Dr. Li Zhonghuai reply Surgery Question - Page 26

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Artificial Skin vs. Cosmetic Glue: Best Options for Finger Cut Recovery

After a finger laceration has been sutured, should I use artificial skin or cosmetic adhesive? Recently, I cut my finger on a metal piece and received about nine stitches in the emergency room. The stitches have been removed. After the removal, should I use artificial skin or sil...


Dr. Li Zhonghuai reply Surgery
Hello! After the stitches are removed, if the wound shows no drainage, there is no need to waste money on artificial skin. You can apply beauty tape for one to two weeks, then switch to a scar gel for optimal results. Wishing you well! Changhua Hospital cares about you!

[Read More] Artificial Skin vs. Cosmetic Glue: Best Options for Finger Cut Recovery


Can Ultrasound Distinguish Between Sclerosing Adenosis and Fibroadenoma?

Can a breast ultrasound determine whether it is "sclerosing adenosis" or a simple fibroadenoma? Dr. Lee, I apologize for asking again: 1. In your previous response, was it "possible" or "difficult" to determine whether it is an adenoma accompanied by...


Dr. Li Zhonghuai reply Surgery
Hello! On ultrasound, it is easy to determine that it is an adenoma, with clear boundaries. Fibroadenomas are mostly palpable, while sclerosing adenosis is often not palpable and has more ambiguous margins. Sometimes, it can resemble breast cancer. Regarding your concern about ex...

[Read More] Can Ultrasound Distinguish Between Sclerosing Adenosis and Fibroadenoma?


Understanding Fibroadenomas and Complex Cysts: When to Biopsy?

Fibroadenoma/Complex cyst Dr. Li: Typically, when adenomas and complex cysts are found, there are about ten small ones. 1. Should we perform a biopsy upon discovery, or should we wait to see if they grow larger before doing a biopsy? 2. If there are more than ten, what do you rec...


Dr. Li Zhonghuai reply Surgery
Hello! Basically, it has enlarged, the margins are unclear, there is rich blood flow, the tumor is heterogeneous, and there is a shadow behind the tumor. If there is any suspicion, a core needle biopsy should be performed, regardless of the number of lesions. Take care! Changhua ...

[Read More] Understanding Fibroadenomas and Complex Cysts: When to Biopsy?


Knee Injury After Car Accident: Causes and When to Seek Medical Help

Minor knee injury after a car accident? Around mid-April, after a car accident, I sustained a bruise on my left knee. However, the wound on my knee is small and not extensive. The other parts of the knee have healed, but there is a small raised area at the site of the injury near...


Dr. Li Zhonghuai reply Surgery
Hello! Based on your description, it seems like a hypertrophic scar. Please avoid scratching or irritating it. If it becomes unbearable, please consult a dermatologist. Take care! Changhua Hospital cares about you!

[Read More] Knee Injury After Car Accident: Causes and When to Seek Medical Help


Persistent Toe Injury: Causes and Treatment for Non-Healing Wounds

Hello, doctor. I would like to ask you something? I have a wound next to the toenail of my left big toe. The area around the wound feels red and swollen, and there is oozing of blood and tissue fluid. There is also a hard, callus-like growth protruding. It doesn't hurt when ...


Dr. Li Zhonghuai reply Surgery
Hello! Based on your description, I recommend undergoing surgery for debridement, as it would facilitate a quicker recovery. Of course, it is absolutely necessary to avoid contact with tap water. Wishing you well! Changhua Hospital cares about you!

[Read More] Persistent Toe Injury: Causes and Treatment for Non-Healing Wounds


Understanding Core Needle Biopsy for Fibroadenomas and Sclerosing Adenosis

Core needle biopsy Hello Dr. Lee, I previously had two fibroadenomas excised, and the biopsy results indicated "sclerosing adenosis" and "hyperplasia." My most recent breast ultrasound showed approximately 11 lesions on both sides, and I am concerned that some...


Dr. Li Zhonghuai reply Surgery
Hello! The more concerning condition is sclerosing adenosis. If atypical cells are observed in a core needle biopsy, it is recommended to remove the entire lesion to prevent the possibility of hidden carcinoma in situ. Ultrasound can help differentiate between "sclerosing ad...

