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Doctor insights on: Duodenal Stump Leak

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Is it normal if umbilical cord stump bleeds?

Is it normal if umbilical cord stump bleeds?

Depends on situation: Since the umbilical stump is composed of arteries & a vein that fed baby during pregnancy, it acquired a significant size.As the cord stump dries & separates, there is often a bit of bleeding.Usually only enough to cover a few q-tips.Local care as you would a scratch is all that is needed unless the bleeding persists.Occasionally the pediatrician needs to cauterize a stubborn bleeder in the offic. ...Read more

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Whats difference between contained anastomotic leak and a free anastomatic leak ?

Whats difference between contained anastomotic leak and a free anastomatic leak ?

Local vs peritonitis: Presumably this refers to an intra-abdominal anastamosis, likely intestinal. "Contained" means the leak was probably slow and there was time for an inflammatory reaction that kept the leak localized and maybe small. Free means intestinal contents leaked more widely into the abdominal cavity. Free is much more serious, usually with peritonitis. Most important that you discuss with your surgeon. ...Read more

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If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

Sometimes: Definitely needs to be watched carefully. Sometimes resolves with a spinal drain alone, but sustained leakage through the wound requires re operation. ...Read more

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Umbilical hernia repair burning 2years after?

Umbilical hernia repair burning 2years after?

Nonspecific : Many people have a variety of mild sensations in and around the area where a her is repair was performed for years. Usually they are not serious. If the symptoms are severe, limit activities, or persistent, you should have an exam by a primary care provider, or ideally your surgeon. Hope this helps! ...Read more

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Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Yes: Imagine your intestines are like a rope in a bucket with glue poured over them. The glue would represent the scar tissue, and could be holding a single part of the intestine in a position that makes it prone to twist and intermittently obstruct. This can be released with an operation, best attempted laparoscopically (open causes comparatively more scar tissue). Can't remove scar tissue though. ...Read more

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Does ascites fluid leak into the groin area after a hernia repair if you have cirrhosis with ascites.

Does ascites fluid leak into the groin area after a hernia repair if you have cirrhosis with ascites.

Get treated: Treatment is necessary to control the ascites and prevent it from leaking through your recent incision. Okay to call your surgery team. ...Read more

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Can scar tissue from umbilical hernia surgery cause pelvic/groin pain from having gas? can too much beer (8-9) 2wks post op tear internal sutures?

Can scar tissue from umbilical hernia surgery cause pelvic/groin pain from having gas? can too much beer (8-9) 2wks post op tear internal sutures?

Unlikely but -: this is unlikely - you may do well to consult your surgeon. 8-9 beer a day is way too much under any circumstance and not helpful to healing be careful- listen to your body and lay off ...Read more

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3wk post op bowel obstr/ hernia open surg. Low fever 1 wk 100 yellow drainage from wound site. Stomach hot 2 touch overall weak feel. Wound infection?

3wk post op bowel obstr/ hernia open surg. Low fever 1 wk 100 yellow drainage from wound site. Stomach hot 2 touch overall weak feel. Wound infection?

Wound infection: Something definitely is wrong. Could be a wound infection. Should not be draining fluid and/or hot to touch. You need to see your surgeon asap. ...Read more

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2 episodes of sudden bright red blood drain through the drain tube 3 weeks post renal transplant. Creatinine, CT normal. Possible leak sources ?

2 episodes of sudden bright red blood drain through the drain tube 3 weeks post renal transplant. Creatinine, CT  normal. Possible leak sources ?

Many sources: It could be serious bleeding from the connection of the blood vessels or it could be minor muscle or soft tissue bleeding. Make sure your coordinator and surgeon assess you. ...Read more

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Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

No, not common: Bowel obstruction can occur due to post op adhesions(uncommon) or tumor left behind(this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

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Are adhesions that are leaking yellow puss normal after hernia repair with mesh?

Are adhesions that are leaking yellow puss normal after hernia repair with mesh?

No it is not: yellow pus is not a good sign after surgery specially after hernia repair in hernia they are using a screen routinely now, which is a foreign body and that does not like infection at all, some time it could be a sign of rejection of the screen. either way you need to tell your surgeon right away, ...Read more

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What does mucosal thickening of the transverse duodenum, hiatal hernia and dependent bibasilar acelectasis mean?

What does mucosal thickening of the transverse duodenum, hiatal hernia and dependent bibasilar acelectasis mean?

A bunch of things : "Mucosal thickening of the transverse duodenum" means the lining of the first part of the small intestine is thick. A hiatal hernia is a defect in the diaphragm through which a part of the stomach goes into the chest. "Dependent bibasilar atelectasis" is simply collapse of small lung units because they are at the bottom of the lungs. The thickened lining may be many things. Would talk to your doc. ...Read more

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Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

You should call your: surgeon for guidance but sometimes a wound can spread in spite of that type of closure if there is strain on the wound. As long as there is no drainage or reddening of the wound or any increasing pain, fevers, chills or sweats-it should be ok but check with your surgeon just to make sure. ...Read more

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