Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
There is a swelling near the surgical wound? Hello Doctor, on February 18, 2021, I underwent fistula surgery at a medical center affiliated with a medical university in Vietnam. A total of three fistulas were treated. Due to the pandemic, I was unable to return to Taiwan for foll...
Dr. Yu Mingchang Reply:
Yes, it can recur. Please return to Taiwan for a follow-up appointment when you have the chance.[Read More] Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
Post-Appendectomy: Understanding Recovery and Digestive Changes
Post-appendectomy Hello, Dr. Hsu. On March 20th, I was diagnosed with appendicitis in the emergency department and immediately scheduled for surgery. I underwent traditional surgery, and the attending physician mentioned that both the surgery and recovery were going well. I was d...
Dr. Xu Kaixi Reply:
Postoperative diarrhea following gastrointestinal surgery may be attributed not only to the temporary impact on gastrointestinal function caused by the surgery itself but also to medications and dietary habits. In theory, this condition should improve over time. Beverages like te...[Read More] Post-Appendectomy: Understanding Recovery and Digestive Changes
Understanding Discomfort After Minimally Invasive Surgery with Coflex
Minimally invasive surgery with the implantation of coflex? It has been a month since my minimally invasive surgery, and I am still wearing a brace. I had two coflex implants placed at L4-5 and L5-S1. There has been improvement in my leg issues, but when I sit for a while, I feel...
Dr. Lai Zhaokang Reply:
Hello: I apologize, but you are not a fellow patient of mine, and I do not understand your situation before and after the surgery. Regarding this kind of postoperative discomfort, I still recommend that you consult with the original surgeon. Wishing you all the best. // Dr. Lai C...[Read More] Understanding Discomfort After Minimally Invasive Surgery with Coflex
Post-Operative Concerns After Gynecomastia Surgery: What to Expect
Postoperative issues related to gynecomastia? Hello, I just had gynecomastia surgery about two weeks ago and have been wearing a compression garment. 1. The swelling on my left breast is reducing slowly, with more bruising and still quite swollen, while the right side has flatten...
Dr. Zhou Hongzhang Reply:
1. Complete reduction of swelling may take 2 to 4 months. 2. Postoperative care: Avoid rubbing, apply ice followed by heat, and rest frequently. 3. If swelling persists, a follow-up appointment at the plastic surgery outpatient clinic is necessary.[Read More] Post-Operative Concerns After Gynecomastia Surgery: What to Expect
Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
Postoperative wound issues following anal fistula surgery? Hello Doctor, I had a follow-up appointment last week, and the doctor said that my wound is healing well and advised me to monitor it for another two weeks. If there are any issues, I should return for another visit. Howe...
Dr. Ke Fangxu Reply:
The wound shown in the photo is clean with no signs of recurrence. The postoperative discharge is a normal phenomenon. If there are no specific discomforts, a follow-up visit may not be necessary.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
After undergoing surgery for a fistula and hemorrhoids, there is a small amount of blood on the toilet paper after bowel movements? Hello Doctor: I underwent fistula and hemorrhoid surgery on December 25, 2020. After a follow-up visit on January 19, the doctor confirmed that the ...
Dr. Ke Fangxu Reply:
If the incision from the fistula surgery is relatively large, a small amount of bleeding postoperatively is considered normal. However, if constipation occurs, it may affect wound healing. It is recommended to take warm sitz baths and avoid hard stools. If the bleeding does not i...[Read More] Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Appendicitis with peritonitis Is a pelvic abscess the same as pelvic inflammatory disease (PID) in the context of appendiceal perforation with abscess and localized peritonitis? Will a pelvic abscess be prone to recurrence like PID? Also, does localized peritonitis mean the same ...
Dr. Chen Jiaming Reply:
Pelvic abscess and pelvic inflammatory disease (PID) are distinct conditions. PID in women is often caused by issues related to the uterus/fallopian tubes or urinary tract infections. If the underlying source is not addressed, it can indeed lead to recurrent episodes. In contrast...[Read More] Understanding Appendicitis Complications: Pelvic Abscess vs. Pelvic Inflammatory Disease
Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Postoperative Wound Care for Fistula Surgery Dear Dr. Ke, The patient underwent anal fistula surgery on January 26. The wound is located next to the anus and can be seen with a mirror. The attending physician did not examine the wound before discharge. Since returning home on Ja...
