Takedown prep

Not what I remember.

At present, you have a loop illestomy and output of your small intestine is diverted into the bag; so should be nothing entering the J pouch to clear, although maybe a little gets through plus mucus.

Your small intestine, is currently already connected to your J pouch but brought through your abdomen and formed into a loop with an opening created to empty output into the bag.

During takedown, this small opening is stitched up and closed, the loop is unlooped and pushed back into the abdomen.

Your large intestine/bowel has already been removed.

I arrived for takedown mid afternoon, nil by mouth by mid evening and Takedown surgery next morning, discharged a few days later.

Just call your surgeon’s office to get the pre-op instructions, whatever they are.

Yes, best place to call is surgeon's office.  My surgeon always told me exactly what preps I needed to do.  If I remember right it wasn't a lot of prep.  Good luck with takedown!

So my reply is wrong ?

How is the prep taken ?

Oral prep taken will come out into the colostomy bag via the temp loop ileostomy.

The colostomy bag is currently acting as the bowel.

Technically, the J pouch should be empty as the loop ileostomy diverts vast majority of intestinal output into the colostomy bag; yeah, a small amount of output may get into the J pouch but not a sufficient amount to make a difference.

I guess the surgeon can probably wash the J pouch out before reconnection, maybe they do but I don't believe this is necassary.

I could be wrong.  I don't remember, but either way, it's good to get pre-op/prep instructions.  

It might have been just a clear liquid diet the night before.  With three stages, it's difficult to remember how things went.

The loop ostomy has to be closed up. It’s best not to suture through poop. The surgeon’s office is the only good source for these instructions.

I called and the nurse is pretty sure it’s no bowel prep but no food after midnight. She said she’d double check with the surgeon and get back to me tomorrow. This is my one big complaint about my surgeon’s office: I have to hunt for the info that should be provided to me. 

Scott F posted:

The loop ostomy has to be closed up. It’s best not to suture through poop. The surgeon’s office is the only good source for these instructions.

Yeah and that area will be made sterile during suture and the nil by mouth from the previous evening will reduce output.