Is Swelling Normal After Appendectomy? Post-Surgery Recovery - Surgery

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Swelling of the incision site after appendectomy?


It has been 10 days since your appendectomy and 3 days since your stitches were removed, but the wound is still swollen.
Is there a problem?

Qiang Ge, 50~59 year old female. Ask Date: 2022/01/06

Dr. Xu Kaixi reply Surgery


Post-operative swelling of the appendectomy wound (whether from traditional surgery or laparoscopic surgery) without significant pain or discharge is likely due to fibrous tissue formation as part of the healing process.
This should theoretically improve over time.
However, if the swelling persists, it is advisable to visit the surgical outpatient clinic for an examination to rule out the possibility of wound infection.

Reply Date: 2022/01/06

More Info


Swelling after an appendectomy is a common occurrence and can be considered a normal part of the healing process. After any surgical procedure, including an appendectomy, the body initiates a healing response that often includes inflammation. This inflammation can lead to swelling around the surgical site, which is typically a sign that your body is working to heal itself.

In the case of an appendectomy, the surgical incision is made to remove the inflamed appendix, and this can cause trauma to the surrounding tissues. As a result, it is not unusual for the area around the incision to swell for several days or even weeks post-surgery. Generally, swelling should gradually decrease over time, and the incision should start to heal properly.

However, there are a few important factors to consider regarding post-surgery swelling:
1. Duration of Swelling: While some swelling is normal, if the swelling persists beyond a couple of weeks or worsens, it may indicate a complication, such as an infection or a hematoma (a localized collection of blood outside of blood vessels). If you notice that the swelling is not improving or is accompanied by increased redness, warmth, or discharge from the incision site, it is crucial to contact your healthcare provider.

2. Pain and Discomfort: Mild pain and discomfort are also common after surgery. However, if the pain becomes severe or is not alleviated by over-the-counter pain medications, this could be a sign of a problem that needs further evaluation.

3. Signs of Infection: Watch for signs of infection, which may include fever, chills, increased swelling, redness, or pus-like drainage from the incision site. If any of these symptoms occur, it is essential to seek medical attention promptly.

4. Follow-Up Care: It is important to attend all follow-up appointments with your surgeon. They will assess your healing progress and address any concerns you may have. If you have already had your stitches removed and the swelling persists, your surgeon may want to examine the area to ensure that everything is healing as expected.

5. Activity Level: Post-operative activity levels can also impact swelling. It is generally advised to avoid strenuous activities and heavy lifting for a few weeks after surgery. Gradually increasing your activity level as tolerated can help promote circulation and reduce swelling.

6. Home Care: To help manage swelling, you can try elevating the affected area when resting, applying ice packs to the swollen area (wrapped in a cloth to avoid direct contact with the skin), and following any specific post-operative care instructions provided by your surgeon.

In summary, while some swelling after an appendectomy is normal, it is essential to monitor your symptoms closely. If you have concerns about the swelling or any other post-operative symptoms, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery is on track.

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