Understanding Fistula Recovery: Key Considerations and Next Steps
Fistula issues Hello, doctor. I underwent an anal fistula incision surgery in May, but the postoperative outcome was not ideal, so I had a fistula debridement surgery in August. The surgeon indicated that the internal opening has healed, and no other openings were observed during...
Dr. Ke Fangxu Reply:
So initially, there was no intention to completely open the entire fistula tract? If only a small area was debrided at the beginning, then recurrence can be considered an inevitable outcome. 1. You might consider combining oral antibiotics to see if it helps. 2. Each hospital has...[Read More] Understanding Fistula Recovery: Key Considerations and Next Steps
Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery [Continuation 159006] Hello, Doctor. I recently underwent my third excision surgery on August 6, with the surgical site located at the 12 o'clock position above the anus and near the perineum. The wound measures approximately 2cm x...
Dr. Ke Fangxu Reply:
1. It is normal to have a small amount of discharge after fistula surgery before the wound has completely healed. 2. No. 3. No, different bacterial infections can produce different odors; any description of this is subjective. If there is no redness, swelling, heat, or pain, ...[Read More] Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Understanding Post-Surgery Changes: Hard Lump After Benign Breast Tumor Removal
One month after the excision of a benign breast tumor? Hello, Doctor. Thank you for taking the time to respond! I underwent bilateral breast surgery for benign tumors (papillomas) in early July. The incisions were made near the areola, and now, a month later, I have noticed a har...
Dr. Li Zhonghuai Reply:
Hello! Postoperative wounds may swell and feel firm. After surgery for a benign breast tumor, there is no need for skin tightening or gap filling; the gap will gradually fill with tissue fluid to compensate for the indentation. Please return for a follow-up ultrasound. Take care!...[Read More] Understanding Post-Surgery Changes: Hard Lump After Benign Breast Tumor Removal
Understanding Post-Appendectomy Pain in Children: What to Expect
Appendicitis with perforation complicated by peritonitis? A five-year-old child visited the emergency room on July 23 and was diagnosed with appendicitis. Initially, the doctor considered treating it with antibiotics, but that was ineffective, leading to surgery on July 26. The d...
Dr. Chen Jiaming Reply:
Due to a ruptured appendix leading to peritonitis, there is a widespread inflammatory response within the abdominal cavity, making postoperative intestinal adhesions very likely. Children may experience abdominal distension and complain of pain. Generally, it is important to moni...[Read More] Understanding Post-Appendectomy Pain in Children: What to Expect
Understanding Post-Surgery Growths: Managing Hemorrhoid Recovery
A lump forms at the site of a hemorrhoid wound? 1. Three weeks ago, I underwent surgery for a fistula and hemorrhoids, but a lump has formed at the external wound of the hemorrhoids. The tissue is not retracted into the anus, and it is somewhat painful to the touch. What could be...
Dr. Ke Fangxu Reply:
1. It is impossible to determine whether there is an issue with the wound without a personal examination. It is recommended that you consult the surgeon for an evaluation to know how to proceed. 2. Wounds around the anus typically do not use cosmetic glue or artificial skin beca...[Read More] Understanding Post-Surgery Growths: Managing Hemorrhoid Recovery
Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Postoperative care for anal fistula surgery? Hello, I discovered a perianal abscess and fistula in early April this year. I underwent the first surgery in early April to drain the abscess and remove the fistula. After that, for a month, I soaked the area in medicated water daily,...
Dr. Ke Fangxu Reply:
To completely eradicate an anal abscess and fistula, surgery is the only option. If surgery cannot be performed temporarily, oral antibiotics can be tried to control the infection and inflammation symptoms; however, there is still a possibility of recurrence in the future. As for...[Read More] Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Post-Appendectomy Recovery: What to Expect After Surgery
Acute appendicitis I was diagnosed with acute appendicitis in the emergency room on July 24 and underwent minimally invasive surgery that same night. I was discharged today, July 28. I have been walking since the surgery and have not been lying down all the time, but I still feel...
