Post-Laparoscopic Surgery: Navel Issues and When to Seek Help

Postoperative Umbilical Issues After Laparoscopic Surgery

Doctor, I had minimally invasive surgery for an ectopic pregnancy in August this year, but it's been three months since the surgery, and my belly button often has a foul smell.
Sometimes it itches and hurts, and the cotton swab I use is yellowish.
It stings when I clean it with a swab or when a nurse touches it.
Is this related to the surgery? Should I see a family medicine doctor or a gynecologist?

Hua Hua, 20~29 year old female. Ask Date: 2023/11/26

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, please visit the obstetrics and gynecology department for a consultation.
Wishing you good health.

Reply Date: 2023/11/26

More Info

After undergoing laparoscopic surgery for an ectopic pregnancy, it is not uncommon to experience some post-operative symptoms. However, the specific symptoms you are describing—persistent foul odor from the navel, itching, pain, and yellow discharge—are concerning and warrant further evaluation.

First, let's discuss the potential causes of your symptoms. The foul odor and yellow discharge could indicate an infection at the surgical site or within the abdominal cavity. Infections can occur after any surgical procedure, including laparoscopic surgery, and may present with symptoms such as increased pain, swelling, redness, and discharge. The presence of a foul smell is particularly indicative of a possible infection, which could be due to bacteria or other pathogens.

Itching and pain around the navel area can also be associated with healing processes, but if these symptoms are persistent and accompanied by discharge, it is essential to consider the possibility of complications such as:
1. Infection: As mentioned, an infection can lead to discharge and odor. Surgical site infections can occur even in minimally invasive procedures, especially if there are any breaks in sterile technique or if the wound is not properly cared for post-operatively.

2. Hernia: In some cases, a hernia can develop at the site of the incision, which may cause discomfort and unusual sensations. Hernias can sometimes present with pain and changes in the skin around the area.

3. Abscess Formation: An abscess is a collection of pus that can form if an infection is present. This can lead to localized pain, swelling, and discharge.

4. Keloids or Scarring: Sometimes, the healing process can lead to abnormal scar formation, which may cause itching and discomfort.

Given these possibilities, it is crucial to seek medical attention. You should consider visiting a healthcare provider who can assess your symptoms more thoroughly. Since your surgery was gynecological in nature, starting with your gynecologist or a specialist in obstetrics and gynecology (OB/GYN) would be appropriate. They can evaluate the surgical site, perform any necessary tests (such as cultures of the discharge), and determine if you require treatment for an infection or other complications.

If your gynecologist feels that your symptoms are not related to the surgical procedure or if they suspect a different underlying issue, they may refer you to a general practitioner or a specialist in infectious diseases.

In summary, your symptoms are concerning and should not be ignored. It is advisable to seek medical attention promptly to ensure that any potential complications are addressed. Early intervention can prevent further complications and promote a smoother recovery. Remember to provide your healthcare provider with a complete history of your surgery and any other symptoms you may be experiencing.

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