Understanding Anal Papilloma: Surgical Options and Recovery Concerns
Surgical issues related to anal papillomatosis? Hello, Dr. Ko. I would like to ask you about a concern I have. Every time I have a bowel movement, a lump protrudes, but it retracts automatically after I'm done. I have had it checked, and the doctor said it is a "papilla...
Dr. Ke Fangxu Reply:
The question of whether to perform surgery on anal lesions is one of the most frequently asked questions I receive. I often respond by asking the patient whether the condition affects their daily life. If it does, then surgery should be considered to improve their quality of life...[Read More] Understanding Anal Papilloma: Surgical Options and Recovery Concerns
Understanding Complex Anal Fistulas: Surgery Risks and Treatment Options
Regarding anal fistulas? I’m sorry, but I have seen many doctors. Later, at Chang Gung Hospital, they told me that I have a complex type of fistula, and surgery would carry risks, including potential damage to the sphincter, so they advised against surgery. However, I read online...
Dr. Ke Fangxu Reply:
Complex anal fistulas are indeed challenging to manage and typically require surgical intervention for definitive treatment. There are various surgical approaches, and it is important to note that some degree of damage to the anal sphincter is inevitable, even with simple anal fi...[Read More] Understanding Complex Anal Fistulas: Surgery Risks and Treatment Options
Post-Appendectomy Care: Managing Long-Term Effects of Appendicitis
Peritonitis What are the potential complications of appendicitis surgery in childhood, and how should one take care of themselves afterward?
Dr. Xie Wenhuai Reply:
Abdominal surgeries are typically classified into clean surgeries and contaminated surgeries. For example, hernia repair is considered a clean surgery, while perforated appendicitis is classified as a contaminated surgery. Contaminated surgeries tend to have a higher incidence of...[Read More] Post-Appendectomy Care: Managing Long-Term Effects of Appendicitis
Understanding L5 Vertebral Arch Fractures: Surgery, Pregnancy, and Pain Management
Fracture of the fifth vertebral arch? Hello, Doctor! Nine years ago, I experienced severe lower back pain and pain in my lower body that left me unable to move. It wasn't until the following year when I returned to Taiwan to see a doctor that I learned I had a fracture of th...
Dr. Xie Bojun Reply:
1. Fracture of the fifth vertebral arch is a complex condition, and all physicians are correct in stating so. 2. To diagnose your condition, it is necessary to perform X-rays and magnetic resonance imaging (MRI) along with a clinical physical assessment to address your concerns.[Read More] Understanding L5 Vertebral Arch Fractures: Surgery, Pregnancy, and Pain Management
Understanding Neurofibromatosis Type 2 After Acoustic Neuroma Surgery
At the age of 19, I underwent surgery for a unilateral vestibular schwannoma (4mm)? As per the title, I had surgery three years ago, and during my one-year follow-up, there was no recurrence. The doctor mentioned that I could follow up again in five years. I should have felt reli...
Dr. Ding Xianwei Reply:
NF2 has specific criteria; if you do not meet these criteria, you should not be diagnosed with NF2. I think you do not need to worry too much, just ensure proper monitoring.[Read More] Understanding Neurofibromatosis Type 2 After Acoustic Neuroma Surgery
Understanding External Hemorrhoids: Symptoms, Treatment, and Surgery Options
External mole My mom says that her external hemorrhoid is very large and cannot be pushed back in, so it must be stage 4 hemorrhoids, right? Can it be treated with banding, or is surgery necessary? She doesn't have any bleeding symptoms; it's just that the external hemo...
Dr. Ke Fangxu Reply:
Hello, in response to your question: If an external hemorrhoid is so large that it cannot be pushed back in, it is considered a stage IV hemorrhoid. External hemorrhoids cannot be treated with hemorrhoid ligation because it would cause severe postoperative pain. Only internal hem...[Read More] Understanding External Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Recovery After Appendicitis and Peritonitis
Recovery period after peritonitis? It's been two months since my discharge. I had appendicitis accompanied by gastroenteritis, which led to peritonitis. Although I have been discharged and the doctor told me that I don't need to see him anymore, I've been experienc...
