Post-Surgery Concerns: Bruising and Swelling After Cyst Removal - Surgery

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Post-operative issues following cyst removal?


Hello, doctor.
I had a cyst removal surgery yesterday, located on the lower left buttock.
When I changed the dressing today, I noticed that the skin around the wound has turned dark, resembling bruising, and the wound area is slightly swollen.
Is this normal? I was quite startled by the large area of dark skin during the dressing change.
The stitches are scheduled to be removed in two weeks.
Should I return for an earlier follow-up, or is this considered a normal phenomenon? Thank you, doctor.

Zhang, 20~29 year old female. Ask Date: 2023/08/24

Dr. Chen Bingze reply Surgery


It's quite normal to feel this way right after surgery, but if you're really concerned, you can schedule an earlier follow-up appointment with the surgeon who performed your operation.

Reply Date: 2023/08/24

More Info


After undergoing surgery for cyst removal, it is not uncommon to experience some bruising and swelling around the surgical site. These symptoms can be concerning, especially when they appear suddenly or seem more pronounced than expected. However, it is essential to understand that some degree of bruising and swelling is a normal part of the healing process.

1. Bruising: The discoloration you are observing around the incision site is likely due to bruising, which occurs when small blood vessels are damaged during surgery. This can lead to blood leaking into the surrounding tissues, resulting in the characteristic black-and-blue appearance. Bruising can take several days to develop fully and may change colors as it heals, transitioning from dark purple to greenish-yellow before fading away completely.
2. Swelling: Swelling is another common postoperative symptom. It is a natural response of the body to injury and is part of the inflammatory process that helps to initiate healing. The body sends extra blood and fluids to the area to facilitate the healing process, which can lead to noticeable swelling.
3. When to be concerned: While some bruising and swelling are normal, there are certain signs that should prompt you to contact your healthcare provider. If the swelling continues to increase, if you notice significant redness or warmth around the incision, or if you experience severe pain that is not relieved by over-the-counter pain medications, these could be signs of infection or other complications. Additionally, if you notice any discharge from the wound that is yellow or green, or if you develop a fever, it is crucial to seek medical attention promptly.

4. Follow-up care: Since you mentioned that your stitches are scheduled to be removed in two weeks, it is generally advisable to wait until that appointment unless you experience any concerning symptoms as mentioned above. However, if the bruising or swelling worsens or if you have any doubts about the healing process, it is always better to err on the side of caution and reach out to your surgeon or healthcare provider for advice. They may want to assess the area to ensure that everything is healing as expected.

5. Postoperative care tips: To help manage swelling, you can try elevating the affected area when resting, applying ice packs (wrapped in a cloth to avoid direct contact with the skin) for short periods, and ensuring you follow any postoperative instructions provided by your surgeon. Staying hydrated and maintaining a balanced diet can also support your recovery.

In summary, while bruising and swelling after cyst removal surgery can be alarming, they are typically normal parts of the healing process. Monitoring your symptoms and maintaining open communication with your healthcare provider will help ensure a smooth recovery. If you have any concerns or if your symptoms change, do not hesitate to reach out for further evaluation.

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