Post-Appendectomy: Abdominal Hardness and Recovery Time

Q: Post-Appendectomy: Abdominal Hardness and Recovery Time

Hello： The gas used during laparoscopic surgery should be absorbed shortly after the procedure. <br>If your abdomen feels hard postoperatively, first, if you remember your abdominal circumference before the surgery, you can measure it again to see if it has increased or decreased

Post-appendectomy

Hello Dr.
Tsai, I had a thoracoscopic surgery to remove my inflamed appendix about 18 days ago.
Post-surgery, everything has mostly returned to normal, but I still feel that my abdomen is hard.
Previously, after giving birth, my abdominal fat was soft and pliable, but now it feels like I can't knead it as before, and even during deep breathing, it doesn't flatten much.
I heard from my sister (who is a nurse) that after appendectomy, it takes about three months before one can resume sexual activity due to abdominal pressure.
Is the hardness of my abdomen also related to abdominal pressure?

Ms. Wu, 30~39 year old female. Ask Date: 2015/09/07

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The gas used during laparoscopic surgery should be absorbed shortly after the procedure.
If your abdomen feels hard postoperatively, first, if you remember your abdominal circumference before the surgery, you can measure it again to see if it has increased or decreased.
A decrease may indicate a reduction in fat layer, while an increase could suggest slight distension due to abnormal bowel movement.
However, if you experience accompanying pain or other symptoms, it is advisable to return for a follow-up consultation with your surgeon for further evaluation.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun

Reply Date: 2015/09/07

More Info

After undergoing an appendectomy, it is not uncommon to experience a sensation of abdominal hardness, especially in the weeks following the surgery. This feeling can be attributed to several factors related to the surgical procedure and the body's healing process.

Firstly, during an appendectomy, the abdominal cavity is accessed, and the appendix is removed. This process can lead to inflammation and irritation of the surrounding tissues, which may contribute to a feeling of tightness or hardness in the abdomen. Additionally, the surgical manipulation of tissues can result in temporary swelling and fluid accumulation, which can also create a sensation of firmness.

The abdominal wall is made up of layers of muscles and connective tissue, and after surgery, these layers may take time to heal and return to their normal state. The sensation of hardness could be a result of muscle tension or spasms in the abdominal muscles as they recover from the trauma of surgery. It is also possible that scar tissue is forming, which can sometimes feel firm or tight as it develops.

Regarding your sister's comment about the three-month recovery period before resuming sexual activity, this is generally a precautionary measure to allow sufficient time for healing and to avoid putting undue pressure on the abdominal area. Engaging in activities that increase abdominal pressure too soon after surgery could potentially lead to complications, such as hernias or delayed healing.

As for your specific concerns about the hardness of your abdomen, it is important to note that this sensation should gradually improve as your body heals. Typically, the initial recovery period after an appendectomy can take anywhere from a few weeks to several months, depending on individual factors such as overall health, age, and the extent of the surgery. Most patients can expect significant improvement within the first few weeks, but complete recovery, including the resolution of any sensations of hardness, may take longer.

If the hardness persists or is accompanied by other symptoms such as pain, swelling, fever, or changes in bowel habits, it is essential to consult your healthcare provider. They can perform a physical examination and may recommend imaging studies if necessary to rule out any complications, such as abscess formation or bowel obstruction.

In the meantime, gentle activities such as walking can promote circulation and aid in the healing process. It is also advisable to avoid heavy lifting or strenuous activities until you receive clearance from your doctor. If you have any concerns about your recovery or specific symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and guidance.

In summary, the sensation of abdominal hardness following an appendectomy is likely a normal part of the healing process. It is influenced by factors such as inflammation, muscle tension, and the formation of scar tissue. While it is essential to allow adequate time for recovery, monitoring your symptoms and maintaining open communication with your healthcare provider will ensure a smooth healing journey.

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