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Doctor insights on: Sphincteroplasty

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Sphincter of ode after gall bladder surgery?

Sphincter of ode after gall bladder surgery?

Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more

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Is Urethral Diverticulum surgery usually an outpatient procedure?

Is Urethral Diverticulum surgery usually an outpatient procedure?

Yes, it is outpatien: This surgery is considered ambulatory and patients go home the same day. Most of the time the catheter is left in place to drain the bladder and promote healing. This is removed in 3 to 5 days. The outcome is extremely good. ...Read more

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Recovery from laparoscopic ventral rectopexy surgery?

Recovery from laparoscopic ventral rectopexy surgery?

What: What about it? You mean recovery time form ventral hernia repair. About a week to two depending on size. ...Read more

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Gastroplasty doctors: what is revise stomach bowel fusion'?

Gastroplasty doctors: what is revise stomach bowel fusion'?

Passage adjestment: Small pouch of stomach made in 'gastric by pass' is attached to small intestine (rest of stomach left out ) in order to allow the food pas through , sometimes this is area is too narrow, or developed adhesions, or area is kinked requires correction (revision ). ...Read more

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Is transoral incisionless fundoplication safe?

Is transoral incisionless fundoplication safe?

Safer, but...: It's considered more safe than actual surgery, but there are still risks of things like bleeding and perforation. The major concern about transoral anti-reflux procedures is how effective they'll be for controlling reflux. This is still a bit unclear, but most feel that it's not going to work as well as the actual operations would. The decision is best made on a case by case basis. ...Read more

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Is laparoscopic nissen fundoplication similar to lap band?

No: A lap band is a device that wraps around the top of your stomach used to treat obesity. A fundoplication wraps the top of your stomach around itself to treat reflux. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. An incisionless option, tiff, is available 2. ...Read more

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Stress incontinence. Is tvt operation safe?

Stress incontinence. Is tvt operation safe?

Very: In the hands of an experienced doc go to augs.Org to find a doc you need someone whose done at least 60 of them i've done over 500 and some docs thousands 1/4th of the nurses in our surgery dept have gotten them they can tell u who to see. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read more

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Is diaphragmatic hernia surgery/diaphragm hole repair an outpatient surgery?

Is diaphragmatic hernia surgery/diaphragm hole repair an outpatient surgery?

Maybe: If you have a simple sliding hiatal hernia repaired laparoscopically you can frequently be discharged the same day. If you have a more complex paraesophageal or foramen of bochdalek hernia expect to be admitted to the hospital. ...Read more

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How successful is a laparoscopic myotomy and fundoplication for achalasia ?

How successful is a  laparoscopic myotomy and fundoplication for achalasia ?

Very: If you truly have achalasia a laparoscopic myotomy can provide improvement in your symptoms almost instantly. The long term satisfaction from the surgery is also very good. ...Read more

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Does endoscopic retrograde cholangiopancreatography work?

Does endoscopic retrograde cholangiopancreatography work?

Absolutely: An ERCP is a test used to diagnose obstructions of the bile duct system. Sometimes an ERCP can be used to dislodge a gallstone stuck in the main bile duct. Sometimes a stent can be placed via ERCP into the main bile duct to relieve pressure as in an obstructing cancer. Ercp is one of the truly amazing advances endoscopic medicine has allowed. ...Read more

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Can a general surgeon do the following procedure: endoscopic retrograde cholangiopancreatography (ercp)?

GI doctor: It is typically a gastroenterologist who does ercp's. It is pretty rare that a general surgeon will do an ercp. ...Read more

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What's a hernia nissen fundoplication, gastrostomy?

Foregut operation: A hiatal hernia is when the natural opening in the diaphragm enlarges to allow the stomach to migrate into the chest. If a large part of the stomach is involved, it is a para esophageal hernia. Repairing this involves closing the hole to the right size & wrapping the lower esophagus with the top of the stomach (nissen). A tube is placed in the stomach (gastrostomy) rarely in adults. ...Read more

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J pouch surgery recovery?

Depends: Depends on laparoscopic or open. Also depends if any peri-op complication. If all goes well, hospital stay can be from 3 to 7 days. Most pts are doing normal activity in 1-2 weeks but takes good 2-3 months to fully recover. ...Read more

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Can hemorrhoid surgery affect your sphincter muscle?

Can hemorrhoid surgery affect your sphincter muscle?

Recovery : During recovery from rectal hemorrhoid surgery it is okay for some bleeding. Hold pressure for 10 minutes while lying down. Sphincter dysfunction is a rare complication, usually temporary, but needs to be evaluated. Please call your surgery team. ...Read more

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Is incontinence permanent after spinal fushion surgery?

Not always: Urine leakage can occur after spinal surgery. The surgeon should be consulted. They may refer to a urologist or urogynecologist. ...Read more

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Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.

Right upper quadrant pain post gall bladder surgery.  Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.

Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...Read more

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How painful is membranous urethral stricture dilatation ?

How painful is membranous urethral stricture dilatation ?

Moderately painful: This most often done using local( Lidocaine) anesthesia in the office, The pain also depends on the severity of the stricture. If severe, an optical internal urethrotomy ( cutting the stricture using a cystoscope) may be done with general anesthesia ...Read more

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