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Doctor insights on: Fistula Plug Surgery

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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Laparscopic ovarian cysts surgery & incision drainage, what to do?

Laparscopic ovarian cysts surgery & incision drainage, what to do?

Call your surgeon: Wash the incision with an anti-bacterial soap such as hibiclens or phisoderm. Irrigate hydrogen peroxide over a 4 x 4 gauze and most importantly call your surgeon so he/she can evaluate the wound for any possible infection or loss of integrity. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Not frequent: If stricture develops may be due to recurrences of disease, balloon dilation may help, will require resection for better out come. ...Read more

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Could sinus balloon sinuplasty surgery hurt?

Could sinus balloon sinuplasty surgery hurt?

Mildly : There is mild discomfort during and after balloon sinuplasty no more than a tooth cleaning or cavity filling at a dentist office. Usually mile soreness in nose for 24 hours but back to normal in 48 hours and a lifetime of relief. Just make sure you see someone who does many of these weekly like myself and is a balloon sinup dilation expert. For more info visit www.socalsinus.com ...Read more

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Dr. John Fung Dr. Fung
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Had colostomy surgery for colon/bladder fistula. Have a super pubic catheter from previous. Since surgery the cath hasn't drained - bladder flush?

Dr. John Fung Dr. Fung
2 doctors agreed:
Had colostomy surgery for colon/bladder fistula. Have a super pubic catheter from previous. Since surgery the cath hasn't drained - bladder flush?

Call your surgeon: While it seems likely that flushing may resolve a suprapubic catheter that is not draining, it is critical that you contact your surgeon for advise. This it sounds like the surgery was fairly recent and because your repair may be adversely affected if the flush is done incorrectly (and if the flushing does not work, your surgeon will need to see you anyways), best to put him/her on alert. ...Read more

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What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?

Variety of causes: Anastomotic leaks can occur for a variety of reasons and are a known complication of GI surgery. The primary concern with anatomic leak is the passage of stool into the abdomen with the formation of abscesses and possibly systemic infections. The treatment for this is often to operate, find the leak, and wash out any stool that may have collected in the process. ...Read more

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What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more

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What is the procedure for a ureterovesical fistula surgery ?

What is the procedure for a ureterovesical fistula surgery ?

Rare condition: Ureter runs into the bladder. Ureterovesical fistula has to be between the intrvesical ureter and bladder & is usually a complication following ureteral reimplant surgery. Procedure for repair is a redo ureteral reiplant excising portion of ureter distal to the fistula. This often requires a so called "boari flap", bringing up flap of bladder to shorten length of ureter needed for reimplant. ...Read more

Dr. John Fung Dr. Fung
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Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Dr. John Fung Dr. Fung
2 doctors agreed:
Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Do not remove: You likely had an infection due to a diverticulum rupturing, causing localized peritonitis and then abscess. Treatment for this is drainage and antibiotics until the abscess and inflammation resolves. Taking the tube out too early can cause reaccumulation of pus. See a colorectal surgeon following resolution to see whether you should have follow up surgery to removed the diseased segment. ...Read more

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Top doctor for minimal invasive rectovaginal fistula repair?

Top doctor for minimal invasive rectovaginal fistula repair?

Urogynecologist/Gyne: A urogynecologist if you can find one or a gynecologist. ...Read more

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Does cesarean stitch and ovarian cyst surgery stitch different?

Does cesarean stitch and ovarian cyst surgery stitch different?

depends: The type of incision can be the same in both c-section and ovary resection, the surgeon opens the skin along the bikini line and then opens the fascia from the umbilicus to the pubic bone. The same suture, usually absorbable can be used in both. The ovarian cyst surgery also can be done with a laprascopic approach, minimally invasive. Okay to ask your surgeon about these choices. Be well. ...Read more

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Could bilateral internal thoracic artery grafting increase surgical risk?

Could bilateral internal thoracic artery grafting increase surgical risk?

Not always : There is some evidence that in diabetic patients it can increase the risk of eternal wound infections. Not in non diabetics. This increase risk in diabetics has been debated and there is some recent data suggesting that it may not be true. ...Read more

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Can most ENT surgeons perform a perilymph fistula patch procedure?

Not likely.: See an otologist or neurotologist, sub-specialists in ent. ...Read more

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Adult blocked tear duct. Is surgery required?

Adult blocked tear duct. Is surgery required?

Possibly: If the blocked tear duct results in tearing down your cheek, you may need surgery. If the blocked tear duct results in infections, you may need surgery. See eye doctor forst and will probably recommend an antibiotic drop and warm compresses to see if it opens. Then might try to squirt water into the duct in the office to see if actually blocked. ...Read more

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Is surgery to unblock tubes painful?

Is surgery to unblock tubes painful?

Depends/likely: There will be some pain after any and every surgery. However, the post surgery recovery period includes pain management with your surgery team and is usually very good. Okay to ask your surgeon about pain management after this procedure. The benefit of your procedure will be worth this small risk. Be well. ...Read more

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Is hemorrhoid surgery a difficult surgery what's the downtime?

Is hemorrhoid surgery a difficult surgery what's the downtime?

Depends : There are different ways hemorrhoids are treated. Internal hemorrhoids are treated by banding them with a rubber band. Painless with some cramping. Large external hemorrhoids removal is painful. Large hemorrhoids that prolapse or protrude can be treated with a stapling technique. A very well tolerated procedure. Surgery for hemorrhoids should always be a last resort. ...Read more

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Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery? How do we qualify a urologic surgeon?

Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery?  How do we qualify a urologic surgeon?

Meatal stenosis: The surgery to correct mental stenosis, a meatotomy, is usually an outpatient procedure. It is a fairly minor procedure. I assume the surgeon you or your lived one has been evaluated by was recommended by another physician. If you trust that physicians judgement that no further prequalification is warranted. If not, go online, check reviews and malpractice history. ...Read more

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