Ileocecal Resection: The primary indication for ileocecal resection can be the presence of inflammatory bowel diseases, hemorrhage within the gastrointestinal tract, tumors, masses and adenoma of the appendix. This is performed specifically because the previously mentioned conditions cannot be resected endoscopically.
However, before this surgical operation is done, the surgeon and his team must be well acquainted with the anatomy of the cecum and the rest of the digestive system. This is imperative so as to avoid further complications after the surgery. Patients who are subjected to this procedure must be carefully screened because those who are too unstable to undergo exploratory laparotomy are basically not qualified for ileocecal resection.
Before performing this procedure, some preparations must be done first. The patient must first submit himself for certain lab workups such as a complete blood count (CBC) and as well as certain blood chemistries. Anticoagulant and anti-platelet medications must also be stopped ideally from within 7 to days prior the day of surgery.
Typically, ileocecal resection is done under general anesthesia. However, there are those who proposed that the rate of succeeding is much higher when it is performed under spinal anesthesia. During the day of surgery, the patient is prepped for the procedure. The surgeon would then decide for the type of incision to be made. The incision would usually depend on the accessibility of the abdomen. Different incisions can also be made. It could be supraumbilical transverse incision, median or paramedian. The terminal ileum and cecum would be resected. After which, an ileo-ascending colostomy is then created.