Understanding Foreign Bodies in Abdominal Surgery Wounds
Foreign body in abdominal surgical wound? Hello Doctor: My father (55 years old) sought medical attention around September 30 of last year due to a duodenal ulcer. Initially, there was a delay in seeking treatment, which led to symptoms of peritonitis and septic shock. He underwe...
Dr. Chen Bingze Reply:
I'm sorry to hear that your father has undergone six surgeries. Given his issues, it seems that the duodenal perforation he had was likely very difficult to suture. The thread you mentioned is probably not a foreign body; it is more likely the suture material used for the su...[Read More] Understanding Foreign Bodies in Abdominal Surgery Wounds
Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
15 days post-appendectomy? It has been 15 days since your appendectomy (with some peritonitis), and the wound appears normal with no issues during your follow-up visit. Is it normal to experience frequent urination at night? Recently, you have also had a fever for the past two da...
Dr. Ke Fangxu Reply:
If a urinary catheter was inserted during surgery, there is a possibility of developing a urinary tract infection, which may require a urinalysis for confirmation. If it is related to surgical complications, an intra-abdominal abscess could also be a possibility. This diagnosis w...[Read More] Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
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
Post-Appendectomy Pain: Is It Normal and When to Seek Help?
Post-appendectomy Hello doctor, I had a laparoscopic appendectomy on February 13, 2024, and was discharged after one day in the hospital. I had my stitches removed on February 21, and the wound looks normal. However, I am currently experiencing pain in my right abdomen when walki...
Dr. Zhang Shuhao Reply:
If appendicitis has caused localized peritonitis, the pain may persist for a period of time, but it will gradually alleviate. However, if the pain and abdominal tenderness worsen, and there are symptoms such as fever, fatigue, loss of appetite, or even nausea, a follow-up consult...[Read More] Post-Appendectomy Pain: Is It Normal and When to Seek Help?
Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Postoperative wound issues after peritonitis surgery? I underwent laparoscopic removal of an ovarian cyst, but developed a rectal perforation that led to peritonitis, requiring another abdominal surgery. The incision extends about 14 centimeters from my lower abdomen to my navel....
Dr. Chen Jiaming Reply:
Scar tissue from such a long vertical abdominal wall incision often experiences occasional mild pain within one to two years post-surgery. It is recommended to use a supportive abdominal binder for the first six months postoperatively to prevent hypertrophy of the scar tissue and...[Read More] Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Post-Appendectomy Right Abdominal Pain: Is It Normal?
Postoperative right abdominal pain after appendectomy? I underwent an appendectomy on February 22, which led to peritonitis and sepsis. I was discharged on February 27 and returned for a follow-up appointment on March 4 to have my stitches removed. I have continued taking antibio...
Dr. Xu Kaixi Reply:
The "swelling and pain in the lower right abdomen you mentioned on 2/7 should actually refer to 3/7," which is approximately one month post-surgery. After an appendectomy, whether performed via traditional open surgery or laparoscopic technique, it is normal to experien...[Read More] Post-Appendectomy Right Abdominal Pain: Is It Normal?
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-Appendectomy Abdominal Distension and Bowel Changes Explained
Post-appendectomy abdominal distension issue? Hello Doctor, thank you for your previous response! I had an appendectomy on November 3rd due to appendicitis (partially purulent but not ruptured, and no peritonitis). I was discharged on November 6th and had my stitches removed on N...
Dr. Chen Jiaming Reply:
The treatment of intra-abdominal infections often involves the use of broad-spectrum antibiotics, which can alter the gut microbiota after surgery. This frequently leads to symptoms such as bloating (due to an increase in gas-producing bacteria), and bowel habits may also change....[Read More] Post-Appendectomy Abdominal Distension and Bowel Changes Explained
Post-Appendectomy: Understanding Belly Button Pain After Surgery
Post-operative pain at the umbilical incision after appendectomy? Hello Doctor, I underwent laparoscopic surgery for appendicitis on November 2nd. I have been feeling much better in the past few days, and the incision site is not very painful. However, after exercising on Novembe...
Dr. Zhang Shuhao Reply:
The end of an appendectomy is located at the cecum, and the chances of non-healing or rupture are low; however, if it occurs, symptoms may include fever and peritonitis. Your situation is more likely related to an infection of the laparoscopic incision at the umbilicus, and if yo...[Read More] Post-Appendectomy: Understanding Belly Button Pain After Surgery
Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Post-operative issues following appendectomy? Hello, Doctor. I underwent laparoscopic appendectomy on November 3rd. The doctor mentioned that my appendix was swollen and purulent but not ruptured, so it did not reach the level of peritonitis. I had the drainage tube removed on No...
