Acute appendicitis, Surgery FAQ

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Returning to Work After Appendicitis and Peritonitis Surgery: What You Need to Know

1. Acute appendicitis with appendiceal rupture 2. Peritonitis Regarding the symptoms mentioned: 1. Acute appendicitis with rupture, 2. Peritonitis. The doctor stated that after surgery, you can return to work but should avoid lifting heavy objects. Can you return to work after di...


Dr. Chen Jiaming Reply:
The severity of appendicitis varies among patients, and the operating surgeon is most familiar with the condition. Currently, most appendectomies are performed laparoscopically (minimally invasive). If the patient has a desk job that does not require physical labor, they can inde...

[Read More] Returning to Work After Appendicitis and Peritonitis Surgery: What You Need to Know


Understanding Drainage After Laparoscopic Appendectomy: What to Expect

Acute Appendicitis - Drainage Tube Hello doctor, I was diagnosed with acute appendicitis on March 16 and underwent laparoscopic surgery the same day, which involved three incisions. A drainage tube was placed in a hole 10 cm below my abdomen. I was discharged on March 20. Since t...


Dr. Chen Jiaming Reply:
There is no standard value for the total amount of ascites produced after abdominal surgery in each patient, as it is related to the extent of the peritoneal and intestinal surface exposure during the procedure. Additionally, individual body tissue hydration and permeability also...

[Read More] Understanding Drainage After Laparoscopic Appendectomy: What to Expect


Understanding Post-Acute Appendicitis: Symptoms and Recovery Insights

The appendix ruptured without surgical intervention? Hello, doctor. I had appendicitis last year on October 5th and went to the emergency room after three days of delay. After examination, it was found that my appendix was inflamed and had completely ruptured. The doctor initiall...


Dr. Chen Jiaming Reply:
Training the core can also lead to the engagement and soreness of the deep abdominal muscles, such as the psoas major. Since this muscle group is located deeper within the abdomen, if there has been a previous rupture of the appendix leading to localized adhesions, it is indeed p...

[Read More] Understanding Post-Acute Appendicitis: Symptoms and Recovery Insights


Managing Acute Appendicitis with Abscess: Surgical Considerations and Risks

Acute appendicitis with localized abscess? Hello Doctor, I was hospitalized at the end of August due to acute appendicitis. At that time, the appendix had already perforated and was complicated by an abscess with severe adhesions, so the surgeon was unable to remove the appendix ...


Dr. Chen Jiaming Reply:
This clinical issue (the likelihood of converting to traditional open surgery) is related to the individual's actual medical condition (as assessed by imaging), so it cannot be answered through online consultation. It is recommended to discuss the new CT scan images further ...

[Read More] Managing Acute Appendicitis with Abscess: Surgical Considerations and Risks


Post-Appendectomy Pain: Understanding Complications After Surgery

One month after appendectomy, sudden pain in the lower right abdomen? Hello, doctor. I was diagnosed with acute appendicitis on June 17 and underwent surgery that same night. There was not much pus in my abdomen, so no drainage tube was inserted. The surgeon only cleaned the pus ...


Dr. Xu Kaixi Reply:
Based on your description, this is postoperative neuropathic pain following acute appendicitis. Currently, only conservative treatment is available, which includes the use of oral analgesics.

[Read More] Post-Appendectomy Pain: Understanding Complications After Surgery


Post-Appendectomy Complications: Understanding Pain and Infection Risks

Post-appendectomy issues? Hello doctor, I underwent traditional surgery for acute appendicitis in mid-December. The doctor mentioned that there was localized peritonitis and some adhesions, which caused the surgery to take longer to remove the appendix. After the surgery, I had a...


Dr. Chen Jiaming Reply:
It is indeed rare for a wound infection to occur two months after an appendectomy. The subsequent drainage of residual pus, along with antibiotic treatment, is a reasonable course of action. Due to recurrent inflammation, the scar tissue effect (including hardness and tenderness)...