[Read More] Understanding Core Needle Biopsy for Fibroadenomas and Sclerosing Adenosis


Post-Surgical Wound Care: Addressing Complications and Treatment Options

Post-debridement wound care? Hello Doctor, my left calf between the knee and ankle was injured on June 6, 2015. At that time, I received three stitches for a wound smaller than a coin. After removing the stitches and continuously changing the dressings, a year has passed, and the...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to perform a contrast-enhanced computed tomography (CT) scan of the left lower limb to determine the extent of the purulent and chronic infection. Debridement will be necessary; otherwise, there will still be drainage. Keep your leg elevated during the da...

[Read More] Post-Surgical Wound Care: Addressing Complications and Treatment Options


How to Handle Suspected Glass Injury in Your Foot: A Guide

If you suspect that you have stepped on glass, here are the steps you should take: 1. **Stay Calm**: Try to remain calm to avoid further injury. 2. **Assess the Injury**: Carefully examine your foot to determine if there is glass embedded in it. 3 I would like to ask the doctor ...


Dr. Li Zhonghuai reply Surgery
Hello! It may be similar to your previous experience, where the wound becomes purulent and discharges. Since you are unsure about the puncture site, performing debridement recklessly may only create unnecessary wounds. It is advisable to observe it for now. Take care! Changhua Ho...

[Read More] How to Handle Suspected Glass Injury in Your Foot: A Guide


Understanding Normal Symptoms After Breast Tumor Biopsy

Breast tumor biopsy examination I just had a core needle biopsy on June 23, and I am experiencing swelling, pain, and bruising in my right breast, along with numbness and tingling in my right hand. However, the wound is healing. Are these symptoms normal?


Dr. Li Zhonghuai reply Surgery
Hello! Please avoid letting the wound come into contact with tap water, apply ice packs, and take pain relievers. It will gradually improve. Take care! Changhua Hospital cares about you!

[Read More] Understanding Normal Symptoms After Breast Tumor Biopsy


Pain and Difficulty Bending Finger After Rusty Needle Injury: When to Seek Help?

Stabbed my finger with a metal needle, and the next day it was difficult to bend? Hello, I was punctured near the first joint of my index finger by a rusty iron needle yesterday. I cleaned the wound and applied Mentholatum right after, and aside from bleeding, there was no other ...


Dr. Li Zhonghuai reply Surgery
Hello! Please visit the general surgery department as soon as possible. Do not let the wound come into contact with tap water, and do not apply Mentholatum. You need to get a tetanus shot. Take care! Changhua Hospital is concerned about you!

[Read More] Pain and Difficulty Bending Finger After Rusty Needle Injury: When to Seek Help?


Post-Cellulitis Care: When to Drain and Treat Your Wound

Post-treatment management of cellulitis? Hello doctor, two days ago I developed a bacterial infection in my buttock that turned into cellulitis. Since I didn't have time to go to the hospital in the morning before work, I went to a clinic instead. After the consultation, I w...


Dr. Li Zhonghuai reply Surgery
Hello! It is safest to go directly for surgical debridement. Simply squeezing it out may sometimes work, but it can also delay treatment, leading to increased swelling. Take care! Changhua Hospital cares about you!

[Read More] Post-Cellulitis Care: When to Drain and Treat Your Wound


Hard Lump on Calf After Car Accident: Should I Be Concerned?

The patient experienced a car accident and has a hard lump on the calf with no external injuries? I was in a car accident two weeks ago, and my left calf was caught between two vehicles. Since there were no external injuries, only slight bruising, I did not seek immediate medical...


Dr. Li Zhonghuai reply Surgery
Hello! It is most likely a blood clot. Please go to the surgical outpatient department for evaluation. Blood clots can sometimes take a long time to resolve, or they may not dissolve at all, leading to encapsulation. Take care! Changhua Hospital cares about you!

[Read More] Hard Lump on Calf After Car Accident: Should I Be Concerned?


Persistent Swelling After Car Accident: When to Seek Medical Advice

The wound from the car accident has healed, but there is still swelling? Today, during a car accident in February, I may have been startled and briefly lost consciousness. When I was called back, my leg was pinned under a motorcycle, and it took a moment to move. Fortunately, I w...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to directly perform a CT scan of the lower leg, as chronic deep tissue infection needs to be considered. Take care! Changhua Hospital is concerned about you!

