Post-Surgery Discomfort: Groin Pain After Hernia Repair - Surgery

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Postoperative care for hernia surgery?


Hello, Dr.
Hsu.
Four years ago, I underwent surgery on my left inguinal region.
Currently, I am experiencing slight internal discomfort just below the surgical site.
The pain is very mild and does not increase with pressure.
It feels the same whether I am sitting, lying down, or standing.
The appearance of the surgical site is normal, and there are no unusual protrusions.
This discomfort has persisted for three weeks.
What conditions could cause this phenomenon? What examinations are necessary? Thank you!

DAVID, 50~59 year old female. Ask Date: 2019/04/18

Dr. Xu Kaixi reply Surgery


Based on your description, it seems more like neuropathic pain; if accompanied by symptoms of infection such as redness, swelling, heat, and pain, it is advisable to visit a clinic for examination and treatment.

Reply Date: 2019/04/18

More Info


Post-surgery discomfort, particularly in the groin area following hernia repair, is a common concern among patients. It’s important to understand that while some level of discomfort can be expected after surgery, persistent or unusual pain warrants further investigation.

In your case, experiencing a mild, internal pressure-like pain three weeks after surgery is not uncommon. This discomfort can arise from several factors, including:
1. Healing Process: After any surgical procedure, the body undergoes a healing process that can involve inflammation and the formation of scar tissue. This can lead to sensations of tightness or pressure in the area, which may feel like a dull ache.

2. Nerve Sensitivity: Surgical procedures can sometimes irritate or damage nearby nerves, leading to sensations of discomfort or pain. This is often described as neuropathic pain and can manifest as a tingling, burning, or pressure-like sensation.

3. Muscle Strain: If you have resumed normal activities, including lifting or straining, it’s possible that you may have strained the muscles around the surgical site. This can lead to localized discomfort that may feel different from the pain associated with the hernia itself.

4. Infection or Complications: Although you mentioned that there are no visible abnormalities or protrusions at the surgical site, it’s still important to rule out any potential complications such as infection or seroma (a pocket of fluid that can develop after surgery). These conditions can sometimes present with mild discomfort.

5. Recurrence of Hernia: While you noted that there is no visible bulging at the surgical site, it’s still essential to consider the possibility of a hernia recurrence, especially if the pain persists or worsens.
Given these possibilities, it would be prudent to consult with your surgeon or a healthcare provider for a thorough evaluation. They may recommend the following:
- Physical Examination: A detailed physical examination can help assess the surgical site and identify any abnormalities or signs of complications.

- Imaging Studies: Depending on the findings from the physical examination, your doctor may suggest imaging studies such as an ultrasound or CT scan to evaluate the internal structures and ensure there are no complications like fluid collections or hernia recurrence.

- Pain Management: If the discomfort is determined to be part of the normal healing process, your doctor may recommend pain management strategies, including over-the-counter pain relievers or physical therapy to strengthen the surrounding muscles and improve recovery.

In conclusion, while mild discomfort can be a normal part of the recovery process after hernia repair, persistent or unusual pain should not be ignored. It’s essential to communicate your symptoms to your healthcare provider, who can guide you through the necessary evaluations and ensure that your recovery proceeds smoothly. Remember, every individual’s healing process is unique, and addressing your concerns early can help prevent further complications.

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