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What kind of surgery did Pope have, and why?

3-hour abdominal operation repaired developing hernia

By Associated Press
Published: June 7, 2023, 4:18pm

LONDON — The Vatican says Pope Francis has emerged after a three-hour abdominal surgery with no complications. He was admitted Wednesday to a Rome hospital for a procedure to open up his abdomen after developing a hernia linked to a 2021 operation. The Vatican said that doctors also inserted a mesh prosthesis while he was under general anesthesia. Francis had a significant portion of his large intestine removed two years ago. Doctors not linked to the pope’s care said hernias were a known complication after previous operations.

Here’s a look at what we know about the operation and what potential complications doctors will be watching for in the 86-year-old pontiff.

WHAT KIND OF SURGERY DID THE POPE HAVE? Pope Francis had a laparotomy, a surgery that involves opening up the abdomen, and doctors also inserted some prosthetic mesh to strengthen his colon.

“The surgery and general anesthesia were carried out without complications,” the Vatican said in a statement. Authorities said Francis was alert and responsive and that he had “responded well.”

Doctors not linked to the pope’s care said hernias were a known risk after previous operations and typically only become problematic when patients develop a bulge in their abdomen and experience significant pain. In such cases, surgery is needed to repair the hernia, which may involve some of the patient’s bowel.

The Vatican said Francis had been in increasing pain.

Dr. Walter Longo, chief of colon and rectal surgery at Yale University School of Medicine, said leaving the pope’s hernia untreated could lead to severe bowel problems.

“When you’re older and not in great shape, you can get a hernia through the (surgical) incision,” he said. That could result in twisted intestines that cut off the blood supply to the bowel, ultimately leading to gangrene, if not addressed.

“They have to fix it, there’s no other option,” Longo said.

Dr. Manish Chand, a British colorectal surgeon, said the addition of a mesh prosthesis should significantly reduce the chances that the Pope would need further surgeries.

“The mesh is there to reinforce that area so this problem doesn’t happen again in the future,” Chand explained.

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