[Read More] Persistent Swelling After Car Accident: When to Seek Medical Advice


Understanding Lipomas: When Surgery is Necessary for Painful Growths

A hard mass under the skin - lipoma? Hello, I have a hard lump under the skin that is painful to touch and appears slightly red. Do I need surgical treatment? Can it be sutured with absorbable sutures? How long will the surgery take? Thank you, doctor.


Dr. Li Zhonghuai reply Surgery
Hello! Based on your symptoms, it seems more like a sebaceous cyst. I recommend surgical excision, using fine nylon sutures for closure. The surgery will take approximately 10 minutes. Wishing you a safe procedure! Changhua Hospital cares about you!

[Read More] Understanding Lipomas: When Surgery is Necessary for Painful Growths


Understanding Right Side Chest and Back Pain: When to Seek Medical Help

Sharp pain in the right side of the back, under the armpit, and in the front chest? I have been experiencing a pulling pain on the right side of my back, under my armpit, and in my chest for the past 6 to 7 days. I'm not sure if this sensation can be classified as pain. Some...


Dr. Li Zhonghuai reply Surgery
Hello! Please visit the general surgery department to check if your wound is infected. Remember to add a muscle relaxant to your pain medication. Take care! Changhua Hospital is concerned about you!

[Read More] Understanding Right Side Chest and Back Pain: When to Seek Medical Help


Understanding Subcutaneous Cysts: Symptoms and When to Seek Help

Subcutaneous cyst Hello doctor, I have small hard lumps on the inner thigh, waist, and groin area near the testicles. They are painful when pressed firmly and can move slightly with the skin. What could this condition be? Which specialty should I see for medical consultation?


Dr. Li Zhonghuai reply Surgery
Hello! An ultrasound is needed for further evaluation, please visit the general surgery department. Take care! Changhua Hospital cares about you!

[Read More] Understanding Subcutaneous Cysts: Symptoms and When to Seek Help


Understanding Cellulitis: Symptoms, Recovery, and Ongoing Concerns

Cellulitis Hello Doctor, Last month on the 9th, I was diagnosed with cellulitis. After surgical treatment, there has been improvement, and the swollen area has returned to its original size. However, there is still some localized redness, and when I elevate my leg, the temperat...


Dr. Li Zhonghuai reply Surgery
Hello! If you have a wound, please clean it daily on your own, avoid contact with tap water, and keep your foot elevated. If there is still no progress, please return for a follow-up appointment. Take care! Changhua Hospital cares about you!

[Read More] Understanding Cellulitis: Symptoms, Recovery, and Ongoing Concerns


Understanding Soft and Hard Lumps: When to Seek Surgical Advice

Hello Dr. Lee, I am your patient Jack. I would like to ask you a question? I have a small area on the inner side of my right thigh that feels somewhat hard and soft at the same time, but it doesn't hurt when I touch it. It's been there for about two to three years, and ...


Dr. Li Zhonghuai reply Surgery
Hello! The most common skin tumors are lipomas and sebaceous cysts. If a lipoma is painful or enlarges, surgical removal is recommended. For sebaceous cysts, removal is also advised. If a skin tumor is causing you anxiety and discomfort, surgical excision is recommended as well. ...

[Read More] Understanding Soft and Hard Lumps: When to Seek Surgical Advice


Managing Swelling and Pain After Acupuncture Treatment

Post-acupuncture swelling and pain? Hello Doctor: A few days ago, I received acupuncture treatment from a traditional Chinese medicine practitioner. However, yesterday I noticed swelling and pain near the acupuncture site. There were three needle insertion points, but only one of...


Dr. Li Zhonghuai reply Surgery
Hello! Please avoid contact with tap water and seek a consultation with a general surgeon as soon as possible to assess for possible cellulitis. Take care! Changhua Hospital is concerned about you!

[Read More] Managing Swelling and Pain After Acupuncture Treatment


Recovering from a Fingernail Injury: What to Expect and Healing Time

Cutting the nails? Hello, doctor. The day before yesterday, I accidentally cut my nail while cooking, removing about a quarter of it. There was some bleeding, but no significant pain. I disinfected the area with povidone-iodine, which caused a slight stinging sensation, and then ...


Dr. Li Zhonghuai reply Surgery
Hello! Avoid tap water, clean with saline solution, apply antibiotic ointment, and it should heal in about a month. Take care! Changhua Hospital cares about you!

[Read More] Recovering from a Fingernail Injury: What to Expect and Healing Time


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