Postoperative
Hello Dr.
Lee,
Two weeks ago, I underwent surgery for uterine fibroids, and my incision is about eight centimeters long.
A week ago, after the dressing was removed, I noticed that the skin above the incision, about one centimeter, is swollen, while my abdomen below the incision is flat.
However, the area above the incision appears to protrude like a lump.
Is this normal? Will it improve? Thank you for your response.
Best regards,
Ms.
Ni.
Miss Ran, 40~49 year old female. Ask Date: 2008/10/30
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I'm sorry! I am not familiar with the surgical procedure and have not seen your wound, so I really cannot provide an answer.
I recommend that you visit your surgeon's clinic.
If you are my surgical patient, please come to my clinic to see me.
Thank you! Wishing you peace and good health.
Reply Date: 2008/10/30
More Info
Hello, Ms. Jiang. Thank you for your question regarding your post-surgery concerns after your fibroid surgery. It’s understandable to have worries about your recovery, especially when you notice changes in your body following a surgical procedure.
Firstly, it is not uncommon to experience some swelling or protrusion above the surgical site after a procedure like fibroid removal. This can be attributed to several factors:
1. Post-Surgical Edema: After surgery, it is typical for the body to respond with inflammation, which can lead to swelling in the area around the incision. This is part of the healing process as your body works to repair itself. The swelling may be more pronounced in the first few weeks post-surgery and can fluctuate based on activity levels, fluid retention, and even changes in body position.
2. Fluid Accumulation: Sometimes, fluid can accumulate in the tissues surrounding the surgical site, leading to a condition known as a seroma. This is generally not serious and can resolve on its own, but it may take some time. If the swelling persists or increases, it’s important to consult your healthcare provider.
3. Scar Tissue Formation: As your body heals, scar tissue may form, which can sometimes create a feeling of tightness or a bulge in the area above the incision. This is a normal part of the healing process, and while it may feel uncomfortable, it usually improves over time.
4. Muscle Weakness or Separation: Depending on the extent of the surgery, there may be some temporary weakness in the abdominal muscles, which can contribute to a feeling of protrusion. Engaging in gentle abdominal exercises, as recommended by your doctor, can help strengthen these muscles over time.
Regarding your concern about whether this condition will improve, the good news is that most post-surgical swelling and discomfort typically resolve within a few weeks to months as your body continues to heal. However, it’s essential to monitor your symptoms. If you notice any of the following, you should reach out to your healthcare provider:
- Increased swelling or pain
- Redness or warmth around the incision site
- Any discharge from the incision
- Fever or chills, which could indicate an infection
In terms of managing your recovery, here are some tips:
- Rest and Recovery: Ensure you are getting adequate rest and not overexerting yourself. Avoid heavy lifting or strenuous activities until your doctor gives you the green light.
- Follow-Up Appointments: Keep your follow-up appointments with your healthcare provider. They can assess your healing progress and address any concerns you may have.
- Gentle Movement: Engage in light activities, such as walking, to promote circulation and healing. However, avoid any movements that cause pain or discomfort.
- Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your recovery and help reduce swelling.
In conclusion, while it is common to experience some swelling and changes in your abdomen after fibroid surgery, it is important to keep an eye on your symptoms and communicate with your healthcare provider about any concerns. With time and proper care, you should see improvement in your condition. Wishing you a smooth recovery and good health ahead!
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