Clinical Hub,Patient Education,Health and Nutrition Facts For You,Surgery

Colostomy Take-Down (4921)

Colostomy Take-Down (4921) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Surgery


Colostomy Take-Down

An ostomy take-down closes the stoma and the skin opening.

Bowel Prep: The Day before Surgery
You will need to do a full bowel prep with antibiotics to empty your bowel of food and stool
before surgery. We will discuss this with you in detail.

Wound Care
ξ It will take at least 10-14 days for your incision to heal. You can expect that it will be
swollen, pink, sore, and may be numb and bruised with some blood tinged to clear yellow
drainage. You may have more drainage than you had from your other incisions. Make sure
to change the bandage at least once a day and as needed.
ξ When it is okay to shower, gently wash it with a mild soap and water. Pat dry. Do not soak
in a bathtub, hot tub, or go swimming until it is healed. Do not put lotion, powder, or
ointments on the wound.
ξ Watch for signs of infection:
o Increased redness or warmth
o Pus-like drainage
o Excess swelling or bleeding
o Temperature (by mouth) above 100.4 θF for two readings taken 4 hours apart
ξ Cover your incision with a gauze dressing. Change the dressing daily or as needed. You may
stop wearing the dressing when there is no drainage.

ξ Do not drive for 2 weeks or while you are taking narcotic pain pills.
ξ For the first 4 weeks, do not lift things that weigh greater than 10 pounds.
ξ After 4 weeks, slowly increase your activity. If you are not sure, check with your doctor.
ξ Check with your doctor before going back to work.
ξ Sex may be resumed when you feel ready.

Pain Relief
It is normal to have pain after surgery. Pain pills will be ordered for you.

ξ Your diet will advance from clear to full liquids, and then a soft to a low fiber diet as your
body can handle it. Further advancement of your diet will be discussed at your clinic
appointment after surgery.
ξ At first, you will have unformed loose stools often. This will begin to improve as your diet
includes more fiber. Pain pills may cause constipation. You can help prevent this by
drinking 8-10 (8 oz.) glasses of fluid daily and eating a diet that includes fruits, vegetables,
and fiber. Stools will be loose or formed depending on your surgery and the amount of
intestine removed. Usually stool softeners are recommended and will be written on your
instructions when you leave the hospital.
ξ If you have problems with bowel movements, call your doctor.

Rectal Skin Care
After an ostomy take-down, it is important to prevent rectal skin problems. You can do this by
using baby wipes instead of toilet paper and by using a protective skin ointment such as Vaseline
Constant Care®, Desitin®, Proshield Plus®, Vaseline®, A&D ointment®, zinc oxide, or
Calmoseptine® on the rectal skin area after each stool and before you notice any problem.

When to Call the Doctor
ξ Bloating
ξ Nausea or vomiting
ξ Rectal skin problems
ξ Bowel movement problems
ξ Pain not controlled by pain pills
ξ Signs of a wound infection:
o Increased redness or warmth
o Pus-like drainage
o Excess swelling or bleeding
o Temperature greater than 100.4°F by mouth, for 2 readings taken 4 hours apart

Phone Numbers

Digestive Health Center: (608) 890-5000 Monday – Friday, 8am – 5pm
After hours, weekends or holidays this number will be answered by the paging operator.
Ask for the doctor on call for Dr. ________________. Leave your name and phone number with
area code. The doctor will call you back.
If you live out of the area, call (855) 342-9900.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4921