Dr. Xie Wenhuai Reply:
After surgery, the healing of the wound requires tissue growth and repair, which can lead to sensations of itching. Additionally, due to the presence of postoperative scars, patients may occasionally experience discomfort or a dull ache, which typically improves over time. Genera...[Read More] Understanding Recovery After Appendicitis and Peritonitis
Post-Surgery Concerns: Understanding Anal Fistula Healing and Symptoms
Postoperative issues following anal fistula surgery? Hello, Dr. Ke. My fistula surgery wound is approximately two centimeters long (located in the center of the buttocks, extending from the anal area backward). I would like to ask you: 1. It has been 37 days since the wound, an...
Dr. Ke Fangxu Reply:
Hello: Here are the responses to your questions: 1. The wound should be healed after one month post-surgery, but healing speed varies among individuals due to personal health factors. As long as the wound area continues to shrink, there is no cause for concern. 2. It is norm...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Symptoms
Understanding Post-Appendectomy Pain and Recovery Challenges
Appendectomy for appendicitis? Hello, doctor. My boyfriend underwent laparoscopic appendectomy on July 1st around noon, and the surgery was completed by around 2 PM. When I visited him at around 6 PM, he said, "The pain is unbearable." The nurse administered a strong pa...
Dr. Lai Jihong Reply:
1. Endoscopic surgery requires general anesthesia, which can affect gastrointestinal motility due to the anesthesia, leading to bloating and discomfort or pain in the abdomen. 2. Generally, it takes about half a day to a day for normal motility to resume after surgery. If there ...[Read More] Understanding Post-Appendectomy Pain and Recovery Challenges
Managing Post-Surgery Pain and Numbness from L4-L5 Disc Herniation
There is a herniated disc issue at the L4 and L5 levels? Hello, three years ago I had a herniated disc at the L4 and L5 levels that was compressing a nerve, causing numbness in my left calf. Three months ago, the doctor performed surgery to remove the herniated disc. Although the...
Dr. Ding Xianwei Reply:
Hello, regarding your symptoms after surgery. Since I am not familiar with your specific situation, the following suggestions are for reference only. Generally speaking, if there is an acute herniated disc with nerve root compression, surgery can be performed for decompression. H...[Read More] Managing Post-Surgery Pain and Numbness from L4-L5 Disc Herniation
Understanding Umbilical Infections in Infants: Causes and Solutions
The child's umbilical area is red, swollen, and has pus? Dear Doctor, My child underwent surgery for an umbilical fistula at 2 months old. Now, at 10 months, the belly button suddenly became red, and two days later, it swelled and protruded. We took him to see a pediatric s...
Dr. Huang Yuanhui Reply:
1. The incidence of postoperative suture abscess is approximately 10%. 2. In umbilical fistula surgery, some suture ends are non-absorbable sutures used to ligate blood vessels, while others are absorbable sutures, such as those used for subcutaneous closure, which do not requi...[Read More] Understanding Umbilical Infections in Infants: Causes and Solutions
Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Is it advisable to add Betadine to warm sitz baths after anal fistula surgery? Hello, Doctor: I would like to ask if it is necessary to add a few drops of povidone-iodine to the warm water during sitz baths after anal fistula surgery. I have seen some people online mention that a...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the principle of warm water sitz baths with povidone-iodine is to utilize the released iodine ions for their antibacterial effect, which is very helpful in keeping the surgical wound clean. However, using too much povidone-iodine can actually ...[Read More] Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Post-Discectomy Care: Managing Pain and Recovery Timeline
Postoperative Care and Complications After Discectomy I just had a discectomy on May 31 and have returned home to rest. Besides showering and sleeping, I wear a lumbar support brace. The doctor said that I did not have any artificial titanium metal or support structures implanted...