[Read More] Post-Appendectomy Complications: Understanding Pain and Infection Risks


Post-Surgery Concerns: Adhesions, Inflammation, and Menstrual Changes

Discharged from June 26 to July 5. Diagnosis: 1. Intestinal Adhesions, 2. Pelvic Inflammatory Disease, 3. Acute Appendicitis? Hello Dr. Chen, I hope you are well this winter. On June 24, I experienced mild abdominal pain, which escalated to severe pain around midnight on the 25th...


Dr. Chen Jiaming Reply:
Medical clinical diagnoses must be based on actual evidence for judgment. From the fact that the initial medical facility specifically requested assistance from an obstetrician-gynecologist to remove an intrauterine device, it can be inferred that their diagnosis leaned towards p...

[Read More] Post-Surgery Concerns: Adhesions, Inflammation, and Menstrual Changes


Post-Appendectomy Concerns: Metal Clips and Treatment Options

Post-appendectomy related issues? Hello, Director Ke: I had surgery for acute appendicitis five years ago, and a metal clip was left in my abdominal cavity. I would like to ask: 1. What is the purpose of using a metal clip? 2. Given that I have a metal clip in my abdominal cavity...


Dr. Ke Fangxu Reply:
If there are metal clips left after appendicitis surgery, it is likely that a laparoscopic appendectomy was performed, and the purpose of the hemostatic clips is to control bleeding or to close the stump of the appendix. These hemostatic clips are mostly made of aluminum alloy. G...

[Read More] Post-Appendectomy Concerns: Metal Clips and Treatment Options


Post-Appendectomy Concerns: Wound Issues and Recovery Questions

Postoperative Wound Issues After Appendectomy On the evening of November 9th, I underwent laparoscopic appendectomy. After the surgery, the doctor did not place a drainage tube, and I was discharged to rest at home the next day. Starting from the third day until now, the fifth da...


Dr. Xu Kaixi Reply:
After laparoscopic appendectomy for acute appendicitis, the decision to place a drain will depend on the intraoperative findings. If the inflammation is not severe, a drain may not be necessary. During the wound healing process, some white covering may be fibrous tissue, which ca...

[Read More] Post-Appendectomy Concerns: Wound Issues and Recovery Questions


Post-Appendectomy Wound Concerns: Is Drainage Necessary?

Postoperative Wound Issues After Appendectomy On the evening of November 9th, I underwent laparoscopic appendectomy. After the surgery, the doctor did not place a drainage tube, and I was discharged to rest at home the next day. Starting from the third day until now, the fifth da...


Dr. Xu Kaixi Reply:
After laparoscopic appendectomy for acute appendicitis, the decision to place a drain will depend on the intraoperative findings. If the inflammation is not severe, a drain may not be necessary. During the wound healing process, some white covering may be fibrous tissue, which ca...

[Read More] Post-Appendectomy Wound Concerns: Is Drainage Necessary?


Post-Appendectomy Recovery: What to Expect After Surgery

Acute appendicitis I was diagnosed with acute appendicitis in the emergency room on July 24 and underwent minimally invasive surgery that same night. I was discharged today, July 28. I have been walking since the surgery and have not been lying down all the time, but I still feel...


Dr. Chen Jiaming Reply:
Young individuals tend to have more developed abdominal wall muscle tissue, which can result in more pronounced pain at the surgical site. Generally, it is common to experience pain for one to two weeks postoperatively, although the intensity of the pain typically improves over t...

[Read More] Post-Appendectomy Recovery: What to Expect After Surgery


Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations

Submucosal tumor of the appendix? Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed and no removal was done because the doctor believed that the wall of the cecum was thinner, and re...


Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the procedure. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.

[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations


Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations

Submucosal tumor of the appendix Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed and no removal was done because the doctor believed that the wall of the cecum was thinner, and rem...


Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the procedure. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.

[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations


Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations

Submucosal tumor of the appendix? Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed, and the tumor was not removed because the doctor believed that the wall of the cecum was too thin...


Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the surgery. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.

