Post-Surgery Concerns After Fistula Removal: Expert Q&A
Consultation on issues related to post-fistula surgery? Hello Dr. Chang, thank you for taking the time to read and respond. I underwent a surgical procedure for removal on November 7th, and four days post-operation, I still experience slight pain and discomfort (which is manageab...
Dr. Zhang Shuhao Reply:
1. Normally, most fistula surgeries result in an open wound that gradually heals as granulation tissue forms from the base of the wound. 2. Light to moderate exercise can be resumed two weeks post-surgery, but activities that place weight on the perineum (such as cycling) may c...[Read More] Post-Surgery Concerns After Fistula Removal: Expert Q&A
Understanding Complications After Minimally Invasive Surgery: A Case Study
Failed laparoscopic tubal ligation surgery? On September 29, 2022, surgery was performed (the doctor mentioned that the drain was very thick and hard). I was discharged home on September 30 but had a low fever. On October 1, I noticed a large amount of pus draining (the fever sub...
Dr. Zhang Shuhao Reply:
The minimally invasive fistulotomy procedure referred to is the LIFT (Ligation of the Intersphincteric Fistula Tract) surgery. This technique is suitable for cases where the fistula is intact and the internal and external openings are clearly defined. In cases of severe inflammat...[Read More] Understanding Complications After Minimally Invasive Surgery: A Case Study
Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery
Dural arteriovenous fistula (DAVF) Hello Doctor: My mother underwent a transarterial embolization procedure for tinnitus at the end of August. The procedure was performed near the area below her ear, with access from the groin up to the neck. Immediately after waking up from the ...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon to evaluate the spinal cord or sympathetic nerves in the head and neck region for any lesions. Best wishes, Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery
Chronic Anal Fissures: Impact on Bowel Health and Healing
Anal fissure. Bowel habits? 1. Based on your description, it sounds like you may be experiencing chronic anal fissures. Chronic anal fissures are defined as fissures that persist for more than eight weeks and can cause recurring pain and discomfort. 2. If the fissures have not h...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal within about a week if the wound is allowed to rest properly. However, if the affected area is repeatedly injured and symptoms persist for more than six weeks, it is classified as a chronic anal fissure. This may be due to tight anal sphincter m...[Read More] Chronic Anal Fissures: Impact on Bowel Health and Healing
Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Anal fistula is a condition that may have potential complications when treated with seton management surgery? Dear Director Ke, I have an anal fistula that began treatment with a seton placement surgery on February 25, 2022. One-third of the fistula's total length is locate...
Dr. Ke Fangxu Reply:
The indentation and the rubber band should not be related, and there is no reason for it not to heal on its own. It is more likely a remnant left from wound healing. If there is no pain or infection, no special treatment is necessary. If surgical repair is considered, I cannot an...[Read More] Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Understanding Post-Surgery Discharge After Anal Fistula Surgery
Regarding the discharge after anal fistula surgery? Hello Dr. Fang: I had anal fistula surgery over two months ago, but I am still experiencing green discharge that has a foul odor. Could this be a recurrence of the fistula?
Dr. Ke Fangxu Reply:
Two months after anal fistula surgery, the wound should be mostly healed. If there are still abnormal secretions, it is likely due to infection or poor healing. It is recommended that you consult your surgeon to determine if medication or a repeat surgery is necessary.[Read More] Understanding Post-Surgery Discharge After Anal Fistula Surgery
Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Fistula surgery The patient has had a complex anal fistula for 2 to 3 years, with purulent blood discharge. Recently, he underwent an MRI, and the doctor recommended surgery. However, the doctor mentioned that there is a covered surgery under the national health insurance, while ...
Dr. Zhang Shuhao Reply:
1. The more complex the fistula, the more difficult it is to remove via minimally invasive surgery (typically referring to endoscopic fistula surgery). Therefore, traditional surgery is often recommended, which results in a larger incision and longer healing time, but has a lower...[Read More] Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Post-Surgery Recovery Questions for Anal Fistula Treatment
Postoperative Recovery Questions Regarding Anal Fistula Surgery Hello Dr. Ke: I underwent anal fistula surgery on July 28th of this year. On August 21st, the doctor told me that I no longer needed to see him. Now, on September 20th, the external appearance of the wound seems fine...
Dr. Ke Fangxu Reply:
The wound from a typical fistula surgery usually takes about a month to fully heal, while larger wounds may require a longer time. If there is no redness, swelling, or pain, it should not be a concern; otherwise, it is advisable to consult the surgeon to check whether the wound i...[Read More] Post-Surgery Recovery Questions for Anal Fistula Treatment
Managing Suture Dehiscence After Fistula Excision Surgery
Dehiscence of the suture line after fistula excision surgery? Hello Dr. Chang, Today is the third day post-fistula excision surgery. While caring for the wound, I noticed that the original sutures have come undone. Should any action be taken? There is no significant bleeding fr...
Dr. Zhang Shuhao Reply:
The fistula surgery uses absorbable sutures, which will mostly start to fall out in about a week. However, if they fall out earlier, it is not a concern. As long as there is no bleeding, you can continue with the usual care, including taking warm sitz baths and changing the ointm...[Read More] Managing Suture Dehiscence After Fistula Excision Surgery
Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Sudden onset of a lump? Hello doctor, yesterday while I was showering, I felt a lump between my left testicle and anus, closer to the testicle. It is hard and does not move. I am not sure what could be causing it, but recently I have been experiencing bleeding during bowel moveme...
