5-460.41:

Other operations on small and large intestine: Creation of an ileostomy, double-barreled, as standalone intervention: Descendostomy: Laparoscopic

An operation involved making an artificial anus in the descending section of your large intestine.

The large intestine (colon) is like an upside down U in the abdomen. The first part lies in the lower right corner of the abdomen. Then it continues upwards and runs across from right to left. Then it descends again. There then follows an S-shaped part located on the bottom left side of the abdomen, which then merges into the rectum. The rectum is the last section of the large intestine (colon).

The surgery involved doing a laparoscopy. A laparoscopy first involves making a small incision in the abdomen. A tube with a camera is pushed through this incision into the abdomen. This camera sends pictures of the inside of the abdomen to a screen. Tools such as forceps and scissors can be inserted through other small incisions in the abdomen.

To create an artificial anus, a small opening is usually made in the abdominal wall. A side of the intestine is also opened in one location. This opening is then stitched to the opening in the abdominal wall. The intestinal contents then come out through this artificial anus. A special bag that collects the intestinal contents is usually attached to the artificial anus.

In the area of the artificial anus the intestine continues to be connected to the subsequent sections of intestine. So it may be that you still excrete small amounts of intestinal waste or mucus via your anus.

Additional indicator

If necessary, additional letters are appended to OPS codes to indicate which side of the body is affected.

  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

Your doctor will assist you with any health-related questions and explain the OPS code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).