Post-Surgery Concerns: Understanding Recovery After Hemorrhoid Surgery
Postoperative Consultation for Hemorrhoids Surgery Dear Dr. Ke, I underwent minimally invasive surgery for internal and external hemorrhoids on the morning of March 1, 2018. The hospital informed me that the surgical fee would be NT$30,000, which I agreed to pay after the doctor...
Dr. Ke Fangxu Reply:
According to my knowledge, there are no minimally invasive techniques for hemorrhoid surgery available on the market. What is often referred to as minimally invasive is typically just an alternative name for two types of surgeries, both of which are usually out-of-pocket expenses...[Read More] Post-Surgery Concerns: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Bathroom Use: Key Questions After Anal Surgery
How long after surgery can I use the restroom and other related questions? Hello, doctor. I underwent fistula and hemorrhoidectomy today. Before the surgery, I did some research online, but since I am in the UK, it seems the doctors' recommendations differ from those in Taiw...
Dr. Ke Fangxu Reply:
After anal surgery, it is recommended to restore normal bowel movements as soon as possible, as constipation and hard stools can lead to bleeding and pain at the surgical site. It is advised to use a sitz bath for cleaning to avoid pain caused by water pressure on the wound. The ...[Read More] Post-Surgery Bathroom Use: Key Questions After Anal Surgery
Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?
Inquire about the postoperative sequelae of anterior cervical discectomy? Hello Doctor: My father is currently in his 50s and has experienced an inability to move his neck up and down or side to side. After visiting the hospital, the doctor recommended surgery, and he underwent p...
Dr. Lai Zhaokang Reply:
Hello: A few individuals may suggest starting rehabilitation first. Wishing you all the best. // Dr. Chao-Kang Lai, Department of Spine Surgery[Read More] Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?
Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Postoperative discharge after anal fissure surgery? Dear Dr. Ko, I underwent surgery for an acute thrombosis on October 31. Less than ten days later, I developed a granulation tissue that was larger than the thrombosis itself, and it was very painful during those days. During m...
Dr. Ke Fangxu Reply:
There are two different surgical methods for thrombosed hemorrhoids: incision and excision. It is unclear which one you underwent, but generally, only excision surgery can lead to the complication of granuloma. Postoperative pain may be due to anal stenosis caused by surgical sut...[Read More] Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Post-Surgery Swelling and Pain: Is It Normal After Cyst Removal?
Post-surgical wound healing may involve internal swelling and pain? On December 1st, I underwent a ganglion cyst surgery near the ring finger on my right hand. The stitches were removed on December 11th. Currently, the wound is healing, but there is swelling and a hard lump insid...
Dr. Li Zhonghuai Reply:
Hello! Postoperative wounds may experience swelling and pain, but if there are no signs of infection, you can simply monitor the situation. Take care! Changhua Hospital cares about you![Read More] Post-Surgery Swelling and Pain: Is It Normal After Cyst Removal?
Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Laparoscopic hemostatic clips and issues related to appendicitis? Hello Dr. Chen, I recently underwent laparoscopic appendectomy. Due to a lack of medical knowledge at the time and the urgent nature of appendicitis requiring surgery, I did not communicate properly with the physic...
Dr. Chen Jiaming Reply:
Titanium clips are compatible with body tissues and are still widely used in various surgical procedures today. The number of reported cases in the literature is relatively rare compared to the actual number of surgeries performed. In contemporary laparoscopic surgeries, the majo...[Read More] Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Pain after anal fistula surgery? Hello! I underwent an anal fistula surgery under spinal anesthesia on October 30th at Chang Gung Memorial Hospital, which lasted about ten minutes. Upon discharge on October 31st, my surgeon informed me that there were no issues with bacterial inf...
Dr. Ke Fangxu Reply:
Anal fistula surgery typically results in a larger wound, which can lead to more postoperative pain; however, bacterial infections are relatively uncommon. Some patients may experience increased pain about a week after the surgery. If there is no fever or signs of redness, swelli...[Read More] Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Post-Hemorrhoid Surgery: Managing Complications and Recovery Tips
Post-Hemorrhoid Surgery Director Ke: Hello, I previously asked you about the issue of anal discharge after my hemorrhoid surgery (on September 11). You advised me to start with a light diet and then follow up with my doctor, which I have done. My surgeon mentioned that the large ...
Dr. Ke Fangxu Reply:
The size of a scar from a wound can only be accurately assessed by direct observation. In the past, there was a surgical procedure known as the Whitehead operation, which involved the complete excision of hemorrhoidal tissue followed by the suturing of the rectal mucosa. This pro...[Read More] Post-Hemorrhoid Surgery: Managing Complications and Recovery Tips
Should You Remove External Hemorrhoids First? A Guide to Treatment Decisions
Should I address an external mole? I recently developed a rash near my anus, which was later diagnosed as hemorrhoids (mixed type). However, the symptoms are mild, and the doctor mentioned that medication treatment is possible. I've been troubled by the external tags for a l...
Dr. Ke Fangxu Reply:
If surgery is considered, it is generally recommended to remove both internal and external hemorrhoids together; only clinic physicians might suggest handling them separately. Additionally, gynecological infections are mostly unrelated to hemorrhoids and should not be considered ...[Read More] Should You Remove External Hemorrhoids First? A Guide to Treatment Decisions
Can Sympathetic Nerves Be Reconnected After Surgery?
Can the sympathetic nerves in the chest be reconnected? I underwent T4 sympathetic nerve resection for hyperhidrosis in June of this year, which has resulted in severe compensatory sweating and weakness in my hands and feet. After resting for three months, I returned to work, but...
