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General Surgery/metal stitches came loose after whipple surgery

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gastro pic 1
gastro pic 1  

gastro pic 2
gastro pic 2  
hi there,im very worried.i had a whipple surgery for pancreatic cancer 3yrs ago,was doing pretty good i seemed to think.i had endeoscopys both up and down.i was woken very unproffesional i thought as i have been sedated lots of times going through lots of procedures.i was told by the gastro doc that i had metal stitches and mesh coming loose and needed surgicaly removed or repaired,and have my surgeon check it out.i left the pics and ct scan with his nurse,his staff called and told me to go to the hosp.after 2 days he said thats suppose to look like that.i am skeptical because now it burns and hurts in my abdomen.maybe the scope/camera had caught on the reattatchment stitches/mesh.i have had to take pain meds since the operation but is hurting way worse and in a different location now.i will send the pics and hopefully you can shed some light of what you think of this mess.thank you RANDY.

Answer
Dear Randy,

Having worked in the department of surgery, I have a certain respect for the procedures, the surgeon's reasoning and the patient's perception. After 3 years, the anastomoses that was surgically performed has healed. The mesh and staples may be separating and may detach. Provided they do not cause any complication, they are better left alone. They are no longer needed to keep the anastomoses together and rarely cause complications. Opening your abdomen has a higher possibility of causing complications than not.  

General Surgery

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED

Experience

My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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