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Family Medicine (Expert Forum)
Hysterectomy Scar
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
Hysterectomy Scar
by dizzybean, May 08, 2004 12:00AM
15 years ago, I had a hysterectomy, salpingectomy and oophorectomy. The incisional scar has never been soft. I have never been able to lay on my stomach because the pressure hurts too much. The scar and the area around the scar for about an inch or so on each side is hard. This feeling also extends inward. It feels like I'm carrying a weight in my abdomen. I know many women who have had like surgeries and their scars are soft and pliable. Mine is heavy and hard and seems to weigh my abdomen downward. What is my trouble? Adhesions? Abnormal growth?
Doctor's Answer
by Kevin Pho, MD, May 10, 2004 12:00AM
, May 10, 2004 12:00AM
One consideration would be a keloid. A keloid is an overgrowth of dense fibrous tissue that usually develops after healing of a skin injury. The tissue extends beyond the borders of the original wound, usually does not regress spontaneously, and tends to recur after excision.
As surgeon has mentioned below, a hernia is also possible. I would suggest a referral back to a plastic surgeon to see if treatment for a keloid is to be considered (i.e. repeat surgery or possible steroid injection).
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
As surgeon has mentioned below, a hernia is also possible. I would suggest a referral back to a plastic surgeon to see if treatment for a keloid is to be considered (i.e. repeat surgery or possible steroid injection).
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments (1)
by surgeon, May 08, 2004 12:00AM
Some people form excessive scar tissue, particularly what's called a keloid. Generally that is seen as a very thick and prominent leathery scar on the skin. What's going on underneath could be various things, most likely related to scar tissue: but it could also be hernia, chronic lowgrade infection, etc. The way to find out, and to learn if anything can be or ought to be done is to be seen by a surgeon.
