Post-Surgery Concerns: Is Abdominal Swelling Normal After Umbilical Hernia Repair?

After traditional surgery for umbilical hernia, the lower abdomen has become enlarged!

Hello Doctor: I underwent surgery on June 20th to address an umbilical hernia (0.5 cm) caused by childbirth.
During my follow-up appointment one week post-surgery, the doctor mentioned that my abdominal wall is thinner and less elastic than average, which may lead to a potential recurrence of the hernia in the future.
I would like to ask if it is normal for my lower abdomen to appear larger now compared to before the surgery.
Sometimes, I also experience swelling and pain in the abdominal area.
The doctor advised me to avoid lifting heavy objects.
I would like to know if lifting heavy items or straining could cause the internal surgical site to open up and lead to a recurrence of the hernia.
If the hernia does recur, how would I be able to notice it? Additionally, if there are issues with the internal surgical site that have not healed, what symptoms should I expect? Thank you for your response, and I wish you peace and well-being.

Ms. W, 30~39 year old female. Ask Date: 2023/07/06

Dr. Chen Jiaming reply Surgery

After umbilical hernia surgery, the lower abdomen will not become larger; this is a subjective feeling.
Within one to two months post-surgery, the muscle and fascia layers at the incision site are still healing, and exerting pressure on the abdomen can cause pain.
The doctor advises you to avoid straining to prevent complications with the internal wounds.
A recurrence of the umbilical hernia will be similar to the condition you had before the surgery.

Reply Date: 2023/07/06

More Info

After undergoing surgery for an umbilical hernia, it is not uncommon to experience some degree of abdominal swelling and discomfort. This can be attributed to several factors related to the healing process. Following surgery, the body goes through a natural healing phase where inflammation occurs, which can lead to swelling. Additionally, the surgical site may still be sensitive, and the surrounding tissues are adjusting to the changes made during the procedure.

In your case, since you mentioned that your abdomen appears larger than before the surgery, this could be a combination of post-operative swelling and the natural healing process. It is important to note that the abdominal wall may take time to regain its strength and elasticity, especially if your physician has indicated that your abdominal wall is thinner than average. This can contribute to a feeling of fullness or swelling in the abdomen.

Regarding your concern about lifting heavy objects, it is indeed advisable to avoid such activities during the early stages of recovery. Lifting heavy weights or straining can increase intra-abdominal pressure, which may put stress on the surgical site. This could potentially lead to complications such as wound dehiscence (opening of the surgical wound) or recurrence of the hernia. It is crucial to follow your surgeon's advice regarding activity restrictions to promote optimal healing.

If a hernia were to recur, you might notice symptoms similar to those you experienced prior to surgery, such as a bulge in the abdominal area, discomfort, or pain, especially when lifting or straining. It is essential to monitor any changes in your body and report them to your healthcare provider. They may recommend imaging studies or a physical examination to assess the surgical site and determine if there is a recurrence.

In terms of potential complications from the surgical site not healing properly, symptoms may include persistent pain, redness, swelling, or discharge from the incision site. If you experience fever, increased pain, or any unusual changes in your abdomen, it is important to seek medical attention promptly.

In summary, while some swelling and discomfort can be normal after umbilical hernia repair, it is essential to monitor your symptoms closely. Avoid heavy lifting and follow your surgeon's post-operative care instructions. If you have any concerns about your recovery or notice any concerning symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and recovery are paramount, and staying in communication with your medical team will help ensure a smooth healing process.

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