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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling Of Leg And Knees After Radical Cystectomy Surgery?

Hello dr, My mother got a swelling on left leg and knees pain since yesterday evening.she under gone radical cystectomy surgery on 1st of october 2014 and discharged on 10th.after that we r following doctor prescriptions and no issues faced.yesterday we went to hospital for removing stitches tat time pain and swelling was not there.it was 2 hour journey from my home to hospital.doctor not available today and tomorrow.pls suggest for this case. Regards, Ravi.P
Wed, 7 Jun 2017
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Unilateral limb edema with narrated data suggests more likely in relation to prolong dependency in a single position or compression at the certain angle with a compromised venous return.

Suggest as following:
• Keep that leg elevated over 3 to 4 pillows when resting
• Avoid prolong sitting in leg hanging position
• Keep the toes moving in rhythmic exercise pattern to and fro
• Watch for any signs of fever, redness over the leg or knee
• Maintain hydration with plenty of liquids, watch for urine output
• Give tab Tylenol

If possible get a total WBC count and serum creatinine report done and consult your doctor for further management as she may require a Doppler ultrasound of the affected limb as well after clinical evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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What Causes Swelling Of Leg And Knees After Radical Cystectomy Surgery?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unilateral limb edema with narrated data suggests more likely in relation to prolong dependency in a single position or compression at the certain angle with a compromised venous return. Suggest as following: • Keep that leg elevated over 3 to 4 pillows when resting • Avoid prolong sitting in leg hanging position • Keep the toes moving in rhythmic exercise pattern to and fro • Watch for any signs of fever, redness over the leg or knee • Maintain hydration with plenty of liquids, watch for urine output • Give tab Tylenol If possible get a total WBC count and serum creatinine report done and consult your doctor for further management as she may require a Doppler ultrasound of the affected limb as well after clinical evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel