Doctor insights on:
Wedge Resection Ingrown Nail
Local / Topical: You may need to know that topical anesthetic is different with local anethetic. Topical anesthesia just numb the skin or mucosa and usually not a good choice for a wedge resection. You can use local anesthetic for resection, but it depends on the size of resection and other clinical consditions... ...Read more
VAT: Video aided thoracoscopy (vat) has greatly minimized pain in lung wedge resection. The lung is first deflated by in injecting air into the space between the lung and chest wall and the lung is deflated. A fiberoptic scope and instruments are then inserted between the ribs and the wedge resection is performed. Special staplers and instruments are used to seal the lung. Hurts less this way. ...Read more
1-2 weeks: Most people recover very quickly after a wedge resection. ...Read more
Reasonable: Surgical resection is the best option for lung cancer cure, if the cancer can be removed in its entirety. The amount of lung to be resected depends on the patients ability to tolerate the removal of a substantial amount of tissue. Breathing tests are performed prior to surgery to figure this out. Removal of a lung, lobe, segment, or wedge can all lead to cure. A lobe is preferred. ...Read more
Had lung surgery vats wedge resection result necrotizing granulomatous inflammation what does it mean?
Probably good: Hope you are well. With the limited information, sounds like 1. You had a surgeon versed/skilled in modern techniques and 2. The nodule/spot was not cancer. Causes of granuloma are numerous. Best to discuss path report with your surgeon to confirm diagnosis and implications. ...Read moreSee 1 more doctor answer
How can a pneumothorax occur at the apex of the lung after wedge resection? Chest tube still in place since 1/15/15.
Not healed: The pneumothorax refers to air within your pulmonary cavity, external to your lung. This occurs during surgery when the pulmonary cavity was opened up to resect a part of your lung. The chest tube under suction is an attempt to drain this air and fluid until everything is healed. It just suggests things are not completely healed yet. At some point, there are other options for intervention . ...Read more
2 primary pneumothoraxes had vats, left lobe wedge resection, mechanical & chemical pleurodesis + air-leak for 2 weeks a/ surgery. 8 weeks a/ surgery developed dry cough, ongoing for 12 weeks - help!
Wedge resection right lung 1/15/15. Still have chest tube in due to small air leak. Painful barking cough just started. What is it?
Nonspecific: Could be a normal reaction from the breathing tube you had during the surgery. Could also be an upper respiratory infection. Other than causing pain at the incision site, its probably not dangerous. Ask your doctor when he/she is making rounds, or at your next visit. Can try some cough suppressant in he mean time. Hope this helps! ...Read more
Tender: Well my personal experience is that it hurts during the anesthetic injection, but thereafter, there is mild discomfort for several days. Your activities need to be curtailed for several days, and you need to take care of the woud with antibiotic ointment. Sometimes there is a fungal infection that would require a longer course of oral antifungal medication. Good luck. ...Read moreSee 1 more doctor answer
Warmth: Warmth for 20 minutes 2-3 times a day can increase blood supply and allow the area to heal more quickly. However, if swelling into the finger occurs, seek assistance, as it may be infected. If warm water soaking, use Epsom salts to prevent the skin from having osmotic damage to the healthy tissue. A heating pad wrapped around the hand will work, just as well. Prevent with longer nails. ...Read moreSee 1 more doctor answer
In office procedure: This is generally an in office procedure. The toe is numbed with a local anesthetic and then special instruments are used to cut out the ingrown portion of the nail. Depending on the status of the ingrown nail (ie infected, chronic, etc) a permanent ablation of the cells that produce the nail to that side may be considered. ...Read moreSee 1 more doctor answer
See a podiatrist: Wear properly fitting shoes that don't compress your toes. Avoid cutting your nails too short, and cut your nails straight across. For recurrent ingrown nails or infections, a podiatrist can remove the portion of nail that is ingrown. This can be done as a permanent procedure that will eliminate any further problems with an ingrown nail. ...Read moreSee 1 more doctor answer
Pain, redness.: Redness and pain along the nail border, sometimes with drainage indicates an "ingrown toenail". If your ingrown nail is infected, you'll likely need antibiotics, and possibly a nail procedure. While waiting to see your doctor, soak the toe 10 min/day in luke warm water and epsom salts, use a small amount of topical antibiotic ointment, and cover with a bandaid. ...Read moreSee 1 more doctor answer
Removal...: ...Is the only permanent solution. Just the painful border can be removed, or the entire nail if necessary. After removal you can let the border grow out again, or your doctor can use a chemical to stop the nail from regrowing. If you're concerned, don't perform bathroom surgery on yourself. That can lead to an infected ingrown toenail, which could require antibiotics. ...Read moreSee 2 more doctor answers
Pain, redness.: Redness and pain along the nail border, sometimes with drainage indicates an ingrown toenail. If your ingrown nail is infected, you'll likely need antibiotics, and possibly a nail procedure. If you can't get in to see a doctor immediately, soak the toe 10 min/day in luke warm water and epsom salts, use a small amount of topical antibiotic ointment, and cover with a bandaid. ...Read moreSee 5 more doctor answers
Removal, antibiotics: If your ingrown nail is infected, you'll likely need antibiotics, and possibly a nail procedure. Just the painful border can be removed, or the entire nail if necessary (you're numbed up for this, don't worry!). While waiting to see your doctor, soak the toe 10 min/day in luke warm water and epsom salts, use a small amount of topical antibiotic ointment, and cover with a bandaid. ...Read moreSee 1 more doctor answer
I have white smelly powder that keeps reacurring under my toenails with ingrown nails. please help?
Fungus: Either you have fungus under nails or subtle infection( ingrown toenail). Fungus (mycotic nails) is very common, and sometimes very difficult to treat. An ingrown toenail is an inflamed skin adjacent to the nail, and then gets infected(usually painful, red +swollen). Treatment - soaking foot in warm ,soapy water. For fungus-some treatments work topically. Might need oral meds or Podiatry . ...Read more
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