Postoperative Wound Issues After Appendectomy
On the evening of November 9th, I underwent laparoscopic appendectomy.
After the surgery, the doctor did not place a drainage tube, and I was discharged to rest at home the next day.
Starting from the third day until now, the fifth day, I have been taking my medication normally.
However, the incision around my navel has changed and appears somewhat abnormal, becoming whitish on the third day.
I would like to ask if it is normal not to have a drainage tube placed after the surgery? Also, is it normal for the wound to turn white? Additionally, I have been experiencing significant abdominal bloating every night, making me feel nauseous.
Is this also normal? Thank you, doctor.
Xiao Le, 30~39 year old female. Ask Date: 2020/11/14
Dr. Xu Kaixi reply Surgery
After laparoscopic appendectomy for acute appendicitis, the decision to place a drain will depend on the intraoperative findings.
If the inflammation is not severe, a drain may not be necessary.
During the wound healing process, some white covering may be fibrous tissue, which can be monitored.
Abdominal bloating and nausea are abnormal symptoms, and it is recommended to return to the original treating hospital for evaluation and treatment.
Reply Date: 2020/11/14
More Info
After an appendectomy, it is common for patients to have concerns about their recovery, especially regarding wound healing and any discomfort they may experience. Based on your description, it seems you are experiencing some typical post-operative symptoms, but there are also some aspects that warrant further attention.
Firstly, regarding the absence of a drainage tube after your laparoscopic appendectomy, this is often a standard practice. Many surgeons do not place a drain if they believe that the risk of fluid accumulation is low, especially in laparoscopic procedures where the incisions are smaller and the surgical trauma is minimized. However, the decision to use a drain can depend on various factors, including the patient's overall health, the nature of the appendicitis, and the surgeon's preference. If your surgeon felt confident that there would be no significant fluid accumulation, it is likely that not placing a drain was appropriate in your case.
Now, concerning the appearance of your belly button wound, it is not uncommon for surgical wounds to change in appearance as they heal. A wound that appears white could indicate several things. It might be a sign of healing tissue, but it could also suggest the presence of infection or other complications, especially if accompanied by other symptoms such as increased redness, swelling, or discharge. If the wound continues to change or if you notice any concerning symptoms, it is crucial to contact your healthcare provider for an evaluation.
As for the abdominal bloating and discomfort you are experiencing, this can also be a normal part of recovery after abdominal surgery. The bloating may be due to a combination of factors, including the effects of anesthesia, the manipulation of your intestines during surgery, and changes in your diet post-surgery. It is not unusual for patients to experience gas and bloating, which can lead to feelings of nausea. However, if the bloating is severe or persistent, or if you are experiencing significant nausea or vomiting, it is essential to seek medical advice. These symptoms could indicate a complication such as an obstruction or an infection.
In summary, while some changes in your wound and symptoms like bloating can be normal after an appendectomy, it is vital to remain vigilant. If you notice any worsening of your symptoms, such as increased pain, fever, or changes in the wound's appearance, do not hesitate to reach out to your healthcare provider. They may want to assess your wound and overall recovery to ensure that everything is healing as expected.
In the meantime, ensure you are following your post-operative care instructions, including taking prescribed medications as directed, staying hydrated, and gradually returning to normal activities as tolerated. If you have any dietary restrictions or recommendations from your surgeon, be sure to adhere to those as well. Your recovery is important, and maintaining open communication with your healthcare team will help ensure a smooth healing process.
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