Doctor insights on:
Open Surgical Biopsy Of The Pancreas
Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.
Define: I don't know what sibo is. In general, if the ileocecal valve is removed, some patients can have , at least temporarily, some looser stools or urgency. I usually suggest Imodium (loperamide) as needed, a good general diet, avoidance of large meals, and the inclusion of yogurt in the diet. If i'm missing the boat here, define sibo. Good luck. ...Read more
Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read moreSee 2 more doctor answers
Speak w neurosurgeon: There are very few indications for operative resection of thalamic lesions, since they are uncommon. Most of the experience have been in children with thalamic tumors. Each case must be individualized, there are several approaches to these lesions. The complications (morbidity) is significant and include visual field defects and hydrocephalus. Then the underlying cancer causes mortality. ...Read more
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
What type of biopsy is more accurate for large clusters of microcalcifications in the breast,
stereotactic core biopsy or wire guided open
Open biopsy: is considered the historic "gold standard", but the accuracy of stereotactic biopsy approaches that of excisional biopsy, with less risk, less complications, less cost, and no disfigurement or significant scarring. It avoids unnecessary surgery. About 75% or so of all microcalcification biopsies turn out benign. Image-guided needle biopsies are the standard of care for a variety of reasons. ...Read moreSee 1 more doctor answer
Is biopsy the only way of determining the sub-type of Non-Small Cell Lung Cancer? Any non-invasive ways? 1st biopsy inconclusive and risks with repeat
Need a biopsy: A physician who diagnosed ANY lung cancer without obtaining a biopsy would be committing gross malpractice. You've got SOMETHING in your lung that's VERY worrisome and whatever got it noticed, you should be demanding that the biopsy be repeated anyway and a best diagnosis rendered. Risks? Do you want to die of a missed cancer? I know you don't. Be brave. Best wishes. ...Read more
Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?
Pancreaticojejunosto: It is called binding pancreaticijejunostomy.Get a more detailed answer ›
Need more info: The removal of the pituitary through transphenoidal surgery is fairly straightforward, in the hands of good surgeons who do this routinely. But why is this being done? You will have to replace the lost hormones, typically thyroid and adrenal and sex steroids. If there is an isolated pituitary tumor, they should remove it and leave behind normal pituitary, if possible. ...Read more
Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?
Advanced adenoma at the splenic flure region and the distal transverse was removed and retrieved.Is this pre-cancerous?
Adenoma: Only the pathologist can tell you this. Get the path report and then lets do 2nd opinion. ...Read more
Yes: All specimens removed at the time of surgery must be sent for pathologic evaluation. While the report comes separately from the operative report which describes what was found at the procedure and how it was removed, the pathology report describes the gross appearance of the specimen followed by the microscopic appearance and then a histologic diagnosis. ...Read moreSee 2 more doctor answers
Does nanoknife IRE procedure actually send an electrical charge into and throughout the inside of a pancreatic tumor through its dense fibrotic cover?
A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous fibroscopy?operated?
Cystadenoma: This size lesion expanding to stomach can not be the classic adenoCa. It is probably an islet cell neoplasm or more likely cystadenoma. Since the latter almost always converts to carcinoma, resection of distal pancreas, spenectomy since splenic vein always involved and partial gastectomy must be performed. Laparotomy should be used and depending on path, chemo may be needed PO. ...Read more
Laparoscopy v. Open: The appendix may be removed via traditional "open" surgery performed thru a 2-3" incision or via minimally invasive laparoscopic surgery. Both are safe procedures with the choice of procedure usually dependent on the preference of the surgeon. Like most surgeons under age 50, i perform almost all of mine laparoscopically, with an average length of hospitalization less than 24 hrs. ...Read moreSee 1 more doctor answer
Does the surgical resection of a brain metastasis alter the planning and subsequent local control achieved with radiosurgery prescribed for recurrence at the operated site?
Variable: If a solitary metastatic lesion is excised, this strongly suggests temporary success, and unlikely need for additional radiation if totally excised, but a residual remnant needs to be addressed. Since can be so variable, propose a conference with oncologist involved to decide further steps. ...Read more
What is the average duration of a laparotomy with removal of adhesions and endo lesions including a presacral neurectomy in a stage 3 endo patient?
Varies: Endometriosis is a chronic condition. Most manage the syndrome medically. If surgery is required, most prefer laparoscopy over an open laparotomy. Lysis of adhesions may be brief or extensive. Pre sacral neurectomy is a complicated procedure which should be done as a last resort, by common opinion. Talk with your provider. Ask about recurrence, complications and success rates. Hang in there. ...Read more
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more