Post-Laparoscopic Surgery Concerns After Corpus Luteum Rupture

Laparoscopic surgery for ruptured corpus luteum?

Hello Doctor,
Last week on December 8th, I experienced a ruptured corpus luteum after having intercourse with my partner.
That night, I went to the emergency room, and on the night of the 9th, I underwent laparoscopic surgery.
After the surgery, I had no discomfort and was discharged on the 12th.
I returned for a follow-up appointment on the 14th to have my stitches removed.
On the 15th, while taking a shower, I noticed that the breathable tape had come off, so I thought I would replace it with a new one.
However, I discovered that the left side of the incision seemed to be open (the right side has already healed), but there is no pain.

Over the past two days, on the 16th and 17th, I have experienced significant abdominal pain at times, and I also have occasional lower back pain above my belly button.
I have been quite anxious and worried that the surgery may not have been done properly or that I might need to undergo another surgery (the doctor said it was okay to shower).
I also had out-of-pocket expenses for adhesion prevention during the surgery.
Thank you, Doctor.
🙏

NiNi, 10~19 year old female. Ask Date: 2020/12/17

Dr. Wu Xianghui reply Obstetrics and Gynecology

The postoperative condition is complex; it is recommended to return to the outpatient clinic for examination and evaluation by a physician before a diagnosis can be made.

Reply Date: 2020/12/17

More Info

After undergoing laparoscopic surgery for a ruptured corpus luteum, it is understandable to have concerns regarding post-operative symptoms and wound healing. Based on your description, let's address your concerns systematically.

1. Wound Healing and Pain: It is not uncommon for patients to experience some degree of discomfort or pain after laparoscopic surgery. The pain you are feeling in your abdomen, particularly around the incision sites, can be attributed to several factors. First, the surgical procedure itself involves manipulation of internal organs, which can lead to inflammation and irritation of the surrounding tissues. This can manifest as pain, especially when engaging in activities that involve movement or pressure on the abdomen.

2. Incision Site Observations: You mentioned that one of your incision sites appears to be open or not fully healed while the other has closed. It is crucial to monitor the wound closely. If the wound is not painful, this may indicate that it is healing, albeit slowly. However, if you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), it is essential to contact your healthcare provider immediately. The fact that you are experiencing pain in the abdomen could be related to the healing process, but it is also important to ensure that there are no complications such as infection or dehiscence (wound separation).

3. Post-Operative Pain Management: Pain management is a critical aspect of recovery. If the pain is significant and affecting your daily activities, you should discuss this with your doctor. They may recommend pain relief medications or other interventions to help manage your discomfort. It is also advisable to avoid heavy lifting or strenuous activities until you receive clearance from your healthcare provider.

4. Follow-Up Care: Given your concerns about the wound and the pain you are experiencing, it would be prudent to schedule a follow-up appointment with your surgeon. They can assess the healing of your incision sites and determine if any further intervention is necessary. It is always better to err on the side of caution, especially if you have concerns about your recovery.

5. Showering and Wound Care: You mentioned that you were advised to shower, which is generally acceptable after laparoscopic surgery, provided that the incisions are healing well. However, if you notice any issues with the dressings or the wound itself, it is best to consult your surgeon before proceeding with any changes to your wound care routine.

6. Potential Complications: While it is natural to worry about complications, it is essential to remember that most laparoscopic surgeries are performed successfully without significant issues. However, if you experience severe pain, fever, or any other concerning symptoms, seek medical attention promptly.

In summary, while some discomfort and variations in wound healing are expected after laparoscopic surgery, it is essential to monitor your symptoms closely. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and peace of mind are paramount, and your medical team is there to support you through your recovery process.

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