Post-Laparoscopic Surgery: Concerns About Belly Button Issues

Postoperative Umbilical Issues After Laparoscopic Surgery

Hello doctor, about three years after laparoscopic cholecystectomy, I often experience bloating.
Recently, while cleaning my navel, I may have gone too deep and noticed that my belly button protruded, revealing the sutured area (it looked like it was tied up).
Is this normal? I gently pushed it back in and felt no discomfort.
Is it common for it to protrude like this? Should I avoid cleaning my navel, or could this be related to the surgery?

Fang, 20~29 year old female. Ask Date: 2021/07/18

Dr. Chen Jiaming reply Surgery

The shape of everyone's navel varies, and there is no issue of normalcy.
Cleaning it excessively may lead to irritation, so it is not recommended to clean it frequently.

Reply Date: 2021/07/18

More Info

After laparoscopic surgery, particularly after gallbladder removal, it is not uncommon for patients to experience various sensations and changes in the abdominal area, including the belly button. Your concerns about the appearance of your belly button and the sensations you are experiencing are valid and warrant a thorough understanding.

Firstly, it is important to recognize that laparoscopic surgery involves making small incisions in the abdominal wall, including one at the belly button (umbilicus). This incision is typically closed with sutures that may be absorbable or non-absorbable. Over time, as the body heals, the appearance of the belly button can change. It may appear slightly raised or even have some scarring, which can sometimes give the impression that it is "popping out." This is generally not a cause for concern, especially if you are not experiencing pain or discomfort when you gently push it back in.

However, if you notice that your belly button is protruding significantly or if you experience any pain, swelling, or discharge, it could indicate a potential issue such as a hernia or an infection. A hernia can occur when there is a weakness in the abdominal wall, allowing tissue or organs to bulge through. This is more common in individuals who have undergone abdominal surgery, as the surgical site may be weaker than the surrounding tissue. If you have a hernia, it may require surgical intervention to repair.

Regarding your question about cleaning your belly button, it is generally safe to clean the area, but it is important to do so gently. Avoid aggressive scrubbing or deep cleaning, as this can irritate the skin and potentially lead to infection. If you notice any unusual changes in the appearance of your belly button or surrounding skin, such as redness, warmth, or discharge, it is advisable to consult your healthcare provider.

In summary, while it is not unusual for the belly button to change in appearance after laparoscopic surgery, any significant changes or discomfort should be evaluated by a medical professional. Regular follow-ups with your surgeon or primary care physician can help monitor your recovery and address any concerns you may have. If you are ever in doubt about your symptoms or the healing process, do not hesitate to reach out for medical advice. Your health and peace of mind are paramount, and it is always better to err on the side of caution when it comes to post-surgical care.

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