Dr. Ding Xianwei Reply:
Hello, generally speaking, it is normal to experience pain at the surgical site after surgery. However, if the pain persists, it may be necessary to consider the possibility of an infection. Nerve adhesions typically do not occur immediately after surgery. For my patients, I stil...[Read More] Post-Discectomy Care: Managing Pain and Recovery Timeline
Post-Surgery Concerns: Understanding Bowel Movements After Hemorrhoid Surgery
Postoperative Questions About Hemorrhoid Surgery Hello doctor, I had a mixed hemorrhoid surgery on April 16. On the third day post-operation (April 19), shortly after having a bowel movement, I experienced severe abdominal cramps and thought it was diarrhea. However, I ended up b...
Dr. Hou Yongji Reply:
Based on your description, these issues are common during the postoperative recovery period and may sometimes be related to medication or the surgery itself. Please take some time to discuss this with your attending surgeon for potentially more satisfactory outcomes. Thank you.[Read More] Post-Surgery Concerns: Understanding Bowel Movements After Hemorrhoid Surgery
Understanding the Risks and Outcomes of Bypass Surgery for Seniors
Coronary bypass surgery My father is 71 years old and has previously undergone coronary catheterization and stent placement. However, the hospital doctor mentioned that the original coronary artery catheter and stent are no longer usable. What are the risks associated with this s...
Dr. Hou Shouxian Reply:
Factors influencing the risk of coronary artery bypass grafting (CABG) include advanced age, poor cardiac function, other comorbidities (such as hypertension, diabetes, hyperlipidemia, immune dysfunction, etc.), and prior cardiac surgeries. Generally, the in-hospital mortality ra...[Read More] Understanding the Risks and Outcomes of Bypass Surgery for Seniors
Understanding Neurofibromas: Surgical Options and Considerations for Children
Neurofibroma compression Dear Dr. Huang, Recently, my 10-year-old son has been experiencing back pain. After visiting an orthopedic specialist and undergoing an MRI, it was discovered that he has scoliosis due to a neurofibroma compressing his spine. He also has multiple café-au...
Dr. Huang Yuanhui Reply:
Hello, Sunflower Mommy: Neurofibromas located on the spine can cause compression and scoliosis, making surgical intervention a consideration. However, with large tumors spanning from L1 to L5, there is a risk that the tumor may be intertwined with critical neural structures, maki...[Read More] Understanding Neurofibromas: Surgical Options and Considerations for Children
Understanding Anal Fistula Surgery: Success Rates and Recovery Tips
Anal fistula Hello Doctor: I have an anal fistula, and I am scheduled for surgery next month. I would like to know what the success rate of this type of surgery is. I have only one fistula that is about one centimeter long; how significant are the risks? Additionally, how can I p...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the anal canal is short and superficial, it is generally considered a low-risk surgery. The procedure typically takes about half an hour, and postoperative pain is relatively mild. Pain usually decreases significantly within a week, and it ...[Read More] Understanding Anal Fistula Surgery: Success Rates and Recovery Tips
Managing Anal Skin Tags After Hemorrhoid Surgery: Recovery Insights
Anal skin tags After surgery for internal and external hemorrhoids, the occurrence of skin tags is common. Generally, skin tags can be addressed through various methods, including surgical excision, cryotherapy, or laser treatment. If surgical intervention is required, the recove...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is not uncommon for skin tags to develop after hemorrhoid surgery, especially with larger external hemorrhoids. If it does not affect daily life, further treatment is generally not recommended. If you wish to remove the skin tags for cosmet...[Read More] Managing Anal Skin Tags After Hemorrhoid Surgery: Recovery Insights
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi Reply:
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained
Understanding Eyelid Surgery: Choosing Between External and Internal Approaches
Under-eye bags issue? Dr. Lu: Hello, thank you for taking the time to answer my questions. I am 60 years old and considering eyelid bag removal surgery. I would like to know: 1. Should I opt for external or internal incision? 2. How long after the surgery can I take a long-haul f...
Dr. Lu Daokuan Reply:
At 60 years old, the presence of bags under the eyes along with skin laxity makes lateral canthoplasty a reasonable option. Postoperatively, it is advisable to rest for 5-7 days before taking a long-haul flight. Lu Dao-Kuan.[Read More] Understanding Eyelid Surgery: Choosing Between External and Internal Approaches