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Talk:Colectomy

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Latest comment: 16 days ago by CountryMama27

Wholehartleymed Peer Review: Your Lead is very concise and has good detail. I would maybe add a sentence about the different types of colectomy and something about complications. This way, the Lead is a little bit better of a summary for the whole page.

In terms of content, I found your article very easy to read. It was also a good balance of detail without overwhelming the person with too many jargon words. The organization of the information made sense and progressed well, and it struck the right tone and balance.

For the different types section, you could maybe add a section or under each type, like which ones are indicated for what type of conditions, but just briefly. You could also add if there are certain complications for each or discuss how the surgical approaches are different for each. Maybe a little more information here would make it feel a little more complete.

Your images are good. They are relevant and help explain the different procedures. You could add a section on different surgical instruments used, maybe with images. However, I think this would be a bonus and maybe not totally necessary. It would make the article more surgical-like and be an interesting way to add more images. Wholehartleymed (talk) 17:54, 18 November 2024 (UTC)Reply

I wholeheartedly agree with your review. I would caution against expanding types of surgeries as the reasons and procedures in open laporatomy/laparoscopic/robotic (which is really a subtype of laparoscopic). The type of procedure doesn't differ in purpose or potential causes than any other surgery e.g. a failed stent resulting in open heart surgery. The tools used for open procedures, particularly retractors and cauterizers have too much variation depending on need, availability, and surgeon's preference. Best to leave surgical details to those pages even though there are a few tools that are common to colorectal surgery (e.g. table-mounted like Balfours and Bookwalters) because of the ability to have a wide retraction of very thick and heavy layers of tissue and the need of a large field for extensive visibility. CountryMama27 (talk) 17:48, 12 July 2026 (UTC)Reply

Wiki Education assignment: 2024-25 WikiMed Directed Studies

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 28 October 2024 and 23 November 2024. Further details are available on the course page. Student editor(s): Kkribbit (article contribs).

— Assignment last updated by Kkribbit (talk) 17:40, 30 October 2024 (UTC)Reply

Causes and Remedies

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There needs be a mention of permanent or temporary ileostomy as surgical outcomes of a total colectomy, as well as a brief mention of reversing options for some patients of not just J & S pouches but also continent ileostomies, primarily Kock pouches and BCIR. A page on colostomies and ileostomies and more detailed discussion on reversal options should be developed if one hasn't already. As well, variations of the procedure ought to include protocolectomy

Indications was updated to reflect categories of conditions rather thana partial set of specific conditions.CountryMama27 (talk)  Preceding undated comment added 17:35, 12 July 2026 (UTC)Reply

Surgical Procedure

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These sections need to be rewritten to remove duplicative information (like standard pre-op of a CBC, CMP, INR, etc. The portions for elective colectomies are the same for all colorectal surgeries (diet prep, enema, etc.). 2012 stats need updates -- but what concerns me the most is the surgical information itself which risks duplicating the links for laparoscopic and open surgery, surgical anastamosis, and ostomies. CountryMama27 (talk)

Complications and Risks

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This should either be in the introduction or down below - I'd recommend moving it to its own section and then removed or briefly summarizedCountryMama27 (talk)

Procedural Types

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Info for total colectomy is missing key reasons. Sigmoidectomy, etc. are all examples of subtotal colectomies and needs to be moved to the top of the different types of surgeries. The reference to some doctor who performed an excessive number of total colectomies doesn't add to the article and if anything, brings unnecessary, unrelated concern. The term "Lane's Operation" is no longer used and its references are broken or don't apply.

We should be cautious in citing some reasons for a particular procedure like a sigmoidectomy as there are multiple reasons for various combinations - a diseased colon is believed to be only one section when it has spread, etc.

A discussion of temporary end and temporary loop ostomies needs to be added. CountryMama27 (talk)