Post-Surgery Care and Concerns After Anal Fistula Surgery
Postoperative care after anal fistula surgery? I would like to ask the doctor about the postoperative care following anal fistula surgery. The doctor performed a small suture at the end; should this be considered an excision procedure? I have a few questions: 1. Is it normal fo...
Dr. Ke Fangxu Reply:
1. It is normal for the stool to become thinner due to swelling at the surgical site. 2. To accurately assess the appearance of the wound, it must be seen in person; a description alone may not provide sufficient information. 3. Increasing dietary fiber intake is recommended, and...[Read More] Post-Surgery Care and Concerns After Anal Fistula Surgery
Understanding Post-Hernia Surgery: Addressing Pain and Swelling
Post-Hernia Surgery Hello doctor, it has been two months since my hernia surgery, and I still have some swelling and pain. Could this be a seroma? How should it be treated? Thank you.
Dr. Chen Jiaming Reply:
Simply describing a "slightly swollen" state does not allow for confirmation of whether it falls within the reasonable range post-surgery. Generally, after hernia surgery, each layer of subcutaneous tissue that is opened must be repaired and sutured, which often leads t...[Read More] Understanding Post-Hernia Surgery: Addressing Pain and Swelling
Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Postoperative Issues After Hemorrhoid Surgery Hello, Doctor. I underwent minimally invasive hemorrhoid surgery at a private clinic on April 9th, and afterward, I developed a hematoma. I had another surgery on April 17th to remove the hematoma. Since then, I have experienced persi...
Dr. Ke Fangxu Reply:
The so-called minimally invasive surgery for hemorrhoids actually involves various techniques and instruments. Please describe the specific method used clearly; otherwise, it will be difficult to identify the issue. Based on your description, it seems that a postoperative wound i...[Read More] Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?
Lumbar vertebral screw penetration? I have a L5-S1 vertebral arch dissociation, but the intervertebral disc is normal, and I have osteoporosis with a T-score of -2.6. After a medical diagnosis, the doctor performed a minimally invasive cortical bone screw fixation at L5-S1. Post-...
Dr. Lai Zhaokang Reply:
Hello: 1. It is true that some physicians may consider the patient's condition or their medical habits, which could lead to the screws penetrating the vertebrae. 2. Your postoperative symptoms may not necessarily be related to the screws penetrating the vertebrae. 3. We have...[Read More] Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?
Post-Surgery Care for Cauliflower Warts: Do Healing Ointments Help?
Post-surgery for cauliflower (likely referring to cauliflower ear or a similar condition)? Hello Dr. Ke, I have already undergone surgery to remove the cauliflower growth, and I tested negative for HIV. I would like to ask if the doctor prescribed me to apply Hemorrhoid Cream aft...
Dr. Ke Fangxu Reply:
The treatment for hemorrhoids is ineffective for cauliflower lesions, but it is beneficial for postoperative wound healing. If the cauliflower lesions have not been excised, antiviral ointments should be used.[Read More] Post-Surgery Care for Cauliflower Warts: Do Healing Ointments Help?
Post-Surgery Concerns: Understanding Swelling After Hemorrhoid Surgery
Postoperative swelling after hemorrhoid surgery? Hello Dr. Ke, It has been 18 days since my mixed hemorrhoid surgery (stage IV), and I am no longer experiencing pain and have been able to pass stool smoothly. However, I have noticed a protrusion on the left side of my anus (whi...
Dr. Ke Fangxu Reply:
1. The presence of residual skin tags after surgery is a normal phenomenon. 2. It may or may not resolve; observation over a few months is necessary to determine the outcome. 3. If there is no discharge from the wound, then no additional treatment is needed. Generally, it tak...[Read More] Post-Surgery Concerns: Understanding Swelling After Hemorrhoid Surgery
Post-Surgery Concerns After Fistula and Hemorrhoid Surgery: A Guide
Post-fistula surgery Hello Doctor: I underwent a fistulotomy and mixed hemorrhoid surgery on December 28, 2018. It has been almost four months since the procedure. Although I can run and sit for extended periods now, I still have a few concerns: 1. I often notice discharge a few ...