Dr. Chen Jiaming Reply:
Young individuals tend to have more developed abdominal wall muscle tissue, which can result in more pronounced pain at the surgical site. Generally, it is common to experience pain for one to two weeks postoperatively, although the intensity of the pain typically improves over t...[Read More] Post-Appendectomy Recovery: What to Expect After Surgery
Post-Surgery Pain Months After Inguinal Hernia Repair: What to Know
Pain sensation months after hernia surgery? Hello Dr. Chen, I underwent inguinal hernia surgery last September and opted for traditional surgery with self-paying absorbable mesh. Recently, I occasionally experience pain when moving the wound, and if I lean forward too much, I f...
Dr. Chen Jiaming Reply:
The materials and special designs of synthetic mesh used in modern hernia surgeries vary widely. Although some claim to be "absorbable," the primary purpose of using synthetic mesh is to create an adhesion effect with the surrounding native tissue upon implantation, the...[Read More] Post-Surgery Pain Months After Inguinal Hernia Repair: What to Know
Post-Surgery Treatment Considerations for HER2-Positive Breast Cancer Patients
The appropriateness of postoperative treatment for breast cancer? 1. The patient has stage I breast cancer (Estrogen receptor: negative / Progesterone receptor: negative / HER2: positive / Ki-67: 60%). The postoperative treatment recommendation is to undergo six cycles of chemoth...
Dr. Chen Jiaming Reply:
If there are concerns regarding the treatment in a clinical situation, it is advisable to discuss them with the attending physician, as online consultation information is insufficient to determine the appropriateness of treatment. The imaging reports prior to chemotherapy and the...[Read More] Post-Surgery Treatment Considerations for HER2-Positive Breast Cancer Patients
Should You Use Degradable Mesh for Hernia Surgery? Expert Insights on Benefits and Risks
Is it recommended to use biodegradable mesh for hernia surgery? My mother (59 years old) has been diagnosed with a hernia (a lump in the lower right abdomen near the groin). She has had two cesarean sections and often lifts heavy objects, but she does not have any issues with hyp...
Dr. Chen Jiaming Reply:
Hernia surgery is a very common procedure in Taiwan, with approximately 30,000 surgeries performed each year. The technique has evolved from traditional tissue repair methods to the current mainstream approach of tension-free repair using synthetic mesh. A wide variety of synthet...[Read More] Should You Use Degradable Mesh for Hernia Surgery? Expert Insights on Benefits and Risks
Minimally Invasive Hemorrhoid Surgery: Benefits and Considerations
Hemorrhoid surgery issues? Hello Dr. Ke, I would like to ask you about hemorrhoid surgery. In addition to traditional surgery and circular excision, there are some minimally invasive hemorrhoid surgeries recommended by aesthetic medicine. The concept behind these procedures is ...
Dr. Ke Fangxu Reply:
First, it is important to clarify that hemorrhoids are not a pathological tissue; they have a normal physiological function, which is to maintain the closure of liquids and gases. The concept of submucosal resection of all hemorrhoidal tissue was proposed and implemented over 50 ...[Read More] Minimally Invasive Hemorrhoid Surgery: Benefits and Considerations
Understanding Surgical Options for Thrombosed External Hemorrhoids
Thrombosed external hemorrhoid excision surgery Hello, Doctor. I developed a large thrombosed external hemorrhoid during my pregnancy. At that time, the doctor only prescribed an ointment to see if it would resolve on its own. Now, three years after giving birth, the thrombosed h...
Dr. Ke Fangxu Reply:
External hemorrhoids caused by pregnancy are quite common. If there is only mild swelling and pain, surgery may not be necessary. However, if you wish to have the excess skin removed, the most effective method is traditional excision. If there is only a single external hemorrhoid...[Read More] Understanding Surgical Options for Thrombosed External Hemorrhoids
Should You Stop Taking Blood Thinners After Fibroma Removal?
Fibroma excision issues? I have been taking Bosentan daily. Last Friday, I underwent an outpatient procedure to excise a suspected fibroma on the inner side of my knee, which was thought to be caused by a mosquito bite. The wound is approximately 4 centimeters long. Four days lat...
Dr. Lu Daokuan Reply:
Discontinue use 3 days prior to outpatient surgery. It can be resumed 1-2 days postoperatively. If there is still blood-tinged fluid after 4 days post-surgery, please consult with the surgeon.[Read More] Should You Stop Taking Blood Thinners After Fibroma Removal?
