Doctor insights on:
Laparoscopic Total Abdominal Colectomy
Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...Read more
LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read moreSee 2 more doctor answers
Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more
Can having multiple abdominal surgeries cause colon thickening? Lap RNY, abdomnio, gall bladder removal, rt adrenalectomy? History of bleeding ulcers
Traditional suture repair of inguinal hernia back in 2012. Hernia has recurred. Should I opt for open mesh repair or robotic laparoscopic?
Either: Both are equal and should remedy the problem ...Read more
Difficult: When ever there is a scar , what ever the reason , surgery , or infections adhesions will form even from a tinny scar , can't be prevented but could be minimized , by tension free closure , minimum dissections , if possible retroperitoneial ( out side ) approach, leaving with minimum blood ; secretions inside peritonaeum. Best prevention is if possible avoiding surgery. ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Hysterectomy w/ posterior repair: 2009.
Laproscopic bowel resection: 2011. Now same bowl symptoms as before. Probability of enterocele recurrence?
MRI post liver resect w/abd incision swelling/pain showed 5.6cm anterior abd wall hernia w/protrusion of small bowel loops/mesenteric fat. Is surg req?
Yes, for a while: The belly button is the site where many surgeons put the laparoscopic camera, is often the largest port for cholecystectomy. It is often where the gallbladder is removed from. During closure, the incision must be closed, or there is a risk for a hernia to develop. Some pain is common, up to several months afterwards, however if there is redness, tenderness and marked swelling, see your surgeon. ...Read more
Call yourGYN surgeon: You need to call your GYN surgeon and make an appointment so that the area can be examined to find out why. ...Read more
Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions
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