Dr. Ke Fangxu Reply:
1. If sitting baths are not possible, a handheld showerhead can be used as an alternative. If there are concerns about residual fecal matter, multiple rinses can be performed. 2. Postoperative wound discharge is a normal phenomenon; as long as there is no redness, swelling, hea...[Read More] Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Post-Surgery Bowel Issues: Understanding Pain and Difficulty After Hemorrhoid Surgery
Post-hemorrhoid surgery Dear Dr. Hsu, I would like to ask you a question. I underwent traditional hemorrhoid surgery for the first time two weeks ago (on December 10th), and it has been 10 days since then. Everything seems to be improving; the bleeding during bowel movements and...
Dr. Xu Kaixi Reply:
The situation you described is more indicative of early postoperative symptoms related to hemorrhoids, associated with wound healing, and is less related to the sphincter. Theoretically, it should improve over time.[Read More] Post-Surgery Bowel Issues: Understanding Pain and Difficulty After Hemorrhoid Surgery
Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Postoperative issues following patent urachus closure surgery? Hello Doctor, I was diagnosed with a patent urachus about a month ago and underwent surgical excision. Since I have type 1 diabetes, the doctor advised me to be cautious about the possibility of recurrent infections. ...
Dr. Chen Jiaming Reply:
Postoperative conditions can vary depending on the type of surgery performed. Based on your description, it does not appear to be a specific complication issue, as the original condition was an infection, and antibiotic treatment was likely administered during the treatment proce...[Read More] Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Post-Laparoscopic Surgery: Managing Drainage and Fluid Leakage Concerns
Postoperative drainage issues after laparoscopic surgery? Hello Doctor, I underwent laparoscopic surgery for intestinal volvulus last week, and the twisted segment of the small intestine was not resected during the procedure. On the 7th postoperative day, the drain was removed, a...
Dr. Chen Jiaming Reply:
Based solely on the amount of drainage you described, it does seem to be on the higher side. Generally, after the removal of an abdominal drain, suturing is not typically performed, as the wound is expected to heal naturally over a few days. However, if there is a persistent high...[Read More] Post-Laparoscopic Surgery: Managing Drainage and Fluid Leakage Concerns
Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Continuous bleeding from the drainage tube after cholecystectomy? Hello Dr. Chen: My father underwent gallbladder removal surgery around 3 AM on December 9, 2020. The surgery ended at approximately 5:50 AM, and he was transferred from the recovery room to the emergency ward aroun...
Dr. Chen Jiaming Reply:
A gallbladder surgery performed at 3 AM is typically indicative of acute cholecystitis. However, the duration of the surgery aligns with standard gallbladder procedures, suggesting that the lead surgeon successfully completed the operation without complications. Regarding the inc...[Read More] Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Is Hair Transplant Safe? Addressing HIV Infection Concerns
Hair transplant infection and HIV concerns? Hello Dr. Zhou, I recently consulted at a hair transplant clinic to understand the procedures and precautions. One of the requirements is to undergo blood tests prior to the surgery to confirm that the patient does not have infectious d...
Dr. Zhou Hongzhang Reply:
1. Surgical and medical procedures can lead to cross-infections, primarily through the exchange of bodily fluids between patients. Preoperative assessments, intraoperative techniques, and postoperative care are all crucial. 2. Hair transplant surgeries are generally very safe. ...[Read More] Is Hair Transplant Safe? Addressing HIV Infection Concerns
Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
The relationship between hemorrhoid surgery and the urethra? Hello! My mother underwent surgery for internal hemorrhoids last Friday, which is generally considered a minor procedure. Therefore, we thought it would be manageable. However, due to her age, she felt uncomfortable ask...
