Post-Surgery Discomfort After Chocolate Cyst Laparoscopy: What to Expect?

Persistent discomfort after chocolate cyst surgery?

I would like to ask the doctor, about two weeks ago I underwent laparoscopic surgery for a chocolate cyst (with out-of-pocket adhesion prevention).
Since then, the external wound has scabbed and is starting to fall off, but I still frequently feel a dull pain in my lower abdomen and around the ovaries on both sides.
It feels like a deep muscle pulling pain inside.
Since the surgery, my bowel movements have also changed; they are no longer in a complete form but rather granular, and I feel the same deep muscle pain in the lower abdomen and near the ovaries during and after bowel movements.
I am a bit concerned that this might be due to the fact that I started doing housework 3-4 days after being discharged, and sometimes I have to squat and exert myself (although I try to avoid it).
Is this pulling pain normal? Should I return to the hospital for a follow-up? Thank you.

Hsiang, 30~39 year old female. Ask Date: 2022/12/15

Dr. Huang Yuande reply Obstetrics and Gynecology

After surgery, it is common to experience pain related to wound tension, especially following endometriosis surgery, which may involve the separation of adhesions.
Therefore, as long as physical condition allows, it is encouraged to engage in more activity.

Reply Date: 2022/12/15

More Info

After undergoing laparoscopic surgery for a chocolate cyst, it is not uncommon to experience discomfort and changes in bowel habits during the recovery period. The symptoms you are describing, such as dull pain in the lower abdomen and around the ovaries, as well as changes in your bowel movements, can be attributed to several factors related to the surgical procedure and the healing process.

Firstly, the pain you are experiencing may be due to the surgical trauma to the tissues in the pelvic area. Even though laparoscopic surgery is minimally invasive, it still involves making small incisions and manipulating the organs, which can lead to inflammation and irritation of the surrounding tissues. This can manifest as a pulling or aching sensation, especially when you engage in activities that involve bending or straining. It is essential to listen to your body and avoid any strenuous activities, including heavy lifting or excessive bending, as these can exacerbate the discomfort and potentially delay healing.

Regarding your bowel movements, it is not unusual for patients to experience changes after abdominal surgery. The use of anesthesia, changes in diet, and the stress of surgery can all contribute to alterations in bowel habits. The fact that your stools are more granular rather than formed could indicate a temporary disruption in your digestive system. It is crucial to maintain a balanced diet rich in fiber and to stay hydrated, as this can help regulate your bowel movements. If you notice persistent changes or if you experience significant discomfort during bowel movements, it would be advisable to consult your healthcare provider.

As for the concern about whether your activities post-surgery may have contributed to your symptoms, it is generally recommended to ease back into daily activities gradually. Most surgeons advise patients to take it easy for at least a couple of weeks post-surgery to allow the body to heal properly. If you have been engaging in housework or other physical activities too soon after your surgery, it could potentially lead to increased discomfort.
In terms of whether you should return to the hospital for a follow-up, it is always better to err on the side of caution. If your pain is worsening, if you experience any new symptoms such as fever, severe abdominal pain, or changes in your bowel habits that concern you, it is essential to seek medical attention. Your healthcare provider may want to perform an examination or imaging studies to rule out any complications such as adhesions or infections.

In summary, while some discomfort and changes in bowel habits can be expected after laparoscopic surgery for a chocolate cyst, it is essential to monitor your symptoms closely. If you have concerns about your recovery or if your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and well-being are the top priority, and addressing any issues early can help ensure a smoother recovery process.

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