Post-Surgical Pain After Thrombosed Hemangioma Removal - Surgery

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Thrombosed Hemorrhoid Excision Surgery


Hello, doctor.
I had a surgical excision of a thrombosed external hemorrhoid on June 21.
About five days post-operation, my bowel movements started to become less painful, and I felt that the wound was gradually improving.
However, by the eighth day, I suddenly experienced significant pain again.
When I palpated the wound, I felt a lump, and it is located on a different side (the thrombosed external hemorrhoid I had removed was on the left side).
Could this lump be a new growth?

Wen, 30~39 year old female. Ask Date: 2024/06/30

Dr. Zhang Shuhao reply Surgery


If a new protrusion appears on the opposite side of the wound, it may be a new thrombosed external hemorrhoid.
Here are some recommendations: 1.
Monitor symptoms: Continue to observe any changes in pain and the new protrusion, paying attention to any further swelling, discoloration, or bleeding.
2.
Maintain cleanliness: Keep the area around the anus clean, and consider warm sitz baths to alleviate symptoms.
3.
Schedule a follow-up appointment: Return to your healthcare provider as soon as possible to inform them of these symptoms and undergo a thorough examination to determine the cause of the new protrusion and develop an appropriate treatment plan.
These symptoms may require professional diagnosis and management, so do not delay seeking medical attention.

Reply Date: 2024/06/30

More Info


Post-surgical pain following the removal of a thrombosed hemangioma can be a complex issue, and it is not uncommon for patients to experience fluctuations in pain levels during the recovery process. The initial pain you experienced after surgery is typically due to the trauma of the procedure itself, which can lead to inflammation, swelling, and the formation of scar tissue. As the body begins to heal, it is normal for pain to decrease over time, but it can also re-emerge for various reasons.

In your case, the fact that you experienced a resurgence of pain on the eighth day post-surgery could be attributed to several factors. One possibility is the development of a seroma or hematoma, which is a collection of fluid or blood that can accumulate at the surgical site. This can create pressure and discomfort, leading to the sensation of a lump or mass under the skin. It is also possible that the pain is related to the healing process itself, as nerves regenerate and scar tissue forms, which can sometimes lead to increased sensitivity or pain in the area.

Another consideration is the possibility of a recurrence of the hemangioma or the formation of a new one. While it is less common for hemangiomas to regrow immediately after surgical removal, it is not impossible, especially if the initial removal was not complete. The lump you are feeling could be a remnant of the original hemangioma or a new growth.
It is essential to follow up with your surgeon or healthcare provider regarding these symptoms. They may recommend imaging studies, such as an ultrasound, to assess the area and determine the nature of the lump you are feeling. Additionally, they can evaluate whether your pain management plan needs to be adjusted or if further intervention is necessary.

In terms of recovery, it is crucial to monitor your symptoms closely. If you notice any signs of infection, such as increased redness, warmth, swelling, or discharge from the surgical site, or if your pain worsens significantly, you should seek medical attention promptly.
Overall, while some discomfort is expected after surgery, significant changes in pain levels or the appearance of new lumps should always be evaluated by a medical professional to ensure proper healing and address any potential complications. Your healthcare provider will be able to give you the best advice tailored to your specific situation and help you navigate your recovery process effectively.

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