Post-Appendectomy Recovery Concerns: When to Seek Medical Advice

Postoperative recovery issues after appendectomy?

Hello Dr.
Ke: I underwent laparoscopic appendectomy on April 23, 2015.
Currently, I experience slight pain when gently pressing around 5-6 cm near the left incision site.
There is no fever or pus discharge, but I occasionally feel mild pain when walking too quickly.

1.
Should I return for a follow-up appointment? I have a herniated disc and just started rehabilitation (lumbar traction) two weeks before the surgery, but I have paused rehabilitation due to the appendectomy.

2.
How long will it take to fully recover before I can resume rehabilitation? I understand that I should avoid lifting heavy objects, but I have heard various recommendations.

3.
What is the weight limit for lifting, and for how long should I avoid lifting heavy objects? Thank you for taking the time to read my questions.

Michelle, 30~39 year old female. Ask Date: 2015/05/29

Dr. Ke Fangxu reply Surgery

Mild pain at the surgical site postoperatively should not be a major concern.
If there is no fever, swelling, or abnormal discharge, you can continue to monitor the situation.
Since laparoscopic surgery is performed under general anesthesia rather than spinal anesthesia, there is no need to halt rehabilitation.
The general advice to avoid heavy lifting post-surgery is primarily to prevent the wound from opening due to strain.
It is generally recommended to rest for at least one month, with the level of weight-bearing varying by individual, adhering to the principle of avoiding abdominal exertion.
However, since laparoscopic surgery involves smaller incisions, there is no need to be overly concerned, as the risk of wound dehiscence is relatively low.

Reply Date: 2015/05/29

More Info

Hello, thank you for your detailed inquiry regarding your post-appendectomy recovery. It's important to address your concerns comprehensively, especially considering your previous medical history and the nature of your surgery.

1. Pain Near the Surgical Site: The mild pain you are experiencing near your left surgical site, especially when pressed or during certain movements, can be a normal part of the healing process after laparoscopic appendectomy. However, since you mentioned that the pain is localized and there are no signs of infection (like fever or pus), it may not be an immediate cause for alarm. That said, it is always prudent to consult your surgeon or healthcare provider if you have any concerns about your recovery. They can assess whether the pain is part of the normal healing process or if it indicates a complication, such as an incisional hernia or adhesions.

2. Resuming Rehabilitation: Given your history of lumbar disc herniation and the recent appendectomy, it is crucial to approach rehabilitation carefully. Typically, after laparoscopic surgery, patients can resume light activities within a few days, but more strenuous activities, including physical therapy, should be discussed with your healthcare provider. Generally, you might be able to resume physical therapy within 2-4 weeks post-surgery, depending on your recovery progress and how you feel. It is essential to listen to your body and avoid any activities that cause pain or discomfort.

3. Weight Lifting Restrictions: After an appendectomy, the general recommendation is to avoid lifting anything heavier than 5-10 pounds for at least 2-4 weeks. This restriction helps prevent strain on the abdominal muscles and the surgical site, allowing for proper healing. However, these guidelines can vary based on individual recovery rates and the specifics of your surgery. Always consult with your surgeon for personalized advice regarding weight lifting and physical activity.

In summary, while some discomfort can be expected after surgery, it is essential to monitor your symptoms closely. If the pain worsens, if you develop new symptoms, or if you have any concerns about your recovery, do not hesitate to reach out to your healthcare provider. They can provide you with the best guidance tailored to your specific situation.
Additionally, once you are cleared to resume rehabilitation, consider working with a physical therapist who can design a program that accommodates your recovery from both the appendectomy and your pre-existing condition. This approach will help ensure a safe and effective return to your normal activities.
Take care, and I wish you a smooth and speedy recovery!

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