Post-Surgery Pain and Complications from Hernia Repair

Hernia issues?

Hello, Doctor.
A year ago, I was diagnosed with a hernia and required surgery, resulting in a roughly 3 cm incision in the right groin area.
During the procedure, a mesh was placed, and sutures were used.
However, within a year post-surgery, I have been experiencing pain about 2-3 cm above the incision site, which also feels slightly swollen.
I have returned for follow-up visits twice, and on both occasions, the doctor prescribed anti-inflammatory medication.
I inquired about the pain and swelling above the incision site, and the doctor mentioned that it is unrelated to the hernia.

I would like to ask the doctor:
1.
What could be the cause of this issue, and which specialist should I consult for further evaluation?
2.
Due to my job, I often have to lift heavy objects, but I try to be cautious.
However, I am concerned about the risk of recurrence.
Are there any supportive devices, like a hernia belt, that I can wear for protection?

Mr. Hong, 30~39 year old female. Ask Date: 2017/04/27

Dr. Li Zhonghuai reply Surgery

Hello! It is indeed unrelated to hernias.
Traditional surgical wounds are generally larger, and the superficial nerves will gradually heal.
As for the swelling you mentioned, it can only be assessed in person.
There are specialized abdominal binders available for hernias.
Take care! Changhua Hospital cares about you!

Reply Date: 2017/04/27

More Info

Post-surgery pain and complications, particularly after hernia repair, can be a complex issue that often requires careful evaluation and management. Based on your description, it seems you are experiencing persistent pain and a sensation of swelling in the area above your surgical site, which is concerning and warrants further investigation.

1. Possible Causes of Pain: The pain you are experiencing could be attributed to several factors. One possibility is nerve irritation or damage that can occur during surgery, leading to chronic pain in the area. This is often referred to as post-surgical neuropathic pain. Another potential cause could be the formation of scar tissue or adhesions, which can develop after surgery and may cause discomfort or a feeling of tightness in the surrounding tissues. Additionally, the sensation of swelling could indicate a seroma (a pocket of fluid) or hematoma (a collection of blood) that has formed post-operatively. It’s also important to consider the possibility of a recurrence of the hernia, although you mentioned that your doctors have indicated this is not the case.

2. Consulting the Right Specialist: Given your symptoms, it would be advisable to follow up with a surgeon who specializes in hernia repairs or a general surgeon. When making your appointment, you can explain your symptoms and express your concerns about the ongoing pain and any swelling. It may also be beneficial to consult with a pain management specialist if the pain persists, as they can provide additional strategies for managing chronic pain.

3. Protective Measures: Regarding your concern about lifting heavy objects and the potential for recurrence, wearing a supportive abdominal binder or a hernia support garment can provide additional support to the abdominal wall during activities. These garments can help distribute pressure evenly and may reduce the risk of strain on the surgical site. However, it’s essential to ensure that any support garment is fitted correctly to avoid discomfort or additional complications.

4. Monitoring Symptoms: It’s crucial to monitor your symptoms closely. If you notice any changes, such as increased pain, swelling, or any new symptoms, you should seek medical attention promptly. Keeping a record of your symptoms, including when they occur and any activities that exacerbate them, can be helpful for your healthcare provider in diagnosing the issue.

5. Post-Surgical Care: After hernia surgery, it is common to experience some discomfort as the body heals. However, if the pain is persistent and affecting your quality of life, it is essential to address it. Your healthcare provider may recommend physical therapy to strengthen the surrounding muscles and improve flexibility, which can help alleviate some of the discomfort.

In summary, while some post-surgical pain can be expected, persistent pain and swelling should be evaluated further. Consulting with the appropriate specialist, considering protective measures, and monitoring your symptoms are critical steps in managing your post-surgery experience effectively. Always communicate openly with your healthcare providers about your concerns and symptoms to ensure you receive the best possible care.

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