Is there a recurrence?
Hello, doctor.
I had traditional inguinal hernia surgery on the left side two months ago.
The incision site initially reduced in swelling, but now it has swollen again (not significantly, but it is noticeable compared to the right side).
The area around the incision is also swollen.
Sometimes it feels like there is pressure on the spermatic cord, causing pain that radiates from below to the heart and also to the right side.
Occasionally, I experience cramping abdominal pain.
I returned for a follow-up appointment, but the medication did not alleviate the swelling.
I would like to know if this is normal or if there is a recurrence.
By the way, before the surgery, my hernia was not due to intestines descending into the scrotum, but rather "fat" that had descended into the scrotum.
So, I am wondering if the fat is trapped at the inguinal canal without an outlet.
Duo Chang Da Zai, 20~29 year old female. Ask Date: 2016/01/08
Dr. Li Yilun reply Urology
If you have undergone surgery, please return for a follow-up appointment to have your concerns assessed by the surgeon.
Reply Date: 2016/01/08
More Info
After undergoing surgery for an inguinal hernia, it is not uncommon to experience a range of sensations and symptoms as your body heals. However, the concerns you have raised about swelling, pain, and the possibility of recurrence are valid and warrant careful consideration.
Firstly, it is essential to understand that post-operative swelling can occur as part of the healing process. This swelling may be due to inflammation, fluid accumulation, or even the body’s response to the surgical trauma. In many cases, this type of swelling will gradually subside as the tissues heal. However, if the swelling persists or worsens, it could indicate a complication such as seroma (a collection of fluid) or hematoma (a collection of blood), which may require medical evaluation.
Regarding the pain you are experiencing, particularly if it radiates to other areas such as the heart or right side of your body, it is crucial to differentiate between normal post-operative discomfort and signs of a more serious issue. Pain that feels like it is radiating or is accompanied by other symptoms such as nausea, changes in bowel habits, or fever should be evaluated by a healthcare professional promptly.
You mentioned that prior to surgery, your hernia involved fat protruding into the inguinal canal rather than bowel. This detail is significant because it can influence the nature of your post-operative symptoms. If there is a concern that fat tissue has become trapped or is causing pressure in the inguinal area, this could lead to discomfort and may require further investigation.
It is also important to consider the possibility of hernia recurrence. While the surgical repair aims to prevent this, factors such as heavy lifting, straining, or even certain movements can put stress on the surgical site. If you notice a bulge or a return of the hernia symptoms, it is essential to consult your surgeon. They may perform a physical examination and possibly imaging studies to assess the integrity of the repair.
In terms of management, if you are experiencing persistent pain and swelling, your healthcare provider may recommend conservative measures such as rest, ice application, and over-the-counter pain relief medications. However, if these do not alleviate your symptoms, further intervention may be necessary.
Lastly, it is crucial to maintain open communication with your healthcare provider. If you feel that your symptoms are not improving or are worsening, do not hesitate to seek a follow-up appointment. Your surgeon is best positioned to evaluate your specific situation, considering your surgical history and current symptoms.
In summary, while some post-operative discomfort and swelling can be normal, persistent or worsening symptoms should be evaluated to rule out complications or recurrence of the hernia. Always prioritize your health and seek professional advice when in doubt.
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