Doctor insights on:
Post Op Positioning After A Pneumonectomy
No: Best to check with your surgeon.Get a more detailed answer ›
Depends: Depends on how good your other lung is. One would expect to have less exercise capacity but how much you notice this depends on how your lung function was generally pre-op and by how active you are. Someone who is sedentary may not even miss the lost capacity for example. ...Read more
Entire lung: A pneumonectomy is the removal of the entire lung on one side, usually for lung cancer. Thoracic surgeons now trie to avoid pneumonectomy by performing what are called lung sparing procedures, such as sleeve lobectomy. See a board certified thoracic surgeon before undergoing a pneumonectomy. ...Read more
Benefit vs risk: A pneumonectomy is a major surgery in which an entire lung is removed. Like any major surgery, there can be complications - some serious. Risks include bleeding, infection, irregular heartbeat, blood clots after surgery, & even a heart attack. However, if you have a serious illness like lung cancer, the benefit to surgery may outweigh the risks. I urge you to discuss concerns w/ your doctor. ...Read more
Three to six weeks.: The pain will decrease each week as healing takes place. The is mostly from the muscles in between the ribs being stretched. In some cases a small piece of bone or cartilage may have to be removed to create a window for the instrumentation to to be introduced and manipulated through. Use a pillow to hug it and thus support the rib cage when you are doing your breathing exercises. This will help. ...Read more
It depends!: First, were you able to jog before? If so, then you should be able to do so afterwards. More importantly, this is a question that is best addressed by your surgeon, hopefully pre-operatively. S/he should address all your questions & concerns before the operation (given that it's not emergent). S/he can also go over your recovery & what to expect when. Regardless of what we say here, go see ur doc. ...Read more
No: Pneumonectomy, with correct planning, can be done safely with close to a 3% mortality rate. Left sided pneumonectomy is considered safer than right sided pneumonectomy. That is mostly due to the fact that you are simply taking out slightly more lung on the right than the left. Chemotherapy and radiation all factor in to decisions to proceed with pneumonectomy or not. ...Read more
How much more risky or dangerous is it to perform a pneumonectomy on someone who had a bypass surgery 8 years previous?
Unusual also since pnemonectomy is most common for cancer that is extensive.
If on left must be careful with mammary graft.
Wedge or lobectomy
are well tolerated if the heart function is good.
Consider a cath to be sure of graft status.
With good preparation, it is possible. ...Read more
If a segment of your vagus nerve was surgically removed during a pneumonectomy, is there anything besides reglan (metoclopramide) which can restore esophageal action?
Yes: A lot depends on the symptoms you are having. If you feel that food is hanging up in the esophagus, then fluid should be taken with the meal and between bites to facilitate movement of foods into the stomach. ...Read more
Post left pneumonectomy pain in left arm, shoulder and hand. Work on a computer 7hrs/day. What is causing numbness/pain/tingling in my left arm?
Could be from: The procedure (irritation of pinching of the nerve) but also you may have unrelated cervical or lower thoracic degenerative disease that is causing the symptoms. I believe you need to see either a neurologist have and through evaluation and run certain test like nerve conduction test and possible MRI of the cervical and upper thoracic region. Clinically you have neuropathy. ...Read more
The position: That is comfortable to the 'PATIENT'.Get a more detailed answer ›
Any position: Body feels comfortable.Get a more detailed answer ›
There's a dull pain around where the mesh is. Is this normal? I'm on my 3rd week post-op. I had lap ing repair.
Fluid Collection: It is normal and expected for tissue fluid to seep into any open space that follows an operation--we call these fluid collections seromas. In time, the fluid is absorbed and replaced by scar tissue. Rarely, this fluid persists, requiring aspiration, or becomes infected, requiring drainage. Bottom line: 99% of the time, no worries. ...Read more
No.: The needling procedures do not require postoperative check - the needle trauma is minimal and complications are rare. Specific symptoms to look out for and promptly report to your physician/hospital er: vaginal bleeding, leaking fluid per vaginam, fever >100f, worsening lower abdominal/back cramping. Bedrest for the day of the procedure is advisable, but may return to normal activity the next day. ...Read more
Cleanliness: Keep it clean and it necessary cover with a bandaid. ...Read more
Rest: And pain and nausea management for a day or two. ...Read more
His supervisor: Ask the senior resident or the attending physician. ...Read more
Evaluate your wound: Many causes: tension, premature suture removal/rupture, diabetes, hematoma, infection, trauma, prior radiation. Provider will need to figure out the cause and then treat appropriately - sometimes leaving wound open, packing, draining, re-opening/exploring. Don't delay in getting evaluation. ...Read more
My grandma has a bedsore post op that has become black in some areas; what should I be concerned about?
Depends: It is impossible to tell you what the black areas mean without seeing your grandmother and the sore...It could mean infection or it could be a small area of dead tissue that is of no consequence. She should be examined by her doctor or by a physician who is familiar with pressure sores, their management and complications. ...Read more
How much research has there been on hypospadias? And why isn't it widely discussed? I had hypospadias and is about 1 year post-op.
Lots of research: Hypospadias is widely discussed by pediatric urologists at every meeting of society for pediatric urology, urology section of american academy of pediatrics, international society of urology, european urology society etc. Larry baskin md is proabably leading hypospadias researcher at present. Has a review in may 2010 uology clinics of north america pages 159-66. Available in a good medical library. ...Read more