https://seriousmd.com/doc/agomez

Dr. Adrian Patrick P. Gomez, Cagayan de Oro (2026)

26/10/2026

WHO IS A CANDIDATE FOR MINIMALLY INVASIVE SURGERY? 🩺

Not every surgery requires a large incision. With minimally invasive surgery, certain conditions can be treated using specialized instruments and small incisions, potentially resulting in less postoperative pain, smaller scars, and faster recovery.

But is it right for you?

✅ Patients with Certain Surgical Conditions
People with conditions such as gallstones, appendicitis, or some types of hernias may be candidates for minimally invasive procedures.

✅ Patients Who May Benefit From Smaller Incisions
Depending on the procedure, smaller incisions may help reduce wound-related complications and improve recovery.

✅ Patients Whose Condition Can Be Safely Treated Using This Approach
The suitability of minimally invasive surgery depends on the location and severity of the condition, as well as the patient's overall health.

✅ Patients Who Meet the Necessary Medical Requirements
Your surgeon will evaluate your medical history, previous operations, and other health conditions to determine the safest approach.

23/10/2026

WHAT IS ADRENALECTOMY? 🩺

Did you know that problems with your adrenal glands may sometimes require surgery?

An adrenalectomy is a surgical procedure to remove one or both adrenal glands. These small glands sit on top of each kidney and produce hormones that help regulate blood pressure, metabolism, and the body's response to stress.

When is adrenalectomy needed?

A surgeon may recommend this procedure for certain conditions, such as:

🔹 Adrenal tumors – Growths that may produce excess hormones or have suspicious features.

🔹 Hormonal imbalances – Conditions causing excessive production of hormones, such as cortisol or aldosterone.

🔹 Suspected adrenal cancer – Tumors that require surgical treatment.

How is adrenalectomy performed?

Depending on the patient's condition, the operation may be performed through minimally invasive surgery using small incisions or through open surgery when necessary.

The best approach depends on the size and nature of the tumor, the patient's health, and the surgeon's assessment.

Remember: Not every adrenal mass requires surgery. Proper evaluation and diagnostic tests help determine the most appropriate treatment.

If you have been diagnosed with an adrenal gland condition, consult a qualified surgeon to understand your treatment options.

20/10/2026

WHAT SHOULD YOU EAT AFTER SURGERY? 🥗🍲

Your recovery doesn't end in the operating room. The right nutrition can help your body heal, rebuild strength, and recover after surgery.

Here are some foods to include in your recovery diet:

🥚 Protein-rich foods – Eggs, fish, chicken, tofu, and beans help repair tissues and support wound healing.

🥦 Fruits and vegetables – Papaya, oranges, leafy greens, and other colorful produce provide vitamins and minerals that support recovery.

🍚 Healthy sources of energy – Rice, oatmeal, potatoes, and whole grains provide energy as your body heals.

💧 Stay hydrated – Drink enough water unless your doctor has advised you to limit fluids.

🌾 Fiber-rich foods – Fruits, vegetables, oats, and whole grains may help prevent constipation, especially after surgery or while taking certain pain medications.

Remember: Your diet after surgery depends on the type of operation you had. Some patients may need to start with liquids and gradually progress to solid foods, while others can resume eating sooner.

Always follow your surgeon's dietary instructions, particularly after abdominal or gastrointestinal surgery.

Your recovery starts with proper care and nutrition!

17/10/2026

🩺 RECOVERY TIME AFTER APPENDICITIS SURGERY

How Fast Can You Recover?
Been diagnosed with appendicitis and wondering how soon you can get back to your normal routine? Your recovery depends on the type of surgery performed and whether the appendix has ruptured.

⏳ HOW LONG DOES RECOVERY TAKE?
🔹 Laparoscopic Appendectomy
Performed through small incisions using a camera and specialized instruments. Many patients return to light activities within a few days to 1–2 weeks, depending on their recovery.

🔹 Open Appendectomy
Uses a larger incision. Recovery may take around 2–4 weeks or longer, depending on the complexity of the operation.

🔹 Complicated Appendicitis
If the appendix has ruptured or infection has spread, recovery may take longer and may require additional treatment or a longer hospital stay.