Dr. Chen Jiaming Reply:
1. For wounds that have not healed for an extended period, it is recommended to change the dressing or care regimen; you might try applying povidone-iodine first. 2. Drainage tube wounds generally do not heal as easily as sutured wounds. After the drainage tube is removed, there...[Read More] Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, my father has been on peritoneal dialysis for 15 years and has experienced several episodes of peritonitis, which were successfully treated. At the end of last year, he developed peritonitis again; the first treatmen...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis due to its difficulty in treatment and high recurrence rate. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more sus...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, My father has been undergoing peritoneal dialysis for 15 years and has experienced several episodes of peritonitis during this time, which were successfully treated. At the end of last year, he developed peritoniti...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis because it is difficult to treat and prone to recurrence. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more suscep...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Case 166293 Follow-up Inquiry - Subsequent Issues After Treatment for Perforated Stomach Leading to Peritonitis Dear Dr. Chen, Thank you for your response. Currently, my family member is still fasting and has not consumed any water or food. They are receiving nutritional injecti...
Dr. Chen Jiaming Reply:
Currently, the administration of nutritional injections, lipids, and saline solution is only a part of the "maintenance" treatment. As for investigating the underlying causes, a comprehensive assessment of the clinical condition is necessary. Although you have made grea...[Read More] Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-treatment issues following gastric perforation leading to peritonitis? Dear Dr. Chen, I hope this message finds you well. I would like to provide a detailed account of my family member's clinical course due to a gastric perforation leading to peritonitis, in hopes of r...
Dr. Chen Jiaming Reply:
It has been tough for your family to experience such a condition. Since the attending physician has already discussed the situation with other specialists, they have likely considered various common causes of vomiting without arriving at a more refined opinion. I can only offer m...[Read More] Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-Surgery Care for Perforated Stomach and Peritonitis: Key Concerns
Post-operative home care issues following surgery for perforated gastric ulcer leading to peritonitis? Hello Doctor: A family member (57-year-old female) underwent emergency surgery due to a gastric perforation that led to peritonitis, resulting in a total hospital stay of 45 day...
Dr. Chen Jiaming Reply:
Due to the lack of specific details regarding the clinical course (such as the interval between the second surgery and the discharge date), along with the observed changes during the medication change after discharge (suspected wound infection), it is advisable for you to return ...[Read More] Post-Surgery Care for Perforated Stomach and Peritonitis: Key Concerns
Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Case #165471 Follow-up - Home Care Issues After Surgery for Perforated Stomach Causing Peritonitis Dear Dr. Chen, Thank you for your response. This morning, my family member began experiencing sharp pain in the swollen area, so we hurried back to the original hospital's eme...
Dr. Chen Jiaming Reply:
As you mentioned, the emergency physician expressed a significant amount of purulent fluid from the umbilical wound, and the patient's temperature is elevated. This "wound infection with subcutaneous abscess formation" increases the likelihood of elevated white blo...[Read More] Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Appendicitis with peritonitis Is a pelvic abscess the same as pelvic inflammatory disease (PID) in the context of appendiceal perforation with abscess and localized peritonitis? Will a pelvic abscess be prone to recurrence like PID? Also, does localized peritonitis mean the same ...
Dr. Chen Jiaming Reply:
Pelvic abscess and pelvic inflammatory disease (PID) are distinct conditions. PID in women is often caused by issues related to the uterus/fallopian tubes or urinary tract infections. If the underlying source is not addressed, it can indeed lead to recurrent episodes. In contrast...[Read More] Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Understanding Adhesion Prevention in Appendectomy Surgery
Appendicitis surgery issues? Hello, doctor. I had a perforated appendicitis with a pelvic abscess and localized peritonitis, and I underwent an open laparoscopic surgery with four drainage tubes placed. Now I am experiencing symptoms of intestinal adhesions. I would like to know ...
Dr. Chen Jiaming Reply:
The main cause of your intestinal adhesions was an intra-abdominal infection (specifically appendicitis) that led to an inflammatory response in the peritoneum and intestinal tissues, resulting in the formation of adhesions. Anti-adhesion barriers cannot prevent this inflammatory...[Read More] Understanding Adhesion Prevention in Appendectomy Surgery
Post-Appendectomy Pain: Understanding Complications After Laparoscopic Surgery
Postoperative Issues Following Laparoscopic Appendectomy After laparoscopic surgery for perforated appendicitis with localized peritonitis (noted adhesions in the ileum and right abdominal wall), I experienced no discomfort for two months. However, two months later, I began to fe...
Dr. Yu Mingchang Reply:
Hello: After surgery, please consume more fruits and vegetables and engage in physical activity. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Post-Appendectomy Pain: Understanding Complications After Laparoscopic Surgery
Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming Reply:
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management