Audrey C. Durrant

Possible recurrence is a complication on all my surgical consents, however the actual incidence of recurrence is low but always a possibility. The risk is different for each patient and is dependent on a combination of factors such as the size and duration of inguinal defect, the use of mesh and patient factors such as their BMI, if they smoke or if they are non-compliant with post-op restrictions.

The majority of right sided colon polyps are removed via endoscopic muscosal resection by gastroenterologist via a colonoscope. This is less invasive as there is no abdominal incision. The polyps are removed with a snare and the site marked so that if that polyp comes back with evidence of high grade dysplasia and evidence of invasion you might be referred to a general surgeon for a full thickness colon resection.

Adult inguinal hernias are due to a weakness of the abdominal floor. So until repair avoid activities that involve heavy lifting or straining of the abdominal muscles. This include straining with constipation so a high fiber diet and stool softeners are also recommended.

Rectal prolapse is the protrusion of all layers of the rectum through the anus, it is a disorder of the pelvic floor and typically occurs in older women. The risk factors are older age, multi- parity, chronic constipation and cystic fibrosis. In office it can be induced by having the patient bear down as to simulate defecation as most patient will give a history of manually reducing the anal protrusion. Surgery is either via a trans abdominal procedure or via perineal procedure. The perineal procedure can be can be performed without general anesthesia and has less pain but has a higher recurrence rate. The redundant rectum is prolapsed and a full thickness circumferential incision is made and a hand sewn colo-anal connection is with made with non-absorbable suture.
The abdominal procedure involves mobilizing the rectum, resecting a portion of the distal colon (if necessary ) and then fixation of the rectum to the tailbone either with mesh or non-absorbable suture (rectopexy).
Early ambulation and eating is encouraged with both procedures. And an aggressive bowel regimen to avoid constipation and excessive straining is utilized, with most patients going back to normal activity in four to six weeks. Heavy left and staining of abdominal and perineal muscles is to avoided for a few months post op to allow for full healing.
You will need to discuss with your surgeon which procedure is best for you.

Recovery from uncomplicated hernia surgery is multi-factorial: it will depend on the size of the defect, whether it is performed with a tissue or mesh repair, whether it is one sided or bilateral. Time to maximal healing is 6 weeks so give yourself at least that much time to back to your regular activities.

Management of a wound infection involves opening the wound, draining any contained purulent fluid and debridement of any necrotic or devitalized tissued. Antibiotics are only need if there is a deep space infection that cannot be drained or there are signs of a systemic infection such as fever, and or elevated white blood cell count. I would also use antibiotics if there is implanted material in the site of infection (mesh, graft) that cannot be removed. Otherwise antibiotics are unnecessary and may do more harm.

Pain is subjective; during surgery you will be under general anesthesia and after surgery most pain should be controlled with non-narcotic pain medication.

The treatment is to remove the stitches, clean the wound and leave the skin open. The wound will then heal by secondary intention.

An abdominal lipoma can be removed depending on its location and size. The real question is do you need surgery? Will the benefit of surgery outweigh the risk? Just because it can be done does not mean it should be done - this is a conversation to have with your surgeon.

A back hernia - usually refers to a herniated vertebral disc. The spine is a stack of bones one on top of the other; between the stacks are small rubbery discs If the disc tears - center slips out: this is the herniated disc. This can push on associated nerves causing pain, numbness or weakness.
Can surgery fix this: Yes, but it is rarely necessary.

Everyone recovers from anesthesia differently - it depends on your age and underlying medical conditions. As with many things it is better to be young and healthy anything else moves slower.

There is risk to any invasive procedure, but you need to trust your team.
Board certified anesthesiologist are medical doctors and have completed have postgraduate residency training that can take anywhere from 4 to 9 years depending on if they specialize. I hate to admit it but I couldn't do my job well if we did not have a bond. If you trust your surgeon, then trust your anesthesiologist, be as frank with them with your concern as I hope you are with your surgeon.

There is risk to any invasive procedure, but you need to trust your team.
Board certified anesthesiologist are medical doctors and have completed have postgraduate residency training that can take anywhere from 4 to 9 years depending on if they specialize. I hate to admit it but I couldn't do my job well if we did not have a bond. If you trust your surgeon, then trust your anesthesiologist, be as frank with them with your concern as I hope you are with your surgeon.

Flip answer is did you have a normal life before your colon resection? But the devil is in the details: why are you having a colon resection? Was it for cancer or diverticulitis? How much is being removed? Will you need a colostomy and then is another surgery planned ? We all took the Hippocratic Oath, so I cannot image you are having your colon removed without reason? If it was for pain or cancer obviously your life will be improved - whatever happens after that is in your hands and nothing can stop you but you.

There is risk to any invasive procedure, but you need to trust your team.
Board certified anesthesiologist are medical doctors and have completed have postgraduate residency training that can take anywhere from 4 to 9 years depending on if they specialize. I hate to admit it but I couldn't do my job well if we did not have a bond. If you trust your surgeon, then trust your anesthesiologist, be as frank with them with your concerns as I hope you are with your surgeon.

An simple uncomplicated colon biopsy should be an outpatient procedure in a patient with a virgin abdomen.

Unfortunately, there are no guarantees, but by removing the thumb became gangrenous because blood vessels were not health enough to bring blood to that distal part of your fathers body. No blood no life, the dead tissue can then be colonized by parasitic bacteria and become septic - that is the real risk. By removing any connection, you decrease the risk of localized infection becoming generalized.

There is risk to any invasive procedure, but you need to trust your team.
Board certified anesthesiologist are medical doctors and have completed have postgraduate residency training that can take anywhere from 4 to 9 years depending on if they specialize. I hate to admit it but I couldn't do my job well if we did not have a bond. If you trust your surgeon, then trust your anesthesiologist, be as frank with them with your concern as I hope you are with your surgeon.

Gallstones are common but not all gallstones require intervention. Most gallstones remain without symptoms and are an incidental finding on abdominal imaging. Only 15-25 % of patient with gallstones require surgery.
So yes, surgery is the only way to remove gallstones which is done by removing the gallbladder (a cholecystectomy) but that surgery is only recommended for symptomatic gallstone disease.

Local anesthesia has a short duration of action, the most pain is the injection. I give EMLA cream (topical lidocaine) that I place on the area and wait 45-60 minutes for it to take effect. However if you put it on too early it will be gone from the local site. The only preparation is to talk with your surgeon.