Post-Operative Symptoms After Inguinal Hernia Surgery - Surgery

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Regarding post-hernia surgery?


Hello, I had left inguinal hernia surgery almost a month ago, but the area around my incision still feels hard, and sometimes I experience brief sharp pains.
What could be the reason for this?

Xiao Cheng, 20~29 year old female. Ask Date: 2012/02/16

Dr. Yu Mingchang reply Surgery


Hello^^ Inguinal hernias can be classified into laparoscopic hernia repair and traditional surgery.
Based on what you described, it seems you underwent the traditional surgical method, where the hernia site was directly repaired (either by placing a mesh or by direct suturing).
After the surgery, granulation tissue began to form at the wound and surrounding area, which has led to your current symptoms.
It will take about six months for the tissue to undergo fibrosis, at which point it should become softer and improve.

Reply Date: 2012/02/16

More Info


After undergoing inguinal hernia surgery, it is not uncommon to experience a variety of post-operative symptoms, including localized hardness around the incision site and intermittent sharp pains. These symptoms can be attributed to several factors related to the surgical procedure and the body's healing process.

Firstly, the hardness you are feeling near the incision site is likely due to the formation of scar tissue. When the body heals after surgery, it goes through a process called fibrosis, where collagen is deposited to repair the damaged tissue. This can lead to a firm or hard feeling around the surgical site, which is generally a normal part of the healing process. Over time, this hardness should gradually decrease as the scar tissue matures and the inflammation subsides.

The intermittent sharp pains you are experiencing could be related to nerve regeneration or irritation. During surgery, nerves in the area may be cut or stretched, leading to temporary nerve pain or discomfort as they heal. This type of pain is often described as sharp or stabbing and can occur sporadically. It is important to note that while some discomfort is expected, if the pain is severe or worsening, it is advisable to consult your surgeon for further evaluation.

Additionally, the presence of mesh or plug used in the repair of the hernia can also contribute to sensations of discomfort or pain. Some patients report feeling the mesh, especially if they are active or engaging in movements that strain the abdominal area. This sensation can sometimes be mistaken for pain, but it is usually not a cause for concern unless accompanied by other symptoms such as swelling, redness, or discharge from the incision site.

In terms of recovery, it is essential to follow your surgeon's post-operative care instructions, which may include activity restrictions, pain management strategies, and follow-up appointments. Engaging in light activities as tolerated can promote circulation and healing, but it is crucial to avoid heavy lifting or strenuous exercise until cleared by your healthcare provider.

If you notice any signs of complications, such as increased swelling, persistent pain, fever, or changes in bowel habits, it is important to seek medical attention promptly. These could indicate issues such as infection or complications related to the mesh.

In summary, the hardness and intermittent pain you are experiencing after inguinal hernia surgery are likely part of the normal healing process. However, if you have concerns or if your symptoms persist or worsen, it is always best to consult with your surgeon for personalized advice and reassurance. Remember that recovery can vary significantly from person to person, and open communication with your healthcare provider is key to a smooth recovery.

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