Post-Surgery Scar Bleeding: Is It Normal After Colonic Perforation Repair?

A small amount of oozing from the scar left after intestinal perforation surgery?

Hello: When I was 5 years old, I had a persistent high fever and underwent surgery for a perforated sigmoid colon at Chang Gung Memorial Hospital.
The healed scar resembles a straight line about 13 cm long, crossing the navel, and I had a sebaceous cyst removed in March.
Recently, I noticed a small amount of oozing and itching near the upper part of the scar.
Is this a normal phenomenon (I also experienced something similar around my navel during middle school)? Additionally, can overeating or bloating cause the scar to reopen? How often should I have follow-up appointments? Thank you.

Xiao Zhang, 20~29 year old female. Ask Date: 2012/10/11

Dr. Yu Mingchang reply Surgery

Hello, you may need to follow up on the wound condition at the surgical outpatient clinic.
Thank you!

Reply Date: 2012/10/11

More Info

After undergoing surgery for colonic perforation, it is not uncommon to experience some changes at the surgical site, including minor bleeding or oozing from the scar. In your case, the presence of slight bleeding and itching at the upper part of the scar can be concerning, but it may not necessarily indicate a serious issue. Scars can undergo various changes over time, and it is possible for them to become irritated or inflamed, especially if they are subjected to friction, pressure, or changes in the surrounding tissue.

The fact that you are experiencing some itching and minor bleeding could be attributed to several factors. First, the healing process of the skin can lead to the formation of new blood vessels, which may cause some minor oozing or bleeding, particularly if the scar tissue is still maturing. Additionally, if the scar is tight or if there is tension in the surrounding skin, this can lead to discomfort and itching as well.

Regarding your concern about whether eating too much or experiencing bloating could cause the wound to reopen, it is important to note that while excessive abdominal pressure can potentially affect the integrity of a healing scar, it is unlikely to cause a well-healed scar to reopen unless there is significant force applied. However, it is advisable to maintain a balanced diet and avoid overeating, as this can lead to discomfort and increased pressure in the abdominal area.

As for follow-up care, it is generally recommended to have regular check-ups with your healthcare provider, especially if you notice any changes in the scar, such as increased redness, swelling, or discharge. The frequency of follow-ups can vary based on individual circumstances, but a general guideline is to have a check-up at least once a year after major surgery, particularly if there are any ongoing concerns.

In summary, while minor bleeding and itching from a surgical scar can be normal, it is essential to monitor the situation closely. If the bleeding persists, increases, or is accompanied by other symptoms such as significant pain, swelling, or signs of infection (like fever or pus), it is crucial to seek medical attention promptly. Your healthcare provider can assess the scar and determine if any further intervention is necessary. Remember to maintain a healthy lifestyle and follow any specific recommendations from your surgeon regarding diet and activity levels to support optimal healing.

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