4 Factors That Cause Bulge in the Scar
Windowofworld.com – Any surgery that involves an incision in the abdomen carries the risk of causing a bulge in the scar, also known as an incisional hernia. At least 33 percent of patients who undergo stomach surgery are at risk of developing this condition.
Incisional hernias occur at or near the surgical incision. This condition is characterized by the protrusion of the intestines, organs in the stomach, or other tissue that is surrounded by the skin of the abdominal wall.
Incisional hernias most commonly occur within 3–6 months after surgery on the abdomen. However, the bulge on the surgical scar on the abdomen can also occur months or years later.
At first, you may see a small lump or swelling near the site of the scar. The bumps appear when you cough or push, and then go away on their own. However, over time, the lump may become bigger and start to hurt.
In most of the cases, the bumps on the surgery scars don’t cause any serious problems. However, in rare cases, part of the intestine may become trapped in the hernia opening and block the passage of stool or cut off the blood supply to the intestine, causing an emergency condition.
In addition, the bulge on the surgery scar on your stomach that is large can also make it difficult for you to breathe or move normally.
What Causes Bulge in Abdominal Surgery Scars?
A bulge in the abdominal surgery scar occurs when the surgical wound on the abdominal wall does not close completely after surgery. This can cause the abdominal muscles to become weak, allowing the tissues and organs in the abdomen to protrude as a hernia.
The following are some of the things that can prevent the surgical wound on the stomach from healing properly:
- Too much pressure on the stomach during the wound healing
- Pregnant before the wound on the stomach has healed completely
- Too soon to return to physical activity after stomach surgery
What Are the Risk Factors for Abdominal Surgery Scars?
There are several factors that can increase the risk of developing abdominal surgery scars, including:
1. Surgical wound infection
If not treated properly, postoperative suture wounds are at risk of infection. Infection will not only make it difficult for the stitches to close completely, but also risk causing a bulge on the surgery scar and hampering the overall healing process.
Several types of diseases, such as kidney failure, diabetes, and lung disease, can put pressure on the stomach and interfere with the healing process of the surgical wound. This can increase the risk of reopening the stitches and triggering a bulge in the scar.
3.Excess body weight (obesity)
Excess weight can result in pressure on the surgery scar or greater scarring, increasing the risk of an incisional hernia. In addition, this condition can also hinder the wound healing process.
4. Smoking habits
Smoking habits can also increase the risk of developing bumps on surgical wounds. This is because the substances or chemicals in cigarettes can prevent the body from repairing damaged tissue and make it difficult for the surgical wound to heal.
In addition to some of the risk factors above, the consumption of certain drugs, such as immunosuppressant drugs or steroids, can also increase the risk of an incisional hernia.
How are the bulges in the abdominal surgery scar treated?
If you experience a bulge in the abdominal surgery scar, you should immediately consult a doctor. In addition to a physical examination, the doctor will also carry out supporting examinations in the form of abdominal ultrasound or abdominal CT scan if necessary.
If the bulge is small, repair surgery can be used as a treatment option, but not a necessity. However, if the bulge is large enough, there is a part of the intestine that is pinched, or is causing pain, your doctor will recommend surgery.
Although it can be said that it is common after surgery on the abdomen, protrusions on the surgical scar can be prevented by good surgical wound care, not doing strenuous physical activity during recovery, and living a healthy lifestyle.
If during the recovery period you experience a fever, the surgical wound looks swollen, festering, smelly, or bleeding, consult a doctor immediately so that proper treatment can be done.