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Doctor insights on: Rct Blockage Surgery

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Is there pain after caratid blockage surgery?

Is there pain after caratid blockage surgery?

Post surgical, yes: There is likely some relatively minor pain associated with the surgical area of incision in order to gain access to the carotid artery. Of course, that is if an endarterectomy is performed. If an intra-arterial procedure is done to clean the carotid artery by a radiologist then, there could be a bit less pain since the incision would be much smaller in the arm or groin. ...Read more

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Stroke with 90% blockage, is surgery necessary?

Stroke with 90% blockage, is surgery necessary?

If carotid stenosis,: I would highly recommend consideration of a stent or enarterectomy, but if you are referring to other blood vessels supplying the brain, medication may be far more appropriate. ...Read more

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How long does we have to wait before you have surgery with the intestinal blockage?

How long does we have to wait before you have surgery with the intestinal blockage?

Not long: Intestinal blockage can be life threatening. Your health care team will care for you in a hospital, with intravenous lines and fluids, bowel rest, tubes into your stomach to control gastric volume and lower your risk for aspiration. Surgery will occur at some time during your hospital stay. Okay to ask your nurse or surgeon for more details. Pain control with IV narcotics and antibiotics. Be well ...Read more

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Has anybody done surgery to correct a blockage of the vas deferens?

Has anybody done surgery to correct a blockage of the vas deferens?

Yes: Prior vasectomy is a common reason for such surgery with excellent success rates in many patients. Other causes of blocked vas are rare. Epididymal blockage on the other hand is more common from std's and other infections. Surgery to correct this is possible but much lower success rates can be expected. Subspecialty urology would be the best answer for this type problem. ...Read more

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Could a bowel blockage and double hernia be corrected during the same surgery?

Could a bowel blockage and double hernia be corrected during the same surgery?

Yes: Simple answer is yes. Sometimes if the bowel blockage requires resection of the intestine, hernia repair may be delayed or temporized. You don't want to risk contamination of hernia repair with bowel surgery. Some evidence exist that it is safe to repair hernias with mesh even when there is some contamination from bowel surgery. ...Read more

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How dangerous is open heart surgery with a 100% blockage?

How dangerous is open heart surgery with a 100% blockage?

Very low risk: If you have already survived a 100% blockage having a bypass surgery on that is very low risk. ...Read more

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Failed stress test. EF 33%. Poss. Blockage both RCA and LAD. Will be doing angiogram. What are chances this can be resolved with stent vs. Surgery?

Failed stress test. EF 33%. Poss. Blockage both RCA and LAD. Will be doing angiogram. What are chances this can be resolved with stent vs. Surgery?

Angiography: When the clinical indication for an interventional procedure in addition to medical therapy is present, one needs to first see the coronary anatomy to determine what is the best procedure for the patient. When multivessel disease is present in such a patient, often surgical intervention is preferable to stenting but not always. After the angiogram discuss the choices with your Dr. ...Read more

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My relative is having 99% blockage in heart he is adviced for a bypass surgery. Is it safe?

My relative is having 99% blockage in heart he is adviced for a bypass surgery. Is it safe?

Always surgical risk: There is always some risk in any surgery or procedure. That being said, bypass surgery has been around a long time and the techniques have been proven to be relatively safe. If a bypass machine is used and they are relatively healthy, the risk for death or complication is only 1-2%.Complications include stroke and kidney/liver failure.If the surgery is not done, they may have higher chance of death. ...Read more

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My relative is having 99% blockage in heart he is adviced for a bypass surgery. Is it safe?

My relative is having 99% blockage in heart he is adviced for a bypass surgery. Is it safe?

Choice: There are risks to all surgeries, but your friend has no choice. The small surgical risk is much less of a problem than the damage caused by the blockage. If the artery fully occludes, that part of his heart will surely die, and probably so will your friend. ...Read more

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Surgery for intestinal blockage and the doctor stated gangrene- could u explain surgery procedures please?

Surgery for intestinal blockage and the doctor stated gangrene- could u explain surgery procedures please?

See below: Internal scar tissue inside the abdomen can cause an intestinal blockage. If a segment if intestine twists around the scar tissue sometimes that segment of intestine can die & become gangrenous. That bad segment of intestine would be removed & the good intestines reconnected. ...Read more

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I had a septoplasty and turbinate reduction surgery, but I still get alternate nostril block entire day and night and the intensity of blockage keeps varying. What should I do?

I had a septoplasty and turbinate reduction surgery, but I still get alternate nostril block entire day and night and the intensity of blockage keeps varying. What should I do?

Evaluate allergies: It is quite normal for blockage to vary during the day due to the autonomic nervous system and change in vascular congestion from one side to the other. However for this to cause complete blockage following surgery requires a more thorough evaluation of your possible allergies as well as decongestants and steroid nasal sprays. Discuss with allergist or ent. W. ...Read more

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My father's heart rate is more than 70 but ECG report is showing some blockage even after 8 days of AVR Surgery. Does it still require pacemaker?

My father's heart rate is more than 70 but ECG report is showing some blockage even after 8 days of AVR Surgery. Does it still require pacemaker?

Blockages: It will depend on which blockage are found on EKG. Sometimes, after surgery some patients develop bundle branch blockages that might be considered normal but if they develop high grade blockages pacemaker might be needed. ...Read more

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I had 2 hydascans after gallbladder surgery for spasms in the bile duct, showed partial blockage probably SOD, 1 doctor said the test were a waste?

I had 2 hydascans after gallbladder surgery for spasms in the bile duct, showed partial blockage probably SOD, 1 doctor said the test were a waste?

