Should You See a Surgeon for a Suspected Lipoma on Your Spine?
excuse me? Should I see a surgeon for a lipoma? I feel that the abnormality is located on my back near the spine, but I'm not sure if it is a lipoma. It is a round, soft-hard mass (which is movable), approximately one centimeter in size. Thank you!
Dr. He Zhenming reply Surgery
Please schedule an appointment for a general surgery outpatient consultation.[Read More] Should You See a Surgeon for a Suspected Lipoma on Your Spine?
Managing Post-Operative Infections After Laparoscopic Gallbladder Surgery
Pus discharge from the incision site after endoscopic gallstone removal? Dear Director He, My mother is 72 years old and underwent laparoscopic cholecystectomy for gallstones ten years ago, with a good recovery afterward. However, a month ago, a small white pus-filled bump appea...
Dr. He Zhenming reply Surgery
Please take your mother to the hospital for a general surgery consultation. The physician needs to examine the wound to determine the cause of the condition.[Read More] Managing Post-Operative Infections After Laparoscopic Gallbladder Surgery
Post-Thyroid Surgery Concerns: Understanding Symptoms and Follow-Up Care
excuse me? Dear Director He, Regarding my mother's post-thyroidectomy issues: she is 66 years old and underwent thyroid removal surgery in March of this year. Her recovery has been good, and her arrhythmia has significantly improved. However, recently she occasionally feels...
Dr. He Zhenming reply Surgery
Thyroid surgery rarely has complications; a tight feeling in the neck may be due to scarring. Please consult a thyroid surgeon.[Read More] Post-Thyroid Surgery Concerns: Understanding Symptoms and Follow-Up Care
Surgical Risks and Alternatives for Peritonitis in Cirrhosis Patients
Surgical intervention for peritonitis in patients with liver cirrhosis? My mother is 62 years old and has been undergoing chemotherapy for lymphoma. However, she also has liver cirrhosis, which has led to her hospitalization for treatment. Currently, the hospital has diagnosed he...
Dr. He Zhenming reply Surgery
Hello, netizen: There are many causes of peritonitis, and the type of surgery performed can also affect the surgical risks. Additionally, your mother has cirrhosis and has undergone chemotherapy, which significantly increases the surgical risks. However, it is important to clarif...[Read More] Surgical Risks and Alternatives for Peritonitis in Cirrhosis Patients
Impact of Delayed Stitch Removal on Wound Healing: What You Need to Know
Wound suturing Hello, my brother received stitches (3 stitches) at your hospital on August 5 (Wednesday). The doctor who treated him advised that he should return for a follow-up appointment to have the stitches removed in one week. However, he is currently on active duty and his...
Dr. He Zhenming reply Surgery
The timing for removing stitches from facial lacerations is approximately 5 to 7 days; delaying removal may affect scar formation.[Read More] Impact of Delayed Stitch Removal on Wound Healing: What You Need to Know
Advanced Treatment Options for Hepatic Duct Stones in Taiwan
Hepatic duct stones Hello, I have a friend in mainland China who is being treated for liver and gallbladder stones in the hospital. Currently, the stones in the bile duct have been removed, but the doctor said that the stones in the hepatic duct cannot be surgically removed and m...
Dr. He Zhenming reply Surgery
If intrahepatic stones are localized only in the left lobe of the liver, partial hepatectomy may be considered. However, if there are multiple intrahepatic stones in both the left and right lobes, surgical intervention may be of limited benefit.[Read More] Advanced Treatment Options for Hepatic Duct Stones in Taiwan
Understanding Surgical Decisions in Stage III Colon Cancer Treatment
Could you please clarify your question, doctor? Dear Director, my father was diagnosed with stage III colon cancer. After the first surgery, six days later, there was a leakage at the surgical site, which necessitated a second surgery to create a colostomy. After the first surger...
