Any unwanted and unintentional effect or problem following a surgical procedure is termed a post-operative complication. They are of three types: immediate, early, and late. Immediate complications occur soon after the procedure, like bleeding, pain, fever, shock, lung collapse, etc. Early complications occur a day or two of the procedure like secondary bleeding, nausea, vomiting, urinary tract infection, etc. Late effects occur after days of the procedure, like infection, scarring, etc. Although significant attention and methods to prevent any complications are carried out by the physicians, some difficulties occur unavoidably.
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Even after doing colostomy, I had some rectal leakage. Should I be concerned?
Query: Hi doctor,Before three years, I had a colostomy. After that, I never had any problems. Last week, some feces leaked out of my rectum. I did not think much of it as I know that sometimes there could be a mucus discharge, although I never had it. Last night it happened again, but it was more and had a... Read Full »
Answer: Hi, Welcome to icliniq.com. 1. First of all, I would like to know the exact reason for making the colostomy. I am assuming it was because of transverse myelitis. Still if possible kindly mention the exact type of colostomy done. It would be documented in your hospital records. Else send a good ... Read Full »
How long do swelling and numbness last after mandible surgery?
Query: Hi doctor, I was having a bilateral fracture of mandible at angles on both sides and have done the surgery. After six weeks, there is slight swelling on one side and also numbness in the lower lip and a small portion of skin below the lower lip. How much time will it take to subside the swelling an... Read Full »
Answer: Hi, Welcome to icliniq.com. The post-operative swelling and numbness after mandible fracture surgery are common.The swelling is mild as you have mentioned. Then, it should resolve in another one to two weeks as the tissues heal.The numbness is because the mental nerve, which runs through the mandibl... Read Full »
How do Adderall and anesthesia interact?
Query: Hi doctor,My female friend, who is 28 years old, is on Adderall for ADD and scheduled for hip surgery. Should she stop Adderall before surgery? Is there adverse interaction with anesthesia and Adderall. She had a long-term (eight months) adverse reaction to general anesthesia after surgery on the ot... Read Full »
Answer: Hi, Welcome to icliniq.com. Your friend need not stop Adderall (combination of Amphetamine and Dextroamphetamine) to get anesthesia. Secondly, the only side effect that may happen is resistant hypotension due to catecholamines depletion. That can be taken care of by the anesthetist. ... Read Full »
I had a knee replacement after a car accident, and my D-dimer levels have never improved. Could it be due to a post-operative infection?
Query: Hi doctor,I encountered a motor vehicle accident one and a half years back. My right femur was broken above the knee. I had major surgery, including a knee replacement. I have never recovered. My D-dimer levels have been elevated for over a year now. I do not have a blood clot. Do you believe I have... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Let me explain to you about the D-dimer levels. Elevated plasma D-dimer indicates that coagulation has been activated, a fibrin clot has formed, and clot degradation by plasmin has occurred. There are many causes ... Read Full »
Why is there clicking sound post pectoral implant surgery with liposuction?
Query: Hello doctor, I am about four days postoperative from pectoral implant surgery with liposuction. Recovery is going well. No fever or unusual swelling, etc. I have what I feel to be a normal pain. My only concern is that sometimes (not always and not with same movements) I hear what sounds like a gur... Read Full »
Answer: Hello, Welcome to icliniq.com. What your surgeon has said is true. Few days postoperative may be until two weeks there will be slight crackling sound near and around the implant site. It is normal. The space created for the implant during surgery is what makes that sound. Nothing much to worry abo... Read Full »
How to manage sagging upper lip after frenectomy?
Query: Hi doctor, I have a gap in between my incisors. When I approached a dentist, he advised to go with frenectomy and then braces treatment. I had upper lip frenectomy three days back. Now, when I smile, I can notice the middle portion of my upper lip is sagging a little, and my incisors are not comple... Read Full »
Answer: Hi, Welcome to icliniq.com. It happens after frenectomy. A little sagging is normal as frenum pulls the lip upwards. The second thing is after minor surgery one has swelling and body reacts towards the trauma that is created by instrument or laser. To get rid of the problem you can put ge... Read Full »
My father has delayed wound healing after ostomy surgery. What to do?
Query: Hi doctor, My father is 84 years old and he has a history of GI blockage at the cecum due to surgery. He has delayed scarring due to recurrent blockage. Five feet of the small intestine was removed and reconnected with a stent. The major complication observed is delayed healing. His feces is leakin... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand the situation. Your father is going through a tough time in his life. It is always challenging to operate on this patient with such an age and it is always concerned about healing of the postoperative wound. I can figure out the information shared by yo... Read Full »
Am I at an increased risk for gastric bypass surgery complications?
Query: Hi doctor, I am advised to have a gastric bypass. I am worried about the anesthesia and surgical risk because I am a 79 year old married male. I am obese with 265 lbs weight and 5'11" height. I am a diabetic, but it is under control with insulin. I also have emphysema. I use Spiriva daily and wear a... Read Full »
Answer: Hi, Welcome to icliniq.com. Regarding your query, you are definitely having a high risk of postoperative complications after surgery. You cannot eliminate your comorbidities, but can only optimize them. Do not stop any medication on your own as it may cause unnecessary delay in the procedure. Please... Read Full »
How long can I expect the shoulder pain to last after rotator cuff repair?
Query: Hello doctor, I had arthroscopy surgery of my right shoulder approximately five weeks ago. The surgeon repaired a rotator cuff tear, labrum tear, released one bicep tendon and did not reattach it, and subacromial decompression. The pain is still intense, and I am taking Oxycodone. I just started pas... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, arthroscopic shoulder rotator cuff repairs can be quite a difficult task post-operatively especially, after the physiotherapy is started. The pain and stiffness usually get better after a month of starting physiotherapy. So, rest after surgery combined with physiot... Read Full »
My friend got vocal cord problem after neck surgery. Which doctor should we follow now?
Query: Hello doctor, My friend is 30 years old. She had a neck schwannoma tumor, and that was completely removed by surgery. Post surgery, my friend could not eat or drink anything. Her voice was hoarse as well. ENT doctor followed up her and noted that her right vocal chord was paralyzed, but not the lef... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi,Welcome to icliniq.com.The issue here is that you have not been explained preoperatively well about the possible differentials of that tumor in the neck and I would not say that your doctors are at fault because the situation and the case scenario was like that.Preoperatively, from all the inves... Read Full »