Concerns About Hernia Recurrence Nearly a Year Post-Surgery

It has been nearly a year since my hernia surgery, and I am worried about recurrence?

Last year, before the Lunar New Year, I underwent hernia surgery.
I have been resting well since then.
Recently, I have been experiencing a severe cough, and occasionally, there is some mild pain at the surgical site.
I feel that the area where the hernia was protruding before the surgery appears slightly uneven in height, but it's not very noticeable.
Could this be a normal occurrence after surgery, where the previously protruding area is slightly elevated, or could it indicate a recurrence of the hernia? Thank you.

Mr. Wu, 10~19 year old female. Ask Date: 2019/01/01

Dr. Du Mingyi reply Urology

It is usually acceptable for it to be slightly elevated as long as there is no obvious protrusion.

Reply Date: 2019/01/01

More Info

After undergoing hernia surgery, it is not uncommon for patients to experience some discomfort or pain in the surgical area, even several months or nearly a year post-operation. However, the concerns you have regarding the recurrence of your hernia are valid and should be addressed with careful consideration.

Firstly, it is important to understand that after hernia repair surgery, especially if it was done without a mesh, the body undergoes a healing process that can take several months. During this time, the tissues may still be sensitive, and some patients report sensations of tightness, discomfort, or even sharp pains as the body adjusts and heals. This is often due to the formation of scar tissue and the healing of the internal structures, which can sometimes lead to a feeling of tightness or discomfort in the area.

Regarding your specific concern about the area where the hernia was previously located appearing to be uneven or slightly raised, it is essential to differentiate between normal post-surgical changes and signs of a potential recurrence. After surgery, it is typical for the area to have some irregularities as the tissues heal. However, if you notice a significant bulge or if the area feels distinctly different than before, it could indicate a recurrence of the hernia.
Coughing, especially if severe, can increase intra-abdominal pressure, which may contribute to the risk of hernia recurrence. If you are experiencing persistent coughing, it is advisable to seek medical attention to address the underlying cause of the cough. Chronic coughing can indeed put stress on the surgical site and potentially lead to complications, including the risk of a hernia returning.

In terms of management, if you are experiencing pain or discomfort that is concerning you, it is crucial to consult with your surgeon or a healthcare provider. They may recommend imaging studies, such as an ultrasound or CT scan, to evaluate the surgical site and determine if there is any recurrence of the hernia or other complications.
Additionally, if you are feeling anxious about the possibility of a recurrence, discussing your concerns with your healthcare provider can provide reassurance and clarity. They can explain what signs to look for and when to seek further evaluation.
In summary, while some discomfort and changes in the surgical area can be normal after hernia repair, any significant changes, such as a noticeable bulge or persistent pain, should be evaluated by a healthcare professional. It is always better to err on the side of caution and seek a professional opinion to ensure that any potential issues are addressed promptly.

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