Dr. He Zhenming reply Surgery
Because the first surgery involved creating a colostomy, a second surgery for bowel reconstruction was necessary. The doctor may have considered that the potential leakage might not be severe or that there was a chance for healing, which is why a colostomy was not performed direc...[Read More] Understanding Surgical Decisions in Stage III Colon Cancer Treatment
Understanding Gallbladder Removal: When Is Surgery Necessary?
Gallbladder I would like to ask about my husband. He has been experiencing stomach pain for four years, but every time he undergoes an endoscopy, the results show no issues (he has had this procedure almost every year). Until a few days ago, he had an abdominal ultrasound and ano...
Dr. He Zhenming reply Surgery
Based on the symptoms and examination results, cholecystectomy is recommended.[Read More] Understanding Gallbladder Removal: When Is Surgery Necessary?
Understanding Splenic Cysts: Monitoring, Risks, and Treatment Options
Spleen cyst Doctor He, two years ago during a health check-up at a renowned facility in Harvard, an abdominal ultrasound revealed a 1 cm cyst on my spleen. The examining physician mentioned that it was nothing to worry about and attributed it to my constitution, advising regular ...
Dr. He Zhenming reply Surgery
Spleen cysts are mostly benign and should be monitored regularly.[Read More] Understanding Splenic Cysts: Monitoring, Risks, and Treatment Options
Cholecystitis: Surgical Options and Considerations for High-Risk Patients
Cholecystitis Hello, my mother is a dialysis patient with hypertension and diabetes. Recently, she has experienced loss of appetite and vomiting. An ultrasound revealed that she has gastritis and chronic cholecystitis. The doctor has recommended gallbladder removal. Given that my...
Dr. He Zhenming reply Surgery
Diabetes mellitus with cholecystitis and gallstones is an indication for laparoscopic cholecystectomy. It is recommended to perform an upper gastrointestinal endoscopy to rule out any gastric issues, and to schedule the laparoscopic cholecystectomy surgery after adequate preparat...[Read More] Cholecystitis: Surgical Options and Considerations for High-Risk Patients
Understanding Blisters Between the Stomach and Pancreas: Causes and Concerns
Blisters can form between the stomach and pancreas? I would like to ask the doctor why there are blisters forming between my stomach and pancreas! Why are they not forming on the organs themselves?
Dr. He Zhenming reply Surgery
Cysts in the stomach and pancreas may be pseudocysts produced by the pancreas, which may require a CT scan for evaluation. The pancreas itself rarely produces cysts; most cases are complications of pancreatitis leading to pseudocyst formation. The liver and kidneys are the organs...[Read More] Understanding Blisters Between the Stomach and Pancreas: Causes and Concerns
Understanding Chronic Constipation: Risks and Surgical Concerns
Consultation 1. I have a history of constipation for 26 years, and my medication use has been inconsistent, which has affected my absorption and digestive system. I underwent surgery for uterine fibroids two years ago, and recently I've been experiencing difficulties with bo...
Dr. He Zhenming reply Surgery
Based on the described symptoms, the fatigue caused by irregular bowel movements has led to what is known as psychosomatic disorder. It is recommended to consult a gastroenterologist and a psychiatrist. Thank you.[Read More] Understanding Chronic Constipation: Risks and Surgical Concerns
Understanding Malignant Liver and Bile Duct Tumors: Treatment Options and Prognosis
Liver and biliary tumors? Your friend's mother has a malignant liver and biliary tumor. What steps should the family take next? The tumor is currently located at the junction between the liver and bile ducts. Is it possible to surgically remove it? She is currently undergoin...
Dr. He Zhenming reply Surgery
Currently, surgical resection remains the primary treatment for malignant liver tumors, unless the patient is unable to undergo surgery, in which case alternative treatments such as chemotherapy or embolization may be considered. If there are only liver tumors present without liv...[Read More] Understanding Malignant Liver and Bile Duct Tumors: Treatment Options and Prognosis
Can You Use Ink on Dog Bite Wounds? Debunking Common Myths
excuse me? Is there a saying that applying stamp ink to a dog bite is effective? What would happen if it is applied directly to the wound?
