Post-Surgery Concerns: Is It Normal for Incisions to Be Stitched Together? - Obstetrics and Gynecology

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I would like to inquire about postoperative outcomes?


The laparoscopic surgery incision next to the navel being stitched together with the navel— is this normal? Another question is, for minimally invasive surgeries like this, aren't there many new types of absorbable sutures or less unsightly methods available? It looks as unattractive as when we had interns at the hospital stitching one needle at a time in the past.
These were not mentioned by the physician beforehand, and I find it hard to accept.
Please take some time to respond, thank you.

Shaoqing, 40~49 year old female. Ask Date: 2018/01/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The laparoscopic incision near the navel is stitched together with the navel.
Is this normal? Another question is, for minimally invasive surgeries, aren't there many new types of absorbable sutures or less unsightly methods available? It looks as unattractive as when we used to have interns at the hospital each stitch one needle.
These were not mentioned by the physician beforehand, and I find it hard to accept.
Answer: Your concerns are suitable for discussion at the Society of Minimally Invasive Surgery.

Reply Date: 2018/01/20

More Info


It is understandable to have concerns about the appearance and healing of surgical incisions, especially after laparoscopic surgery. When incisions are made during laparoscopic procedures, they are typically small, and the goal is to minimize scarring and promote quicker recovery. It is not uncommon for incisions made near the belly button to be stitched together, especially if the procedure involved the removal of tissue or organs through that area. This technique can help in achieving a more aesthetically pleasing result, as the belly button can often disguise the scar.

Regarding your concern about the stitching technique used, it is important to note that there are various methods and materials available for closing incisions. Surgeons often choose the method based on the specific circumstances of the surgery, the type of tissue involved, and the expected healing process. While absorbable sutures are commonly used in many surgeries, there are situations where non-absorbable sutures or staples may be more appropriate, depending on the surgeon's judgment and the nature of the incision.
If the appearance of the stitches is causing you distress, it is crucial to communicate your concerns with your surgeon. They can provide you with information about the type of sutures used, the expected healing process, and any potential for scarring. Additionally, they can discuss options for scar management post-surgery, which may include topical treatments or procedures to improve the appearance of scars over time.

It is also worth mentioning that the healing process varies from person to person. Factors such as individual skin type, age, and overall health can influence how well incisions heal and how noticeable scars become. Following post-operative care instructions, such as keeping the area clean and avoiding excessive strain on the incision, can significantly impact the healing outcome.

If you feel that the surgical outcome does not meet your expectations or if you have concerns about the surgical technique used, it is perfectly acceptable to seek a second opinion from another qualified surgeon. They can provide you with additional insights and options for addressing any issues related to your surgery.

In summary, it is normal for incisions from laparoscopic surgery to be stitched together, and the choice of suturing technique can vary based on the surgeon's assessment. Open communication with your healthcare provider is essential to address any concerns you may have and to ensure that you are comfortable with the surgical process and its outcomes. Remember, your well-being and peace of mind are important aspects of your recovery journey.

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