Accidentally Cutting a Hernia Scar: What You Need to Know - Surgery

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Accidentally cut an old scar from a hernia?


Hello, Dr.
Hsu: About 15 years ago, I underwent traditional sutured surgery for an indirect inguinal hernia on my right side.
The surface was sutured with absorbable stitches, resulting in a scar approximately 10 cm long.
The end of the surgical scar is about 11 cm diagonally from my navel.
Near the end of my surgical scar, I often have a few body hairs pressing against the old scar, which happens to be in the area where my underwear waistband sits, causing some itching and discomfort.
Recently, while trimming the body hair with scissors, I accidentally nicked the scar slightly.
At that moment, there was a bit of pain, but later it seemed to be just a small area of broken skin (no bleeding), with a diameter of about 2-3 mm.
I'm just wondering if this could cause any issues, such as a recurrence of the surgery? Or is that highly unlikely? Since that area is right on the old surgical scar and I don't have much medical knowledge, I tend to worry more.
I would appreciate your professional guidance.
Thank you!

Sonic, 30~39 year old female. Ask Date: 2018/06/23

Dr. Xu Kaixi reply Surgery


Hello: The abrasion on the surface of the scar after hernia surgery will not affect the previous hernia repair.
It can be treated like a regular skin abrasion, and you can change the dressing daily.
Thank you for your question.

Reply Date: 2018/06/23

More Info


Hello! Thank you for your question regarding your experience with a hernia scar and the accidental cut you made while grooming. It’s understandable to be concerned about any injury to a surgical scar, especially one from a previous hernia repair. Let’s break down your situation and address your concerns.

First, it’s important to recognize that surgical scars, particularly from hernia repairs, can be sensitive and may have altered sensation due to nerve endings being affected during the surgery. The fact that you experienced a slight pain when you accidentally cut the scar is not uncommon. The skin in that area may be more sensitive due to the surgical procedure, and minor injuries can sometimes elicit a pain response.

Regarding the small area of broken skin (approximately 2-3 mm in diameter) that you described, this is likely a superficial abrasion. Since you mentioned that there was no bleeding, this is a good sign. Superficial abrasions typically heal well on their own, especially if they are kept clean and protected. Here are some steps you can take to care for the area:
1. Clean the Area: Gently wash the area with mild soap and water to prevent infection. Avoid using harsh chemicals or scrubbing the area too vigorously.

2. Keep it Dry: After cleaning, pat the area dry with a clean towel. Avoid applying any ointments unless advised by a healthcare professional.

3. Monitor for Signs of Infection: Keep an eye on the area for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it would be wise to consult a healthcare provider.

4. Avoid Irritation: Since the area is near your waistband, try to wear loose-fitting clothing to minimize irritation while it heals.

Now, regarding your concern about the possibility of this minor injury leading to a recurrence of the hernia, it is highly unlikely. Hernia recurrence typically occurs due to factors such as increased intra-abdominal pressure, improper healing of the tissue, or inadequate surgical repair. A small superficial cut on the skin does not affect the underlying structures or the integrity of the surgical repair itself. However, if you experience any unusual symptoms such as a bulge, increased pain, or changes in bowel habits, it would be prudent to seek medical advice.

Lastly, if you have ongoing concerns about the scar or if you notice any changes in the area over time, it’s always a good idea to follow up with your surgeon or a healthcare provider. They can provide a thorough examination and reassurance.

In summary, while it’s natural to worry about any injury to a surgical scar, a small superficial cut like the one you described is unlikely to cause significant issues. With proper care, it should heal without complications. If you have any further questions or if symptoms develop, don’t hesitate to reach out to a healthcare professional for personalized advice. Take care!

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