Postoperative complications
Hello Dr.
Wu, I underwent traditional open-heart surgery for valve repair at the end of August 2020, and it has been six months since then.
Recently, I noticed a sudden localized redness and swelling at the incision site, which is painful when pressed.
I am concerned that it might be a keloid.
During my last follow-up appointment, I asked the doctor about it, and he said it is not severe.
Could you please explain why this is happening and what I should do? Thank you!
Yun Yun, 60~69 year old female. Ask Date: 2021/03/22
Dr. Wu Xueming reply Cardiology
Hello, based on your description, it is not possible to determine whether the symptoms are caused by keloids.
Therefore, I recommend that you consult a surgeon for further evaluation.
Reply Date: 2021/03/22
More Info
Hello! Thank you for reaching out with your concerns regarding your recovery after heart valve repair surgery. It's understandable to have questions about changes in your surgical site, especially when it comes to redness, swelling, and pain.
First, it's important to recognize that post-surgical recovery can vary significantly from person to person. After traditional open-heart surgery, such as valve repair, the body undergoes a healing process that can manifest in various ways. The redness and swelling you are experiencing could be part of the normal healing process, but they can also indicate other issues that may need to be addressed.
Understanding Post-Surgical Symptoms
1. Normal Healing Process: After surgery, it is common for the incision site to be red and slightly swollen as the body works to heal. This is due to increased blood flow to the area, which is essential for delivering nutrients and immune cells that aid in healing. Over time, this redness should gradually diminish as the tissues heal.
2. Pain and Tenderness: Pain upon pressing the area can also be a normal part of recovery. The tissues around the incision may still be sensitive as they heal. However, if the pain is increasing or if you notice any other concerning symptoms, it’s essential to monitor these changes closely.
3. Keloids and Hypertrophic Scarring: You mentioned concerns about keloids (crab foot scars). Keloids are raised scars that can develop after surgery, particularly in individuals who are prone to them. They can be itchy or painful. If your doctor previously assessed your scar and indicated it was not a keloid, it may still be worth discussing again if you notice changes.
4. Infection: Redness, swelling, and pain can also be signs of infection. If the area is warm to the touch, has increased drainage, or if you develop a fever, these could be indicators of an infection that requires medical attention.
Recommendations
- Follow-Up with Your Doctor: Since you have already consulted with your physician, it’s crucial to keep them informed about any changes in your symptoms. If the redness and pain persist or worsen, consider scheduling a follow-up appointment sooner than your next scheduled visit.
- Keep the Area Clean: Ensure that the surgical site is kept clean and dry. Follow any specific wound care instructions provided by your healthcare team.
- Monitor Symptoms: Keep a close eye on the symptoms. If you notice any new symptoms such as increased redness, warmth, discharge, or fever, seek medical attention promptly.
- Pain Management: If the pain is bothersome, discuss pain management options with your doctor. They may recommend over-the-counter pain relievers or prescribe medication if necessary.
- Avoid Strain: Be cautious with physical activities that may strain the area around your incision. Gradually increase your activity level as advised by your healthcare provider.
Conclusion
In summary, while some redness and tenderness can be a normal part of the healing process after heart valve repair surgery, it is essential to remain vigilant and communicate any changes to your healthcare provider. They are best equipped to assess your situation and determine if any further intervention is needed. Your recovery is important, and staying proactive about your health will help ensure the best outcomes. Thank you for your question, and I wish you a smooth and healthy recovery!
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