Post-Surgery Recovery Insights for Anal Fistula Patients
Recovery after anal fistula surgery? Hello Dr. Ke, I underwent anal fistula surgery at Taichung Veterans General Hospital's Colorectal Surgery Department in early July 2017. Currently, the external wound has completely healed, and I do not experience any pain. I take warm s...
Dr. Ke Fangxu Reply:
1. The healing time varies for each individual. If there was a pre-existing hemorrhoid issue before the surgery, it is normal to experience slight bleeding after the procedure. However, it is important to have a physician evaluate for any residual anal fistula to make a proper as...[Read More] Post-Surgery Recovery Insights for Anal Fistula Patients
Post-Surgery Recovery Challenges After Anal Fistula Treatment
Postoperative Recovery Issues After Anal Fistula Surgery Hello Doctor, On July 1st of this year, I underwent treatment for an anal fistula at a clinic in Kaohsiung (I apologize for the electrotherapy that you do not recommend). The diagnosis was a complex anal fistula. During t...
Dr. Ke Fangxu Reply:
1. The recovery time for a typical anal fistula surgery is approximately one month, while more complex fistulas may take longer. I personally have less experience with radiation therapy, but the recovery time is generally a bit longer compared to traditional surgery. Whether the ...[Read More] Post-Surgery Recovery Challenges After Anal Fistula Treatment
Post-Surgery Care for Fistula: Is Wound Cleaning Necessary?
Is it necessary to clean the wound after a fistula surgery? Hello Dr. Ke, 1. My father underwent a fistula surgery three days ago (with two incisions). It appears to be a tunnel-type surgical procedure. The doctor instructed that he needs to insert his finger into the wound (the...
Dr. Ke Fangxu Reply:
1. I personally use the tunnel technique less frequently due to its higher recurrence rate. However, having to poke your finger into the wound every day can be quite painful and may lead to accidental injuries or infections. Generally, a warm water sitz bath is recommended, but w...[Read More] Post-Surgery Care for Fistula: Is Wound Cleaning Necessary?
Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Pain after anal fistula surgery? Hello! I underwent an anal fistula surgery under spinal anesthesia on October 30th at Chang Gung Memorial Hospital, which lasted about ten minutes. Upon discharge on October 31st, my surgeon informed me that there were no issues with bacterial inf...
Dr. Ke Fangxu Reply:
Anal fistula surgery typically results in a larger wound, which can lead to more postoperative pain; however, bacterial infections are relatively uncommon. Some patients may experience increased pain about a week after the surgery. If there is no fever or signs of redness, swelli...[Read More] Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Understanding Fistula Surgery: Risks, Delays, and Management Options
Fistula surgery issues Hello Doctor: About a week ago, I discovered a lump near my anus, which causes pain when walking, sitting, or riding a bike. The next day, it burst and drained pus, which alleviated the pain somewhat. I later visited a clinic, and the doctor diagnosed it as...
Dr. Ke Fangxu Reply:
1. I have not heard of anal fistulas turning into malignant tumors, but delaying surgery for a few months should not pose a significant risk. 2. Generally, an external opening that is farther from the anal opening is more likely to result in incontinence because more of the sphi...[Read More] Understanding Fistula Surgery: Risks, Delays, and Management Options
Post-Fistula Surgery: When to Seek Medical Attention?
Questions after fistula surgery two months later? I had a fistula surgery in mid-August, and after a month of warm water therapy, the external wound has healed, leaving a wound the size of a mung bean on the inside. The doctor said I didn't need to return for a follow-up, ju...
Dr. Ke Fangxu Reply:
If there is still bleeding after such a long time post-surgery, it is best to return to the doctor for a check-up. It could be a sign of wound infection or symptom recurrence. If it is just slow wound healing, it is generally not a concern. However, if it is the former, it could ...[Read More] Post-Fistula Surgery: When to Seek Medical Attention?
Understanding Vaginal Fistula Surgery: What to Expect After Biodesign Plug
Vaginal Fistula Surgery Hello, doctor. I had a vaginal fistula plug surgery (Biodesign Surgisis Anal Fistula Plug) 10 days ago. Will the fistula plug come out with bowel movements? I've been feeling some air coming from the vagina these past two days. I'm not sure if it...
Dr. Ke Fangxu Reply:
This type of embolization is generally used for anal fistulas and rectovaginal fistulas. Personally, I do not have experience with this, as rectovaginal fistulas are relatively short and superficial, which increases the possibility of dislodgment. If you are experiencing vaginal ...[Read More] Understanding Vaginal Fistula Surgery: What to Expect After Biodesign Plug
Post-Surgery Care for Fistula Surgery: What to Expect and When to Worry
Postoperative care for fistula surgery? Hello, doctor... I underwent a fistula excision on September 4th. It has been 12 days, and there hasn't been much bleeding from the wound. I had a follow-up appointment, and the doctor advised me to keep the wound dry and apply the oin...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about a month to heal. It is normal to have slight discharge from the wound during this time. Regular warm sitz baths are recommended. As long as there is no redness, swelling, heat, pain, or significant bleeding, there is no ca...[Read More] Post-Surgery Care for Fistula Surgery: What to Expect and When to Worry
Is Blood in Stool Normal After Fistula Surgery?
Hemorrhoid surgery with rectal bleeding? Hello, doctor. I had a fistula surgery on September 5th. I noticed blood in my stool for the first time, and the second time there was a lot of blood, which was bright red. Is this normal?
Dr. Ke Fangxu Reply:
Mild bleeding after fistula surgery is a normal occurrence; however, if there is significant bleeding, it is considered abnormal. It is recommended that you consult the surgeon for an evaluation, and if necessary, medication may be administered for hemostatic treatment.[Read More] Is Blood in Stool Normal After Fistula Surgery?
Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Odor after fistula surgery? Hello Dr. Ke: I had surgery on July 20th of this year, and it has been over a month since my recovery period began. During this time, my wound has been healing well, but in the past few days, I have noticed a sour odor coming from the wound, along with...
Dr. Ke Fangxu Reply:
The doctor's response is as follows: It is normal to have a small amount of discharge before the wound is completely healed. However, if this occurs one month post-surgery, it is advisable to have the doctor examine it. If it is not a complex fistula surgery, there is a poss...[Read More] Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Post-Fistula Surgery Care: Can I Use Sitz Baths for Cleaning?
Fistula surgery I just had a fistula surgery and I would like to ask if it's okay to use a sitz bath to clean my buttocks after bowel movements, since I'm hesitant to wipe too hard.
Dr. Ke Fangxu Reply:
After anal surgery, it is essential to perform warm water sitz baths, especially after bowel movements.[Read More] Post-Fistula Surgery Care: Can I Use Sitz Baths for Cleaning?
Post-Surgery Concerns: Bright Red Blood on Gauze After Fistula Surgery
Post-operative gauze from anal fistula surgery is blood-red in color? Hello, Director Ke. It has been 4 days since the fistula excision surgery on August 7. While in the hospital, the nurse informed me that if the blood on the dressing is bright red, and if the wound appears swol...
Dr. Ke Fangxu Reply:
1. The wound is indeed bleeding, but the bleeding is not severe enough to require immediate medical attention. If the bleeding becomes severe enough to stain the toilet red, then a doctor should be consulted. 2. Generally, this is not the case; as long as you don't go up an...[Read More] Post-Surgery Concerns: Bright Red Blood on Gauze After Fistula Surgery
Understanding Fistula Surgery: Key Questions Answered for Patients
Fistula surgery I am considering undergoing anal fistula surgery and would like to ask the doctor: 1. Which specialty should I consult for anal fistulas? 2. Will the surgery require general anesthesia? 3. How long does the surgery typically take? 4. How long after the surgery can...
Dr. Ke Fangxu Reply:
1. Colorectal Surgery 2. Most often performed under general anesthesia, although some physicians may use regional anesthesia. 3. Approximately 30-60 minutes. 4. If you work in a kitchen, you may need about 3-5 days of rest; however, professional drivers or sales representat...[Read More] Understanding Fistula Surgery: Key Questions Answered for Patients
Understanding Post-Surgery Care for Anal Fistula: Wound Cleaning and Dryness
Post-fistula surgery It has been almost 40 days since my anal fistula surgery, and during my recent follow-up visits, the doctor mentioned that the wound is not very clean. The doctor also said that after taking a sitz bath, the wound should be kept dry and that I shouldn't ...