Dr. He Zhenming reply Surgery
Dog bites are primarily associated with anaerobic bacteria. The application of ointments does not seem to be effective.[Read More] Can You Use Ink on Dog Bite Wounds? Debunking Common Myths
Improving Liver Fibrosis and Jaundice in Adults: Treatment Options Explained
Adult jaundice with liver fibrosis? My mother is nearly sixty years old and had her gallbladder removed via laparoscopic surgery about five years ago due to growths in the gallbladder. She is a carrier of hepatitis B and has experienced a significant decline in her health over th...
Dr. He Zhenming reply Surgery
1. The cause of jaundice may be due to stones in the common bile duct or issues with the liver. 2. Hematuria is most likely caused by urinary tract stones or problems such as bladder inflammation or tumors. 3. The gastroenterology and urology departments should be able to ide...[Read More] Improving Liver Fibrosis and Jaundice in Adults: Treatment Options Explained
Gallstones: Should I See a Gastroenterologist or Surgeon?
Gallstones? Dear Doctor, In April of this year, I was diagnosed with a gallstone approximately 1.5 cm in size at Tri-Service General Hospital. The physician there mentioned that surgery would be necessary if I experienced pain. Yesterday (July 2), an abdominal ultrasound at a ho...
Dr. He Zhenming reply Surgery
Based on your symptoms, you meet the criteria for laparoscopic cholecystectomy. Please schedule an appointment with the gastroenterology surgery department, and we will perform another abdominal ultrasound.[Read More] Gallstones: Should I See a Gastroenterologist or Surgeon?
Understanding Delayed Urination: Possible Causes and Concerns
Urination I have been experiencing a delay in urination for the past few days, and I'm not sure why. There is no pain while urinating, but I do feel a slight discomfort in my lower back. Could you please tell me what condition I might have?
Dr. He Zhenming reply Surgery
It is most likely a urinary tract infection. Drinking more water may help improve the condition; otherwise, consider consulting a urologist. Dr. He Zhenming.[Read More] Understanding Delayed Urination: Possible Causes and Concerns
Post-Appendectomy Concerns: Pain, Adhesions, and Vision Issues Explained
Postoperative issues related to appendicitis? Hello, Doctor. I underwent laparoscopic appendectomy on August 1 due to appendicitis. According to the doctor, the appendix appeared to be non-inflamed (the pathology report indicated inflammation), but there was some abdominal fluid....
Dr. He Zhenming reply Surgery
The case report indicates that inflammation is present, and it is normal to experience pain in the right lower abdomen after appendectomy. The adhesions post-surgery are relatively mild, and laparoscopic appendectomy is covered by health insurance. Dr. He Zhenming.[Read More] Post-Appendectomy Concerns: Pain, Adhesions, and Vision Issues Explained
Do You Need a Tetanus Shot for a Foot Injury from a Nail?
Tetanus Hello, Doctor: 1. I would like to ask if I need a tetanus shot after stepping on a nail indoors. I visited a dermatologist who deemed it unnecessary and prescribed medication and ointment. Also, could not receiving the tetanus shot cause eyelid twitching? Is there any rel...
Dr. He Zhenming reply Surgery
If you haven't received a tetanus shot in the past ten years, it is advisable to get a tetanus booster. However, your symptoms are less indicative of tetanus. Dr. Ho Chen-Ming.[Read More] Do You Need a Tetanus Shot for a Foot Injury from a Nail?
Post-Surgery Concerns for Liver Cancer Patients: What to Expect
Postoperative Issues Related to Liver Cancer Surgery Hello Doctor: I am a family member of a patient. My father is a carrier of hepatitis B. Although he usually pays attention to his diet, he was diagnosed with liver cancer at Tzu Chi Hospital in early July. After a series of exa...
Dr. He Zhenming reply Surgery
Due to the tumor's proximity to the anal veins, performing a right hepatectomy is a reasonable choice. In patients without liver cirrhosis, right lobe hepatectomy has no adverse effects on the body. Dr. He Zhenming[Read More] Post-Surgery Concerns for Liver Cancer Patients: What to Expect