Dr. Zhang Shuhao Reply:
If there is a hard lump in the perineum, first check if it is painful. If it is painful, it is more likely related to inflammation, which may include sebaceous gland inflammation, epididymitis, lymphadenitis, anal abscess, or fistula. If the symptoms are significant and there is ...[Read More] Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Possible anal abscess encountered during menstruation? A few days ago, I noticed something unusual with my buttocks, and within two days, the area on the left side near the anus became red, swollen, and painful, developing a bump. I looked it up online, and the symptoms seem to m...
Dr. Zhang Shuhao Reply:
If the affected area continues to swell, you may try using oral antibiotics and anti-inflammatory medications to manage the symptoms, but it is still recommended to use them under the guidance of a physician. You can also seek medical attention and explain your condition to the d...[Read More] Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Postoperative axillary swelling and fluid accumulation after ductal carcinoma in situ? Hello Doctor: I would like to ask about ductal carcinoma in situ. After undergoing a partial mastectomy, two sentinel lymph nodes were removed during the surgery, which showed no metastasis. Po...
Dr. Yu Mingchang Reply:
Lymph nodes are not a concern. If there is fluid accumulation, it can be drained. If there is a fistula, it depends on your body's ability to absorb it. Changhua Hospital cares about you.[Read More] Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-operative concerns regarding tube drainage surgery in class? Hello Doctor: I had anal fistula surgery on August 8th, and today is the sixth day post-operation. I still experience pain during bowel movements, but I don't feel much pain while walking. I would like to ask ...
Dr. Ke Fangxu Reply:
The healing of the anal fistula surgical wound may take about a month. Currently, if walking does not cause pain, that is already quite excellent. Attending classes will not affect the healing process; however, it is best to get up and walk around after class. If sitting baths ar...[Read More] Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Post-fistula surgery I'm sorry, doctor. I had a fistula surgery and hemorrhoid surgery on August 5th, and today, August 9th, I have an involuntary urge to push at my anus, feeling like I need to have a bowel movement, but I don't actually need to go. Even after having a...
Dr. Zhang Shuhao Reply:
1. Postoperatively, swelling around the wound may cause a persistent urge to defecate, but this does not necessarily indicate the presence of stool. If squatting yields no results, avoid straining and try again later. Taking warm sitz baths can help reduce swelling around the wou...[Read More] Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Anal fistula A few days ago, I visited the hospital, and after an examination, the doctor diagnosed me with an anal fistula. They scheduled a surgery for me and mentioned that hospitalization was not necessary. However, after researching online, I found that most people with simi...
Dr. Ke Fangxu Reply:
Surgery for anal fistula is regulated by the National Health Insurance Administration, which stipulates that hospitalization is required. If hospitalization is not necessary, it may indicate that the fistula is very minor and can be performed under local anesthesia. However, if t...[Read More] Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent surgery for an anal fistula on March 18 of this year. The wound extends approximately 8 centimeters from the anus to the perineum and is about one finger's depth. It healed around the end of May, but later, sitting for too long ...
Dr. Ke Fangxu Reply:
1. If it is not a recurrence of the fistula, then it is likely just scar tissue that will gradually soften after about six months post-healing. 2. Fever may be caused by irritation of the scar tissue due to friction; as long as there is no redness, swelling, or pus, it should n...[Read More] Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
Post-Surgery Head Pain and High Eye Pressure: When to Seek Medical Advice?
Post-fistula surgery After undergoing a 1.8/5 shunt surgery, today is 8/8. Since the surgery, I have been experiencing severe headaches, elevated intraocular pressure, and my head starts to hurt after walking for about 10 minutes. It also hurts when sitting, but lying down provid...
Dr. Zhang Shuhao Reply:
If spinal anesthesia was used initially, there is a possibility of experiencing spinal headache, which can be alleviated by increasing fluid intake and resting more. Generally, fistula surgeries do not directly cause headaches.[Read More] Post-Surgery Head Pain and High Eye Pressure: When to Seek Medical Advice?
Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Recurrence of anal abscess? Hello, doctor! I had an abscess surgery last week, and this is the third time in two years. I would like to ask if it is possible to have regular follow-up appointments every six months using imaging techniques like CT scans or ultrasounds to detect ea...
Dr. Ke Fangxu Reply:
The most accurate way to determine if a fistula has formed is through a digital rectal examination. It is recommended that you see a colorectal specialist for an examination when there is no swelling or pain in the anus. At this time, performing a digital rectal exam will be more...[Read More] Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Postoperative care for anal abscess? I underwent my third anal surgery yesterday, which was for an anal abscess. The first surgery for an anal abscess was in 2020, followed by a fistula surgery seven months later (likely due to the first surgery). I thought I was completely heale...
Dr. Ke Fangxu Reply:
1. If the condition occurs in the same location, it should be considered a recurrence. 2. Approximately half of the patients with anal abscesses will develop into fistulas after healing. There is also a certain probability of recurrence in the same location after fistula surgery,...[Read More] Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Post-Surgery Concerns After Fistula Treatment: Common Questions Answered
Post-fistula surgery Hello Doctor, I underwent a fistula treatment surgery on June 27, and I have some questions that I hope you can take the time to answer. Thank you. 1. It has been a month since the surgery, and I still experience pain at the wound site (for example, when sit...
Dr. Ke Fangxu Reply:
1. Mild pain within one month post-surgery is normal, and a lump may be scar tissue from the healing process. To determine if it is a recurrence, please consult your surgeon; however, generally, it does not occur this quickly. 2. It does not affect the ability to rinse with a h...[Read More] Post-Surgery Concerns After Fistula Treatment: Common Questions Answered