Understanding Surgical Options for Hemorrhoids: A Guide for Patients
Director Ke is consulting with you about my father's condition! Dear Director Ke, I apologize for reaching out in this manner regarding my father's condition. My father, Hsu Tian, is a patient at your Keelung Hospital and has been diagnosed with hemorrhoids. He has had...
Dr. Ke Fangxu Reply:
Hello: In response to your question, my personal principle for treating hemorrhoids is to primarily use conservative therapy. Surgery is not recommended unless there is persistent bleeding or severe pain. Your condition involves mild rectal bleeding, and after confirming the abse...[Read More] Understanding Surgical Options for Hemorrhoids: A Guide for Patients
Do You Need General or Regional Anesthesia for Anal Fistula Surgery?
Anal fistula surgery Does anal fistula surgery require general anesthesia or is regional anesthesia sufficient?
Dr. Hou Yongji Reply:
Hello: Generally speaking, surgeries involving the anus often utilize spinal anesthesia. However, spinal anesthesia has its drawbacks: 1. Patients need to lie flat for 8 hours postoperatively. 2. Urinary catheterization may be required if the anesthesia has not worn off and the p...[Read More] Do You Need General or Regional Anesthesia for Anal Fistula Surgery?
Understanding Hernias in Women: Surgery, Pregnancy, and Recovery
Female hernia I had a hernia since childhood, and it only bothers me occasionally as I grew up. I would like to ask the doctor if the discomfort might worsen during pregnancy, and whether it is necessary to undergo surgery beforehand. How long after surgery can I try to conceive?...
Dr. Niu Zhenyuan Reply:
The main cause of female inguinal hernias is incomplete closure of the inguinal canal, resulting in swelling of the labia majora when standing, which diminishes when lying down. Some women have congenital incomplete closure of the inguinal canal, while others may develop hernias ...[Read More] Understanding Hernias in Women: Surgery, Pregnancy, and Recovery
Understanding Brain Tumors: Surgery Success Rates and Risks
Brain tumor Dear Doctor, My father is 53 years old and has been diagnosed with a brain tumor for nearly a year. Since the diagnosis, the tumor has not grown, but the cerebral edema has worsened. His symptoms primarily include headaches, pulsatile tinnitus, tinnitus, unsteady gai...
Dr. Shao Guoning Reply:
Hello: In response to your question, meningiomas are, in very rare cases, benign tumors. In other words, they do not metastasize, and as long as they are completely surgically removed, they will not recur. Although meningiomas grow slowly, the brain is encased in the skull, leavi...[Read More] Understanding Brain Tumors: Surgery Success Rates and Risks
How to Correct Prominent Foot Bones for a Narrower Foot Appearance
Foot bones If the bones in your feet are protruding (specifically under the big toe on the inner side of both feet), resulting in a wide foot structure, is there a way to improve this condition? Thank you!
Dr. Luo Qihua Reply:
Hello: An X-ray examination must be performed first to assess the alignment of the toe bones and metatarsals, as well as the angles between adjacent toe bones and metatarsals. Further discussions on treatment options will follow, and if necessary, surgical intervention such as os...[Read More] How to Correct Prominent Foot Bones for a Narrower Foot Appearance
Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Ventricular drainage catheter Hello: My girlfriend has recently undergone surgery for a ventricular tumor, and the doctor mentioned the need for a ventricular drainage catheter. I would like to ask: 1. What precautions should be taken after the placement of the ventricular draina...
Dr. Qiu Yushu Reply:
Hello: After surgery for ventricular tumors, some patients may experience hydrocephalus, which may necessitate a ventriculoperitoneal shunt procedure. Postoperatively, there are no special precautions required in daily life; however, it is important to monitor the drainage tube f...[Read More] Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Understanding Compensatory Sweating After Palmar Hyperhidrosis Surgery
Hyperhidrosis Why did my aunt's hyperhidrosis disappear after surgery, but then it transferred to her armpits? How should this be managed? Does she need another surgery? Would that be general surgery or cosmetic surgery? Thank you!
