Post-Mini-Invasive Surgery: Lymphatic Swelling and Pain - Surgery

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Minimally invasive breast fibroma, constrictive band compression, slight swelling of the lymphatic vessels in the chest?


Hello, I would like to ask, I had minimally invasive surgery for three fibromas on my right breast a week ago.
There is no discharge or redness around the wound, but I have been wearing a compression garment continuously this week, and now the lymphatic vessels on the right side of my chest are swollen and painful.
They feel hard to the touch.
Is this a normal phenomenon? Thank you.

E Mei, 40~49 year old female. Ask Date: 2024/01/12

Dr. Li Zhonghuai reply Surgery


Hello! Could you loosen the restraint a bit? It has been a week since it was applied.
Please check with your doctor if it can be removed.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/01/12

More Info


After undergoing mini-invasive surgery for the removal of three fibromas from your right breast, it is understandable to have concerns about the swelling and pain you are experiencing in the lymphatic area. It is important to recognize that some degree of swelling and discomfort can be a normal part of the healing process following surgery, particularly in procedures involving lymphatic structures.


Understanding Post-Surgical Symptoms
1. Swelling and Pain: After surgery, it is common for the body to react with inflammation, which can lead to swelling (edema) in the surrounding tissues. This is particularly true in areas where lymphatic vessels may have been affected during the procedure. The lymphatic system plays a crucial role in fluid balance and immune function, and any disruption can lead to localized swelling.

2. Lymphatic Congestion: The hard and painful sensation you describe in the lymphatic area may indicate lymphatic congestion or mild lymphedema. This occurs when lymph fluid does not drain properly, leading to a buildup in the tissues. It can be exacerbated by surgical trauma, even in minimally invasive procedures.

3. Normal Healing Process: It is important to note that while some swelling is normal, excessive swelling or pain that worsens over time may require further evaluation. The absence of redness, warmth, or discharge from the surgical site is a positive sign, suggesting that there may not be an infection.


Recommendations for Management
1. Compression Garments: Continuing to wear a compression garment as advised by your healthcare provider can help manage swelling. These garments support the tissues and promote lymphatic drainage.

2. Gentle Movement: Engaging in gentle movements and exercises, as tolerated, can help stimulate lymphatic flow. However, it is crucial to avoid any activities that cause pain or discomfort.

3. Lymphatic Drainage Massage: If swelling persists, consider consulting a physical therapist who specializes in lymphedema management. They can provide manual lymphatic drainage techniques that may help reduce swelling and improve comfort.

4. Monitoring Symptoms: Keep a close eye on your symptoms. If you notice any changes such as increased pain, redness, warmth, or fever, it is essential to contact your healthcare provider promptly.

5. Follow-Up Appointments: Ensure that you attend any scheduled follow-up appointments with your surgeon or oncologist. They can assess your healing progress and address any concerns regarding your symptoms.


When to Seek Help
If the swelling does not improve or worsens, or if you experience new symptoms such as fever, chills, or significant changes in the appearance of your surgical site, it is important to seek medical attention. These could be signs of complications that may require intervention.


Conclusion
In summary, while some swelling and discomfort in the lymphatic area following your surgery can be expected, it is essential to monitor your symptoms closely. Engaging in gentle movement, wearing compression garments, and possibly seeking specialized therapy can aid in your recovery. Always feel empowered to reach out to your healthcare provider with any concerns, as they are best equipped to guide you through your recovery process. Your health and comfort are paramount, and addressing these issues early can lead to better outcomes.

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