Doctor insights on:
Fistula Plug Surgery
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
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
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
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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
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
Had ileostomy reversal surgery that failed due 2 anastomotic leak/abscess fluid filling up. Y would Dr wait 5days b4 doing 2nd surgery 2 correct?
Ileostomy reversal: He most likely wanted to give the leak an opportunity to close on its own. ...Read more
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
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
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
Not likely.: See an otologist or neurotologist, sub-specialists in ent. ...Read more
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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