Laparoscopic Colectomy | Dr. Martin G. Paul
Dr. Martin G. Paul
Johns Hopkins Regional Director of Minimally Invasive Surgery
Laparoscopic Colectomy

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Surgery Date
  • Before Surgery
    • My Surgery
      • Why do I need this surgery?
        No due date
      • What is the goal of this surgery?
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      • What are the risks and possible complications of this surgery?
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      • Do I have other options besides this surgery?
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      • How extensive will this surgery be?
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      • Will this surgery affect my bowel movements?
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      • Will I need an ostomy after my surgery and for how long?
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      • Where and how big will my incision be?
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      • Do you think I will need a blood transfusion during my surgery?
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      • How do I prepare for my surgery
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      • What about my nutrition before surgery?
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      • How do I reduce my chances of getting a wound infection?
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      • What about smoking and alcohol?
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    • Recovery after my Surgery
      • What can I expect after my surgery?
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      • What can I expect my pain to be like?
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      • Will I have any tubes or drains put in during surgery and for how long?
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      • What will my scar look like?
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      • How long will it be before I can get back to my normal routine?
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      • How long will it be until I can drive again?
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      • How long will it be until I can go back to work?
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    • Choice of Anesthesia
      • What kinds of anesthesia can I have for this procedure?
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      • Do I need to see an anesthesiologist before my surgery?
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    • My Current Medications
      • What about my current medications?
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    • Preparing for my Surgery
      • When should I stop eating and drinking before surgery?
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      • Will I need a bowel prep?
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      • What time should I arrive for my surgery?
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      • Will I need someone to drive me home from the hospital when I am released?
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  • Day of Surgery
    • General Questions
      • How long will my surgery take?
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      • When will my family be able to see me?
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      • Do I need any medication to prevent blood clots?
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      • Do I need any antibiotics to prevent infections?
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  • After Surgery
    • Questions to Ask After my Surgery
      • When will we stop the preventative antibiotics started before surgery?
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      • When can we restart my usual prescription medications?
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      • How are we preventing the formation of blood clots?
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      • When can I have my drains, tubes, and/or catheters removed?
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      • When can I eat or drink?
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      • Do I need to do breathing exercises?
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      • What needs to happen before I can be discharged?
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    • My Daily Questions
      • What can I eat or drink today?
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      • What can my activity level be today?
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    • Questions to Ask on Day of Discharge
      • Have we arranged for my prescriptions to be filled?
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      • Are there any medications that I need to avoid?
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      • How do I take care of my incision?
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      • What can my activity level be when I get home?
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      • When can I eat or drink normally again?
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      • When can I resume sexual activity?
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      • When can I go back to work?
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      • When do I need to come back for a follow-up appointment?
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      • When will my staples or sutures be removed?
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  • Recovery at Home
    • Call The Doc If
      • Call the doctor if you have a fever higher than 100.4 degrees Fahrenheit
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      • Call the doctor if you have shortness of breath or chest pain
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      • Call the doctor if you notice increased redness, swelling, warmth, or pain around your surgical incision
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      • Call the doctor if you notice that your incision is separating or you have infected discharge from your incision
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      • Call the doctor if you have increasing abdominal pain that is not relieved by pain medication
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      • Call the doctor if you have not had a bowel movement for several days
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  • Before Surgery
    • General Instructions
      • Continue your regular exercise programs up until the day of surgery
        -30 days at 18:00
      • As soon as your surgery has been confirmed, call the pre-op testing center to schedule for your pre-op tests - 202-537-4437
        -30 days at 9:00
      • Organize my advance directives before surgery
        -30 days at 18:00
      • If you smoke, stop at least 10 days prior to surgery as stopping just before surgery can complicate your recovery.
        -10 days at 9:00
      • Order the Nestle Impact Advanced Recovery Nutritional Supplement today and begin six days before surgery.  
        -10 days at 7:00
      • I was given all the information I needed about surgery
        -7 days at 9:00
      • My surgeon told me about the different ways to treat my condition
        -7 days at 9:00
      • Material such as pictures, drawings or videos were used to help me understand my procedure
        -7 days at 9:00
      • My surgeon explained why I might not want to have this surgery
        -7 days at 9:00
      • I was encouraged to ask questions
        -7 days at 9:00
      • Take time off from work, approximately 2-3 weeks, unless directed otherwise.