Dr. Xu Kaixi Reply:
1. If the discharge is not blood-tinged or purulent, it may be intestinal mucosal secretions, and observation is sufficient. 2. It could be a minor tear in the scar tissue from postoperative healing; applying a topical ointment to the wound is adequate.[Read More] Post-Surgery Concerns After Fistula and Hemorrhoid Surgery: A Guide
Persistent Cyst Near Anus: Is It Infected or a Fistula?
Cyst near the anus, not healing after surgery? Hello Dr. Ke: In March 2017, I developed a round lump near my anus that caused discomfort when sitting. I visited a hospital, and the doctor diagnosed it as a sebaceous cyst. After surgery, there were no stitches, and the wound depth...
Dr. Ke Fangxu Reply:
Generally, an epidermoid cyst should not take two years to heal after surgery. If the wound continues to remain unhealed, it is important to consult a physician for further evaluation. It is possible that the initial surgery did not completely excise an anal fistula. If this is t...[Read More] Persistent Cyst Near Anus: Is It Infected or a Fistula?
Is It Granulation Tissue After Hemorrhoid Surgery?
Is it granulation tissue after hemorrhoid surgery? Is this a postoperative granuloma? I had traditional surgery for internal and external hemorrhoids with thrombosis on April 2nd, and it has been 25 days since then. There is still a small lump the size of a mung bean at the anal ...
Dr. Yu Mingchang Reply:
Hello: After using the restroom, cleaning with cold water is sufficient and is not a problem.[Read More] Is It Granulation Tissue After Hemorrhoid Surgery?
Post-Surgery Discharge: Understanding Symptoms After Fistula Surgery
Post-operative discharge from a fistula? Hello Doctor: I underwent a fistula and mixed hemorrhoid surgery about four months ago. My bowel movements have been very smooth, and I mostly have soft stools, so I haven't experienced any difficulties like straining. However, I noti...
Dr. Ke Fangxu Reply:
Answer: Four months after surgery, the wound should be completely healed, and there should be no more wound drainage. The current phenomenon could be attributed to three possibilities: recurrence of a fistula, postoperative anal incontinence, or excessive intestinal mucus secreti...[Read More] Post-Surgery Discharge: Understanding Symptoms After Fistula Surgery
Understanding Persistent Anal Discomfort and Bowel Urgency: Expert Insights
Soreness and discomfort in the buttocks, accompanied by a persistent urge to defecate? Hello Dr. Ke, I am the person who asked questions #144665 and #145019. Currently, the feeling of heaviness in my buttocks still persists, but it has decreased somewhat. Last week, I underwent a...
Dr. Ke Fangxu Reply:
1. In fact, hemorrhoids are normal tissue in the body that function to maintain the closure of gas and liquid. So, having hemorrhoids is definitely not unusual; the difference lies in whether the symptoms are severe enough to require treatment. 2. It is possible, but irritable b...[Read More] Understanding Persistent Anal Discomfort and Bowel Urgency: Expert Insights
Post-Surgery Concerns: Managing Breast Lump Removal and Healing
Postoperative Issues Related to Breast Masses Hello Doctor, I underwent a breast tumor excision surgery last October, and the biopsy revealed it was a phyllodes tumor. During my postoperative follow-up, the doctor told me that I could wash the area and not to remove the adhesive,...
Dr. Li Zhonghuai Reply:
Hello, the phyllodes tumor requires close monitoring. The area where the mass was located still feels hard. It is recommended to return for a follow-up as soon as possible. After surgery, there will be swelling for a period of time, but it has been five months; how has the situat...[Read More] Post-Surgery Concerns: Managing Breast Lump Removal and Healing
Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Post-operative issues related to fistula surgery? Hello, doctor. I have a lump near my anus that resembles an epidermoid cyst. After an examination by the first physician, there was a suspicion of an anal fistula (though it was not confirmed). However, after a second examination,...
