Gall Bladder Removal, 10 Days Post-Op: Lump in largest incision? 
Author Message
 Gall Bladder Removal, 10 Days Post-Op: Lump in largest incision?

Scheduled for the two-week followup with the surgeon this coming Wednesday.   My
expectation is that it'll be something like "Hi Pete, things look a-ok, Bye
Pete, that'll be $225".

But maybe somebody who has had this procedure can help me avoid the deferred
gratification of knowing...

Looking at my gut, there are four incisions.   Three look like puncture wounds,
but the fourth looks tb an incision about an inch long, located just below the
navel.

Surface seems to have healed up ok and the little (super glued?) strips of tape
have fallen away.

But under the area I can feel something hard and roughly circular - as a 1.5"
disk of something were under the healed incision.

There is some redness on the surface, but no tenderness or perceptible warmth,
so my guess is that it's not infected - especially since I feel half-decent,
having done a little over an hour on my bike today with no ill effects beyond
getting too tired too fast, as one would expect after being flat on their back
most of the time for most of a week.

Anybody been here?   What's the explanation for the hard area?    Something to
do with the umbilicus?
--
PeteCresswell



Wed, 30 Jan 2008 04:19:02 GMT
 Gall Bladder Removal, 10 Days Post-Op: Lump in largest incision?


Quote:
> Scheduled for the two-week followup with the surgeon this coming
> Wednesday.   My
> expectation is that it'll be something like "Hi Pete, things look a-ok,
> Bye
> Pete, that'll be $225".
> But maybe somebody who has had this procedure can help me avoid the
> deferred
> gratification of knowing...
> Looking at my gut, there are four incisions.   Three look like puncture
> wounds,
> but the fourth looks tb an incision about an inch long, located just below
> the
> navel.
> Surface seems to have healed up ok and the little (super glued?) strips of
> tape
> have fallen away.
> But under the area I can feel something hard and roughly circular - as a
> 1.5"
> disk of something were under the healed incision.
> There is some redness on the surface, but no tenderness or perceptible
> warmth,
> so my guess is that it's not infected - especially since I feel
> half-decent,
> having done a little over an hour on my bike today with no ill effects
> beyond
> getting too tired too fast, as one would expect after being flat on their
> back
> most of the time for most of a week.
>Anybody been here?   What's the explanation for the hard area?    Something
>to
> do with the umbilicus?

Your surgeon won't be charging you for your post-op visits within the 90-day
global period (or whatever your insurance company dictates as the length of
the global period). I agree with you that it's absurd, and unfair to the
surgeon, but those are the customary rules most insurance companies use.

The incision under your belly button is likely where the surgeon pulled the
gallbladder out. That was the customary location from years ago. Personally,
I think it's a big mistake to make the larger incision there since a larger
incision at that level is much more prone to a hernia. Better to make that
incision at the subxiphoid port since the liver and falciform ligament make
port-site hernias almost unheard of.

If you're talking about a 1.5 inch diameter lump that is more-or-less
spherical, then that 1.5 inch lump is going to be one of three things -- a
port-site hernia, a {*filter*} clot, or a preexisting umbilical hernia that your
surgeon didn't recognize and was exacerbated by the trocar that was put
there.

HMc



Wed, 30 Jan 2008 05:25:18 GMT
 Gall Bladder Removal, 10 Days Post-Op: Lump in largest incision?
Per Howard McCollister:

Quote:
>Your surgeon won't be charging you for your post-op visits within the 90-day
>global period (or whatever your insurance company dictates as the length of
>the global period). I agree with you that it's absurd..

Lumping it in with the operation seems like good idea from my (the patient's)
perspective.   As far as I can see, it is part of the total procedure - and I'm
paying my insurance company to cover that.   If the surgeon banged me for
another $225, it would come out of my pocket - same as the pre-op visit (which
also seems to me like part of the procedure....).

Quote:
>If you're talking about a 1.5 inch diameter lump that is more-or-less
>spherical, then that 1.5 inch lump is going to be one of three things -- a
>port-site hernia, a {*filter*} clot, or a preexisting umbilical hernia that your
>surgeon didn't recognize and was exacerbated by the trocar that was put
>there.

Uh Oh....

Thanks...
--
PeteCresswell



Wed, 30 Jan 2008 10:14:58 GMT
 
 [ 3 post ] 

 Relevant Pages 

1. Lump at incision site post laproscopic gall bladder surgery

2. Bladder Neck Incision - Post Op questions and history

3. Gall Bladder Post Op Problems!

4. Post Gall Bladder Removal Experiences?

5. 10 days PRK Post-op

6. Recurring Gall Stones after Gall Bladder Removal

7. Gall Bladder Removal

8. Gall bladder - removal

9. Please help my friend understand her gall bladder removal

10. Gall Bladder Removal

11. Pain after gall bladder removal

12. Recovery from gall bladder removal


 
Powered by phpBB® Forum Software