Post-Surgery Concerns: What to Expect After Ovarian Tumor Surgery

Postoperative issues

Hello Dr.
Tsao,
I underwent a traditional open abdominal surgery on April 22nd for staging due to a malignant tumor on my right ovary, while preserving my left ovary and uterus.
Currently, I am being monitored and do not require chemotherapy.
The tumor measured 17*14*13 cm, which caused noticeable protrusion in my lower abdomen before the surgery.
Now, nearly three weeks post-operation, I have a few questions:
1.
After the surgery, the area below my navel is sunken in, while the area above the navel maintains the protrusion seen before the surgery.
Will the uterus gradually return to its normal position?
2.
The incision on my abdomen is healing well and is not very painful.
However, the right side of the incision appears slightly swollen compared to the left side.
There is no pain when I pinch the skin, but it does hurt when I touch it, and occasionally I experience sharp or stabbing pains.
Is this related to the internal healing process, or is it normal? If it is normal, how long might this pain last?
3.
I am concerned about the risk of lymphedema due to lymph node removal.
Is lymphedema a common occurrence for all patients who undergo lymph node excision? How can I prevent it, and what should I look for to monitor its onset?
4.
I have been advised not to sit for prolonged periods within the first three months post-surgery, but my work primarily involves sitting, making it difficult to avoid.
I understand this is to prevent pelvic congestion.
Does pelvic congestion lead to deterioration of the internal wounds, or is it merely uncomfortable? Can I practice sitting at home, gradually increasing the duration to at least two hours?
I apologize for asking so many questions, Dr.
Tsao.
Wishing you peace, joy, and the fulfillment of your wishes.
😊

Taco, 30~39 year old female. Ask Date: 2023/05/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the main concern after surgery is that the wound is healing well.
The rest is just observation, and recovery will take time.
Mild pain is still normal, and swelling may not necessarily occur.
As for sitting, there are no major issues.
Wishing you good health.

Reply Date: 2023/05/10

More Info

After undergoing surgery for an ovarian tumor, it's completely normal to have a variety of concerns regarding your recovery and the changes your body may experience. Let's address your questions one by one.

1. Changes in Abdominal Contour: It is common for the abdomen to appear different post-surgery. After an open abdominal surgery, the tissues and organs may take some time to settle into their new positions. The area above your belly button may still appear protruded due to swelling or the natural positioning of the organs. Over time, as healing progresses and swelling decreases, you may notice a more normalized contour. However, the timeline for this can vary from person to person, and it may take several weeks to months for your body to fully adjust.

2. Pain and Swelling Around the Incision Site: It is not unusual to experience some localized swelling and pain around the incision site after surgery. The fact that you are not experiencing significant pain is a positive sign of healing. The sharp or stabbing pains you describe could be due to nerve regeneration or internal healing processes. As for the swelling, it may take several weeks for it to resolve completely. If the pain worsens or if you notice increased redness or discharge from the incision, it would be wise to consult your healthcare provider.

3. Lymphedema Concerns: Lymphedema, or swelling due to lymph fluid buildup, can occur after lymph node removal, but it does not happen to every patient. The risk factors include the extent of lymph node removal and individual healing responses. To monitor for lymphedema, keep an eye on any swelling in your legs or abdomen, and be aware of any feelings of heaviness or tightness. To help prevent lymphedema, you can engage in gentle exercises, maintain a healthy weight, and avoid tight clothing. If you notice any signs of swelling, consult your doctor for further evaluation and management.

4. Sitting and Pelvic Congestion: The recommendation to avoid prolonged sitting for the first three months post-surgery is primarily to prevent pelvic congestion, which can lead to discomfort and potentially affect healing. While it is important to avoid excessive sitting, you can gradually increase your sitting time as tolerated. Start with short intervals and listen to your body. If you experience discomfort, it may be best to take breaks and change positions frequently. Gentle walking and light activity can also promote circulation and aid in recovery.

In summary, your concerns are valid and reflect common experiences after such surgeries. It is crucial to maintain open communication with your healthcare provider throughout your recovery. They can provide personalized advice based on your specific situation and monitor your healing process. Remember to prioritize self-care, listen to your body, and seek medical advice whenever you feel uncertain about your symptoms. Wishing you a smooth recovery and good health ahead!

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