Laparoscopic Total Colectomy & Ileoanal Pullthrough
What to expect
For directions, accommodations information, tips on what to bring and more.
Information on hospital services, neighborhood activities, a who's-who glossary and special section for teenage patients.
Before Your Surgery
You will receive a call the day before you are to come to the hospital from the Admission Office (Monday - Friday). They will tell you what time to come to the hospital.
Day of admission to the hospital
The day you/your child are admitted to the hospital, you will need to go to the Admitting office (located in the Main Bldg., Floor 1) to get a hospital card, name band and fill out some paperwork. You should expect to be in admitting for approximately 15 minutes.
After you are finished in the admitting office, you will go directly to your assigned unit.
Arriving on the Unit
You will be given a tour of the unit (nursing station, unit kitchen, activity room, and linen cart.) You will also meet with your surgeon or a member of the surgical team to talk with you and your family about surgery, answer any questions you may have and sign consent for the surgical procedure.
A member of the Anesthesia Department will meet with you and your family to take your history, perform a physical examination, discuss the plan for anesthesia and answer any questions you may have. You will be asleep under general anesthesia for this procedure. Your vital signs will be fully monitored throughout the surgery and a nurse anesthetist, an anesthesia resident or attending will be at your side throughout the procedure. The surgery requires insertion of a breathing tube while you are asleep, and additional intravenous (IV) lines. Your parents will need to sign a consent form for anesthesia to be given.
Getting Ready for Surgery
A nurse will place a long, thin, flexible tube called a nasogastric tube (NGT), down one nostril and slide it down into the stomach for the bowel cleansing solution to be given. They will tape it onto your face to hold it in place for the next few hours until the installation of the solution is finished. An IV will be placed to give you fluids and maintain hydration during the GoLytely bowel "clean out." You will also receive an antibiotic.
A nurse will try to get a blood specimen for "pre-op blood work" at the time the IV is placed. If they are unable to get enough blood, a separate blood drawing procedure will need to be done.
Eating and Drinking
You will not be able to eat or drink after midnight in preparation for the surgery and anesthesia the next day.
You will not be able to drink the morning of your surgery.
The Operating Room
You will go down to the pre-op holding area in your hospital bed. Your parents can go with you. You will met with a member of the Department of Anesthesia and your surgeon to answer any other question or concerns you may have. Your parents will meet with the "Liaison Nurse" who will talk with them during the operation to update them on your progress while you are in the OR. A nurse and anesthesiologist will roll your bed into the operating room.