Post-Hernia Surgery: Hard Lump Near Incision

Hernia surgery wound lump?

Hello Doctor, I had hernia surgery three weeks ago and a synthetic mesh was used.
Recently, I have noticed a hard protruding lump near the incision site.
It doesn't hurt most of the time, but it does hurt when pressed.
Is this normal? How long will it take to disappear? Please let me know.
Thank you.

yu, 20~29 year old female. Ask Date: 2018/08/10

Dr. Chen Jiaming reply Surgery

The artificial mesh used in hernia repair interacts with surrounding tissues to create a reinforcing effect on the abdominal wall, reducing the chances of recurrence.
Generally, its position is deeper and not easily accessible.
Based on your description of a hard protruding lump at the wound site, there are several possibilities, such as hypertrophic scarring (keloid), suture rejection (foreign body reaction), or the formation of small cyst-like lesions due to follicular embedding after incision.
It is recommended to return for a clinical examination by a physician for accurate diagnosis and appropriate advice.

Reply Date: 2018/08/10

More Info

After undergoing hernia surgery, particularly with the use of a mesh implant, it is not uncommon to experience some changes in the area around the incision site. The presence of a hard lump near the incision can be concerning, but it is important to understand the context and typical healing process following such a procedure.

Firstly, the hard lump you are feeling is likely a result of the healing process. After surgery, the body goes through a series of stages to repair the tissue that was cut or altered. This includes inflammation, tissue formation, and remodeling. During the initial healing phase, it is normal for the area around the incision to feel firm or hard. This is often due to scar tissue formation, which can create a palpable lump. The mesh itself can also contribute to this sensation, as it may cause some localized inflammation or irritation as the body adjusts to its presence.

In terms of pain, it is also common to experience some discomfort around the incision site, especially when pressure is applied. If the pain is mild and only occurs when you touch the area, it may not be a cause for concern. However, if you experience increasing pain, redness, swelling, or any signs of infection (such as fever), it is crucial to seek medical attention promptly.

As for the duration of these symptoms, the hard lump and any associated discomfort can take several weeks to months to resolve completely. The timeline can vary significantly from person to person, depending on factors such as the extent of the surgery, individual healing rates, and overall health. Generally, most patients notice a gradual decrease in hardness and discomfort over time, with many reporting significant improvement within three to six months post-surgery.

It is essential to follow up with your surgeon or healthcare provider for a thorough evaluation, especially if you have concerns about the lump or if your symptoms change. They may recommend imaging studies, such as an ultrasound, to assess the area further and ensure that there are no complications, such as a seroma (a pocket of fluid) or an infection.

In summary, while the hard lump near your incision site after hernia surgery can be a normal part of the healing process, it is important to monitor your symptoms closely. If you have any doubts or if your condition worsens, do not hesitate to reach out to your healthcare provider for guidance and reassurance. They can provide you with the best advice tailored to your specific situation and help ensure a smooth recovery.

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