Post-Surgery Itching After Fibroadenoma Removal: What to Expect - Surgery

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Itching of the skin after surgery for a fibroepithelial tumor?


Hello, I had surgery in mid-March to remove a fibroid adenoma, which is benign.
The doctor advised me to use silicone tape on the incision for six months.
However, recently the area around the tape has been itchy, and even after removing the tape, it continues to itch.
Additionally, there is a small hard area at the surgical site; is this normal? When will it go away?

Yuna, 20~29 year old female. Ask Date: 2016/04/28

Dr. Li Zhonghuai reply Surgery


Hello! It is possible that your skin is allergic to the beauty tape; you can switch to hypoallergenic tape and cut it to size yourself.
The hardness at the surgical site may be due to the absorbable sutures not being fully absorbed yet.
The absorption rate varies by individual.
If there is no pain, it should be fine, and over time, it will be absorbed.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/04/28

More Info


After undergoing surgery to remove a fibroadenoma, it is common to experience some post-operative symptoms, including itching and localized hardness at the surgical site. Let's break down your concerns and provide some insights based on medical knowledge.


Itching After Surgery
Itching around the surgical site, especially when covered with adhesive tape or a bandage, is a common phenomenon. This can occur for several reasons:
1. Healing Process: As the skin heals, nerve endings may become more sensitive, leading to sensations of itching. This is a normal part of the healing process as the body repairs itself.

2. Allergic Reaction: Some individuals may have a sensitivity or allergic reaction to the adhesive used in the tape. If the itching is severe or accompanied by a rash, it may be worth discussing with your doctor.

3. Moisture and Friction: The area under the tape can become moist, especially if sweat accumulates, which can also contribute to itching. Ensuring the area is kept clean and dry can help alleviate some discomfort.


Hardness at the Surgical Site
The presence of a small hard area at the surgical site is also quite common. This can be attributed to:
1. Scar Tissue Formation: After surgery, the body forms scar tissue as part of the healing process. This tissue can feel firmer than the surrounding skin and may take time to soften.

2. Fluid Accumulation: Sometimes, fluid can accumulate in the area, leading to a localized swelling that feels hard. This is known as a seroma and can resolve on its own over time.

3. Normal Healing: In many cases, the hardness will gradually diminish as the healing progresses. It can take several weeks to months for the area to return to its normal texture.


Timeline for Improvement
The timeline for improvement can vary significantly from person to person. Generally, you can expect the following:
- Itching: This may persist for a few weeks as the skin continues to heal. If it becomes bothersome, consider consulting your healthcare provider for recommendations on soothing creams or antihistamines.

- Hardness: The firmness at the surgical site may take several weeks to months to resolve. If it remains hard or if you notice any changes such as increased pain, redness, or discharge, it is essential to follow up with your surgeon.


Recommendations
1. Follow-Up: Keep your follow-up appointments with your surgeon to monitor your healing process. They can provide personalized advice based on your specific situation.

2. Care for the Surgical Site: Follow your doctor's instructions regarding wound care. If they advised using adhesive tape for six months, ensure you are applying it correctly and replacing it as needed.

3. Avoid Irritants: If you suspect an allergic reaction to the tape, consider discussing alternative options with your healthcare provider.

4. Monitor Symptoms: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, or discharge. If you experience these symptoms, seek medical attention promptly.

In conclusion, while itching and hardness at the surgical site after fibroadenoma removal can be concerning, they are often part of the normal healing process. However, if you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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