Post-Appendectomy Recovery: Pain, Swelling, and Rehabilitation Tips

Post-operative issues after appendectomy?

I had minimally invasive appendectomy last week and had my stitches removed 2-3 days ago.
However, I feel some pain when walking, especially if the wound area is pulled, and it hurts even more when sitting down.
Is this normal? Also, the wound seems to be a bit swollen.
Is this situation normal? What rehabilitation or methods can I use to reduce swelling and alleviate pain while walking?

Xiao Miao, 20~29 year old female. Ask Date: 2016/12/20

Dr. Xu Kaixi reply Surgery

Hello, regarding two weeks post-surgery, these symptoms are considered normal.
However, if they persist without improvement or worsen, it is necessary to visit the hospital for an examination.

Reply Date: 2016/12/20

More Info

After undergoing laparoscopic appendectomy, it is not uncommon to experience some pain and swelling around the surgical site during the recovery period. The discomfort you are feeling, especially when walking or sitting, can be attributed to several factors related to the healing process.
Firstly, it is important to understand that after any surgical procedure, including an appendectomy, the body goes through a natural healing process. This involves inflammation, which can cause swelling and tenderness around the incision site. The pain you are experiencing may be due to the stretching of the tissues as you move, which is normal as your body adjusts and heals.
Typically, after laparoscopic surgery, patients may experience mild to moderate pain for a few days to a week post-operation. This pain can be managed with over-the-counter pain relievers such as acetaminophen or ibuprofen, as recommended by your healthcare provider. If the pain is severe or worsening, it is crucial to consult your doctor to rule out any complications such as infection or internal bleeding.

Regarding the swelling, it is also a common occurrence following surgery. The body’s inflammatory response can lead to localized swelling, which may take some time to subside. Keeping the surgical area clean and dry, as well as following your surgeon's post-operative care instructions, is essential for proper healing.

To aid in your recovery and reduce swelling and pain, consider the following rehabilitation tips:
1. Rest and Activity Modification: While it is important to gradually increase your activity level, be sure to listen to your body. Avoid strenuous activities and heavy lifting for at least a few weeks post-surgery. Gentle walking can help promote circulation and prevent stiffness.

2. Ice Therapy: Applying ice packs to the swollen area for 15-20 minutes several times a day can help reduce swelling and numb the pain. Be sure to wrap the ice pack in a cloth to protect your skin.

3. Compression Garments: If recommended by your doctor, wearing a compression garment can help minimize swelling and provide support to the abdominal area.

4. Gentle Stretching and Exercises: Once your doctor gives you the green light, gentle stretching and mobility exercises can help improve flexibility and reduce stiffness. Focus on deep breathing exercises and gentle movements that do not strain your abdominal muscles.

5. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your body’s healing process. Foods rich in vitamins C and E, zinc, and protein can promote tissue repair.

6. Follow-Up Appointments: Keep all scheduled follow-up appointments with your healthcare provider to monitor your recovery progress. If you notice any signs of infection (increased redness, warmth, pus, or fever), contact your doctor immediately.

In summary, while some pain and swelling after laparoscopic appendectomy are normal, it is essential to monitor your symptoms and follow your healthcare provider's recommendations. If your pain persists or worsens, or if you have concerns about your recovery, do not hesitate to reach out to your doctor for further evaluation and guidance. Your recovery is important, and taking proactive steps can help ensure a smooth healing process.

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