I am hearing that for revision/redo surgery, they tend to do a hand sewn anastamosis vs. a stapled. I hear with handsewn there are more issues with leakage/seepage after this . Who here has experienced this? does it last forever or just during recovery? And is it basically crapping your pants or just a bit that is not going to make you smell like crap basically? I am nervous about this.
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Hi! I responded to you on the PM, but wanted to reply to your post. As I indicated, I have more mucous leakage from the loop than I do now, 2.5 months out. I do leak from time to time, but nothing that keeps me from doing anything and can't be handle with some liners. If I have a problem with more, it's likely because I ate/drank something I knew would cause me issues.
There is no place I wouldn't go right now or do because of any leakage concern, honestly!
A handsewn anatamosis must be used if the rectal cuff is removed, as in pouch advancement. I'd guess that some pouch re-do procedures include a bit of cuffitis, a good reson to get rid of the rectal cuff. I'd be surprised if they did hand-sewn procedures when a rectal cuff is available.
Yes, Scott is correct. The double stapled anastomosis requires a certain amount of rectum available for the stapler to "grab onto." Even without a pouch advancement on a redo, there may not be enough.
Jan 
.. exactly the opposite .. I have 4-6 non-urgent BMs a day, things are working very well, much better than my previous stapled pouch. IMHO, the issue isn't necessarily whether they staple or hand sewed, the issue is whether or not it's a good and sealed connection.