Dr. Lin Zhemin Reply:
After surgery for palmar hyperhidrosis, the issue of excessive sweating in the hands may be resolved, but sweating may occur in other areas, such as the armpits, arms, thighs, or even the soles of the feet. This is a common postoperative symptom, and it is believed that your surg...[Read More] Understanding Compensatory Sweating After Palmar Hyperhidrosis Surgery
Understanding FTSG: Key Insights on Full-Thickness Skin Grafts in Burn Surgery
What is FTSG? Hello, I am a nursing student and I have some questions regarding skin grafting surgery after burns. I have researched a lot of books, but very few mention FTSG (full-thickness skin graft) in detail; even when they do, it is only briefly covered and does not suffici...
Dr. Lu Daokuan Reply:
You have consulted several books, and you probably came across a book on plastic surgery. The definition of FTSG is Full Thickness Skin Graft (Autologous). For more detailed information, you will need to refer to books on plastic surgery and nursing. Postoperatively, care must be...[Read More] Understanding FTSG: Key Insights on Full-Thickness Skin Grafts in Burn Surgery
Cost and Differences Between Gastric Bypass and Sleeve Surgery
I would like to inquire about the costs and differences between gastric bypass and gastric sleeve surgery? Hello Doctor: I would like to ask about the main differences between gastric bypass and gastric sleeve surgeries, their respective costs, and the postoperative care consider...
Dr. He Zhenming Reply:
Hello: 1. According to the regulations of the National Health Insurance Administration, the implementation of gastric sleeve surgery must meet the following criteria: (1) dietary control for more than six months, (2) sound mental state, confirmed by a consultation with a psychi...[Read More] Cost and Differences Between Gastric Bypass and Sleeve Surgery
Understanding Carpal Tunnel Syndrome: Treatment Options After 12 Years of Symptoms
Wrist tunnel syndrome Numbness in the fingers has been present for 12 years, starting during pregnancy. The doctor mentioned that it could return to normal after giving birth. How should it be treated?
Dr. Shao Guoning Reply:
Hello: In response to your question, carpal tunnel syndrome, commonly known as "housewife's wrist," is caused by the thickening of the flexor retinaculum, which compresses the median nerve, leading to symptoms of hand numbness and weakness. Diagnosis relies on clin...[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options After 12 Years of Symptoms
Understanding Post-Surgery Care for Children with Appendicitis
Please help me? Hello, Dr. Ke. My child is currently 6 years old. From January 23 to 30, she experienced abdominal distension, pain, vomiting, and diarrhea, leading to two emergency visits and two outpatient visits, all diagnosed as acute gastroenteritis. Despite enemas and medic...
Dr. Ke Fangxu Reply:
Hello, in response to your concerns: First, I would like to advise this mother not to be too hard on herself. Diagnosing appendicitis can sometimes be quite challenging, even for experienced doctors. Now that the surgery has been performed and treatment has been initiated, there ...[Read More] Understanding Post-Surgery Care for Children with Appendicitis
Post-Surgery Complications: Understanding Pain and Swelling After Ankle Tumor Removal
Surgical complications I underwent a tumor excision surgery on July 6, approximately 2 cm above the left ankle joint, and I am still experiencing the following symptoms: 1) There is still a tingling sensation near the wound, especially around the ankle joint. 2) There is swelling...
Dr. Huang Yuanhui Reply:
Response to Question 1: The ankle must bear the weight of the entire body while walking and adjust to changes in terrain, which is why wounds near the ankle tend to heal more slowly. Even after the wound has healed, individuals may experience a tingling sensation due to the press...[Read More] Post-Surgery Complications: Understanding Pain and Swelling After Ankle Tumor Removal
Breast Augmentation Concerns: Risks, Maintenance, and Lifestyle Impact
Breast augmentation issues? Hello, I am a 21-year-old woman with a flat chest, approximately a size 32A. I have lacked confidence due to my flat chest and would like to ask the following questions regarding breast augmentation: 1. My grandmother passed away from breast cancer. D...
Dr. Luo Qihua Reply:
1. If you have a direct relative with breast cancer, it is important to pay close attention to your own breast health and perform regular breast self-examinations. If you notice any lumps, you should promptly consult a doctor for further evaluation. However, this situation does n...[Read More] Breast Augmentation Concerns: Risks, Maintenance, and Lifestyle Impact
Understanding Painful Bumps on the Buttocks: Causes and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello doctor... I have a symptom where there is a red lump on my buttocks, about the size of a marble, which sometimes hurts and becomes painful if I sit on a chair for too long. It's uncomfortable... 1. What c...
