Postoperative wounds after laparoscopic surgery?
Hello Doctor: A month ago, I underwent a minimally invasive single-port laparoscopic surgery for gallstones (without the need for stitches).
The condition of the surgical wound had been recovering well, and I did not notice any abnormalities.
However, now that it has been a full month, the wound has suddenly become slightly red and swollen, with a slight oozing of blood.
Could this situation be due to incomplete healing inside? Should I apply medication or just observe for now, as I am no longer experiencing any pain?
Eva, 30~39 year old female. Ask Date: 2021/06/13
Dr. Chen Jiaming reply Surgery
From your description, it is not possible to confirm whether this is a phenomenon of scar tissue hypertrophy.
If there are concerns, it is advisable to seek further evaluation at a medical facility.
Generally, the formation of scars (or keloids) varies from person to person, and there is even a possibility of hypertrophy occurring within six months post-surgery.
Some individuals may use silicone gel sheets to reduce the effects of tension on the scar.
Reply Date: 2021/06/13
More Info
After laparoscopic surgery, particularly for gallstones, it is common to have concerns about wound healing and any changes that may occur post-operatively. It’s great to hear that your initial recovery was smooth, but the recent development of slight redness, swelling, and minor bleeding at the surgical site warrants careful consideration.
Firstly, it’s important to understand that while laparoscopic surgeries are minimally invasive, they still involve incisions that can take time to heal completely. The fact that you are experiencing some redness and swelling at the one-month mark could indicate a few things. It might be a normal part of the healing process, especially if the body is still resolving any inflammation from the surgery. However, it could also suggest the possibility of an infection or other complications, even if you are not experiencing pain.
In general, the healing process for surgical wounds can vary significantly from person to person. Factors such as your overall health, age, and any pre-existing conditions can influence how quickly and effectively your body heals. The presence of slight redness and swelling could be a sign that the body is still working to repair the tissue, but it is crucial to monitor these symptoms closely.
Regarding your question about whether to apply medication or simply observe the situation, here are some guidelines:
1. Observation: If the redness and swelling are mild and you are not experiencing any pain, fever, or increased drainage from the wound, it may be reasonable to observe the situation for a short period. Keep the area clean and dry, and avoid any activities that could strain the wound.
2. Medication: If the redness and swelling worsen, or if you notice any discharge that is increasing in volume or changing in color (such as becoming yellow or green), it would be advisable to consult your healthcare provider. They may recommend topical antibiotics or other treatments if an infection is suspected.
3. Follow-Up: Given that you are experiencing these changes a month post-surgery, it would be prudent to schedule a follow-up appointment with your surgeon or healthcare provider. They can assess the wound more thoroughly and determine if any intervention is necessary.
4. Signs of Infection: Be vigilant for signs of infection, which can include increased redness, swelling, warmth around the wound, fever, or any unusual discharge. If you experience any of these symptoms, seek medical attention promptly.
5. Wound Care: Continue to care for your wound as advised by your surgeon. If you were instructed to keep the area covered, do so until you receive further guidance. If the adhesive from the surgical tape or glue is still present, ensure it is not causing irritation.
In conclusion, while some changes in the wound area can be normal as healing progresses, it’s essential to remain observant and proactive about any concerning symptoms. If in doubt, it’s always best to err on the side of caution and consult with your healthcare provider to ensure a smooth recovery. Your health and peace of mind are paramount, and professional guidance can help address any uncertainties you may have.
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