Post-Laparoscopic Surgery: Pain and Recovery Concerns

Postoperative Issues After Laparoscopic Surgery

Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time.
On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incision from my previous liver transplant.
I have a few questions:
1.
Is it normal to occasionally feel sharp pain in the incision area?
2.
Is it normal for some parts of the incision to feel numb while others are painful to the touch?
3.
I had a CT scan on December 30 and reviewed the report on January 13.
The doctor mentioned that the bile duct is slightly dilated but that it is not a concern.
He advised me to wear an abdominal binder and to avoid heavy lifting for now.
However, with the New Year approaching, I have been organizing my home.
This past Friday, I spent three hours organizing my bookshelf and moved some heavy items.
On Saturday morning, I suddenly experienced sharp pain across a large area of the incision that woke me up for about a minute.
Should I be concerned about this?
4.
Should I schedule a follow-up appointment with my primary physician before the New Year?
5.
Is it possible that I have a hernia?

Wenwen, 40~49 year old female. Ask Date: 2023/01/15

Dr. Chen Jiaming reply Surgery

1.
Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling.
Therefore, such sensations are often experienced during weather changes.
Some patients report that years later, the pain is less frequent, with most experiencing lingering numbness or becoming more accustomed to it.

2.
Same as the above response.
3.
It's okay, just rest.
Remember to wear a compression abdominal binder (make sure it's tight enough if you need to apply pressure).
4.
It shouldn't be necessary, unless you experience persistent pain or require medication for relief.
5.
A temporary strain won't cause issues, but it's hard to say years later.
Upper abdominal wounds are less likely to cause problems, and even if they do occur, they may lead to intestinal hernia issues.

Reply Date: 2023/01/15

More Info

Post-laparoscopic surgery recovery can often raise concerns, especially when it comes to pain and discomfort around the surgical site. Based on your description, let's address your questions one by one.

1. Sudden Sharp Pain: Experiencing sudden sharp pain at the surgical site can be a common occurrence after surgery. This is often due to nerve regeneration or irritation of the nerves that were affected during the procedure. The surgical process can disrupt local nerves, leading to sensations such as sharp pain or tingling. While this can be alarming, it is generally not a cause for concern unless it is accompanied by other symptoms such as fever, swelling, or discharge from the wound.

2. Numbness and Pain Sensation: It is also normal to experience a combination of numbness and pain in the area surrounding the incision. This is often due to nerve damage or irritation that can occur during surgery. Some patients report that certain areas feel numb while others are painful, which is a typical response as the nerves heal and regenerate. Over time, many patients find that these sensations diminish as healing progresses.

3. Post-Activity Pain: The pain you experienced after moving heavy items is likely related to the physical strain placed on your body. After surgery, especially within the first few months, it is crucial to avoid heavy lifting and strenuous activities. Doing so can lead to increased pain or even complications such as hernias, especially if the abdominal muscles are not yet fully healed. If the pain persists or worsens, it would be wise to consult your physician.

4. Follow-Up Appointment: Given your recent symptoms and the nature of your surgery, it would be prudent to schedule a follow-up appointment with your surgeon. This is especially important if you are experiencing significant pain or if you have concerns about your recovery. Your doctor can assess your healing process and provide guidance on when it is safe to resume normal activities, including lifting and other physical exertions.

5. Risk of Hernia: The risk of developing a hernia after surgery is a valid concern, particularly if you have engaged in activities that involve heavy lifting or straining. Hernias can occur when the abdominal wall is weakened, which can happen post-surgery. If you notice a bulge near the incision site or experience persistent pain, it is essential to seek medical advice. Your surgeon can evaluate your condition and determine if any further intervention is necessary.

In summary, while some pain and discomfort after laparoscopic surgery can be normal, it is crucial to listen to your body and avoid activities that may exacerbate your symptoms. Regular follow-ups with your healthcare provider will ensure that your recovery is on track and that any potential complications are addressed promptly. Remember, every patient's recovery is unique, and your healthcare team is there to support you through this process.

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