Post-Laparoscopic Surgery: Is Your Belly Button Pain Normal? - Surgery

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Post-laparoscopic surgery, issues with the umbilicus?


I underwent laparoscopic appendectomy about 5-6 years ago, which resulted in three incisions.
Recently, I've been experiencing pain in the area around my navel where the surgery was performed.
This pain occurs when walking, bending, jumping, or tightening my abdomen, and it is particularly intense during jumping.
However, it is within a tolerable range.
Should I seek immediate medical attention for this condition, or is it likely to improve on its own in a few days?

Miles, 20~29 year old female. Ask Date: 2021/01/29

Dr. Chen Jiaming reply Surgery


Previous laparoscopic incisions can lead to openings in the rectus sheath, which are subsequently filled with scar tissue during the healing process.
Young individuals often engage in high-intensity abdominal muscle activities, and certain positions may cause pain.
It is important to consider the discomfort caused by adhesions between the muscles and scar tissue.
In some cases, patients may even experience scar rupture, leading to incisional hernias and other complications.
It is advisable to take moderate rest and avoid specific positions that cause discomfort.
If there is no improvement, seeking medical attention for further evaluation and treatment is recommended.

Reply Date: 2021/01/29

More Info


After laparoscopic surgery, particularly for appendicitis, it is not uncommon to experience discomfort or pain around the incision sites, including the belly button. This can be attributed to several factors, including healing processes, nerve regeneration, and muscle strain.
1. Post-Surgical Pain: It is normal to experience some level of pain or discomfort in the area where surgery was performed. The laparoscopic approach, while minimally invasive, still involves making small incisions, which can lead to inflammation and irritation of the surrounding tissues. The pain you are experiencing, especially during activities like walking, bending, or jumping, could be due to the stretching of the abdominal muscles and the healing of the incision sites.
2. Nerve Sensitivity: After surgery, the nerves in the area may be sensitive as they heal. This can lead to sensations of pain or discomfort that may feel sharper during certain movements. The belly button area, being a common site for laparoscopic entry, may be particularly sensitive as the nerves regenerate.
3. Muscle Strain: Engaging in physical activities such as jumping or bending can put strain on the abdominal muscles, which may still be recovering from the surgery. If you have recently increased your activity level, this could contribute to the pain you are experiencing.

4. When to Seek Medical Attention: While some discomfort is expected, you should monitor the pain closely. If the pain worsens, becomes unbearable, or is accompanied by other symptoms such as fever, swelling, redness at the incision site, or any signs of infection, it is crucial to seek medical attention promptly. Additionally, if you notice any changes in bowel habits or experience nausea or vomiting, these could be signs of complications that require immediate evaluation.

5. Self-Care and Recovery: In the absence of concerning symptoms, it may be beneficial to rest and avoid strenuous activities that exacerbate the pain. Gentle stretching and gradual return to normal activities can help, but listen to your body and avoid pushing through significant pain. Applying a warm compress to the area may also provide some relief.

6. Follow-Up: If the pain persists beyond a few days or if you have concerns about your recovery, it would be wise to schedule a follow-up appointment with your surgeon. They can assess your healing process and determine if any further intervention is necessary.

In summary, while some pain around the belly button after laparoscopic surgery is normal, especially with physical activity, it is essential to remain vigilant for any signs of complications. If your symptoms do not improve or worsen, do not hesitate to reach out to your healthcare provider for further evaluation.

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