💙 TIPS FOR A SMOOTHER RECOVERY
✔️ Follow your surgeon's instructions.
✔️ Walk gently as advised to help you regain strength.
✔️ Keep your incision clean and dry according to your discharge instructions.
✔️ Avoid heavy lifting and strenuous activities until cleared by your surgeon.
✔️ Eat and drink as tolerated, following your medical advice.
✔️ Attend your scheduled follow-up appointments.

14/10/2026

🚨 NOT ALL ABDOMINAL PAIN IS “JUST GAS.”

Know When Your Stomach Pain Needs Medical Attention.

Feeling bloated or experiencing stomach pain can sometimes be caused by gas or indigestion. But did you know that abdominal pain can also be a sign of a condition that requires medical attention?

Don't ignore persistent, severe, or unusual abdominal pain.

🔎 WHAT COULD BE CAUSING YOUR ABDOMINAL PAIN?

🔹 Appendicitis – Pain that may begin near the belly button and move to the lower right abdomen.

🔹 Gallstones – Pain in the upper right abdomen, sometimes after eating, that may spread to the back or right shoulder.

🔹 Hernia – Pain or discomfort associated with a bulge in the abdomen or groin.

🔹 Bowel Obstruction – Abdominal pain with swelling, vomiting, and difficulty passing stool or gas.

🔹 Peptic Ulcer Disease – Burning or gnawing pain in the upper abdomen.

🔹 Other Abdominal Conditions – Infections, inflammation, and other digestive problems can also cause abdominal pain.

⚠️ WHEN SHOULD YOU BE CONCERNED?

Seek urgent medical attention if you experience:

❗ Sudden or severe abdominal pain
❗ Pain that continues to worsen
❗ Persistent vomiting or a swollen abdomen
❗ Fever accompanied by abdominal pain
❗ Blood in your stool or vomit
❗ Inability to pass stool or gas, especially with pain and vomiting

🩺 LISTEN TO YOUR BODY. DON'T IGNORE THE SIGNS.

The cause of abdominal pain cannot always be identified by symptoms alone. A proper medical evaluation helps determine whether you need medication, further testing, or surgical treatment.

11/10/2026

🚨 WHEN DO YOU NEED GALLSTONE SURGERY?
Know the Signs. Don't Ignore the Pain.

Gallstones are hardened deposits that form inside the gallbladder. While some people have no symptoms, others may experience painful attacks and complications that require medical treatment.

⚠️ SIGNS YOU MAY NEED GALLSTONE SURGERY

🔹 Recurring Abdominal Pain – Pain in the upper right abdomen or upper middle abdomen, sometimes after eating.

🔹 Pain That Spreads – Discomfort that may extend to your back or right shoulder.

🔹 Nausea and Vomiting – Especially during painful gallbladder attacks.

🔹 Gallbladder Inflammation – A condition called acute cholecystitis that may require urgent treatment.

🔹 Complications From Gallstones – Stones that block the bile duct or cause pancreatitis may need prompt medical attention.

🩺 WHAT IS THE TREATMENT?

For symptomatic gallstones, your surgeon may recommend cholecystectomy, the surgical removal of the gallbladder.

When appropriate, this can be performed through laparoscopic surgery, which uses small incisions and a camera. However, the right approach depends on your condition and individual medical assessment.

🚨 WHEN SHOULD YOU SEEK URGENT CARE?

Seek immediate medical attention if you experience severe or persistent abdominal pain, fever or chills, yellowing of the skin or eyes, or repeated vomiting.

Don't let recurring abdominal pain go unchecked. Early evaluation can help identify gallstones and prevent complications.

08/10/2026

🔎 WHAT IS A LIPOMA?

That Soft Lump Under Your Skin May Be a Lipoma.
A lipoma is a common, usually harmless growth made up of fat cells. It typically develops just beneath the skin and can appear on the arms, shoulders, back, thighs, or other areas of the body.

HOW CAN YOU RECOGNIZE A LIPOMA?
A lipoma is often:
🔹 Soft or rubbery to the touch
🔹 Movable under the skin
🔹 Slow-growing
🔹 Usually painless
🔹 Located just beneath the skin

⚠️ WHEN SHOULD YOU HAVE A LUMP CHECKED?
Not every lump is a lipoma. Any new or changing lump should be properly evaluated, especially if it:

• Grows quickly
• Becomes painful
• Feels hard or fixed
• Changes in appearance
• Causes pressure or discomfort

A surgeon may perform a physical examination and, when necessary, request imaging or other tests to determine what the lump is.

DOES A LIPOMA NEED TO BE REMOVED?

