Abdominoperitoneal resection

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I had an anterior bowel resection in October 2021 for Stage 3 rectal cancer. Unfortunately I have a leak, sinus and worsening structure. Having endured 2 contrast enemas all the complications are still present. My options are limited to 2 choices - take it all down and do it again with not such a great outcome or have an Abdominoperitoneal resection ileostomy closure and formation of a permanent colostomy. I opted for the latter. My surgery date is September 1st. I am really scared of the pain I will experience and complications. I am looking for post op advice and reassurance. Thank you

Gemmary over 1 year ago

Win nie, wishing you all the best for September!!!

Kareno62 over 1 year ago

Hi Win nie. Yes it is a big op but your pain will be well managed in hospital and you’ll be given pain killers for at home as well. There’s been quite a few posts on here in the past - I’ll link in a couple below but if you type ‘abdominoperineal’ or ‘apr’ or ‘anpr’ in the search box at the top of the screen then it will bring them up

https://community.macmillan.org.uk/cancer_types/bowel-colon-rectum-cancer-forum/f/general/231913/abdominoperineal-resection#pifragment-13906=2

https://community.macmillan.org.uk/cancer_types/bowel-colon-rectum-cancer-forum/f/general/231181/aper-surgery-questions

There’s lots of people with stomas and a separate board where they’re happy to share advice and top tips

https://community.macmillan.org.uk/cancer_experiences/ileostomy-and-colostomy-discussions-forum

Hope this helps

Take care

Karen x

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

KathH2 over 1 year ago

You'll have a pain team looking after you but I understand how scary it is for you. The surgeons will have undertaken many ops like yours and will take good care of you. X.

Kath
"don't think about tomorrow"

KathH2 over 1 year ago

You'll be in safe hands. X.

Kath
"don't think about tomorrow"

Swanboy over 1 year ago

Hi I've had that operation and the pain management in hospital is amazing. Apart from lots of pain relief being pumped automatically you have a button to press for more pain relief. You won't ever overdose. I have a stoma and it's not as scary as I first thought.

Artsie over 1 year ago

Hi Win ie

I think that you’ve made a good choice because you’ve done the research.
I had a LAR , my nieces friend had a LAR. Hers was robotic and she was out and amazing. Mine was keyhole then incision to lift the bowel. Now iI am not saying this because I had a terrible time. I didn’t. My pain was managed in the hospital, then when I got home much to my surprise my GP was amazing. He gave me slow realise tablets and I really did okay

So maybe contact your GP just to have a chat to reassure you.
You may not need it however you’re covering all bases.
Sorry for the pun

Hope all goes well

Ann
‍

Win nie over 1 year ago in reply to Gemmary

Thank you

Win nie over 1 year ago in reply to Swanboy

Thank you. Pain management after the LAR was not great and the intermittent variable pain secondary to the anastomosis leak has been challenging - I have spoken to the surgeon about this so hopefully he has heard. The stoma itself does not worry me as I have had an ileostomy for the last 9 months.

it is reassuring to know that you have had the op and your pain was well managed. Thank you for posting a reply - appreciated.