Post-Operative Concerns After Inguinal Hernia Surgery: What to Expect - Surgery

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Postoperative Issues After Hernia Surgery


Hello, doctor.
I had inguinal hernia surgery last week, and after the procedure, the doctor applied a cosmetic adhesive to the wound and covered it with gauze.
Now, about five days post-surgery, the wound is not fully healed and is slightly oozing blood.
It hurts when I walk; is this normal? There is a bit of dried blood at the wound site, and I can't clean it very well with saline solution.
Will this affect wound healing? Should I just clean it daily with saline solution and iodine solution?

ZA, 10~19 year old female. Ask Date: 2016/10/12

Dr. Li Zhonghuai reply Surgery


Hello! When changing the dressing, it is essential to perform a completely sterile procedure.
Use 20cc of saline solution, and use one bottle each time.
Try to express any blood or serous fluid using a cotton swab, and avoid contact with tap water, as it may cause additional pain for a few weeks.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/10/12

More Info


After undergoing inguinal hernia surgery, it is common for patients to have concerns about their recovery process and what to expect in the days following the procedure. Here are some insights regarding your post-operative experience, particularly focusing on wound healing, pain management, and care.


Normal Post-Operative Symptoms
1. Wound Healing: It is not unusual for surgical wounds to ooze a small amount of blood or fluid in the first few days after surgery. By the fifth day post-operation, some drainage can still occur, especially if the wound is healing. However, if the drainage is excessive or has a foul odor, it could indicate an infection, and you should contact your healthcare provider.

2. Pain Management: Experiencing pain while walking is also a common symptom after inguinal hernia surgery. The surgical site may be tender, and the surrounding tissues may be inflamed as part of the healing process. Pain levels can vary from person to person, but if the pain is severe or worsening, it is advisable to consult your doctor.

3. Blood and Clots: The presence of a small amount of dried blood or clots at the wound site is generally not a cause for concern, especially if it is minimal. However, it is essential to keep the area clean to prevent infection.


Wound Care Recommendations
1. Cleaning the Wound: Using saline solution and antiseptic (like Betadine) to clean the wound is a standard practice. It is crucial to follow your surgeon's specific instructions regarding wound care. Generally, you should clean the area gently to avoid disrupting the healing tissue. If the dried blood is difficult to remove, avoid scrubbing the area harshly, as this can cause irritation or damage to the healing skin.

2. Dressing Changes: If your doctor has advised you to cover the wound with a sterile dressing, ensure you change it as recommended. If the dressing becomes wet or soiled, it should be changed to maintain cleanliness and promote healing.

3. Signs of Infection: Monitor the wound for signs of infection, which may include increased redness, swelling, warmth, or discharge that is yellow or green. If you notice any of these symptoms, or if you develop a fever, seek medical attention promptly.


When to Seek Medical Attention
- If the pain becomes unbearable or does not improve with over-the-counter pain relief.

- If you notice significant swelling or redness around the wound.

- If the wound begins to drain a large amount of fluid or has a foul smell.

- If you experience fever or chills, which could indicate an infection.


Conclusion
In summary, while some pain and minor drainage are normal after inguinal hernia surgery, it is essential to monitor your symptoms closely. Proper wound care, including gentle cleaning and dressing changes, will aid in your recovery. If you have any concerns about your healing process or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is important, and addressing any issues early can help ensure a smoother healing process.

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