Not always. If a lipoma is confirmed and isn't causing problems, observation may be appropriate. Surgical removal may be considered if it is growing, painful, causing discomfort, or bothersome to the patient.

Don't ignore a lump. Know what you're dealing with.

04/10/2026

🚨 KNOW THE TYPES OF HERNIA

That Lump or Bulge May Need Medical Attention

A hernia occurs when an internal organ or tissue pushes through a weak area in the surrounding muscle or connective tissue. It can happen in different parts of the body—and some hernias may require surgery.

🔹 1. INGUINAL HERNIA

The most common type of hernia, occurring in the groin when tissue pushes through a weak area in the abdominal wall.

🔹 2. FEMORAL HERNIA

Occurs in the upper thigh or groin area, more commonly affecting women. Although less common, it can have a higher risk of complications.

🔹 3. UMBILICAL HERNIA

Develops around the belly button when tissue pushes through a weakened area of the abdominal wall.

🔹 4. INCISIONAL HERNIA

Can develop at the site of a previous surgical incision when the abdominal wall becomes weakened after surgery.

🔹 5. EPIGASTRIC HERNIA

Occurs in the upper middle portion of the abdomen, between the breastbone and belly button.

⚠️ WHEN SHOULD YOU SEE A SURGEON?

Watch for:
• A noticeable lump or bulge
• Pain or discomfort, especially when coughing, lifting, or straining
• A bulge that becomes larger over time
• Persistent abdominal or groin discomfort

🚨 Seek urgent medical attention if a hernia becomes suddenly painful, firm, discolored, or cannot be pushed back in, especially if accompanied by vomiting or severe abdominal pain.

YOUR HERNIA DESERVES THE RIGHT EVALUATION.

Treatment depends on the type, size, symptoms, and overall health of the patient. Some hernias may be repaired using minimally invasive techniques when appropriate.

02/10/2026

What is an A**l Fistula?

An a**l fistula is an abnormal tunnel that forms between the inside of the a**s or re**um and the skin around the a**s. It most commonly develops after an a**l abscess (a pocket of infection) drains but does not completely heal.

Common signs and symptoms
Persistent or recurrent pain around the a**s
Swelling or a small opening near the a**s
Pus or foul-smelling drainage
Skin irritation or itching
Recurrent a**l abscesses
Sometimes, bleeding or discomfort during bowel movements
Why does it happen?

The most common cause is an infected a**l gland that develops into an abscess. After the abscess drains, a tract may remain between the infected area and the skin, forming a fistula.

Other conditions, including Crohn's disease, previous surgery, trauma, or certain infections, can also cause a**l fistulas.

Does an a**l fistula go away on its own?

Usually, an established a**l fistula does not heal on its own. Treatment depends on the location and complexity of the fistula and its relationship to the a**l sphincter. Surgical treatment may be recommended to eliminate the fistula while protecting bowel-control function.

⚠️ If you have persistent drainage, recurrent swelling, or pain around the a**s, consult a surgeon for proper evaluation.

27/09/2026

🔬 WHAT IS SINGLE-INCISION LAPAROSCOPIC SURGERY?

Imagine having a laparoscopic procedure performed through just one small incision.

Single-Incision Laparoscopic Surgery (SILS) is a minimally invasive surgical technique where the surgeon performs the procedure using specialized instruments and a camera inserted through a single incision, commonly made around the belly button.

HOW DOES IT WORK?

Instead of making several small incisions, the surgeon uses one access point to introduce the laparoscope and surgical instruments.

🔹 One incision — commonly near the belly button
🔹 Small camera — provides a magnified view of the surgical area
🔹 Specialized instruments — allow the surgeon to perform the procedure
🔹 Minimally invasive approach — designed to reduce the size and number of incisions

POTENTIAL BENEFITS
For appropriately selected patients, SILS may provide:

✔️ Fewer skin incisions
✔️ Less visible scarring in some cases
✔️ Minimally invasive access
✔️ Recovery that may be comparable to conventional laparoscopic surgery

However, SILS is not appropriate for every patient or every surgical procedure. The best approach depends on your condition, anatomy, medical history, and the complexity of the operation.

Dr. Adrian Patrick P. Gomez

26/10/2026

23/10/2026

20/10/2026

17/10/2026

14/10/2026

11/10/2026

08/10/2026

04/10/2026

02/10/2026

27/09/2026

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