Understanding Post-Surgery Head Pain and Skull Replacement Timing
Cerebral arteriovenous malformation (AVM) After surgery, the skull has not been replaced. The doctor informed that it will take three months to cover it again, as they need to observe the postoperative recovery. Currently, there are severe headaches, and the doctor mentioned that...
Dr. Zhang Junwei Reply:
The skull may not necessarily cause severe headaches if it is not replaced, as this varies from person to person. Typically, the skull can be replaced after about two months, but opinions may differ among physicians.[Read More] Understanding Post-Surgery Head Pain and Skull Replacement Timing
Post-Spinal Surgery Pain: Should You Remove Screws After One Year?
Postoperative pain and issues related to the removal of spinal screws? I would like to ask you, I underwent lumbar fusion surgery at L4, L5, and S1 last year, where two support devices and six screws were implanted. After the surgery, I have been experiencing persistent soreness ...
Dr. Lai Zhaokang Reply:
Hello: 1. If it has been 6 months post-surgery and you are still experiencing <postoperative soreness in the lower back>, it may indicate poor fusion or other segmental pathology. 2. I recommend that you first consult with your original surgeon; if there is no improvement, ...[Read More] Post-Spinal Surgery Pain: Should You Remove Screws After One Year?
Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Acute thrombosed hemorrhoids Hello, Dr. Ke. Thank you for taking the time to answer questions regarding thrombosed hemorrhoids. 1. In the case of acute thrombosed hemorrhoids, prior to the onset of the condition, using an anoscope to dilate the anus would not reveal any signifi...
Dr. Ke Fangxu Reply:
1. Most patients experience this, but some can push back the prolapsed tissue during normal times, while during an acute episode, they are unable to do so. 2. Smaller blood clots may not completely disappear, while larger ones may leave residual tissue after absorption. 3. Ye...[Read More] Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Understanding Anal Fistulas: Recovery Time and Surgical Considerations
Anal fistula Hello Dr. Ke, I am not sure if I have just developed a fistula, but I would like to ask a few questions. 1. As I am a nursing student, I cannot take too many days off (a maximum of 5 days). If I do have a fistula and wish to undergo surgery, how many days of recovery...
Dr. Ke Fangxu Reply:
1. Generally, hospitalization for fistula surgery requires three days, and it is recommended to rest for one week postoperatively because the wound tends to be more painful during the first week after surgery. Complete healing of the wound typically takes about one month; however...[Read More] Understanding Anal Fistulas: Recovery Time and Surgical Considerations
Post-Laparoscopic Surgery Concerns: Pain and Wound Care Tips
Postoperative issues after laparoscopic surgery? I would like to ask the doctor, last month I underwent laparoscopic surgery for uterine fibroids. Initially, the postoperative wound was not very painful or uncomfortable, but in the past few days, I suddenly started to feel pain a...
Dr. Li Zhonghuai Reply:
Hello! Please wear the abdominal binder for a full month without skipping. Use quick-drying adhesive for the wound, and once the adhesive has come off, apply a beauty patch. Take care! Changhua Hospital cares about you![Read More] Post-Laparoscopic Surgery Concerns: Pain and Wound Care Tips
Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Hyperhidrosis issues? Hello, doctor. I would like to inquire about which specialty I should consult for the evaluation of hyperhidrosis. I have researched surgical options, but I am hesitant to decide due to potential compensatory sweating and other postoperative issues. Addition...
Dr. Lai Zhaokang Reply:
Hello: 1. The causes of hyperhidrosis can be divided into primary and secondary; primary hyperhidrosis accounts for the majority and is mainly caused by hyperactivity of the sympathetic nervous system leading to abnormal sweating. Secondary hyperhidrosis is often due to condition...[Read More] Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Pros and Cons of Treating Cauliflower Warts: Surgery vs. Topical Medications
Treatment for cauliflower (cauliflower ear) Hello, doctor. I would like to ask you about the advantages and disadvantages of surgery and topical medication for genital warts. Should I recommend electrosurgery or topical treatment? The patient's current infection is located a...
Dr. Ke Fangxu Reply:
For anal warts, if the affected area is small, topical ointments can be used. However, if the area is extensive, electrosurgery is generally more effective. If the infection extends to the vaginal opening, electrosurgery is recommended to avoid damaging normal skin from applying ...[Read More] Pros and Cons of Treating Cauliflower Warts: Surgery vs. Topical Medications