Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Chronic anal fissure-related issues? Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop...
Dr. Ke Fangxu Reply:
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-anal fistula surgery Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site ...
Dr. Zhang Shuhao Reply:
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Does Syphilis Infection Affect Recovery from Cosmetic Surgery?
Does syphilis infection affect the healing of surgical wounds? I underwent major cosmetic surgery on February 15th, which included liposuction, cheekbone reduction, and double eyelid surgery. However, on March 10th, my partner was diagnosed with syphilis, with RPR 1:4 and TPHA 12...
Dr. Zhou Hongzhang Reply:
1. Syphilis has many symptoms and can also affect wounds. 2. Syphilis can be transmitted to others through wounds. 3. Penicillin should not have an effect on the wounds. 4. Syphilis may affect the healing process of wounds. 5. It is important to seek medical attention pro...[Read More] Does Syphilis Infection Affect Recovery from Cosmetic Surgery?
Post-Surgery Symptoms After Breast Exploration: What to Expect
Postoperative symptoms after breast exploration surgery? Hello Doctor: I underwent a breast exploration surgery on February 8, during which a papilloma and part of the breast tissue were removed. I returned for a follow-up on February 13, and the wound appeared normal. There is n...
Dr. Chen Ronghong Reply:
Hello, 1. If follow-up visits are not necessary, it indicates that the surgical wound is healing well; just be careful not to excessively pull on the wound. 2. If the nipple appears inverted, it may indicate that the surgical excision included some of the glandular tissue ben...[Read More] Post-Surgery Symptoms After Breast Exploration: What to Expect
Understanding Groin Lumps: Post-Surgery Concerns and Lymph Node Issues
Inguinal mass Recently, three lymph nodes have been found in the right groin area, one of which has been present for a long time, while the other two were discovered recently (currently with no significant changes). A surgeon was consulted to excise one for biopsy, and the result...
Dr. Xu Kaixi Reply:
1. Temporary swelling of the surgical wound is a normal phenomenon. 2. The 0.5 cm lymph node on the left side can be monitored; if there are any changes, return for an outpatient examination. 3. Similarly, if it enlarges or presents other symptoms, a follow-up examination is ...[Read More] Understanding Groin Lumps: Post-Surgery Concerns and Lymph Node Issues
Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Inguinal lymphadenopathy Hello, doctor. Recently, I discovered about three swollen lymph nodes in my groin area. One of them has been present for a long time, while the other two were found recently (currently, there hasn't been much change). I had a surgeon remove one for b...
Dr. Chen Ronghong Reply:
Hello, 1. Surgery is an invasive procedure, so it is common to experience mild swelling and pain at the incision site. However, if there is accompanying redness, significant tenderness, or pus drainage, medical evaluation is necessary to assess for infection. 2. The cause is unkn...[Read More] Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Post-Surgery Concerns: Understanding Fistula Recovery and Healing Process
Post-fistula surgery Hello Dr. Chang, I underwent minimally invasive surgery to remove a fistula on January 3rd of this year. My recovery had been going well, and I currently have no drainage of tissue fluid, with minimal bleeding or discomfort. However, during my follow-up appoi...
Dr. Zhang Shuhao Reply:
1. There is no swelling, pain, or discharge, which does not resemble a recurrence, and it is unlikely to have recurrence issues shortly after surgery. 2. Granulation tissue that grows beyond the necessary range for wound healing can lead to poor healing and is prone to bleeding...[Read More] Post-Surgery Concerns: Understanding Fistula Recovery and Healing Process
Post-Surgery Recovery Insights for Lumbar Disc Herniation Treatment
Postoperative care after disc herniation surgery? 1. Disease Name: Lumbar Disc Herniation at the L4-L5 Level 2. Surgery Name: Percutaneous Endoscopic Discectomy 3. Reason for Surgery: To relieve nerve compression On December 27, the surgery was performed due to a right low...
Dr. Lai Zhaokang Reply:
Hello: After your surgery, your original symptoms have improved, and the wound has healed, which indicates a good recovery. Please continue to use lumbar support for protection. If you are still concerned, feel free to schedule an earlier follow-up appointment. Best wishes, Dr. C...[Read More] Post-Surgery Recovery Insights for Lumbar Disc Herniation Treatment
Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery
Postoperative Recovery Period for Trigeminal Neuralgia Decompression Surgery Hello, doctor. I underwent craniotomy for severe trigeminal neuralgia and it has been about one month since the surgery. I still experience occasional dizziness and unsteadiness while standing, but I hav...
Dr. Lai Zhaokang Reply:
Hello: Generally speaking, if the surgical wound is clean and the stitches are removed, one can gradually return to daily activities. More stable healing typically occurs around three months. However, the details of postoperative recovery can vary individually. You should consult...[Read More] Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery
Why Did My Surgical Wound Split Open After Stitches Were Removed?
The wound immediately opened after the stitches were removed! I originally went to the hospital for surgery to remove a lipoma and thought that since I was already undergoing surgery, I would also have three small fibromas removed at the same time. On the day of stitch removal, t...
Dr. Li Zhonghuai Reply:
Hello! The patient's age, history of diabetes, smoking and alcohol consumption (including secondhand smoke), presence of autoimmune diseases, and liver cirrhosis should all be taken into consideration. Additionally, the location of the sutures in relation to the joints is im...[Read More] Why Did My Surgical Wound Split Open After Stitches Were Removed?
Why Did My Surgical Wound Split Open After Stitches Were Removed?
The wound opened immediately after the stitches were removed! Almost two years ago, I underwent surgery at the hospital for a lipoma on the back of my right thigh and three fibromas on the inner left thigh, left calf, and inner right thigh. During the suture removal, the wound on...
Dr. Li Qinglong Reply:
Lance: Hello, keloids are a matter of constitution. First, it is essential to confirm whether the pathological biopsy of the scar is indeed a keloid. If it is confirmed, any physician handling the wound will find it more challenging compared to wounds without keloid-prone charact...[Read More] Why Did My Surgical Wound Split Open After Stitches Were Removed?
Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-operative concerns regarding tube drainage surgery in class? Hello Doctor: I had anal fistula surgery on August 8th, and today is the sixth day post-operation. I still experience pain during bowel movements, but I don't feel much pain while walking. I would like to ask ...
Dr. Ke Fangxu Reply:
The healing of the anal fistula surgical wound may take about a month. Currently, if walking does not cause pain, that is already quite excellent. Attending classes will not affect the healing process; however, it is best to get up and walk around after class. If sitting baths ar...[Read More] Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-Surgery Hemorrhoid Care: Managing Bleeding and Recovery Tips
Persistent bleeding after hemorrhoid surgery? Hello Doctor, I just underwent traditional surgery for thrombosis and hemorrhoids on Monday, and I am currently recovering at home. Question 1: Since I have a larger body frame, the doctor advised me to use a sitz bath whenever I go...
Dr. Zhang Shuhao Reply:
1. After using the restroom, you can use a bidet or clean water to wash yourself. Avoid using a strong water stream and do not wipe too hard. If there is bleeding, you can apply ointment and cover it with gauze while applying slight pressure. 2. The surgical wound is prone to b...[Read More] Post-Surgery Hemorrhoid Care: Managing Bleeding and Recovery Tips
Managing Scabs and Scarring After Surgical Wound Healing
The wound has scarred and formed a scab? Hello, doctor. It has been almost 1.5 months since I underwent excision and suturing of a pilonidal sinus. After the surgical wound scabbed over, I have been using a non-adhesive dressing for nearly 3 weeks, changing it once a week. Yester...
Dr. Zhang Shuhao Reply:
If the wound is dry with no drainage or bleeding, you can choose not to apply adhesive tape and observe it for two to three days. After simple disinfection, there is no need to apply ointment. If the wound remains free of redness, swelling, or drainage, you can continue using the...[Read More] Managing Scabs and Scarring After Surgical Wound Healing
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Postoperative bleeding issues after hemorrhoid surgery? Traditional surgery for both internal and external hemorrhoids was performed on May 10. I have been taking stool softeners regularly, but I might not be drinking enough water. During the recovery process, I often feel the ur...
Dr. Zhang Shuhao Reply:
During the healing process of the surgical wound, the tissue is more prone to friction and bleeding. Therefore, there may still be a small amount of bleeding after bowel movements or wiping. If there are no other symptoms (such as fever or severe pain), you can continue with sitz...[Read More] Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Managing Non-Healing Surgical Wounds: A Case Study
How to manage an unhealed surgical wound? On March 7, I underwent surgery for facial lipomas, resulting in five incisions. The sutures were removed on March 15. The following day, during a dressing change, I noticed that one of the incisions, approximately 2 cm in size, had a por...
Dr. Chen Ronghong Reply:
Hello, Yan Liu. Among the five wounds, only one has poor healing, which is more likely due to a localized infection causing inflammation. The contents of the cyst could potentially lead to a bacterial infection. Please continue using the antibiotic ointment, avoid pulling on the ...[Read More] Managing Non-Healing Surgical Wounds: A Case Study
Understanding Anal Fistula Healing: Managing Complications and Care
The wound from the healing anal fistula has reopened? Hello Doctor, I have undergone three surgeries for anal fistula within five months: the first surgery on November 8, the second due to recurrence on December 1, and the third on January 17 of the following year. During my foll...
Dr. Zhang Shuhao Reply:
This is an initial healing epidermal tear that has reopened, exposing the underlying granulation tissue and causing bleeding. If the bleeding stops, you can continue to apply ointment and change the dressing to allow it to heal gradually. Although this is not an emergency situati...[Read More] Understanding Anal Fistula Healing: Managing Complications and Care
Post-Surgery Complications: Bleeding and Pain After Hemorrhoid Surgery
Postoperative swelling and bleeding during bowel movements after hemorrhoid surgery? Hello Doctor: I underwent a mixed hemorrhoidectomy in mid-October, and the surgeon confirmed that the postoperative wound was healing well. However, one month after the surgery, I experienced dif...
Dr. Chen Ronghong Reply:
Hello Shih, based on your description, it is possible that the anal canal has become narrower after hemorrhoid surgery. The cause could be swelling at the surgical site or an actual structural narrowing. It is advisable to seek medical evaluation to determine if gradual anal dila...[Read More] Post-Surgery Complications: Bleeding and Pain After Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Discharge After Fistula Surgery
Post-fistula surgery Hello Doctor, I had anal fistula surgery on November 19th and my last follow-up appointment was on December 13th. The doctor said that the wound has healed about 90% and that I do not need to return for further visits. However, as of today, December 27th, I a...
Dr. Ke Fangxu Reply:
Typically, one must wait until the wound is completely healed to avoid any discharge. The time required for complete healing varies depending on the size of the surgical wound; larger wounds may take up to two months to heal. If there is still discharge after three months, it is ...[Read More] Post-Surgery Concerns: Understanding Discharge After Fistula Surgery