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Understanding Laparoscopic Appendectomy: Hemostatic Clips and Their Impact

Laparoscopic appendectomy Hello, Dr. Wang. After undergoing laparoscopic appendectomy, will there be any hemostatic clips left inside the body? How many will be left? What impact will this have on the body in the future?


Dr. Wang Zhitang reply Surgery
Hello Peter: The use of hemostatic clips during laparoscopic appendectomy can vary depending on the habits of each surgeon and the equipment available at the hospital. Some surgeons may choose not to use hemostatic clips during laparoscopic appendectomy, opting instead for device...

[Read More] Understanding Laparoscopic Appendectomy: Hemostatic Clips and Their Impact


Understanding Intra-Abdominal Abscess and Cholangitis: Key Insights

I would like to ask the doctor~ 1. What is an intra-abdominal abscess? 2. What is cholangitis? I couldn't find relevant information online, so I would like to ask the doctor to help clarify my doubts. Thank you, doctor! ^^


Dr. Wang Zhitang reply Surgery
Hello, Xiao Hui: An intra-abdominal abscess, as the name suggests, refers to pus formation within the abdominal cavity. There are many causes of intra-abdominal abscesses. Infections can occur when bacteria reach the abdominal organs through the bloodstream, or when bacteria dire...

[Read More] Understanding Intra-Abdominal Abscess and Cholangitis: Key Insights


Post-Surgery Concerns: Managing Hemorrhoid Thrombosis and Recovery

Hemorrhoids Hello Dr. Wang, I had a thrombosed hemorrhoid removed yesterday, July 14th. That evening, I took two sitz baths, and this morning, July 15th, I took one more. However, I still feel a lump that is about the same hardness as before the removal, and the size of the lump ...


Dr. Wang Zhitang reply Surgery
Hello, Adu: Hemorrhoids are caused by the dilation of the venous plexus within the anal canal due to lifestyle habits and gravity, leading to the formation of protrusions from the surrounding connective tissue hyperplasia. When blood accumulates in these normally dilated vessels,...

[Read More] Post-Surgery Concerns: Managing Hemorrhoid Thrombosis and Recovery


Understanding Hernias and Bowel Issues: A Guide for Patients

Hernia & Bowel Movement Issues Hello Dr. Wang, my mother had a hernia caused by her small intestine about 8 or 9 years ago and had a synthetic mesh implanted. Now her lower abdomen is swollen, feels hard, and is distended, which is different from being overweight. After she h...


Dr. Wang Zhitang reply Surgery
Dear Ms. Chang, Regarding your mother's condition, she underwent surgery for a hernia nine years ago, during which a synthetic mesh was used for abdominal wall repair. The synthetic mesh is made of non-absorbable materials, so it will not be absorbed over time and will not ...

[Read More] Understanding Hernias and Bowel Issues: A Guide for Patients


Post-Hernia Surgery Pain: Should I Be Concerned About Future Pregnancy?

Postoperative pain after hernia surgery and questions regarding childbirth? Hello Doctor: I had a hernia surgery when I was in the fourth grade of elementary school, and I am a girl. Now I am 18 years old. I don't remember if I was running around or jumping shortly after the...


Dr. Wang Zhitang reply Surgery
Hello Erica: Regarding your question, you had surgery for a hernia in the fourth grade, and now that you are eighteen, it has been seven or eight years since the surgery. You occasionally experience pain whether standing or sitting. After hernia surgery, some individuals may deve...

[Read More] Post-Hernia Surgery Pain: Should I Be Concerned About Future Pregnancy?


New Breast Lump After Fibroadenoma Surgery: What You Need to Know

Breast lump Hello Doctor: Two years ago, I had a 4 cm fibroadenoma removed from my right breast, but recently I discovered a hard lump in a different area of the right breast. Does this situation count as a recurrence? Is it related to my daily lifestyle and diet? I am very afrai...


Dr. Wang Zhitang reply Surgery
Hello Angela: Based on your description, a fibroadenoma in your right breast was excised two years ago, and a new tumor has recently developed in a different location on the same side. Since fibroadenomas are benign tumors and the previous surgery was successful in removing it, t...

[Read More] New Breast Lump After Fibroadenoma Surgery: What You Need to Know


Understanding Breast Fibromas: Concerns, Surgery, and Dietary Impact

Breast fibroadenoma Hello Dr. Wang. At the end of last month, I discovered a tumor in my chest that had been present for about four months. Following a friend's suggestion, I decided to undergo surgery. During the process, the doctor performed a physical examination and, aft...


Dr. Wang Zhitang reply Surgery
Hello Mei Mei: Based on your letter, it appears that the tumor in your breast has been removed. The pre-operative breast ultrasound, mammography, and MRI are imaging studies that can indicate whether a tumor is likely benign or malignant, but they cannot definitively determine th...

[Read More] Understanding Breast Fibromas: Concerns, Surgery, and Dietary Impact


Breast Fibroadenoma Surgery: Impact on Future Breastfeeding and Recovery

Breast fibroma..!!? Hello Doctor: I would like to ask if having surgery on the breast will affect future breastfeeding, as I am not yet married. Also, if a lump is removed, will there be any indentation at the incision site? How long will it take for the wound to heal? Will one b...


Dr. Wang Zhitang reply Surgery
Hello, Xiaomi: Breast lumps are a concern for many women, as they fear the possibility of breast cancer. However, not all breast lumps are malignant tumors. The issue you mentioned pertains to fibroadenomas, which are benign breast tumors commonly found in young women. Fibroadeno...

[Read More] Breast Fibroadenoma Surgery: Impact on Future Breastfeeding and Recovery


Understanding Fibrocystic Breast Changes: Surgery and Aesthetic Concerns

Fibrocystic breast changes Recently, a fibrocystic mass measuring 2.5 centimeters was found in my breast. Will surgery affect the appearance? If surgery is required, will I need to be hospitalized? Thank you.


Dr. Wang Zhitang reply Surgery
A 2.5 cm benign breast mass excision generally does not affect the appearance of the breast (aside from scarring). Most of these breast biopsy surgeries are performed under local anesthesia, allowing the patient to go home immediately after the procedure without the need for hosp...

[Read More] Understanding Fibrocystic Breast Changes: Surgery and Aesthetic Concerns


Understanding Post-Surgery Fluid Accumulation After Hernia Repair

Hernia Dear Dr. Wang, I would like to inquire why, after my hernia surgery (performed at Chang Gung Memorial Hospital using a synthetic mesh for repair), I am experiencing fluid accumulation that requires frequent aspiration with a syringe. Will this fluid accumulation persist i...


Dr. Wang Zhitang reply Surgery
Hello Mr. Lin: You recently underwent hernia repair surgery using a synthetic mesh, and you are feeling troubled by the fluid accumulation in your abdominal wall post-surgery. The approach to hernia surgery has evolved; previously, the tendency was to use the surrounding tissue t...

[Read More] Understanding Post-Surgery Fluid Accumulation After Hernia Repair


Becoming a Doctor: Insights on Medical School Paths and Specializations

Regarding physicians? Hello Dr. Wang, I have some questions I would like to ask you, as you are a post-baccalaureate medical graduate. I am currently a student in a specialized engineering program, and I aspire to become a doctor in the future. I understand that you took the ent...


Dr. Wang Zhitang reply Surgery
Hello, Xiao Jie: I am glad to receive your letter! You mentioned the differences in difficulty between the post-baccalaureate medical program and the general medical program, whether there are fewer applicants for the post-baccalaureate program, and if graduates are generally ol...

[Read More] Becoming a Doctor: Insights on Medical School Paths and Specializations