Post-Surgery Care for Shoulder and Neck Lipoma: What to Expect - Surgery

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Postoperative care for lipoma removal in the shoulder and neck area?


Hello Doctor, I had a lipoma removal surgery on my shoulder and neck on June 29.
After the surgery, the nurse instructed me to clean the wound with saline solution and apply ointment daily.
However, today, July 3, the area around the stitches is still slightly red and swollen, and I feel mild pain when I gently touch the gauze.
Is this normal? Do I need to return for a follow-up appointment immediately? Additionally, the weather has been hot and humid lately, and I have been sweating.
Will this affect the wound? Thank you for taking the time to respond.

L's, 20~29 year old female. Ask Date: 2017/07/03

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to return for a follow-up to check the wound.
Sweating is fine, but the most concerning issue is contact with tap water.
Take care! Changhua Hospital is here for you!

Reply Date: 2017/07/03

More Info


Post-surgery care for shoulder and neck lipoma removal is crucial for ensuring proper healing and minimizing complications. After your surgery on June 29, it is normal to experience some redness and mild swelling around the incision site, especially in the first few days post-operation. This is part of the body’s natural healing response. However, it is essential to monitor the symptoms closely.


What to Expect After Surgery
1. Pain and Discomfort: It is common to experience some pain and discomfort around the surgical site. This can be managed with over-the-counter pain relievers, as advised by your healthcare provider. If the pain worsens or becomes severe, it may indicate a complication.

2. Redness and Swelling: Mild redness and swelling are typical in the days following surgery. However, if the redness spreads or if you notice increased swelling, it could be a sign of infection.
3. Drainage: Some drainage from the incision site is normal, but it should be minimal. If you notice excessive drainage or a foul odor, you should contact your healthcare provider.

4. Stitches and Dressing: Follow your nurse's instructions regarding wound care, including cleaning the wound with saline and applying ointment. Ensure that the dressing is kept clean and dry. If the stitches are not dissolvable, they will need to be removed during a follow-up visit.


When to Seek Medical Attention
You should consider returning to your healthcare provider if you experience any of the following:
- Increased Redness or Swelling: If the redness around the incision increases or if swelling becomes significant, it could indicate an infection.

- Fever: A temperature above 100.4°F (38°C) may suggest an infection.

- Severe Pain: If the pain escalates and is not relieved by medication, it warrants further evaluation.

- Pus or Unusual Drainage: Any signs of pus or unusual drainage from the wound should be assessed by a healthcare professional.


Impact of Weather and Sweating
Regarding your concern about sweating due to the hot weather, excessive moisture can potentially affect the healing process. Sweat can introduce bacteria to the wound, increasing the risk of infection. Here are some tips to manage this:
- Keep the Area Dry: Try to keep the surgical site as dry as possible. If you sweat, gently pat the area dry with a clean towel.

- Avoid Soaking: Avoid soaking in baths or swimming pools until your doctor advises it is safe to do so. Showers are generally acceptable, but be cautious not to let water directly hit the incision.

- Wear Breathable Fabrics: Opt for loose-fitting, breathable clothing to minimize sweating and irritation around the surgical site.


Conclusion
In summary, while some redness and mild pain are normal after your shoulder and neck lipoma removal, it is essential to monitor your symptoms closely. If you notice any signs of infection or if your symptoms worsen, do not hesitate to reach out to your healthcare provider. Proper wound care and monitoring are vital for a smooth recovery. If you have any further questions or concerns, please feel free to reach out to your healthcare team for guidance.

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