Post-Surgery Concerns: Understanding Hematoma After Thrombosed Hemorrhoid Surgery
Postoperative hematoma after thrombosed external hemorrhoid surgery? Hello Dr. Ke, I would like to ask you about postoperative symptoms. I had an outpatient procedure for a thrombosed external hemorrhoid yesterday morning, where the clot was removed. After the procedure, the area...
Dr. Ke Fangxu Reply:
After thrombectomy, there is a possibility of re-formation of a blood clot due to bleeding. In such cases, another thrombus may need to be removed. If a second thrombectomy is not desired, the only option is to apply ointment and take warm sitz baths, allowing it to gradually abs...[Read More] Post-Surgery Concerns: Understanding Hematoma After Thrombosed Hemorrhoid Surgery
Post-Operative Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Postoperative pain after hernia surgery? Hello, I would like to ask a question. It has been over 7 months since I underwent laparoscopic inguinal hernia repair with a mesh implant, but I still frequently experience sharp pain. Sometimes, even when lying down, I feel this pain. Th...
Dr. Xu Kaixi Reply:
Based on your description, the location of your postoperative pain is less related to the surgical site. If the original surgeon has examined you and ruled out any surgery-related issues, it is advisable to investigate other potential causes. Given the location of your pain, you ...[Read More] Post-Operative Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Post-Surgery Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Postoperative pain after hernia surgery? Hello, I would like to ask a question. It has been over seven months since I underwent laparoscopic inguinal hernia repair with a mesh implant, but I still experience frequent sharp pains. Sometimes, I feel these pains even when lying down...
Dr. Xu Kaixi Reply:
Based on your description, the location of your postoperative pain seems to be less related to the surgical site. If the original surgeon has examined you and ruled out any surgery-related issues, it is advisable to investigate other potential causes. Given the location of your p...[Read More] Post-Surgery Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Post-Surgery Complications After Hernia Repair: Seeking Guidance
Questions regarding the complications after hernia surgery, please provide a response. Thank you! Dear Dr. Hsu, Hello! I underwent emergency surgery in mid-June this year due to an acute severe right inguinal hernia, during which a synthetic mesh was implanted. After five days o...
Dr. Xu Kaixi Reply:
Inguinal hernia emergency surgery is often accompanied by significant inflammation, which can lead to temporary postoperative edema and fibrosis, as well as fluid accumulation. These conditions typically improve over time, with recovery duration varying based on the severity of t...[Read More] Post-Surgery Complications After Hernia Repair: Seeking Guidance
Post-Surgery Concerns: Managing Anal Tightness and Sexual Health Issues
Post-operative sexual concerns after anal warts surgery? Hello, doctor. It has been over a year since my last three electrocautery surgeries, and there has been no recurrence of lesions. Based on my research, I should be considered healed, but I am still experiencing some issues....
Dr. Ke Fangxu Reply:
1. The issue of constipation should not be related to electrocautery unless the area treated was excessively large, causing anal stenosis; otherwise, such sequelae are unlikely. It is recommended that you consult your surgeon to check for any actual narrowing, although it is most...[Read More] Post-Surgery Concerns: Managing Anal Tightness and Sexual Health Issues
Long-Lasting Pain Relief: Is Natenjie Effective for Post-Surgery?
Long-acting analgesic injection - Naproxen Excuse me, doctor. Has anyone used this new pain medication for hemorrhoid surgery? Does it really significantly reduce postoperative pain? Thank you.
Dr. Ke Fangxu Reply:
This medication is a long-acting analgesic that is said to provide pain relief for up to a week. It is used by patients undergoing orthopedic and hemorrhoid surgeries. However, the effectiveness of the pain relief varies from person to person; some experience excellent results wh...[Read More] Long-Lasting Pain Relief: Is Natenjie Effective for Post-Surgery?
Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
Acute appendicitis and localized peritonitis? Hello doctor, my wife underwent laparoscopic appendectomy on September 14th. It has been a week since the surgery, and she is still experiencing some issues, so I have a few questions: 1. On the first day after the surgery, she only...