Dr. Xu Kaixi Reply:
Postoperative pain from hemorrhoid surgery can vary depending on the location and severity of the hemorrhoids. During urination, the pelvic cavity, lower abdomen, and perineal muscle groups are engaged, and straining can inadvertently involve the muscles around the anus. As a res...[Read More] Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
Can I Replace My Hernia Mesh After 6 Years? Understanding Options
Hernia mesh replacement after surgery? Hello, I had a hernia repair with mesh about six years ago, but recently I've been experiencing discomfort in that area. I noticed that there are now fully absorbable meshes available. I would like to know if it is possible to undergo s...
Dr. Chen Jiaming Reply:
After the placement of a hernia mesh, it integrates with the body tissues to form a reinforced layer of the abdominal wall and cannot be replaced. Surgery to remove it is not performed unless there is a postoperative infection issue. Since you have had the mesh placed for six yea...[Read More] Can I Replace My Hernia Mesh After 6 Years? Understanding Options
Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Should anticoagulants be discontinued after hemorrhoid ligation? My father underwent a colonoscopy and was found to have multiple large internal hemorrhoids. The gastroenterologist advised that no treatment was necessary, but due to severe pain, he consulted a colorectal speciali...
Dr. Ke Fangxu Reply:
In fact, for patients taking anticoagulants, we generally adopt a more conservative approach, avoiding ligation if possible. If ligation is absolutely necessary, we still recommend discontinuing the anticoagulants, as there is a very small risk of postoperative bleeding associate...[Read More] Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Should I Remove a 9cm Spleen Cyst Before Trying IVF?
9 cm splenic cyst? Today, it was found that I have a 9 cm splenic cyst (I had a laparoscopic drainage of an 11 cm cyst three years ago). I have been trying to get pregnant but have experienced multiple miscarriages. I am considering in vitro fertilization, but due to the size of ...
Dr. Xu Kaixi Reply:
If a splenic cyst has been drained three years ago and has recurred postoperatively, consideration can be given to repeat drainage or splenectomy. Regarding whether a splenic cyst affects in vitro fertilization, it is recommended to seek evaluation from an obstetrician. Theoretic...[Read More] Should I Remove a 9cm Spleen Cyst Before Trying IVF?
Post-Hemorrhoid Surgery: Common Concerns and Pain Management
Postoperative Questions Regarding Hemorrhoid Surgery Hello, doctor. It has been four days since my external hemorrhoidectomy, and I am still experiencing unbearable pain. The area around the wound is swollen around half of the anus. I have been lying in bed and relying on painkil...
Dr. Ke Fangxu Reply:
Personally, I have not undergone outpatient hemorrhoidectomy because postoperative swelling and pain are inevitable. Mild bleeding and discharge are also considered normal. During this time, it is not recommended to apply ointments to avoid compromising wound cleanliness. Frequen...[Read More] Post-Hemorrhoid Surgery: Common Concerns and Pain Management
Post-Surgery Symptoms: What to Expect After Tumor Removal Surgery
Postoperative symptoms Hello Dr. Chen, I underwent surgery on October 8th for the removal of a thigh tumor, and the incision is approximately 15 cm long. I have a few questions: 1. Is it normal to see a small amount of blood at the wound site when changing the dressing myself? ...
Dr. Chen Jiaming Reply:
Since you have just undergone surgery, many clinical questions related to the original tumor and the surgical treatment method are best addressed by your primary surgeon, as they are more suited to your individual needs and cannot be answered by general guidelines. It is common t...[Read More] Post-Surgery Symptoms: What to Expect After Tumor Removal Surgery
Post-Operative Care for Stage IV Hemorrhoids and Rectal Prolapse Surgery
Stage IV internal and external hemorrhoids with prolapse, circumferential minimally invasive surgery? I would like to ask the doctor, on September 17, I underwent a fourth-degree internal and external hemorrhoid prolapse circular minimally invasive surgery. Post-operative, the wo...
Dr. Ke Fangxu Reply:
1. If there is severe postoperative bleeding, it may be due to inadequate ligation of blood vessels causing wound seepage. If bleeding does not stop, a physician should be consulted for evaluation, and if necessary, a reoperation for hemostasis may be required. 2. In hemorrhoid...[Read More] Post-Operative Care for Stage IV Hemorrhoids and Rectal Prolapse Surgery