Dr. Ke Fangxu Reply:
Hello, in response to your questions: 1. The swelling in the arm can generally be classified into two types: lipoma and sebaceous cyst. Typically, sebaceous cysts are located more superficially, while lipomas are found deeper. Therefore, Miss N's lesion is likely a sebaceous...[Read More] Understanding Painful Bumps on the Buttocks: Causes and Treatment Options
Understanding Gynecomastia: Insurance Coverage and Surgical Considerations
Gynecomastia in males Hello Dr. Luo, I would like to ask if gynecomastia treatment for males at Hsinchu Hospital is covered by health insurance. If it is, will the out-of-pocket cost still reach five digits after the coverage? What are the contraindications or preparations need...
Dr. Luo Qihua Reply:
The spirit of the National Health Insurance (NHI) is that surgeries related to aesthetic purposes are not covered. Additionally, there is no specific coverage for surgeries related to gynecomastia in males. Therefore, if a hospital or physician informs you that this surgery requi...[Read More] Understanding Gynecomastia: Insurance Coverage and Surgical Considerations
Is Surgery for External Hemorrhoids Safe After Stomach Cancer?
External hemorrhoid surgery Hello Dr. Ke, my father, who is 58 years old, underwent a total gastrectomy for gastric adenocarcinoma on July 3 and has since returned home to rest. His physical strength is currently somewhat diminished, and he is experiencing low blood pressure. Pri...
Dr. Ke Fangxu Reply:
Hello: Regarding your questions: 1. Hemorrhoid surgery is generally performed under local anesthesia, and the procedure is not lengthy. Typically, unless the patient is bedridden and unable to move, there are no concerns about physical stamina; rather, the necessity of undergoing...[Read More] Is Surgery for External Hemorrhoids Safe After Stomach Cancer?
Understanding Zygomatic Bone Reduction: Benefits, Risks, and Recovery
Medial displacement of the zygomatic bone? First of all, thank you, doctor, for answering my questions. Recently, I visited the craniofacial department at Chang Gung Memorial Hospital, and the doctor mentioned that my occlusion is quite nice and my masseter muscles are relatively...
Dr. Jiang Baicong Reply:
Mr. Hesitation: If your issue is with prominent cheekbones, particularly at the zygomatic arch, surgery in this area indeed carries a higher risk of damaging the facial nerve. To address this, procedures such as medialization of the zygomatic arch or rotation of the arch require ...[Read More] Understanding Zygomatic Bone Reduction: Benefits, Risks, and Recovery
Is Cheek Tumor Removal Considered a Minor or Major Surgery?
Is cheek surgery considered a minor procedure? Hello Doctor: About a month ago, I discovered a tumor approximately 2.3 centimeters in size on my cheek in front of my right ear. When I visited the doctor the day before yesterday, they said that this tumor needs to be surgically re...
Dr. Lin Kecheng Reply:
The cheek area, especially in front of the ear, is where the facial nerve passes through. A tumor measuring 2.3 centimeters in this location may damage the facial nerve, potentially leading to facial asymmetry or drooping of the mouth corner. Therefore, the focus of the surgery i...[Read More] Is Cheek Tumor Removal Considered a Minor or Major Surgery?
Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options
Is it possible to remove the sweat glands in the feet? I have a hereditary condition that often causes excessive sweating in my hands and feet, which is quite bothersome. However, I've heard that after surgery, the condition may return after some time. Are there other ways t...
Dr. Shao Guoning Reply:
Hello Ms. Gao Yuhui: The latest surgical method for palmar hyperhidrosis is thoracoscopic sympathectomy. This procedure is covered by health insurance. The most common postoperative issue is compensatory hyperhidrosis, where sweating may shift to areas such as the back and thighs...[Read More] Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options
Choosing the Right Specialist for Facial Bone Surgery: Key Considerations
Square face Dear Dr. Jiang Baicong, Regarding facial bone surgery, should I schedule an appointment with a plastic surgery clinic or a craniofacial clinic? For surgeons experienced in this type of surgery, do postoperative complications typically resolve after some time? Is ther...
Dr. Jiang Baicong Reply:
Hello Ms. Jun: Regarding your question again, if you are at Chang Gung Memorial Hospital, you should visit the craniofacial surgery outpatient clinic, such as with Director Chen Yu-Rui. Post-operative care requires some time, and the surgery is usually performed intraorally, whic...[Read More] Choosing the Right Specialist for Facial Bone Surgery: Key Considerations