What is Subtotal Colectomy?

Subtotal colectomy involves removing 90–95% of the colon. It is primarily indicated for the treatment of megacolon, a condition where the colon becomes distended and fails to empty properly. Other indications include trauma, perforation, neoplasia, or irreducible intussusception.

Procedure:

1. Surgical Objective:
   • The goal is to remove most of the colon (except what is necessary for reestablishing bowel continuity).
2. Reasons for Surgery:
   • When medical management (such as enemas and stool softeners) fails to resolve megacolon.
   • In cases of severe colon problems, such as intussusceptions or feline chronic constipation/obstipation.
3. Postoperative Care:
   • Keep your pet indoors and avoid rigorous activity (jumping or playing) for 2 weeks.
   • Monitor appetite and attitude; steady improvement is expected.
   • Expect a bowel movement within 5 days, which may appear abnormal in color and consistency initially.
   • Confirm that your pet has urinated within 24 hours of returning home.
4. Incision Care & Monitoring:
   • Check the incision twice daily; it should be dry, slightly red along the margins, and slightly swollen/thick on the edges.
   • Watch for signs of complications, such as gapping, discharge, or excessive swelling.
   • Prevent licking or chewing of the incision using an E-collar if necessary.

Benefits:

• Effective resolution of megacolon-related constipation.
• Improved quality of life for the pet.
• Rare complications, such as peritonitis, are life-threatening but very uncommon.

Remember to consult your primary care veterinarian for any concerns or adjustments. If you need further details, feel free to ask!