What should I know about abdominal surgery?

  1. Can I have surgery for fever?  Generally speaking, fever is not suitable for surgery, because fever is often a manifestation of cold or gastroenteritis, which is a decrease in the patient’s resistance, and surgery will aggravate the condition. However, if the patient’s disease itself will have a fever, such as acute appendicitis, acute cholecystitis, the fever will not go down without surgery, at this time is the need for timely surgery to remove the lesion.  2.After gallbladder removal, I heard that I will get colon cancer, is it true?  At present, this issue is still controversial and is still under research. Previous studies have found that the incidence of colon cancer in patients with gallbladder removal is more than two times higher than that in patients without surgery, indicating that gallbladder removal can cause colon cancer. However, some studies have also shown that gallbladder removal does not cause colon cancer. However, theoretically, after gallbladder removal, the composition of bile is changed, which will cause adverse irritation to the mucous membrane of the colon and there is a possibility of cancer. However, in actual life, this difference is negligible, so patients who have already had their gallbladders removed need not be too concerned, and those who need gallbladder removal surgery should still have active surgery. After surgery, colonoscopy can be performed regularly, usually once every 4 years, so that colon cancer can be detected early if it occurs.  3.My heart is not good, can I have surgery?  It depends on the function of the heart to what extent. Simply put, if you can climb up the stairs, you can basically tolerate the surgery. If you can’t even lie flat in bed, the risk of surgery is too great, and you can easily have heart problems or even die. If, recently, there is a myocardial infarction attack, it is best not to operate, the operation will be very dangerous.  4, chronic renal failure, can still do gallbladder surgery?  Kidney failure is less tolerant to surgery, mainly because of the poor excretion of anesthesia, which can easily cause accidents. In addition, the damage caused by the surgery, the toxic substances produced can not be excreted in time, resulting in body poisoning, that is, uremia. The good thing is that there are now means of dialysis to correct kidney function, and, cholecystectomy is relatively short, and generally tolerated, if this surgery must be needed. Be sure to be prepared for dialysis before the surgery.  5.A central venous catheter was placed in my neck after the surgery, what is it used for?  This is a neutral venous catheter and is mainly used for patients who need long term infusions. It is placed in the neck for easy care and does not interfere with arm and hand movement. It reduces patient pain by eliminating the need for daily needle sticks. This special catheter can be placed in the blood vessel for a long time, even up to six months, very safe.  6.Some people say that diabetic wounds do not grow easily after surgery, so do not operate, right?  Diabetes is a common disease nowadays, and these patients, if their blood sugar is not well controlled, will affect the body’s resistance and the growth of tissues, so if these patients have surgery, the incision will heal less well than normal people. However, with the progress of diabetes treatment, many patients’ blood sugar can be well controlled. Moreover, there are good and effective ways to control blood sugar during and after surgery, which can ensure that the patient’s blood sugar is kept at the right level, and at this time, it has little effect on the healing of the incision, and these patients can recover smoothly. Therefore, if the need for surgery, diabetic patients do not have to worry, there is generally no major problem.  7, what is the role of the lap band, when can not be used?  The lap band is similar to a girdle used by women to lose weight, by tightening the abdomen, can reduce the tension of the abdominal wound, reduce the pain of the incision, while facilitating wound healing. The lap band is generally used for surgeries with large incisions, or after abdominal wall incisional hernia surgery. Generally, the lap band can be removed after the wound is removed, but patients after incisional hernia surgery can use it for a longer period of time, such as 1 to 2 months after surgery. However, some patients are a little uncomfortable with the removal of the lap band, so it can be used for longer periods of time. There is no harm in using more.  8. Why can’t the T-tube be removed earlier after gallstone surgery?  This is because some patients with gallbladder stones also have stones in the bile duct. The stone in the bile duct needs to be removed by cutting the bile duct, then a rubber tube is put in, followed by suturing the bile duct and draining the bile through this tube so that the bile duct can heal smoothly. Generally speaking, this drainage tube can only be removed 2 weeks after surgery, because after 2 weeks, the tissue in the abdominal cavity can only wrap the drainage tube tightly, and after the tube is removed, the bile will not flow to other places in the abdominal cavity, but can only flow out of the body along the tube. After a few more days, the mouth will be completely grown.  9.Does the wound inflammation after surgery mean that the surgery is a failure?  It depends on what surgery was performed. Medically, surgery is divided into clean surgery and contaminated surgery. Clean surgery, such as thyroid surgery, hernia surgery, very few bacteria fall on the incision, so the possibility of inflammation of the incision after surgery is very small, less than 3%. Contaminated surgery, such as appendectomy, has a higher likelihood of inflammation and infection, sometimes up to 30%, because of the many bacteria that can easily fall on the incision from appendicitis. Of course, there are many reasons for the inflammation of the incision, such as poor resistance and unclean environment. Incisional infection is one of the most likely problems after surgery and is very common. It does not mean that the surgery has failed, but only that the recovery after surgery is not smooth, but it can be cured by changing medication.  10.Does the liver regenerate after a part of it is removed?  Liver resection is one of the common modern surgical methods. There is a requirement for the amount of liver removed, which means that the remaining liver after removal can meet the body’s requirements. The liver is a very regenerative organ. It is usually able to grow back to its original size 3 months to 6 months after the surgery.  11.What are the effects of spleen removal on the body?  The spleen is an important immune organ in the body. There are some cases where the spleen needs to be removed, such as spleen rupture, splenomegaly hypersplenism, and splenic tumors. The main effect of spleen removal is that the immune function is affected and infections can occur easily, sometimes severely, in the form of fulminant infections. In addition, the spleen is also responsible for the removal of poorly developed blood cells. After spleen removal, these poorly developed blood cells directly enter the bloodstream, causing a significant increase in the number of blood cells in the blood, which makes the blood thicker and prone to blood clots.