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 Appendectomy: Understanding Pain After 5 Weeks
Persistent pain five weeks after laparoscopic surgery? Hello, doctor. I would like to ask about my condition. I had laparoscopic surgery for appendicitis five weeks ago. In the fourth week, I occasionally experienced sharp pain in my abdomen. Three days ago, I started feeling pai...
Dr. Chen Jiaming Reply:
Scar tissue from postoperative wounds can disrupt local nerves and alter sensory responses due to the incision. As a result, it is common to experience sharp pain during changes in weather. Generally, diet does not have an impact on this type of pain. Typically, touching the area...[Read More] Post-Laparoscopic Appendectomy: Understanding Pain After 5 Weeks
Understanding Lower Abdominal Pain: When to Seek Medical Attention
Sharp pain in the lower abdomen? Hello Doctor, I have been experiencing intermittent sharp pain in my lower abdomen that feels like it's coming from inside, but it doesn't hurt when I press on it. I would like to ask: 1. Is this situation indicative of appendicitis? 2. ...
Dr. Chen Jiaming Reply:
Online consultations based solely on text cannot provide a clinical diagnosis (a physician needs to conduct an actual examination and physical assessment), and they do not meet the timeliness required for disease treatment. If there are any concerns regarding a diagnosis, please ...[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Attention
Post-Appendectomy: Understanding Intercostal Nerve Pain in New Moms
Can appendicitis surgery cause intercostal neuralgia? Hello, doctor. I am a new mother, and it has been over eight months since I gave birth. The day after I completed my postpartum confinement, I underwent surgery for appendicitis. Since the surgery, I have been experiencing pai...
Dr. Chen Jiaming Reply:
Generally, laparoscopic surgery in the lower abdomen is unlikely to cause persistent pain (especially in the bilateral ribs). You might want to reconsider the changes in daily postures and body mechanics related to postpartum childcare, which could contribute to the fatigue sympt...[Read More] Post-Appendectomy: Understanding Intercostal Nerve Pain in New Moms
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
Is Bright Red Blood in Stool Normal After Appendicitis Surgery?
Bright red blood in the stool? On August 22, there was a rupture of the appendix leading to peritonitis. The physician assessed that there was adhesion, and surgery could not be performed temporarily. After suppressing the inflammation with antibiotics, there is currently no pain...
Dr. Xu Kaixi Reply:
Based on your description, the most likely cause of your bloody stool is inflammation and bleeding from hemorrhoids. However, other serious gastrointestinal diseases are also possible. If the condition persists without improvement, it is recommended that you visit a hospital'...[Read More] Is Bright Red Blood in Stool Normal After Appendicitis Surgery?
Post-Appendectomy Fever: Understanding Complications and Recovery Options
Postoperative fever after appendectomy? Hello, doctor. My wife underwent an appendectomy for the first time, but she did not eliminate any waste, which led to the accumulation of pus in the abdominal cavity. We then went to a second hospital where she had another surgery, and the...
Dr. Xu Kaixi Reply:
The management of intra-abdominal abscesses following appendicitis surgery primarily involves drainage combined with antibiotic therapy. The drainage methods include surgical drainage or percutaneous drainage, which will be determined by the clinician based on the distribution an...[Read More] Post-Appendectomy Fever: Understanding Complications and Recovery Options
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
Weight Loss After Appendectomy: Is It Normal?
Weight loss after appendectomy? Hello doctor, I had appendicitis in early January and underwent laparoscopic surgery to remove my appendix. Since then, I have been losing weight. Initially, I thought it might be due to eating less during my hospital stay, but now that it's M...
Dr. Xu Kaixi Reply:
Based on your description, the weight loss (which would be more objective if there are records of weight reduction) may be related to the recent ileocecal resection surgery. During the surgery, reduced mobility and decreased food intake can contribute to this. It is advisable to ...[Read More] Weight Loss After Appendectomy: Is It Normal?
Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Laparoscopic hemostatic clips and issues related to appendicitis? Hello Dr. Chen, I recently underwent laparoscopic appendectomy. Due to a lack of medical knowledge at the time and the urgent nature of appendicitis requiring surgery, I did not communicate properly with the physic...
Dr. Chen Jiaming Reply:
Titanium clips are compatible with body tissues and are still widely used in various surgical procedures today. The number of reported cases in the literature is relatively rare compared to the actual number of surgeries performed. In contemporary laparoscopic surgeries, the majo...[Read More] Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Understanding Appendectomy Concerns: Prevention and Recovery Insights
Appendicitis surgery issues Hello Doctor, thank you for your previous response. During my follow-up visit, the physician informed me that the base of my appendix is unhealthy and expressed concerns about potential issues with leakage from the surgical site post-operation. Could y...
Dr. Chen Jiaming Reply:
Clinically, the appendix is a tubular structure that extends from the large intestine, and the occurrence of appendicitis often stems from obstruction of the lumen. However, the location of the obstruction can vary, leading to different segments of inflammation and varying manage...[Read More] Understanding Appendectomy Concerns: Prevention and Recovery Insights
Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Appendicitis issues? Hello Doctor, I was diagnosed with appendicitis three days ago. The doctor mentioned that the surgery would only require three incisions, but I ended up with four incisions postoperatively, with an additional drainage tube. I would like to know why this happe...
Dr. Chen Jiaming Reply:
The best way to address clinical questions is to consult your attending physician. My response should only be taken as a reference, as each physician has different considerations and practices. The three incisions are positioned based on the convenience of performing an appendect...[Read More] Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights
Laparoscopic appendectomy Hello, I underwent laparoscopic surgery for appendicitis at the end of February this year. The doctor mentioned it was a very early stage of appendicitis. Recently, I've been feeling a sensation in my abdomen that feels like the wound is pulsating. ...
Dr. Chen Jiaming Reply:
In general, laparoscopic appendectomy primarily utilizes the umbilicus as the main incision site for the removal of the excised appendiceal tissue. The umbilical incision is closed in two layers: the superficial skin and the deeper muscular fascia. The superficial skin is typical...[Read More] Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights
Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Is the likelihood of recurrence high if appendicitis is not treated surgically? Doctor, I visited a nearby clinic on March 15th due to upper abdominal pain, and I was diagnosed with gastroenteritis. Three days later, as the pain shifted to my lower right abdomen, I went to a larg...
Dr. Chen Jiaming Reply:
Basically, if acute appendicitis is diagnosed and there are no specific reasons that make anesthesia and surgery inappropriate, such as poor cardiopulmonary status in the elderly or severe coagulopathy, it is generally recommended to arrange for an appendectomy as the appropriate...[Read More] Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Post-Appendectomy Pain: Understanding Recovery After Laparoscopic Surgery
Postoperative abdominal pain after appendectomy (laparoscopic surgery) Hello, Doctor. I was diagnosed with appendicitis on the evening of November 4th and immediately underwent laparoscopic surgery. After the surgery, I felt significant discomfort at the umbilical incision site, ...
Dr. Xu Kaixi Reply:
Hello: Based on your description, the pain at the umbilical wound and the intermittent cramping caused by gastrointestinal motility are normal phenomena in the early postoperative period. If there is an infection at the wound site, you may notice redness, swelling, and discharge....[Read More] Post-Appendectomy Pain: Understanding Recovery After Laparoscopic Surgery
Post-Appendectomy Pain: Understanding Recovery and Managing Discomfort
Postoperative pain after appendectomy? Hello Doctor, about two weeks ago I noticed that my abdomen was very uncomfortable, but I didn't seek medical attention right away because I was abroad and it was inconvenient. Eventually, I couldn't stand it anymore and went to th...
Dr. Ke Fangxu Reply:
I am not sure if your surgery was performed abroad, nor do I know the method and timing of the procedure, so it is difficult to provide a definitive answer to your question. If laparoscopic surgery was performed, some individuals may experience shoulder pain as a symptom. Current...[Read More] Post-Appendectomy Pain: Understanding Recovery and Managing Discomfort