩丝袜,你可以换上。在手术前,您需要确保所有的化妆品、指甲油、珠宝和任何松动的配件,如假牙、眼镜、隐形眼镜和助听器。然后你会被手推车送到剧院。你很可能会被安排在一间特殊的术前手术室,在那里你会被麻醉。如果您正在进行硬膜外麻醉,这也将在您的手术前放置。为了进行麻醉,将把插管插入你手背的静脉。

THE INFORMATION ON THIS PAGE IS A GUIDE ONLY. IT IS IMPORTANT THAT YOU SPEAK TO YOUR GP OR A QUALIFIED HEALTH PROFESSIONAL ABOUT YOUR CONDITION.