Dr. Xu Kaixi Reply:
1. The patient underwent laparoscopic appendectomy on September 14. On September 21, they experienced bloating and poor digestion, and were taking pain medication, experiencing gastric distension, and antibiotics. This may be due to a postoperative inflammatory response that has ...[Read More] Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
How to Prevent Recurrence of Anal Fistula After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I am quite worried ab...
Dr. Ke Fangxu Reply:
If there is no recurrence after three years post-surgery, it is generally considered that there will not be a recurrence at the same site. Washing with water or taking warm sitz baths can be beneficial for anal care, but they do not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistula After Surgery
How to Prevent Recurrence of Anal Fistulas After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I'm worried abou...
Dr. Ke Fangxu Reply:
If there is no recurrence for three years after surgery, it is generally believed that the same site is unlikely to experience a recurrence. Washing with water or taking warm sitz baths can be beneficial for anal care, but it does not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistulas After Surgery
Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess
Post-appendectomy intestinal abscess? Hello, I underwent an appendectomy at the beginning of August and experienced complications, including a large abscess approximately 4 cm in size in the intestinal area. After 10 days of antibiotic treatment, I was discharged on August 27. Ho...
Dr. Chen Jiaming Reply:
Postoperative complications of acute appendicitis can include intra-abdominal abscesses. If the abscess is located in the interloop space, it may be difficult to achieve effective treatment through drainage alone. Simply administering antibiotics may sometimes fail to provide a c...[Read More] Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess
Understanding Treatment Options for Anal Fistulas: Surgery vs. Minimally Invasive Techniques
Treatment methods for anal fistulas? Hello, doctor. I have had a painful lump near my anus for three to four years. Since it hasn't caused any significant discomfort, I haven't sought medical attention. Recently, I discovered a hard lump on the other side near the anus....
Dr. Ke Fangxu Reply:
The only solution for anal fistulas is surgery. If there is no inflammation or pain, there is no urgent need for surgery, as the procedure requires anesthesia and postoperative pain is expected, making hospitalization necessary. As for the minimally invasive techniques mentioned ...[Read More] Understanding Treatment Options for Anal Fistulas: Surgery vs. Minimally Invasive Techniques
Post-Surgery Care for Pilonidal Cyst: Managing Wound Healing Challenges
I would like to inquire about the wound care management after a pilonidal sinus surgery? Hello, doctor. After undergoing a pilonidal cyst surgery, the doctor used sutures to close the wound after excising the cyst. Postoperatively, there has been a discharge (with a foul odor) fr...
Dr. Ke Fangxu Reply:
Answer: Pilonidal sinus is a troublesome condition. While the disease itself is not complex, the wound is located along the midline of the body, making it difficult to heal. Generally, if the wound does not heal well after surgery, it is recommended to perform a secondary debride...[Read More] Post-Surgery Care for Pilonidal Cyst: Managing Wound Healing Challenges
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I underwent anal fistula surgery on June 4th. Postoperatively, I felt that the wound has healed and looks quite normal now. However, occasionally there is a small amount of discharge at the surgical site, which can be ab...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it typically takes about a month to recover from mild pain. The use of topical ointments and regular warm sitz baths can be helpful. As long as constipation is avoided, the pain should subside.[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Understanding Post-Surgery Scar Issues After PPH Procedure for Hemorrhoids
Scar issues after hemorrhoid surgery? Hello Dr. Yu, I have a circumferential mixed hemorrhoid and underwent PPH (Procedure for Prolapse and Hemorrhoids) surgery at a reputable hospital over four months ago. Since then, I have been experiencing anal pain, swelling, and a sense of ...
Dr. Yu Mingchang Reply:
Hello: Scars after surgery may take up to 6 months to soften. Eating more fruits and vegetables is recommended. Changhua Hospital cares about you.[Read More] Understanding Post-Surgery Scar Issues After PPH Procedure for Hemorrhoids
Post-Laparoscopic Cholecystectomy: Understanding Right Upper Abdominal Pain
Questions regarding laparoscopic cholecystectomy? Hello Dr. Hsu, thank you very much for taking the time to respond to my concerns regarding the laparoscopic cholecystectomy I underwent on April 26 during your visit on May 15. I have noticed that when I lie flat at night to sleep...
