Post-Laparoscopic Surgery Concerns: Managing Wound Issues

Q: Post-Laparoscopic Surgery Concerns: Managing Wound Issues

Hello： It is likely due to poor absorption of the sutures. <br>Please return for a follow-up appointment so that the physician can handle the disinfection and removal. <br>The Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Postoperative Issues After Laparoscopic Surgery

On March 1, I underwent laparoscopic cholecystectomy, and the incision did not require stitches as it was sealed with glue.
During my follow-up on March 7, the wound appeared to be fine.
Today, I noticed a small scab has fallen off, revealing a small hole with a thread sticking out.
What does this mean, and how should I handle it? 😅

Xu, 30~39 year old female. Ask Date: 2024/03/13

Dr. Li Qinglong reply Surgery

Hello: It is likely due to poor absorption of the sutures.
Please return for a follow-up appointment so that the physician can handle the disinfection and removal.
The Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2024/03/13

More Info

After laparoscopic surgery, particularly for gallbladder removal, it is common to have concerns about wound healing and any unexpected changes that may occur. In your case, you mentioned that the wound was closed with adhesive glue rather than stitches, which is a common practice in minimally invasive surgeries. The fact that you had a follow-up appointment on March 7 and were told that the wound looked fine is reassuring.

However, the appearance of a small hole and a thread-like structure (which could be a suture or a part of the adhesive) can understandably cause concern. Here are some insights and recommendations based on your situation:
1. Understanding the Wound Healing Process: After laparoscopic surgery, the healing process can vary from person to person. The use of adhesive glue is designed to allow for quicker healing and less scarring. However, as the tissue heals, it is not uncommon for some areas to dry out or for scabs to form and fall off. If a small piece of the adhesive or a suture is visible, it may not necessarily indicate a problem, especially if there are no signs of infection (such as increased redness, swelling, warmth, or discharge).

2. What to Do About the Small Hole: If the hole is small and there are no signs of infection, it may heal on its own. However, it is essential to keep the area clean and dry. You can gently clean the area with mild soap and water, pat it dry, and avoid applying any ointments unless advised by your healthcare provider. If the hole seems to be getting larger or if you notice any concerning symptoms, it would be wise to contact your surgeon or healthcare provider for further evaluation.

3. Monitoring for Infection: Keep an eye on the wound for any signs of infection. If you notice increased redness, swelling, warmth, or any discharge that is yellow or green, you should seek medical attention promptly. Infections can complicate the healing process and may require treatment.

4. Follow-Up Care: Since you have already had a follow-up appointment, it may be beneficial to schedule another visit if you have concerns about the wound or if it does not seem to be healing properly. Your surgeon can assess the wound and determine if any further intervention is needed.

5. Avoiding Strain on the Wound: During the healing process, it is crucial to avoid activities that may put strain on the surgical site. This includes heavy lifting, strenuous exercise, or any movements that cause discomfort in the area. Allowing your body time to heal is essential for optimal recovery.

6. When to Seek Help: If you are ever in doubt about the healing process or if something does not seem right, do not hesitate to reach out to your healthcare provider. It is always better to err on the side of caution when it comes to post-surgical care.

In summary, while the appearance of a small hole and a thread-like structure can be concerning, it may not necessarily indicate a serious issue. Monitoring the wound for signs of infection and maintaining proper care is crucial. If you have any doubts or if the situation changes, seeking advice from your healthcare provider is the best course of action. Your health and peace of mind are paramount, so do not hesitate to ask questions or seek clarification from your medical team.

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