Dr. Ke Fangxu Reply:
1. If a large amount of hydrogen peroxide was initially injected, it is reasonable that the wound healing would be slower due to the tissue reaction caused by hydrogen peroxide. 2. Generally, wounds can heal in 4 to 6 weeks.[Read More] Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Understanding Anal Fissure Surgery: Key Questions for Your Doctor
I would like to ask Dr. Ke about issues related to anal fissure surgery? 1. The doctor mentioned that my anal fissure is caused by the excessive scarring from recent surgeries for hemorrhoids, fistulas, and skin tags. I do not have an external anal tear; the fissure is located in...
Dr. Ke Fangxu Reply:
1. Incising the internal anal sphincter is appropriate because the internal sphincter is circular, allowing for incision; this is fundamental to anal fissure surgery. 2. It will not cause incontinence; the cause of anal fissures is excessive anal pressure. Incision of the sphin...[Read More] Understanding Anal Fissure Surgery: Key Questions for Your Doctor
Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Neurofibroma with arteriovenous malformation? My husband underwent a craniotomy for a left-sided vestibular schwannoma on January 15. During the surgery, the surgeon discovered an arteriovenous malformation beneath the dura mater, which was also removed. The surgery lasted approx...
Dr. Zhang Junwei Reply:
Because I am unclear about the situation during the surgery, various circumstances can occur during a craniotomy. The fact that eight bags of blood were transfused indicates a significant amount of blood loss, which may have led to ischemia and hypoxia in some brain tissue, poten...[Read More] Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Persistent Pain After Anal Papilla Surgery: Seeking Answers for Recovery
Underwent anal papilla surgery in April 2018, and still experiencing pain as of January 2019? In April 2018, my mother underwent anal papilla surgery, during which the papilla was removed and a small portion of her anus was slightly enlarged. After the surgery, she experienced bl...
Dr. Xu Kaixi Reply:
After surgery on the anus, scar tissue may form at the anal opening as the wound heals. Even after healing, there may still be localized nerve pain due to pulling, friction, or stretching during bowel movements. Symptomatic treatment with pain relievers can be considered, and the...[Read More] Persistent Pain After Anal Papilla Surgery: Seeking Answers for Recovery
Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Fistulous granulation tissue Hello doctor, two weeks after the fistula surgery, during my follow-up appointment, the doctor informed me that there is granulation tissue at the wound site. I would like to ask if this increases the risk of recurrence. Additionally, regarding sitz b...
Dr. Ke Fangxu Reply:
Answer: It is correct to use povidone-iodine for sitz baths in the early postoperative period. Whether to continue using povidone-iodine thereafter is a matter of personal preference. The issue with long-term use of povidone-iodine is that it can cause skin irritation around the ...[Read More] Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Minimally Invasive Surgery for Left Lobe Liver Resection: Insights and Considerations
Minimally invasive surgery for the resection of the left lobe of the liver? Hello Doctor: I have a benign 10 cm focal nodular hyperplasia (FNH) located in the left lobe of my liver, which almost occupies the entire left lobe. It has been monitored for 10 years without any changes...
Dr. Chen Jiaming Reply:
Currently, major medical centers in Taiwan have specialized hepatobiliary surgeons dedicated to the development of laparoscopic liver resection techniques. Laparoscopic left lobectomy is not considered a particularly difficult procedure. As for the surgical incision, it varies ba...[Read More] Minimally Invasive Surgery for Left Lobe Liver Resection: Insights and Considerations
Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Post-cholecystectomy Can I masturbate one week after gallbladder removal surgery? How long until I can lift heavy objects and go for a jog?
Dr. Chen Jiaming Reply:
Postoperative recovery varies from person to person. In principle, once the stitches have been removed or the wound is healed enough to come into contact with water, you can engage in light work or exercise, as there is no concern about sweat contaminating the wound. As for the l...[Read More] Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Postoperative bleeding after hemorrhoid surgery? Hello Doctor, I had hemorrhoid surgery on Friday, and the doctor mentioned it was a thrombosis. I'm not sure if it's an external or internal hemorrhoid. I have the following questions: 1. It has been 3 days post-surgery...
Dr. Ke Fangxu Reply:
1. Mild bleeding from the surgical wound is normal. 2. Postoperative pain will typically last for about one to two weeks. 3. You can return to normal work one week after surgery.[Read More] Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect