Postoperative issues
Hello, I had surgery two weeks ago and my first follow-up appointment was four days after discharge.
At that time, the doctor said the wound was healing well and that it was just a minor surgery, so I could return to work after a few days of rest.
I asked if I could take a shower, and while the doctor didn't respond, the nurse mentioned that the wound was healing well and that I could shower, so I did so that day.
It's been two weeks since the surgery, and I haven't started working yet, but the wound still hurts, especially in the morning when I wake up.
Is this normal? The surgery I had was a single-port Da Vinci cholecystectomy, with a 2-3 cm incision near my belly button.
Jia, 30~39 year old female. Ask Date: 2016/05/02
Dr. Ke Fangxu reply Surgery
Minimally invasive surgery reduces pain significantly compared to traditional surgery; however, it does not eliminate pain entirely.
Mild discomfort within a month after the procedure is normal, and there is no need for excessive concern as long as there is no abdominal distension or jaundice.
Reply Date: 2016/05/02
More Info
After undergoing a Da Vinci cholecystectomy, it is not uncommon for patients to experience varying degrees of pain during the recovery period. Your concerns about persistent pain two weeks post-surgery are valid, and it’s essential to understand the typical recovery process and what might be considered normal versus what could warrant further investigation.
Firstly, the Da Vinci surgical system is a form of minimally invasive surgery that utilizes robotic technology to perform procedures with precision. While this method generally results in less postoperative pain compared to traditional open surgery, it does not eliminate pain entirely. The pain you are experiencing could be attributed to several factors:
1. Surgical Trauma: Even though the surgery is minimally invasive, the body still undergoes trauma during the procedure. The incision, although small, can cause localized pain as the tissues heal. It is normal for some discomfort to persist for weeks after surgery.
2. Gas Insufflation: During laparoscopic surgeries, carbon dioxide gas is often used to inflate the abdomen, allowing the surgeon better visibility and access to the surgical area. This gas can irritate the diaphragm and cause referred pain in the shoulder area or discomfort in the abdomen, which may last for a few days post-surgery.
3. Healing Process: The healing process varies from person to person. Some individuals may experience more pain due to their body’s response to surgery. It is common for pain to be more pronounced in the morning or after periods of inactivity, as stiffness can develop overnight or after sitting for extended periods.
4. Nerve Sensitivity: After surgery, nerves in the area may be sensitive as they heal, leading to discomfort. This sensitivity can manifest as sharp or aching pain around the incision site.
5. Infection or Complications: While less common, persistent pain could indicate an infection or other complications, such as bile leakage or hematoma formation. Signs of infection may include redness, swelling, warmth around the incision, or fever.
Regarding your specific situation, it is generally considered normal to experience some pain two weeks after a cholecystectomy, especially if the surgical site is still healing. However, if the pain is severe, worsening, or accompanied by other symptoms such as fever, chills, or changes in bowel habits, it is crucial to contact your healthcare provider promptly.
In terms of managing postoperative pain, here are some recommendations:
- Pain Management: Continue to take prescribed pain medications as directed. Over-the-counter pain relievers like acetaminophen or ibuprofen may also help, but consult your doctor before combining medications.
- Activity Modification: Gradually increase your activity level as tolerated. Avoid heavy lifting or strenuous activities until cleared by your surgeon.
- Follow-Up Care: Attend all scheduled follow-up appointments to monitor your recovery and address any concerns with your healthcare provider.
- Rest and Hydration: Ensure you are getting adequate rest and staying hydrated, as both are essential for recovery.
In conclusion, while some pain is expected after a Da Vinci cholecystectomy, it is essential to monitor your symptoms closely. If you have any doubts or if your pain escalates, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is a priority, and open communication with your medical team is key to ensuring a smooth healing process.
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