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Doctor insights on: What Happens To A Fistula That Fails Will I Need Another Operation To Remove It

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What happens to a fistula that fails? Will I need another operation to remove it?

What happens to a fistula that fails? Will I need another operation to remove it?

Not usually: Please try not to let it fail. As an interventional radiologist, i open fistulas all the time. Have it checked if not working correctly. I don't want you to run out of access. ...Read more

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Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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My doctor wants to do a partial vaginectomy to remove a growth. What actually is this? Is this the best procedure to remove it.

My doctor wants to do a partial vaginectomy to remove a growth. What actually is this? Is this the best procedure to remove it.

Yes: If a growth looks suspicious on pelvic exam, biopsy followed by localized removal is not a difficult procedure. It can eliminate any primary tumor growth such as an early squamous cell lesion or even define, while rare, a metastatic lesion. Repair of the resulting defect is easy to perform as long as the lesion has not grown to penetrate the mucosal lining. ...Read more

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If you get surgery once and it doesn't work, is the surgeon obligated to give another surgery to fix it?

If you get surgery once and it doesn't work, is the surgeon obligated to give another surgery to fix it?

No: Although there is no obligation, most surgeons would want to fix a problem, however if the procedure did not work the first time, you might want to try a different procedure. ...Read more

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Is it possible to only get gas when you have a operation or can you request to have it when you need a needle to get the contraception implant removed?

Is it possible to only get gas when you have a operation or can you request to have it when you need a needle to get the contraception implant removed?

Maybe...: Norplant, Implanon, and Nexplanon implants are easily removed in the office. You could request to have it removed surgically using gas but that would be very expensive. Most insurance companies wouldn't pay the bill for something that could be done simply in the office. Best wishes! ...Read more

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I have a diastem of 3mm is it necessary to do frenectomy then brace to close it ?; or there is another way help me please i will do it next week :(

I have a diastem of 3mm is it necessary to do frenectomy then brace to close it ?; or there is another way help me please i will do it next week :(

See DDS/orthodontist: There are options for closing diastemas (space between teeth, specifically between upper central incisors,) A diastema of 3 mm is fairly large, and may be better suited to some type of bonding, veneers or crowns because orthodontics may not be able to move the teeth that much. I would get more than one personal opinion, with a dentist and an orthodontist. A lot also dpends upon your bite ...Read more

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How much does it hurt to get the packing removed from a pilonidal cyst without going to see a surgeon!?

How much does it hurt to get the packing removed from a pilonidal cyst without going to see a surgeon!?

Will have some pain: could be done but you have to check with your surgeon before removing it , also have to go back for follow up wound care ...Read more

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If I have an operation to remove an avm, what are the chances it will come back?

If I have an operation to remove an avm, what are the chances it will come back?

Depends: Depends on the size and also if it was completely excised. If not totally resected it can come back. ...Read more

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When is it a good time to go to the doctor if I have an ovarian cyst?

When is it a good time to go to the doctor if I have an ovarian cyst?

NOW !!!: So the gyn can tell u how big it is, and what kind and what your treatment options are and warning signs to call for. ...Read more

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What to do if I got my antibiotics to feel better. also whatever the endodontics does will it require down time or is it just a simple procedure?

What to do if I got my antibiotics to feel better. also whatever the endodontics does will it require down time or is it just a simple procedure?

Finish all: Antibiotics. A root canal should not be much different from getting a filling. During the procedure you should not feel anything. Sometimes there can be a flare up afterwards, but typically you will be given medication if the endodontist suspects it will be an issue. ...Read more

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What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. how easy or hard is the reversal procedure?

What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. how easy or hard is the reversal procedure?

Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more

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Can you please tell me how a doctor can tell from an xray if a solid lumbar fusion has occured? Does this need to happen before returning to work?

Can you please tell me how a doctor can tell from an xray if a solid lumbar fusion has occured? Does this need to happen before returning to work?

Yes and no: Bony fusion is seen by bone growth and fusion of the bones which can be seen on x-ray. This can be difficult if there is metal hardware present. CT scanning is better than plain x-ray. Again, hardware may get in the way. I am not a surgeon but in my experience, you don't need to see bony fusion in order to return to work. However, you need to consult with your surgeon. ...Read more

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Is it ok to repeat an operation just done after 4 days and do we need to double pay when it was the dr's fault to overlooked the bone to be removed?

Is it ok to repeat an operation just done after 4 days and do we need to double pay when it was the dr's fault to overlooked the bone to be removed?

Local issue: Sometimes operations need to be redone for many reasons, including errors. Sometimes the errors are avoidable, and other time they are not. The issue of payment is a local issue that should be worked out between the doctor and the patient/family. I'm sure you will be able to come to a fair resolution. Hope this helps! ...Read more

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What is the average time that hand tendonitis takes to be fixed? I know every case is different. What does a doctor do to fix it?

What is the average time that hand tendonitis takes to be fixed? I know every case is different. What does a doctor do to fix it?

Varies with type of: The tendon involved, severity, duration, whether its acute or chronic and the cause of it. He'll DX it and advise use of a particular type of splint or brace; prescribe nsaid's, p therapy. It might still take 6-12 weeks to heal completely, although even after improvement, the problem can recur. Some cases require surgery. ...Read more

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Hi, in a case where you find it difficult to swallow a capsule to cure an infection when there is no alternative, what do you suggest I do?

Hi, in a case where you find it difficult to swallow a capsule to cure an infection when there is no alternative, what do you suggest I do?

Make a liquid: In many instances, a compounding pharmacist can work with your physician in order to provide a liquid formulation. You should check in your local area to see if there is a compounder in your area. ...Read more

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What happens if I ever got into an accident which would lead to an amputation, will I be able to take that limb home?

What happens if I ever got into an accident which would lead to an amputation, will I be able to take that limb home?

Good question. ..: ..it would have 2 B sent 2 pathology first, after that I would assume U would have 2 have it released 2 a funeral parlor. Then state law may require it 2 B buried or cremated. I kno in the State of Wisconsin, only physicians R allowed to posses human body parts, even a skeleton if is human. I suppose a lawyer could help U better then an MD. ...Read more

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When pregnant, can you decide to have a c-section or is it up to your doctor?

When pregnant, can you decide to have a c-section or is it up to your doctor?

The American: College obgyn says you can have an elective c-section once you have been counselled about the pros and cons of elective csection vs labor, I do elective csections on my pts if they desire that once I have gone over everything with them and if your doc won't do that you have the option to transfer and if u do elective csection u usually schedule it for 39 weeks 1 week before u are due. ...Read more