Doctor insights on:
Surgical Construction Of Stoma Ostomy
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Re: macular hole - are there any alternative surgical procedures vs. the usual gas bubble surgical repair?
Not sure: I would certainly talk to the ophthalmologist. They do many procedures with lasers these days. ...Read more
Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?
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
Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.
Not typically.: Scar tissue/adhesions is a natural process that occurs as a result of any operation, no matter how skilled or novice a surgeon. It is a particular issue following surgery for thoracic outlet syndrome and can sometimes cause issues as bad or worse than the original reasons for having the surgery in the first place. Discuss with your surgeon on what steps can be taken to relieve your symptoms. ...Read moreSee 1 more doctor answer
Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
It depends: Depends on the operation. An ileostomy is usually placed in the right lower quadrant of the abdomen, but this can vary. A colostomy is typically formed in the left lower quadrant or right lower quadrant. Again, this can vary. Your surgeon should be able to tell you where a planned ostomy will be prior to surgery. It is important to meet with a stomal nurse before to optimize the location. ...Read more
Depends: The risk/benefit analysis will take into consideration the degree of prolapse and the future need/use of the uterus. Removal with hysterectomy is one of several options available. Okay to take friend/family with you to gyn surgery consult to help ask questions and understand your options. Be well. ...Read more
Easy overall: Generally, in young babies this is done with a snip in clinic under local anesthetic. In older babies and young children it is done in the operating room with anesthetic gas and a snip, possibly with melting sutures. In teens and adults, it can often be done in clinic with some numbing medicine and a snip. I'd put a few melting stitches as well. You can return to work right after. ...Read moreSee 1 more doctor answer
When can I return to work after surgery to repair tfcc tear and scapholunate tear? I work in the construction trades.
4-6 months: It takes 6 weeks for the tfcc repair to heal and the scapholunate ligament repair may take 8-12 weeks heal. After the repairs have healed and the immobilization has been discontinued, therapy is needed to restore range of motion and strenght. This may take another 8-12 weeks. Be patient, the overall results are good. Make sure your surgeon is a board certified orthopaedic hand surgeon. ...Read more