Understanding Complications of Repeat Hemorrhoid Ligation Surgery
Rubber band ligation for internal hemorrhoids? Hello Dr. Hsu: I am studying in the United States and underwent a hemorrhoid ligation procedure in early February. The doctor's instructions were to use lidocaine 2.5% and prilocaine 2.5% cream externally. However, 11 days post-...
Dr. Xu Kaixi Reply:
The ligation surgery for internal hemorrhoids involves using a rubber band to constrict the hemorrhoidal tissue, leading to ischemic necrosis and eventual sloughing off, achieving a similar effect to excision. Consequently, the ligation site will still have scar tissue from the h...[Read More] Understanding Complications of Repeat Hemorrhoid Ligation Surgery
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Dear Doctor, About a year ago, I suffered a skull fracture after falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon explained that it was caused by the s...
Dr. Ke Fangxu Reply:
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon for repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Doctor, about a year ago, I suffered a skull fracture from falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon mentioned that it was caused by the space bet...
Dr. Ke Fangxu Reply:
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon to consider repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Post-hemorrhoidectomy perineal swelling? I underwent traditional surgery for mixed hemorrhoids on November 24th last year, and it has been approximately 2.5 months since then. I would like to ask the following questions: 1. After the surgery, I experienced swelling in the perine...
Dr. Ke Fangxu Reply:
1. It is necessary to conduct a physical examination to determine the exact issue. Generally, swelling after surgery improves within 2 to 4 weeks. If it persists for three months post-surgery, it is advisable to have the surgeon conduct a follow-up evaluation. 2. Similarly, an ...[Read More] Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Post-Surgery Anal Issues: Understanding and Managing Persistent Problems
Two questions one year after anal surgery? Dear Doctor, I had constipation issues when I was younger and underwent surgery for hemorrhoids/fissures two years ago. Six months later, I experienced pus discharge from my anus and was diagnosed with my first anal fistula. When I ask...
Dr. Ke Fangxu Reply:
These two issues seem to be related, possibly due to having undergone multiple anal surgeries in a short period, which may have resulted in decreased anal sphincter pressure. To confirm this phenomenon, an anal manometry test would be necessary. However, it appears that there are...[Read More] Post-Surgery Anal Issues: Understanding and Managing Persistent Problems
Post-Laparoscopic Surgery: Is Your Belly Button Pain Normal?
Post-laparoscopic surgery, issues with the umbilicus? I underwent laparoscopic appendectomy about 5-6 years ago, which resulted in three incisions. Recently, I've been experiencing pain in the area around my navel where the surgery was performed. This pain occurs when walkin...
Dr. Chen Jiaming Reply:
Previous laparoscopic incisions can lead to openings in the rectus sheath, which are subsequently filled with scar tissue during the healing process. Young individuals often engage in high-intensity abdominal muscle activities, and certain positions may cause pain. It is importan...[Read More] Post-Laparoscopic Surgery: Is Your Belly Button Pain Normal?
Understanding Recurrence of Anal Fistulas: What to Expect After Surgery
Recurrence of the disease? Hello Doctor, I asked you about the anal fistula issue the day before yesterday, but today while taking photos with my phone, I noticed two strange things near the anus. First, there is an unknown small black dot very close to the original fistula openi...
Dr. Ke Fangxu Reply:
Since your previous photos have been removed, there is no way to compare. However, according to your markings, wound one is located at the posterior, supposedly near the original opening, while wound two is at the anterior, claimed to be the surgical incision. This seems somewhat...[Read More] Understanding Recurrence of Anal Fistulas: What to Expect After Surgery
Post-Hemorrhoid Surgery: Managing Hard Stools and Recovery Concerns
Post-hemorrhoid surgery Hello Doctor, I underwent a circumferential hemorrhoidectomy at the end of November last year, with the hemorrhoids classified as grade III. It has been over a month since the surgery, and during my follow-up visit, the doctor indicated that the wound is h...
Dr. Ke Fangxu Reply:
1. Theoretically, there should be an improvement, but the duration varies from person to person. You can consult your surgeon for more information. 2. If there is no narrowing, then there is no need for dilation. You can start by taking stool softeners for a period of time and th...[Read More] Post-Hemorrhoid Surgery: Managing Hard Stools and Recovery Concerns
Managing Scars After Severe Burns: Treatment Options and Next Steps
Scars after burns I'm sorry to hear about your burn injury. I was burned by hot oil in mid-October last year. At that time, I rinsed the area with water for 30 minutes and then went to the emergency room. The next day, when I had my dressing changed, the skin had already tur...
Dr. Lu Daokuan Reply:
The recovery from the burn is as expected, and the scar should be evaluated by a plastic surgeon.[Read More] Managing Scars After Severe Burns: Treatment Options and Next Steps
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding Hello Dr. Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps. The bowel preparation for the colonoscopy was rated as good. Recently, during a bowel movement, I noti...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Understanding Fistula Surgery Recurrence: What You Need to Know
Does the fistula surgery have a recurrence? Hello, I have undergone two fistula surgeries this year, one in June and another in September. Currently, it has been 90 days since the second surgery, and the external wound has healed to a pink color. However, yesterday while having a...
