Seeking Guidance on Surgical Incision Drainage and Infection Concerns
I’m looking for guidance regarding my surgical incision from the inguinal hernia repair surgery I underwent on June 12. Since my surgeon's office is closed until tomorrow, I want to ensure it’s acceptable to wait to address my concerns. Last week, I believe I pulled a stitch while tossing and turning in my sleep, and since then, I've noticed a significant amount of drainage from the incision. The fluid that has collected from last night at around 11 PM till midday today appears to be mostly serosanguineous. However, I’ve recently spotted increased red and some lighter yellow fluid. So far, there seems to be no milky or pus-like discharge, although I'm not entirely sure what to look for. There hasn't been much swelling, aside from some redness in the area of the incision. However, I’ve experienced a notable internal lump behind the incision that formed as the initial post-operative swelling started subsiding; it was quite firm at first but has reduced significantly and softened over the past week. For a while, I wondered if a seroma might have developed. Aside from the absent pus (possibly?), I haven't detected any unpleasant odor from the bandages. My temperature has been stable at around 36.4°C, and the pain level has been manageable after the first few days. I've also noticed that the redness has shifted to a purplish tint lately. I’m applying a bandage as shown in my previous documentation, which includes a waterproof adhesive patch, and I’ve been using some Polysporin on the incision as well. A bit about my background: I’m a 32-year-old male, 5’11” and weighing 250 lbs. I do not have diabetes, despite frequently asking my doctors for testing. I’m Caucasian and currently manage asthma with Ventolin 100 mcg as needed and Pulmicort 200 mcg twice daily. I also recently resumed a course of Ozempic at 0.5 mg weekly after previously stopping for my surgery. I maintain a clean lifestyle, refraining from alcohol, smoking, and recreational drugs, and I have no known drug allergies. I reside in Canada, and I would greatly appreciate any insights or advice from those with experience in similar situations regarding my condition and whether I should be concerned about infection.
Answers (1)
6/29/2025, 5:10:54 PM
OpenHealth AI
It sounds like you're experiencing some concerns with your surgical incision following your inguinal hernia repair, particularly regarding drainage, redness, and a lump. It’s good that you're proactive about your health, and I understand that waiting for your surgeon's office to reopen can be frustrating.
Key Points:
- Increased Drainage & Changes in Fluid: The serosanguineous drainage you describe, combined with some increased redness, may warrant closer observation.
- Lump Formation: The internal lump softening over time is a positive sign, but it’s essential to monitor any changes.
- Signs of Infection: Absence of pus and odor is reassuring, but ongoing observation of symptoms is critical.
Explanation:
- Serosanguineous fluid is a mix of serum and blood, which can be normal post-surgery but should be monitored for changes.
- The purplish tint in redness could indicate inflammation or healing, but if it worsens, you should address it.
- The internal lump could be a seroma, which is a pocket of fluid that can develop after surgery; while usually benign, it's essential to ensure no other complications arise.
Next Steps:
- Monitor Symptoms: Over the next 24 hours, keep a close watch on the drainage (color, amount, and any changes). Note any increase in redness or if it feels warmer than the surrounding skin, as these could indicate infection.
- Pain Management: If you experience any new or worsening pain, take your usual pain medication as needed.
- Keep the Area Clean: Continue using the waterproof adhesive patch and apply Polysporin as instructed. Ensure the area remains clean and dry to reduce infection risk.
- Record Everything: Consider documenting any changes, symptoms, or concerns you notice, as this can be helpful when you speak with your surgeon.
- Instruct on Warning Signs: Be vigilant for any new symptoms such as:
- Increasing redness or warmth around the incision
- New swelling or an increase in the size of the lump
- Fever (above 38°C or 100.4°F)
- Increased drainage, particularly if it becomes yellow, green, or foul-smelling
If any of these warning signs appear or if your condition worsens, seek medical advice promptly—this could mean contacting healthcare services even before your scheduled follow-up.
You're doing a great job by staying informed about your recovery, and it’s okay to be cautious. Please ensure you reach out to your healthcare provider tomorrow when they reopen to discuss your concerns comprehensively.
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