Dr. Lai Zhaokang Reply:
Hello: In Taiwan, hand sweat surgery has been regulated for many years, requiring careful preoperative evaluation and approval from health insurance units before proceeding. This is due to the fact that many patients experience similar issues, such as compensatory sweating. If yo...[Read More] Can Sympathetic Nerves Be Reconnected After Surgery?
Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...
Dr. Lai Zhaokang Reply:
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery
Post-operative issues after hemorrhoid surgery? Hello Dr. Ke, I underwent hemorrhoid surgery at the end of July, and it has been over two months since the procedure. Occasionally, I experience a sharp pain near the anus, and there is a soreness starting about 1 cm above the anal ...
Dr. Ke Fangxu Reply:
Based on your description, it may be difficult to determine the issue. It might be necessary to conduct a rectal examination or an endoscopy to confirm the diagnosis. Generally, this is not related to surgery; otherwise, symptoms would have occurred postoperatively. Sometimes, it...[Read More] Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery
Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Hernia issues Hello Dr. Chen: My father had a temporary colostomy three years ago, and now there is a bulge at the stoma site (it's quite prominent). He went to the hospital for a CT scan, which indicated a hernia, and they recommended laparoscopic surgery to place a mesh fo...
Dr. Chen Jiaming Reply:
Previously, there was a creation of a stoma that caused damage to the abdominal wall muscle fascia, resulting in an "incisional hernia" due to poor healing. Generally, the recurrence rate is lowest when using a mesh implant placed internally in the abdomen for repair. T...[Read More] Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Concerns
Post-operative issues related to hemorrhoid ointment? I had hemorrhoidectomy 16 years ago without pain or issues with urination and defecation, but after undergoing a mixed hemorrhoidectomy on October 6, I am experiencing severe pain and problems with urination and defecation. Wh...
Dr. Ke Fangxu Reply:
Answer: Since I am unaware of the specifics of the surgery performed 16 years ago, I cannot respond to that. However, it is generally unavoidable to experience pain after hemorrhoidectomy, and this is not related to age. Postoperative bowel movements should ideally consist of for...[Read More] Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Concerns
Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Explained
Post-operative issues related to hemorrhoid ointment? I had hemorrhoid surgery 16 years ago, and it was painless with no issues with urination or bowel movements. However, after undergoing a mixed hemorrhoidectomy on October 6, I am experiencing severe pain and problems with urin...
Dr. Ke Fangxu Reply:
Answer: Since I am unaware of the surgery that was performed 16 years ago, I cannot respond specifically to that. However, it is generally unavoidable to experience pain after hemorrhoidectomy, and this is not related to age. Postoperatively, it is better for bowel movements to b...[Read More] Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Explained
Understanding Post-Surgery Complications After Hemorrhoid Surgery
Post-hemorrhoid surgery Dr. Ke: Hello, I underwent traditional surgery for stage 4 internal hemorrhoids on September 11. I would like to ask how long it typically takes to know if I have postoperative complications such as anal stenosis or fecal incontinence. Currently, I have bo...
Dr. Ke Fangxu Reply:
It is normal to experience anal sensitivity after surgery. Some patients may encounter bowel irregularities if they only consume soft foods postoperatively. It is recommended to return to a normal diet while avoiding constipation, as most bowel issues will resolve themselves. The...[Read More] Understanding Post-Surgery Complications After Hemorrhoid Surgery
Traditional Surgery for Fibroadenoma: Considerations for Scar Management
Traditional surgical methods for the excision of fibromas? Hello! After discussing with my attending physician yesterday, we decided to remove both fibroadenomas in my left breast (one measuring 1 cm at the 3 o'clock position and the other measuring 1.2 cm at the 4 o'cl...
Dr. Chen Jiaming Reply:
1. Because the edge of the areola is at the junction between the areola and normal skin, it is generally less noticeable regardless of the presence of keloids! 2. Absolutely not! This is a completely different procedure. If the postoperative wound experiences unnecessary tension...[Read More] Traditional Surgery for Fibroadenoma: Considerations for Scar Management
Understanding Epididymal Lipomas: Surgical Considerations and Options
Spermatic cord lipoma Hello, doctor. When I was about 15 years old, I underwent surgery for an inguinal hernia (traditional suturing surgery, with an incision approximately 10 cm long). Recently, I experienced a muscle strain in the groin area and visited a urologist to check for...
Dr. Chen Jiaming Reply:
Since the lipoma is asymptomatic (discovered only through ultrasound), there is no necessity for surgical removal. First, the presence of lipomas in this area is quite common (especially when found during hernia surgery, they are often removed incidentally). Typically, they are h...[Read More] Understanding Epididymal Lipomas: Surgical Considerations and Options
Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Hydrocephalus shunt surgery Hello, my father was involved in a car accident while walking at the end of May this year. The accident resulted in intracranial hemorrhage, skull fractures, pneumocephalus, a fracture of the third thoracic vertebra, and suspected damage to the brachia...
Dr. Zhang Junwei Reply:
It is difficult to determine whether surgery is absolutely necessary based solely on your description. However, if surgery is indeed required, considering a lumbar drainage procedure could be an option.[Read More] Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Post-Surgery Concerns: Understanding Anal Abscess Recovery Issues
Postoperative Issues Following Perianal Abscess Surgery Hello! On August 10, I underwent surgery due to an abscess located in the rectal area. The physician performed an incision and drainage procedure and indicated that the suspected internal opening was also excised. Currently,...
Dr. Ke Fangxu Reply:
After an anal abscess surgery, the wound typically takes about a month to heal. Of course, if the wound is larger, the healing period will be longer. I don't understand why it's necessary to keep the wound open after surgery, but there is a possibility of developing an ...[Read More] Post-Surgery Concerns: Understanding Anal Abscess Recovery Issues