Dr. Xu Kaixi Reply:
These symptoms are more indicative of postoperative neuropathic pain, which typically does not require treatment. However, if the symptoms persist without improvement, it is advisable to return to the original surgeon's clinic for an examination to rule out any internal abdo...[Read More] Post-Laparoscopic Cholecystectomy: Understanding Right Upper Abdominal Pain
Should Gallbladder Surgery Be Postponed After Fever Before Operation?
Is it advisable to postpone the surgery if a patient has a fever a few days before the procedure? Doctor, I was originally scheduled for gallbladder surgery this Friday, but I developed tonsillitis on Monday and had a fever of 38 degrees Celsius. If I no longer have a fever by Th...
Dr. Ke Fangxu Reply:
Each physician has a different perspective on this situation. Some believe that since antibiotics will be used postoperatively, it doesn't matter. Others think it's best to wait until the condition stabilizes before proceeding with surgery. It's advisable to discus...[Read More] Should Gallbladder Surgery Be Postponed After Fever Before Operation?
When Is Minimally Invasive Surgery Needed for Varicose Veins?
Varicose veins Under what circumstances is minimally invasive surgery required to remove the great saphenous vein? Are there any postoperative complications?
Dr. Li Qinglong Reply:
Dear Ms. Joy: If you notice swelling in your lower extremities after prolonged standing or walking, along with visible varicose veins that cause inconvenience in your daily life, or if you have non-healing wounds or ulcers, surgery is recommended. The surgical options include tra...[Read More] When Is Minimally Invasive Surgery Needed for Varicose Veins?
Consultation on Gallbladder Removal Surgery: Key Questions Answered
Consultation Regarding Cholecystectomy Hello, Dr. Hsu. In 2009, during a health check-up, I was found to have several gallbladder polyps, the largest being 0.8 cm. Six months ago, an abdominal ultrasound at a nearby clinic showed the largest polyp measuring 0.9 cm. A few days ago...
Dr. Xu Kaixi Reply:
Hello: 1. An ultrasound examination will be scheduled again. 2. The surgical site and area differ due to the hand sweating surgery, which does not affect this surgery. 3. Preoperative routine examinations, including a chest X-ray, will be arranged before the surgery. 4. Both proc...[Read More] Consultation on Gallbladder Removal Surgery: Key Questions Answered
Post-Hemorrhoid Surgery: Understanding and Managing Hematoma Pain
Hematoma after hemorrhoid surgery? Hello Doctor: Two days ago, on April 6th, I underwent hemorrhoid surgery, where one internal hemorrhoid was ligated and one mixed hemorrhoid was excised using Ligasure. The following morning, the nurse observed that the anal area appeared normal...
Dr. Ke Fangxu Reply:
The benefits of using Ligasure include reduced blood loss; however, postoperative pain is similar to that of traditional surgery, typically diminishing after about a week. 1. The pain may be due to simple wound swelling; if a hematoma is present, a dark blue-black lump may be obs...[Read More] Post-Hemorrhoid Surgery: Understanding and Managing Hematoma Pain
Understanding Hemorrhoid Excision: Anesthesia Options and Recovery Tips
Hemorrhoidectomy and Anesthesia Issues Hello, I have two external hemorrhoids. One has been present for a long time, located slightly above the anal opening, and it doesn't affect my daily activities. However, last Monday, I discovered a new one that is positioned right at t...
Dr. Ke Fangxu Reply:
Your condition is more like acute thrombotic hemorrhoids. Since it has gradually decreased in size over the past few days, the doctor did not recommend surgery. If surgery is necessary, it will depend on whether a partial or complete hemorrhoidectomy is performed. A partial hemor...[Read More] Understanding Hemorrhoid Excision: Anesthesia Options and Recovery Tips