Dr. Ke Fangxu Reply:
It is difficult to determine the condition without seeing the wound firsthand. Generally, a fistula surgery in the anal area should heal completely within a month; however, more complex fistulas may require a longer healing time. Placing cotton in the anal area can absorb the wou...[Read More] Understanding Post-Surgery Care for Anal Fistula: Wound Cleaning and Dryness
Understanding Fistula Recurrence: Hard Lump After Surgery Concerns
Is the fistula likely to recur? In January of this year, I underwent a fistula surgery. A week after the surgery, I returned for a follow-up appointment, and the doctor said that my recovery was going well and that I did not need to return for further visits. After that, I contin...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a scar left after surgical wound healing. Generally, scar tissue takes about six months to stabilize and enter the absorption phase. As long as there is no redness, swelling, heat, pain, or discharge, there is no cause for concern. An...[Read More] Understanding Fistula Recurrence: Hard Lump After Surgery Concerns
Minimally Invasive Fistula Surgery: Benefits and Patient Options
Minimally invasive fistula surgery Most articles discuss surgical methods such as fistula excision or incision. I came across an online news report from 2015 about Changhua Show Chwan Hospital utilizing minimally invasive surgery for fistula treatment. Traditional surgical method...
Dr. Ke Fangxu Reply:
The traditional fistula surgery involves disrupting the three-dimensional structure of the fistula to convert it into a two-dimensional structure in order to prevent symptom recurrence. Minimally invasive surgery may be less understood due to my limited knowledge; please consult ...[Read More] Minimally Invasive Fistula Surgery: Benefits and Patient Options
Is My Fistula Recurring? Understanding Post-Surgery Concerns
Is this a recurrence of the diverticulum? I had a fistula surgery at the beginning of October last year. I actually discovered it in August, but I thought it was just a pimple. It wasn't until I experienced fever, chills, and restlessness that I sought medical attention. 😢 A...
Dr. Xu Kaixi Reply:
Based on your description, this situation is more likely related to issues with the surgical wound after fistula surgery. If there is no improvement, it is recommended to return to the hospital for a consultation with your physician to discuss the possibility of further examinati...[Read More] Is My Fistula Recurring? Understanding Post-Surgery Concerns
Post-Surgery Recovery: Managing Pain and Complications After Anal Abscess
Wound healing after an anal abscess? Hello, doctor. I underwent a surgical procedure for an anal abscess on May 22, where tissue was excised, resulting in a hole about the size of a 10 NT dollar coin. The surgery lasted less than 2 minutes (it was not a fistula surgery). I had a ...
Dr. Ke Fangxu Reply:
1. Both possibilities exist; I suggest you avoid using gauze for now and observe. If you are concerned about discharge, you can use panty liners. 2. The formation of a fistula is not related to these past ten days, so there is no need to worry about developing a complex fistula...[Read More] Post-Surgery Recovery: Managing Pain and Complications After Anal Abscess
Understanding Recurrence of Abscess After Surgery: Key Insights and Advice
A pus-filled abscess developed 24 days after surgery for appendicitis? At the end of March, I discovered an abscess near the anus and consulted a colorectal surgeon. The doctor was unable to determine if it was an anal fistula and mentioned that confirmation could only be made du...
Dr. Ke Fangxu Reply:
1. First, it's unclear what type of surgery you underwent. If it was merely the removal of a superficial abscess, it is not a definitive treatment for a fistula, and the recurrence rate is quite high. Generally, fistula excision surgery involves a larger incision, and few pa...[Read More] Understanding Recurrence of Abscess After Surgery: Key Insights and Advice
Understanding Fistula Surgery: Open vs. Excision Techniques Explained
Fistula surgery After the follow-up consultation, it was confirmed by my physician, as previously discussed with Dr. Ke, that I have a fistula. Now, a decision has been made to proceed with surgery, and upon inquiry, the doctor mentioned that it would be an excision procedure. I ...
Dr. Ke Fangxu Reply:
Incision and excision each have their advantages and disadvantages. The benefit of incision is that it is less likely to recur, but the recovery time is longer. The advantage of excision is that it causes less damage to the sphincter muscles, but it is more prone to recurrence. T...[Read More] Understanding Fistula Surgery: Open vs. Excision Techniques Explained