        -30 days at 9:00
      • Arrange for help around the house during your recovery
        -7 days at 9:00
      • Ask someone to stay with you the first night after the procedure
        -7 days at 9:00
      • Bring sugarless gum to the hospital for use after surgery to help with recovery of bowel function after surgery
        -7 days at 9:00
      • Do you have pre-operative anesthesia clearance (if prescribed)?
        -7 days at 9:00
      • Did you complete your lab work or EKG (if ordered)
        -7 days at 9:00
      • Check to make sure you know where and what time to go for your procedure
        -7 days at 9:00
      • Do you know which medications to stop before your surgery?
        -7 days at 9:00
      • Call the healthcare team if you have a new illness or have a fever
        -7 days at 9:00
      • Did you stop taking blood thinners today?
        -7 days at 7:00
      • If you are on an appetite suppressant, please stop 14 days before your surgery.
        -14 days at 9:00
      • Did you stop taking anti-inflammatory medications (NSAIDs) today?
        -7 days at 9:00
      • Do you have all of the medications needed for your bowel preparation? Do you have medicated liquid soap (Hibiclens) for your skin preparation?
        -7 days at 9:00
      • I will stop taking fiber supplements three days prior to surgery.
        -5 days at 7:00
      • Prepare your home to make things easier for yourself when you return home
        -3 days at 9:00
      • Start on a low-fiber diet today. Your last intake of Impact Nutritional Supplement will be tomorrow (2 days before surgery)
        -3 days at 9:00
      • Did you stop eating and begin a clear liquid diet the day before your surgery? Please refer to "Your Guide to Colorectal Surgery" booklet for a specific list of what you can and cannot eat/drink.
        -2 days at 21:00
      • Did you prepare and complete your bowel prep?
        -1 day at 9:00
      • For patients using Suprep,  take Neomycin (2 tablets) and Metronidazole after you have completed each phase (afternoon and evening) of the Suprep.   Also take 2 tablets of each on the day of surgery with the Gatorade.

        For patients using Golytely, take 2 tablets of each after you have completed the prep, and then again one hour later.   Also take 2 tablets of each on the day of surgery with the Gatorade.
        -1 day at 9:00
      • Unless instructed otherwise, do not eat or drink anything after midnight the day before surgery.
        -1 day at 9:00
      • Shower the evening before and the morning of surgery with Chlorhexidine soap (Hibiclens).  The navel should be cleansed particularly carefully.
        -1 day at 9:00
      • Make sure you bring the following with you:
        -1 day at 9:00
  • Recovery at Home
    • General Instructions
      • Prepare your home to make things easier for yourself when you return home
        -14 days at 9:00
      • Please check off each of the following items about medication to acknowledge that you have read and understood them.
        2 days at 9:00
      • I will call my doctor if I have any questions about recovery or feel something is not right
        2 days at 9:00
      • I will avoid strenuous exercise, contact sports, and heavy lifting for the first month after surgery and follow my doctor's instructions on resuming activities
        2 days at 9:00
      • Please check off each of the following items about activity level to acknowledge that you have read and understood them.
        2 days at 9:00
      • Please check off each of the following items about aiding recovery to acknowledge that you have read and understood them.
        2 days at 9:00
  • Day of Surgery
    • General Instructions
      • The clinic and Sibley nurse will notify you what medications you can take the day of surgery.
        -1 day at 9:00
  • After Surgery
    • General Instructions
      • Please check off each of the following items to acknowledge that you have read and understood them.
        0 day at 9:00
      • What to expect during my recovery period was explained me
        1 day at 9:00
      • Signs and symtpoms that need immediate attention were explained to me
        1 day at 9:00
      • Before I left the hospital or surgical facility, my surgeon discussed the outcome of my surgery with me
        1 day at 9:00
      • I was given easy to understand instructions about what to do during my recovery period
        1 day at 9:00
      • I understand which medications I am taking while in the hospital
        1 day at 9:00
      • I will ask the healthcare team if I received blood thinners to prevent blood clots.
        1 day at 9:00
      • Walk at least 3 times a day, be out of bed as much as possible, and use the incentive spirometer 10 times every hour while you are awake after your surgery.
        1 day at 9:00
      • Please check off each of the following items about caring for yourself at home to acknowledge that you have read and understood them.
        0 day at 12:00
      • I have scheduled my post-op appointment
        2 days at 9:00