Post-appendectomy
Hello, doctor.
It has been two weeks since my laparoscopic appendectomy, and I feel a hard area when I press above my navel.
Is this normal? Thank you.
Ms. Wu, 30~39 year old female. Ask Date: 2019/02/25
Dr. Li Qinglong reply Surgery
Hello Ms.
Wu: Regarding the issue you raised, if there is no infection, it should be scar tissue under the wound.
However, it is advisable to return to your original surgeon for a follow-up consultation.
Thank you.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.
Reply Date: 2019/02/25
More Info
After an appendectomy, especially a laparoscopic one, it is not uncommon to experience some degree of hardness or firmness in the abdominal area, including above the belly button. This can be attributed to several factors related to the surgical procedure and the body's healing process.
1. Post-Surgical Healing: After any surgical procedure, the body goes through a healing phase. This includes the formation of scar tissue and the natural inflammatory response. The hardness you are feeling could be a result of swelling or the formation of scar tissue in the area where the surgery was performed. This is a normal part of the healing process and should gradually improve over time.
2. Inflammation: Following surgery, it is typical for the body to react with inflammation, which can lead to localized swelling and firmness. This inflammation is part of the body's natural response to injury and should subside as healing progresses.
3. Fluid Accumulation: Sometimes, fluid can accumulate in the abdominal cavity post-surgery, leading to a feeling of firmness or hardness. This is known as seroma, which is a collection of fluid that can occur in the space left by the surgical incision. While seromas can be concerning, they often resolve on their own without the need for intervention.
4. Muscle Tension: After surgery, patients may unconsciously tense their abdominal muscles, especially if they are experiencing discomfort or are cautious about moving. This tension can also contribute to a feeling of hardness in the area.
5. When to Seek Medical Attention: While some hardness is normal, you should monitor for other symptoms that may indicate a problem. If you experience increased pain, redness, warmth, or discharge from the incision site, or if you develop a fever, these could be signs of infection or complications, and you should contact your healthcare provider immediately.
6. Recovery Timeline: Generally, after laparoscopic appendectomy, patients can expect to feel significant improvement within a few weeks. However, complete healing can take several weeks to months, depending on individual factors such as overall health, age, and adherence to post-operative care instructions.
7. Follow-Up Care: It is essential to attend any scheduled follow-up appointments with your surgeon. They can assess your healing progress and address any concerns you may have. If the hardness persists or worsens, further evaluation may be necessary to rule out complications.
In summary, feeling hardness above the belly button two weeks after an appendectomy can be a normal part of the healing process. However, it is crucial to remain vigilant for any signs of complications and to maintain open communication with your healthcare provider regarding your recovery. If you have any concerns or if the hardness does not improve, do not hesitate to reach out for further evaluation.
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