[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations


Post-Laparoscopic Surgery Care: Managing Pain and Swelling After Appendectomy

Post-laparoscopic surgery Hello Doctor, I would like to ask about my condition after undergoing laparoscopic surgery for acute appendicitis two days ago. I have three incisions, all of which are stitched, and I was discharged today. I am scheduled to return for suture removal in ...


Dr. Xu Kaixi Reply:
It is normal to experience some pain at the laparoscopic appendectomy incision site for about a week post-surgery. It is also possible to have abdominal bloating as the gastrointestinal tract has not fully recovered. The soreness at the injection site on your arm should gradually...

[Read More] Post-Laparoscopic Surgery Care: Managing Pain and Swelling After Appendectomy


Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess

Post-appendectomy intestinal abscess? Hello, I underwent an appendectomy at the beginning of August and experienced complications, including a large abscess approximately 4 cm in size in the intestinal area. After 10 days of antibiotic treatment, I was discharged on August 27. Ho...


Dr. Chen Jiaming Reply:
Postoperative complications of acute appendicitis can include intra-abdominal abscesses. If the abscess is located in the interloop space, it may be difficult to achieve effective treatment through drainage alone. Simply administering antibiotics may sometimes fail to provide a c...

[Read More] Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess


Post-Surgery Complications: Understanding Wound Infections After Appendectomy

Post-wound complications? Hello, doctor. I underwent laparoscopic surgery for acute appendicitis on July 10th in the early morning. However, it was discovered a bit late, and there was some early pus formation. The doctor did not assess for peritonitis at that time, but due to co...


Dr. Ke Fangxu Reply:
Laparoscopic appendectomy has a higher risk of infection at the incision site since the appendix is removed through the umbilical incision. However, whether what you are experiencing is truly pus or just wound exudate should be evaluated by a physician. As for the peritonitis cau...

[Read More] Post-Surgery Complications: Understanding Wound Infections After Appendectomy


Understanding Post-Appendectomy Pain: Why Hemostatic Clips Remain

Appendicitis issues On April 5th, I underwent laparoscopic surgery for acute appendicitis. Since then, I still experience pain in the lower right abdomen. However, a follow-up CT scan showed no abnormalities, and there is no sign of inflammation around the hemostatic clips. Why w...


Dr. Chen Jiaming Reply:
The appendix is a part of the gastrointestinal tract, and the normal intestine is supplied with blood vessels. During laparoscopic appendectomy, it is necessary to first dissect and cut the blood vessels. Vascular staplers are commonly used to manage the vascular dissection durin...

[Read More] Understanding Post-Appendectomy Pain: Why Hemostatic Clips Remain


Understanding Post-Appendectomy Pain: Why Hemostatic Clips Are Used

Appendicitis issues On April 5th, I underwent laparoscopic surgery for acute appendicitis. Since then, I still experience pain in the lower right abdomen. However, a follow-up CT scan indicated no abnormalities, and there is no sign of inflammation around the hemostatic clips. Wh...


Dr. Chen Jiaming Reply:
The appendix is a part of the gastrointestinal tract, which normally has blood vessels supplying blood flow. During laparoscopic appendectomy, it is necessary to first dissect and cut the blood vessels. Vascular staplers are commonly used to manage the vascular dissection during ...

[Read More] Understanding Post-Appendectomy Pain: Why Hemostatic Clips Are Used


Understanding Post-Appendectomy Pain: Possible Complications and Solutions

Acute appendicitis After laparoscopic surgery for acute appendicitis on April 5th, I am still experiencing pain in the right abdomen. The follow-up physician conducted blood tests that came back normal and only prescribed antibiotics, which have not improved my condition. Additio...


Dr. Chen Jiaming Reply:
There are many possible reasons for persistent pain after surgery. It is recommended to return for a follow-up appointment and clearly inform the original surgeon that the previous antibiotic treatment was ineffective and that pain persists. A thorough examination and evaluation ...

[Read More] Understanding Post-Appendectomy Pain: Possible Complications and Solutions


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