Dr. Ke Fangxu Reply:
In general, the wound from a typical fistula surgery will heal within one month. For more complex fistulas, the healing time may be extended, but it rarely exceeds two months. If fresh blood is observed, it could indicate either a recurrence of the fistula or bleeding from hemorr...[Read More] Understanding Fistula Surgery Recurrence: What You Need to Know
Managing Scarring After Stitches: Tips for Healing a Forehead Injury
Laceration wound above the left eyebrow? I had a car accident on November 24th, resulting in a 3 cm laceration above my left eyebrow. I received 7 stitches, and after the stitches were removed, I have been continuously applying adhesive silicone tape. Now, I'm unsure whether...
Dr. Peng Xianwen Reply:
Dear Mr. Hsueh: You can now consider using scar ointment; the earlier you start applying it, the better. You can also use cosmetic gel, but it is not convenient to use both at the same time. Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.[Read More] Managing Scarring After Stitches: Tips for Healing a Forehead Injury
Understanding Post-Surgical Pain: Why Your Scar Still Hurts After a Year
The wound after the biopsy still hurts even after a year? A year ago, I had a mole on the outer side of my thigh, about 5 centimeters from my knee, that suddenly grew rapidly. Initially, I underwent cryotherapy, but I was very concerned, so the doctor suggested removing it for ex...
Dr. Xu Kaixi Reply:
It is normal for scars near the knee joint to cause pain due to tension from lower limb activity after healing. If there are changes in the surface of the scar, it may indicate the formation of a keloid, which can result in more pronounced pain. It is recommended that you consult...[Read More] Understanding Post-Surgical Pain: Why Your Scar Still Hurts After a Year
Post-Splenectomy Recovery: Managing Pain and Vaccination Concerns
Post-splenectomy Hello Dr. Chen, I am currently two and a half months post-splenectomy due to a car accident. 1. Recently, I have been experiencing swelling and soreness in my left abdomen and lower back. Is this condition normal, and what can I do to alleviate it? 2. Since m...
Dr. Chen Jiaming Reply:
Trauma from a car accident can cause splenic injury, indicating that the left upper abdomen or lateral chest and abdomen has sustained a significant degree of impact and contusion. Although it has been two and a half months, if there are residual symptoms from the muscle contusio...[Read More] Post-Splenectomy Recovery: Managing Pain and Vaccination Concerns
Understanding Hypertrophic Scars After Laser Tattoo Removal: Solutions and Insights
Laser tattoo removal can cause hypertrophic scars? Hello, Doctor: Recently, I underwent laser tattoo removal, and after two or three sessions, the area where the red dye was initially present has raised up, forming what is known as a hypertrophic scar. Despite receiving several t...
Dr. Lu Daokuan Reply:
To achieve a long-lasting tattoo, it needs to be placed at the bottom of the dermis (therefore, if you are considering getting a tattoo, it's best not to think about removal). Tattoo removal is performed using lasers, which target deeper colors as they absorb more energy, th...[Read More] Understanding Hypertrophic Scars After Laser Tattoo Removal: Solutions and Insights
Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Occasional discomfort after inguinal hernia surgery? Hello Doctor: I have a hernia where my intestine descended into the right testicle. I discovered it seven years ago and underwent surgery this February. Since then, I have been very careful with my recovery; I only started lift...
Dr. Chen Jiaming Reply:
Because there was a considerable time interval between the discovery of your hernia and the actual surgery, based on your description of the hernia descending into the testicle (which should refer to the scrotum), it indicates that your hernia sac likely extended into the scrotal...[Read More] Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Can 40-Year-Old Surgical Scars Be Completely Removed?
Removal of sutured scars Hello Doctor: I would like to ask if a scar that was stitched 40 years ago can be completely removed? What can be done to achieve this? Thank you.
Dr. Lü Mingchuan Reply:
Hello: The effectiveness of improvement and fading varies from person to person. Please consult the Changhua Hospital of the Ministry of Health and Welfare for assistance.[Read More] Can 40-Year-Old Surgical Scars Be Completely Removed?
Post-Hemorrhoid Surgery: Persistent Urge to Defecate Explained
After hemorrhoid surgery, there is a persistent feeling of needing to have a bowel movement? Hello, I have grade 4 hemorrhoids and underwent a circular surgery on September 18th. It has been over a month now; the wound around the anal area has healed, but I have been using anti-i...
Dr. Xu Kaixi Reply:
Although the wound from hemorrhoid circular excision surgery heals, the scar tissue that forms after healing, along with the presence of sutures, may lead to a foreign body sensation in the short term. This is expected to improve over time. However, if the condition persists with...[Read More] Post-Hemorrhoid Surgery: Persistent Urge to Defecate Explained
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?
Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-fistula surgery It has been about a month since the drainage tube surgery (September 19). I had a follow-up appointment last week (October 17), and the doctor checked the wound and found no major issues. I was prescribed antibiotics and ointment to continue using. Today, whi...
Dr. Ke Fangxu Reply:
Without a personal examination, it is impossible to determine whether it is a recurrence or a scar. If there is no redness, swelling, or pain, it is advisable to observe the situation first; otherwise, a follow-up examination and treatment by a physician are necessary.[Read More] Understanding Post-Fistula Surgery: Healing Signs and Concerns