Seeking Guidance for Fistula Surgery: Recommendations Needed
Regarding the issue of anal fistulas? Hello Dr. Ke, could you provide information about medical center teams or some suggestions? I have already prepared myself mentally and am looking to undergo surgery at the beginning of the year, but I am at a loss for direction. I hope you c...
Dr. Ke Fangxu Reply:
Hello: In response to your question, since I do not know where the patient resides, I cannot provide a specific recommendation. However, any experienced colorectal surgeon at a major medical center should have the necessary skills to address this issue.[Read More] Seeking Guidance for Fistula Surgery: Recommendations Needed
Understanding Anal Abscesses: Do They Lead to Fistulas?
Can an anal abscess really develop into an anal fistula? I underwent surgery for an anal abscess on September 18th, and I have the following questions for the physician: 1. It has been almost two weeks since the surgery, and I am washing the wound twice daily and soaking it in ...
Dr. Ke Fangxu Reply:
Hello, in response to your questions: 1. The severity of an anal abscess is determined by the extent of its spread. If the wound diameter is only 2.5 cm, it should not be considered very severe. However, it is indeed unusual for the wound not to have shrunk after two weeks post...[Read More] Understanding Anal Abscesses: Do They Lead to Fistulas?
Understanding Anal Fistula Surgery: Procedure, Duration, and Risks
Anal fistula Is the surgical procedure performed through the anus? How long does it take? Will there be any long-term complications?
Dr. Hou Yongji Reply:
Hello: Typically, anal fistula surgery is performed through the anus, with an operation time of about thirty minutes. There are many classification methods for anal fistulas, and the occurrence of complications is related to the severity of the disease itself. Please consult a co...[Read More] Understanding Anal Fistula Surgery: Procedure, Duration, and Risks
Understanding Anal Fistula Surgery: What to Expect and Common Concerns
I would like to ask? I would like to ask about issues related to anal fistulas. I went to the hospital and the doctor said I need to undergo surgical treatment, which will be done under local anesthesia and that I can be discharged in just three days. Is that true? Because the in...
Dr. Hou Yongji Reply:
Hello: 1. The choice of anesthesia for anal surgery varies among individuals; some prefer local anesthesia while others favor spinal anesthesia. As long as the surgery can be performed smoothly, either option is acceptable. 2. Hospitalization is indeed only necessary if there are...[Read More] Understanding Anal Fistula Surgery: What to Expect and Common Concerns
Understanding Recovery After Fistula Surgery: Pain and Healing Timeline
Fistula surgery excision Hello Doctor: After the surgical excision of an anal fistula, I experience a slight irritation (mild pain) in the anal area due to the scar tissue when having a bowel movement. Sometimes, even coughing or sneezing triggers this sensation. I would like to ...
Dr. Hou Yongji Reply:
Hello: Typically, the scars from anal surgery should improve within 3 to 6 months after the procedure as they mature. If you are still experiencing discomfort, please return to the outpatient clinic for an examination. Using anti-inflammatory ointment can help alleviate the sympt...[Read More] Understanding Recovery After Fistula Surgery: Pain and Healing Timeline
Do You Need General or Regional Anesthesia for Anal Fistula Surgery?
Anal fistula surgery Does anal fistula surgery require general anesthesia or is regional anesthesia sufficient?
Dr. Hou Yongji Reply:
Hello: Generally speaking, surgeries involving the anus often utilize spinal anesthesia. However, spinal anesthesia has its drawbacks: 1. Patients need to lie flat for 8 hours postoperatively. 2. Urinary catheterization may be required if the anesthesia has not worn off and the p...[Read More] Do You Need General or Regional Anesthesia for Anal Fistula Surgery?