✦ BOWEL SURGERY · WITH STOMA

Bowel Resection with Colostomy

Q: Will the colostomy be permanent?

In most cases, the colostomy is temporary, reversed at 3–6 months. Permanent colostomy is reserved for very low rectal cancers or patients medically unfit for reversal.

Q: How will I manage the colostomy at home?

The stoma nurse provides complete training on appliance changing, skin care, and dietary guidance before discharge. Most patients are fully independent within 1–2 weeks.

Q: Can I live normally with a colostomy?

Yes — most colostomy patients return to full normal activities, including work, travel, sport, and social life within 4–6 weeks.

Bowel resection with temporary or permanent colostomy when primary reconnection is unsafe — Hartmann's procedure.

150–300 Min TREATMENT DURATION

6–10 Days CARE SETTING

Open APPROACH

4–8 Weeks RECOVERY TIMELINE

What is Bowel Resection with Colostomy?

Bowel resection with colostomy involves removing the diseased bowel, followed by creating a colostomy rather than immediate reconnection. This is most commonly Hartmann's procedure — performed when primary anastomosis carries unacceptable leak risk due to contamination, sepsis, or poor patient condition. Dr. Tagore Mohan Grandhi performs bowel resection with colostomy for perforated diverticulitis, obstructing colorectal cancer, and complex bowel conditions. Colostomy reversal is planned at 3–6 months after full recovery.

Suitable for patients with perforated diverticulitis and faecal peritonitis, obstructing colorectal cancer, complex bowel injury, or any condition where anastomosis at the time of surgery carries unacceptable risk.

How the Procedure Works

Emergency Assessment

CT assessment determines extent of contamination, perforation, and patient fitness for primary anastomosis versus colostomy formation.

Bowel Resection

Diseased or perforated bowel segment removed. Thorough peritoneal lavage performed to control contamination.

Colostomy Formation

Proximal healthy colon brought to skin surface as an end colostomy in the left iliac fossa. Distal rectal stump closed (Hartmann's pouch).

Stoma Care

Stoma appliance fitted immediately post-operatively. The stoma nurse provides skin care training and appliance management.

Reversal Planning

Colostomy reversal — reconnecting the bowel — planned at 3–6 months. Most reversals are performed laparoscopically.

Outcomes

150–300 MinTREATMENT DURATION

6–10 DaysCARE SETTING

OpenAPPROACH

4–8 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→Eliminates anastomotic leak risk in contaminated or emergency settings
→Life-saving in perforated diverticulitis with faecal peritonitis
→Colostomy is typically reversible — reconnection planned at 3–6 months
→Modern appliances are comfortable and manageable for daily life

Bowel resection with colostomy is sometimes the safest and life-saving choice. When patients return for reversal, they leave with normal bowel function and a second chance at health.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Will the colostomy be permanent?+

How will I manage the colostomy at home?+

Can I live normally with a colostomy?+

Not sure which treatment is right for you?

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