Not a "waste": I disagree with the "waste" comment...It is important to determine if a residual stone is blocking the COMMON BILIARY DUCT which also drains your PANCREAS. If youy symptoms continue see a GASTROENTEROLOGIST!

Hope this helps

Dr Z ...Read more

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Is there ensurance of no heart attack after bypass surgery of heart for 80% blockage on all vessels?

Is there ensurance of no heart attack after bypass surgery of heart for 80% blockage on all vessels?

No: At one operation, we fix all we can.
Some people persist with the same high risk behaviors.
Future blockage can occur in the native arteries or the grafts.
No guarantee, but good results. ...Read more

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Bilateral asymmetric hydronephrosis. No blockage on CT or nuclear scan. Symptoms of prolapse, incontinence, slow flow. Doc wants UPJO surgery. Agree?

Bilateral asymmetric hydronephrosis. No blockage on CT or nuclear scan. Symptoms of prolapse, incontinence, slow flow. Doc wants UPJO surgery. Agree?

Depends on Uroflow: For my patients, whether I recommend UPJ valve surgery or not is dependent on the results of the UroFlow studies that I have all Urologists perform on patients with hydronephrosis (even if it's treated). Without knowing the UroFlow results (numbers), it's hard for me to guide you as to whether I agree or disagree with the Urologists' recommendation. Your symptoms suggest UPJO but not its severity. ...Read more

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I have nasal deviation but I don't feel any pain in my nose. One doctor told me that surgery is required but anothertold me that it is not needed. I'm also feeling some blockage in my ears. What should I do?

I have nasal deviation but I don't feel any pain in my nose. One doctor told me that surgery is required but anothertold me that it is not needed. I'm also feeling some blockage in my ears. What should I do?

Depends: I assume you meant nasal deviation. If there is obstruction in one of the nasal passages due to a deviated nasal septum then surgery will help. A good examination and a ct scan of the nose will help your doctor. ...Read more

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Just had emergency appendix surgery. It had blockage. How long does it take to heal with scope. He gave norco (hydrocodone and acetaminophen) 7mg 1-2 tabs can I take 2 at same time.

Just had emergency appendix surgery. It had blockage. How long does it take to heal with scope. He gave norco (hydrocodone and acetaminophen) 7mg 1-2 tabs can I take 2 at same time.

Give it time.: Emergent surgery is especially rapid, necessarily, so healing can take longer than you may expect. And, no, you really should not take more than 10mg Norco (hydrocodone and acetaminophen) at once. Two of those pills at the same time would be too much. ...Read more

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Had small bowel resection (5ft), colon blockage removed, appendectomy, and hernia repair done in emerg surgery. Tons of side effects 3months later. Help?

Had small bowel resection (5ft), colon blockage removed, appendectomy, and hernia repair done in emerg surgery. Tons of side effects 3months later. Help?

Side Effects: The answer to your questions depends on the side effects you are having. Small bowel resection can affect stool transit time as well as nutrient absorption. Adhesions from any abdominal procedure may be a source of discomfort for some. I suggest you speak to your primary care doc about your symptoms to identify the most likely source of your symptoms. From there you can make a plan. ...Read more

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I did 2 nasal surgeries to solve my nasal blockage but to no avail. My ENT told me it could be stress related. If so, can antidepressants help me? 10x

I did 2 nasal surgeries to solve my nasal blockage but to no avail. My ENT told me it could be stress related. If so, can antidepressants help me? 10x

See primary doctor: Have a discussion with your primary doctor about this. He might be able to better explain the results of the nasal surgery and ask the appropriate questions that might help you decide whether antidepressants or another therapy may help. Best wishes. ...Read more

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Experiencing pain in the extreme lower left quadrant. Laying flat = very light pain; standing, moving = hard pain. Recent colonoscopy and upper edg - nothing significant. Six gut surgeries - peritonitis, blockage, resection w/ resultant adhesions, etc

Experiencing pain in the extreme lower left quadrant. Laying flat = very light pain; standing, moving = hard pain. Recent colonoscopy and upper edg - nothing significant. Six gut surgeries - peritonitis, blockage, resection w/ resultant adhesions, etc

How does hernia feel: At the groin or inguinal area, a hernia can feel like a bulge with pain, that comes and goes. When the bulge/pain is there, it can be tender, and if you push on it, the bulge slips inside. Absent fever, severe pain, feeling sick, most hernias can be managed as an outpatient surgical procedure. Your prior history makes me want you to get evaluated sooner. ...Read more

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Is the surgery to remove carotid blockages very dangerous?

Is the surgery to remove carotid blockages very dangerous?

No: This surgery, when performed by experts, can be very safe. Surgical outcomes do depend on the experience of your surgeon. ...Read more

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Abi=0.6, surgeon says inoperable due to length of blockage & rec'd med & exercise, but he'll do surgery if it's worse. So confusing-why wait til worse?

Abi=0.6, surgeon says inoperable due to length of blockage & rec'd med & exercise, but he'll do surgery if it's worse. So confusing-why wait til worse?

Arterial Disease: The decision on whether to do surgery is typically based on the severity of the patient's symptoms rather than the length of the blockage. If significant pain in the leg / foot that is limiting quality of life (rest pain) or if ulcers / wounds / gangrene than would do surgery regardless of length of blockage. Abi of 0.6 at rest is significant. Consider a second opinion from a vascular surgeons. ...Read more

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I have some blockages in my carotid arteries and will probably have to have surgery. Is this a very dangerous operation?

I have some blockages in my carotid arteries and will probably have to have surgery. Is this a very dangerous operation?

Depends: This is a very routine operation that carries a low risk of stroke and death if done in an experienced center with a skilled surgical team. The risk of stroke and death should be less than 3 percent. ...Read more