Colostomy: Before Your Child's Surgery
What is a colostomy?

A colostomy is surgery to make an opening in the skin on the belly
and connect your child's bowel (colon) to that opening. The opening
is called a stoma. The stoma may be needed for weeks to months. Or
it may be needed throughout your child's life.
After surgery, stool will no longer leave your child's body through
the anus. It will go through the stoma and into a plastic bag. The
bag is attached to the stoma.
The surgery can be done in two ways. In laparoscopic surgery, the
doctor makes several small cuts (incisions) in the belly. Then the
doctor puts a thin, lighted tube and special surgical tools through
the incisions. The tube is called a scope. It lets the doctor see
your child's organs and do the surgery. In open surgery, the doctor
makes one larger cut in the belly. In either surgery, the incisions
leave scars. These will fade with time.
You and your child may worry about life after this surgery. But many
people with colostomies lead active, normal lives. It may help to
know that the bags don't smell bad. They also don't show under
clothes. Most people won't know that your child has a colostomy
unless you or your child chooses to tell them.
In the hospital, an ostomy nurse will help you and your child learn
to care for the stoma. Your child will probably go home in about a
week. But it could take several weeks to fully recover. Your doctor
will tell you when your child can go back to normal activities.
How do you prepare for surgery?
Surgery can be stressful for both your child and you. This
information will help you understand what you can expect. And it
will help you safely prepare for your child's surgery.

Preparing for surgery
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Tell the doctor ALL the medicines, vitamins, supplements,
and herbal remedies your child takes. Some may increase
the risk of problems during the surgery. Your doctor will
tell you if your child should stop taking any of them
before the surgery and how soon to do it.
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The day before surgery
What happens on the day of surgery?
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Follow the instructions exactly about when your child
should stop eating and drinking. If you don't, your
child's surgery may be canceled. If your doctor told you
to have your child take any medicines on the day of
surgery, have your child take them with only a sip of
water.
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Be sure your child has something that's a reminder of
home. A special stuffed animal, toy, or blanket may be
comforting. For an older child, it might be a book or
music.
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At the
hospital
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Your child may have a thin plastic tube in the nose that
goes into the stomach. It drains stomach juices and
prevents nausea. The drainage usually looks green, brown,
or even black with a bit of blood. This tube is usually
removed after a few days. Then your child can start to
drink and eat again.
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When should you call your doctor?
Current as of: July 26, 2023
Content Version: 14.0
Care instructions adapted under license by your healthcare
professional. If you have questions about a medical condition or
this instruction, always ask your healthcare professional.
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