Post-Laparoscopic Surgery: Pain and Discomfort After Ovarian Teratoma Removal - Surgery

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Postoperative Issues After Laparoscopic Surgery


In mid-April, I underwent laparoscopic surgery due to an ovarian teratoma that was compressing the rectum.
The procedure involved making four incisions, one of which was larger, approximately five centimeters.
During follow-up visits, the doctor mentioned that the wounds were healing well, but I still experience a dull ache at the site of the larger incision (it feels like it's coming from inside).
Sometimes, when I have abdominal pain or diarrhea, I also feel some sensations at that incision site.
Is this normal? Why is this happening?

Jiajia, 20~29 year old female. Ask Date: 2015/09/07

Dr. Xu Kaixi reply Surgery


Any bodily wound can cause damage to the nerves, and the larger the wound, the greater the extent of the damage.
The nerve pain after wound healing may also be more pronounced and may require a longer time to recover or adapt.
Surgical wounds are no exception, so the pain you described is likely normal.
If you are concerned or if it does not improve, it is advisable to visit a surgical outpatient clinic for an examination.

Reply Date: 2015/09/07

More Info


After undergoing laparoscopic surgery for the removal of an ovarian teratoma, it is not uncommon to experience lingering pain and discomfort, especially around the surgical sites. The symptoms you describe, such as a dull ache at the site of the larger incision and occasional abdominal pain or diarrhea, can be attributed to several factors related to the healing process and the body's response to surgery.

Firstly, it is essential to understand that surgical procedures, even minimally invasive ones like laparoscopic surgery, can lead to postoperative pain due to tissue trauma, inflammation, and the healing process. The body undergoes a significant amount of stress during surgery, and the recovery phase can involve various sensations, including pain, tenderness, and discomfort in the affected areas. The pain you feel at the incision site may be due to nerve endings that are still healing or scar tissue forming as the body repairs itself.

The fact that your doctor has indicated that the wounds are healing well is a positive sign. However, it is not unusual for patients to experience discomfort for several weeks or even months following surgery. The pain may fluctuate depending on your activity level, diet, and other factors. For instance, if you are experiencing diarrhea, this can put additional strain on your abdominal muscles and the surgical site, potentially exacerbating any discomfort.

In terms of the specific sensations you are experiencing, it is important to note that the area around the incision may still be sensitive as the nerves regenerate. This can lead to feelings of tightness, pulling, or even sharp pain in some cases. Additionally, if the teratoma was pressing against the rectum prior to surgery, it is possible that the surrounding tissues are still adjusting postoperatively, which could contribute to your discomfort.

To manage your symptoms, consider the following recommendations:
1. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. Always consult with your healthcare provider before taking any medication to ensure it is safe for you.

2. Dietary Adjustments: If you are experiencing diarrhea, focus on a bland diet that is easy on your digestive system. Foods like bananas, rice, applesauce, and toast (the BRAT diet) can help firm up stools. Staying hydrated is also crucial.

3. Gentle Activity: While rest is important, gentle movement can promote circulation and healing. Avoid strenuous activities or heavy lifting until you receive clearance from your doctor.

4. Follow-Up Care: Keep your follow-up appointments with your healthcare provider. If your pain worsens, or if you experience new symptoms such as fever, increased swelling, or discharge from the incision sites, contact your doctor immediately.

5. Physical Therapy: If pain persists, consider discussing physical therapy with your healthcare provider. A physical therapist can provide exercises and techniques to help alleviate pain and improve recovery.

In conclusion, while it is normal to experience some discomfort after laparoscopic surgery for an ovarian teratoma, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide guidance tailored to your specific situation and help ensure a smooth recovery. Remember, healing takes time, and being patient with your body is crucial during this process.

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