Post Surgical Infection

Post-surgical infection occurs when the pathogens get increased in the site of the surgical incision, causing infection. These are called surgical site infections (SSIs), and they occur within 30 days of surgery. They are of three types - 1) Superficial incisional SSI occurs in the area where the incision is made. 2) Deep incisional SSI occurs beneath the incision of the muscle or tissue. 3) Organ or space SSI occurs anywhere in the incisional area of the body other than the skin, muscle, or surrounding tissue. They cause fever, tenderness, and delayed healing with pain.

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Why do my mother's eyes appear red and swollen after undergoing cataract surgery a month ago?

Query: Hi doctor, My mother is 67 years old and underwent cataract surgery a month ago. The surgery went well, and she was on one month of home care. For a month, I administered all the drops as advised by the doctor. I took my mother to the doctor for a check-up one month after cataract surgery. A drop wa...  Read Full »

Dr. Asha Juliet Barboza

Answer: Hello, Welcome to I have seen your reports (attachments removed to protect the patient's identity), but unfortunately, the photo of the eyes is too blurry to appreciate. I can only note that the eyes look congested, but I cannot appreciate the blood clot that the doctor has said she h...  Read Full »

How long does it take for tissues to grow into the mesh after hernia surgery?

Query: Hi doctor, My questions are related to da Vinci bilateral hernia repair with mesh. How long does it take for the tissues to grow into the mesh ultimately? What is the time window for the rejection of the mesh after the surgery? What is the time window for developing an infection after the surgery...  Read Full »

Dr. Happykumar Kagathara

Answer: Hello,Welcome to surgery can be done with two approaches, open surgery or minimal access surgery. The minimal access approach includes either conventional laparoscopic surgery or robotic surgery. Healing allows fibrosis to occur in the surgery area, and the extent of fibrosis is d...  Read Full »

I had severe pain in my abdomen after surgery for my gallstone pancreatitis. Should I be concerned?

Query: Hi doctor, I had a severe episode of gallstone pancreatitis and had to stay in a hospital for 17 days. They removed my gallbladder laparoscopically, and after only a few hours of surgery, I started feeling severe pain in my abdomen just right above the belly button (only a small area), they did many...  Read Full »

Dr. Ruchi Sharma

Answer: Hi, Welcome to I hope you are doing good. So I went through the ultrasound images (attachment removed to protect the patient's identity) provided to me and have made the following observations. There is evidence of a hypoechoic (dark area on ultrasound) in periumbilical location (assu...  Read Full »

I have recurrent cholesteatoma because my surgeon did not remove the cotton balls after the surgery. Can I remove them from the eustachian orifice?

Query: Hello doctor, Generally, in cholesteatoma surgery, surgeons put a cotton ball in the eustachian orifice area while exploring the middle ear. It is usually taken out before packing the ear. However, in my case, the surgeon did not take the cotton ball out even after the procedure. As a result, I have...  Read Full »

Dr. Akshay B K

Answer: Hello, Welcome to I agree that a cotton plug is put in while exploring the middle ear, but it will be removed after the procedure. In your case, how did you get to know there is a cotton plug in the eustachian tube? Also, recurrent cholesteatoma might occur due to inadequate clearance d...  Read Full »

Is pus secretion from gallbladder bed after gallstone removal surgery a concerning issue?

Query: Hello doctor, My mother has undergone a gallstone and uterus removal surgery simultaneously. From the day of operation, she is having pus secretion from the gall bladder bed. What may be the possible reasons behind this?  Read Full »

Dr. Kumar Sonal

Answer: Hello, Welcome to Sorry to hear about your mother's complaints. Pus from the surgical site is worrisome. It may just be a surgical site infection, usually superficial and confined to the skin and it usually subsides with appropriate antibiotics. But since you have mentioned that the p...  Read Full »

My dad died of multiple organ dysfunctions after a Whipple procedure. What was the cause of his death?

Query: Hi doctor,This query is regarding my dad, who was diagnosed with obstructive jaundice last year. He was admitted to a hospital, and the doctor examined my dad and told us that they need to perform a Whipple procedure on my dad. We did not ask for a second opinion, and we let them go ahead with the...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to I have carefully gone through all your dad's reports (attachment removed to protect patient identity). First of all, I am sorry for your loss. I also feel saddened by your story as it could have been managed so much better. Consider it a help to just guide you regardi...  Read Full »

Why do I have persistent discomfort and abdominal pain even after undergoing ERCP for ampullary stricture due to SLE?

Query: Hello doctor, I am 24 years old. I was diagnosed with SLE ten years ago. I have stomach pain now. The MRCP showed a stricture at the ampulla, so ERCP and partial stricture dilatation were done. Still, l have discomfort. Now amylase and lipase levels are normal. I am taking enzyme supplements.  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq. com. I have reviewed your case history and attached investigations (attachments removed to protect the patient's identity). There were features suggestive of chronic pancreatitis and ampullary stricture dilated during the surgery. It is great that your current amylase an...  Read Full »

My legs look funny two weeks after Achilles surgery. Am I infected, or is this a cause for concern?

Query: Hi doctor,I had Achilles surgery three weeks ago. I went to the doctor one week out wound looked fine, then two weeks out, it looked funny. I have not done anything, and the doctors did not tell me why it looks this way. Am I infected, or is this a cause for concern? I got put on antibiotics and was...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your query and saw the images (attachment removed to protect patient identity) attached. The first week's picture looks normal. It is dry. In the second week's picture: What is that white thin coating layer? Is that antibiotic cream? The lower...  Read Full »

Why does my patient have persistent pus discharge despite being operated on for a right leg femur fracture?

Query: Hello doctor,I have a query regarding a patient who had a spinal cord injury. He also has an infection in his hip bone and was operated on for a right leg femur fracture a year ago. However, he still has pus discharge from the operated area. He is only taking vitamin supplements.   Read Full »

Dr. Pradeep Arun Kumar. L

Answer: Hello, Welcome to From the attached reports (attachments removed to protect the patient's identity), I can see that surgical intervention will not be possible as the patient is bedridden. The reason for persistent discharge of pus is an infection of the bone.  Read Full »

There is a white discharge and pain after my gall bladder surgery. Should I be concerned?

Query: Hi doctor,I underwent gallbladder surgery before 16 days. There is an white discharge and pain in the incised area. Should I be concerned about the infection?  Read Full »

Dr. Rajesh Jain

Answer: Hi, Welcome to According to your symptoms, it is cellulitis. 1. Clean the skin with Hydrogen peroxide. 2. Apply Betadine cream over the affected area. 3. Use a sterile bandage. 4. Eat capsule Clavam (Amoxicillin and Clavulanic acid) 625 mg twice daily for five days. Send follow-ups dail...  Read Full »

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