Scar, Surgery FAQ

Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery

More than four months post-surgery? Hello Doctor, I underwent minimally invasive surgery for anal fissures and hemorrhoids over four months ago, and I am still experiencing discomfort. This week, the symptoms have become more pronounced. The discomfort feels like a sharp pain o...

Dr. Zhang Shuhao Reply:
1. You can gently touch the area while applying medication or during a sitz bath to distinguish between pain from the skin at the wound site and deeper pain from the contraction of the levator ani muscle. It is advisable to discuss your concerns in detail with the original surgeo...

Post-Laparoscopic Surgery: Understanding Umbilical Changes and Symptoms

Post-laparoscopic surgery Hello Doctor, I underwent laparoscopic surgery eight years ago. Last year, my navel became inflamed for 4-5 months, and now it appears very dark (it looks like hyperpigmentation and has remained this way for a long time without returning to its original ...

Dr. Zhang Shuhao Reply:
Umbilical pigmentation is caused by chronic inflammation of the wound and is usually not related to the recovery of internal organs. If the scar tissue exhibits symptoms of pain or itching, it is advisable to seek medical evaluation to check for signs of infection.

Understanding Post-Appendectomy Symptoms: Is Your Incision Infected?

Appendectomy Hello, I underwent laparoscopic appendectomy on March 9, and so far, I have not experienced any pain or fever at the incision site. However, the area around my navel is red, swollen, and hard. Does this indicate that there is inflammation at that site?

Dr. Xu Kaixi Reply:
After laparoscopic appendectomy, the umbilical incision will heal with a scar, and the color and texture of the scar may vary depending on individual constitution. If there is inflammation, related pain and swelling may occur. It is recommended that you visit a surgical outpatien...

Post-Accident Wound Care: Understanding Healing and Complications

Wound issues after a car accident? Hello, I would like to consult a doctor. I had an injury from a fall that caused wounds on my knee and the back of my hand. After undergoing debridement and dressing changes, and applying artificial skin for a month, there has been no bleeding. ...

Dr. Peng Xianwen Reply:
Hello Mr. Han: It is keloid and scar tissue. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Can You Shave Near a Stitched Chin Wound Before Removing Stitches?

Can I shave if I have stitches on my chin that haven't been removed yet? On the morning of February 24, I had a motorcycle accident where my chin hit a rock, resulting in a somewhat deep wound that required six stitches. The emergency physician advised me to return for sutur...

Dr. Xu Kaixi Reply:
The wound after the removal of the artificial blood vessel heals within two weeks. After healing, there will be scar tissue formation, and it is normal to experience neuropathic pain in the short term, which will gradually improve over time.

Post-Surgery Concerns: Understanding Wound Healing After Cyst Removal

Surgical wound issues? Hello Doctor, I am patient #205002 who inquired earlier. I haven't had time to go to the hospital recently, and since the issue just occurred, I am reaching out to you. After my cyst removal surgery on January 10, the doctor advised me to apply breatha...

Dr. Zhang Shuhao Reply:
It is normal for the scar tissue of a healing wound to appear slightly red and itchy. However, it is important to monitor for signs of inflammation such as redness, swelling, heat, and pain. Generally, efforts are made to keep the area clean. If there is significant inflammation ...

Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey

Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...

Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...

Dealing with Pimples on Scars: What to Do After Surgery

Acne developed on a scar? Hello, doctor. I had a car accident over a month ago, resulting in a nearly 20 cm sutured wound on the back of my calf. It has healed, and I am currently using silicone scar sheets. Today, when I removed the sheet, I noticed a pimple filled with pus at t...

Dr. Lu Daokuan Reply:
It may be a localized infection at the suture site; a follow-up appointment is recommended.

Post-Mole Removal Care: Addressing Darkening Skin Concerns

Post-operative mole removal? Doctor, I had a mole surgically removed from my face, and I was advised to consistently and diligently apply silicone gel. This month on the 12th marks one month since the procedure, but I’ve noticed that the area where the mole was removed seems to b...

Dr. Lu Daokuan Reply:
The dark discoloration of the wound will improve in 6-8 weeks, and it is important to continue using artificial skin (as cosmetic adhesive is insufficient).

Post-Mole Removal Care: Addressing Darkening Skin Concerns

Post-operative care after mole removal? Dear Doctor, I had a mole surgically removed from my face, and I was advised to consistently and diligently apply silicone gel. This month on the 12th marks one month since the procedure, but I have noticed that the area where the mole was ...

Dr. Lu Daokuan Reply:
The dark discoloration of the wound will improve in 6-8 weeks, and it is important to continue using artificial skin, as the effects of cosmetic adhesive are insufficient.

Understanding Post-Surgical Wound Healing Issues and Pain Management

Wound healing issues Hello Doctor, four months ago I had a synthetic graft removed from above my left chest and below my clavicle, which had been in place for five years. Two weeks later, while helping to care for my sister's child, I was accidentally pushed and hit near the...

Post-Surgery Concerns After Hemorrhoid and Fistula Procedures

Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...

Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...

Painful Lump Near the Scrotum: Understanding Symptoms and Treatment

There is a lump near the line of the scrotum close to the anus that hurts when pressed? Hello, Dr. Chang. There is a small lump near the line on my scrotum close to the anus. It hurts when I press on it, and I occasionally feel pain when I walk or if it gets rubbed. It feels like...

Dr. Zhang Shuhao Reply:
Based on the described symptoms, there may be issues with the skin or soft tissues in the perineal area, commonly including inflammation, abscesses, infections, and allergies, and sometimes even trauma. Typically, treatment may involve medications or topical ointments. It is advi...

Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights

Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...

Dr. Ke Fangxu Reply:
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...

Palm Pain After Childhood Injury: Is Glass Still Inside?

Palm pain or tingling in the hand? I was injured as a child when my palm was cut by glass. After surgery, the glass was removed, but many years later, I experience pain when gripping the steering wheel. Could this be due to residual glass not being completely removed?

Dr. Xu Kaixi Reply:
Pain in the palm years after a glass laceration may be due to scar neuropathy following wound healing. The likelihood of pain caused by retained glass is lower, but it cannot be completely ruled out. It is recommended to visit a surgical outpatient clinic for evaluation.

Understanding Hypertrophic Scars: Post-Surgery Care and Concerns

Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...

Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...

Persistent Pain After Anal Fissure Surgery: Seeking Solutions

Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...

Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...

Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options

Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...

Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...

Dealing with Redness After Popping Pimples and Using Artificial Skin

After squeezing a pimple, the skin became injured, and applying artificial skin made it even redder? Hello Doctor, last week I squeezed a closed comedo and the surrounding skin got scraped. After that, I applied a topical acne medication, and once it scabbed over, I decided to us...

Dr. Li Zhonghuai Reply:
Hello! Artificial skin can trap oil, leading to inflammation. After scabbing, it's important to apply scar gel promptly to reduce scarring. Avoid fried foods, barbecued items, and sweets to prevent recurrence. Take care! Changhua Hospital cares about you!

Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns

Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...

Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...

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