Postoperative symptoms
Hello Dr.
Chen, I underwent surgery on October 8th for the removal of a thigh tumor, and the incision is approximately 15 cm long.
I have a few questions:
1.
Is it normal to see a small amount of blood at the wound site when changing the dressing myself?
2.
The front 5 cm of the thigh wound is swollen, the middle 5 cm is indented, and the back 5 cm is swollen.
Is this normal? How long will it take to recover? Should I apply heat or do anything else to help improve this?
3.
I am trying to minimize walking to avoid the wound reopening, but this has led to poor blood circulation, and my calf has started to swell and hurt.
Should I elevate my leg, apply heat, or massage my calf?
4.
How long after surgery should I wait before riding a motorcycle? (I am concerned about pulling on the thigh wound.) Thank you!
anny, 30~39 year old female. Ask Date: 2020/10/10
Dr. Chen Jiaming reply Surgery
Since you have just undergone surgery, many clinical questions related to the original tumor and the surgical treatment method are best addressed by your primary surgeon, as they are more suited to your individual needs and cannot be answered by general guidelines.
It is common to have some blood-tinged fluid at the surgical site in the early postoperative period.
Unfortunately, I cannot provide further answers.
Reply Date: 2020/10/10
More Info
After undergoing tumor removal surgery, particularly in the thigh area, it is essential to understand the expected post-operative symptoms and the appropriate care needed for recovery. Here are the answers to your questions based on common medical knowledge and practices.
1. Minor Bleeding from the Wound: It is not uncommon to see a small amount of blood or drainage from the surgical site in the initial days following surgery. This can be due to the healing process and the formation of a scab. However, if the bleeding is significant or increases, it is crucial to contact your healthcare provider for further evaluation. Keeping the wound clean and dry is essential, and changing the dressing as instructed by your surgeon will help prevent infection.
2. Swelling and Irregularities in the Wound Area: Post-surgery, it is normal for the area around the incision to swell. The description of your wound—where the front and back are swollen, and the middle is depressed—could be indicative of normal healing, but it may also suggest fluid accumulation or hematoma formation. Typically, swelling can last for several days to weeks, depending on the extent of the surgery and your body’s healing response. Applying ice packs intermittently during the first 48 hours can help reduce swelling. Afterward, gentle heat may be applied to promote circulation and healing. If the swelling persists or worsens, or if you notice increased pain, redness, or warmth, you should consult your doctor.
3. Managing Circulation and Pain in the Lower Leg: It is vital to maintain good circulation post-surgery. If you are minimizing movement to avoid strain on the surgical site, it can lead to reduced blood flow to the lower extremities, resulting in swelling and discomfort. Elevating your leg can help reduce swelling and improve circulation. Gentle ankle pumps and foot movements can also promote blood flow. However, avoid any vigorous massage directly on the surgical site until cleared by your physician. If you experience significant pain or swelling, it is advisable to reach out to your healthcare provider.
4. Resuming Activities like Riding a Motorcycle: The timeline for returning to activities such as riding a motorcycle varies based on individual healing and the extent of the surgery. Generally, it is recommended to avoid activities that could strain the surgical site for at least 4 to 6 weeks. This allows adequate time for the incision to heal and reduces the risk of complications such as wound dehiscence (wound reopening). Always follow your surgeon's specific advice regarding activity restrictions, as they will provide guidance tailored to your situation.
In summary, while some post-operative symptoms like minor bleeding and swelling are normal, it is essential to monitor your recovery closely. If you have any concerns about your symptoms or if they worsen, do not hesitate to contact your healthcare provider. They can provide personalized advice and interventions to ensure a smooth recovery. Remember, patience is key during the healing process, and following your doctor's instructions will help you return to your normal activities safely.
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