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Inflamación, con bulto duro en escroto
Discussion in 'All Categories' started by Elías - Oct 16th, 2024 9:46 pm.
Elías
Elías
Hola, buenas.
Hace una semana fuy operado de hernia inguinal escrotal, por laparoscopia, ese mismo día pos reanimación, me note un bulto en la zona ingüino escrotal, e hicieron ecografía, y observaron líquidos, o fluidos propios de la operación, el cirujano dijo que en dos semanas podría desaparecer, que el cuerpo iría drenando y reabsorviendo esos fluidos.
El caso es que esta de tamaño considerado, cubre la mano, y muy duro, el testículo esta impalpable, no se localiza y la ,zona muy tensa e incomoda. No genera dolor por si, solo por presión al estar sentado, o movimiento escrotal.
Agradezco vuestra opinión.
Saludos
re: Inflamación, con bulto duro en escroto by Dr. B. S. Bhalla - Oct 22nd, 2024 6:09 pm
#1
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Parece que está experimentando una acumulación de líquido posquirúrgico, conocida como seroma o hematoma, después de la reparación de la hernia inguinal-escrotal. Se trata de una situación bastante común después de las cirugías de hernia, especialmente en la zona de la ingle, donde se puede acumular líquido o sangre debido a la alteración de los tejidos durante la cirugía.

A continuación, se indican algunos puntos clave y recomendaciones en función de su situación:

Acumulación de líquido: el bulto que describe podría ser líquido (seroma) o sangre (hematoma) atrapado debajo de la piel. Por lo general, se espera que ambos se resuelvan a medida que el cuerpo reabsorbe el líquido con el tiempo. Sin embargo, el tamaño y la firmeza que mencionó, junto con el hecho de que su testículo es impalpable, sugieren que es bastante significativo.

Tiempo de reabsorción: si bien su cirujano mencionó que podría desaparecer en dos semanas, podría llevar más tiempo según el tamaño de la acumulación de líquido. La mayoría de los seromas o hematomas se resuelven en unas pocas semanas o unos meses. La compresión suave y la ropa interior de apoyo a veces pueden ayudar, pero solo si lo recomienda su médico.

Posicionamiento del testículo: el hecho de que actualmente sea difícil localizar el testículo y que la zona esté tensa probablemente esté relacionado con el líquido que presiona las estructuras circundantes. Sin embargo, si sigue siendo impalpable después de algunas semanas o si nota cualquier otro cambio (por ejemplo, aumento del tamaño del bulto, decoloración, mayor malestar), debe consultar con su médico.

Esté atento a los cambios: esté atento a signos como aumento del dolor, hinchazón, enrojecimiento, calor o fiebre, ya que podrían indicar una infección u otras complicaciones, como un absceso, que requerirían atención médica inmediata.

Seguimiento: si el bulto sigue siendo grande o no parece reducirse con el tiempo, o si está causando un malestar significativo, es esencial una cita de seguimiento con su cirujano. En algunos casos, es posible que deban aspirar (drenar) el líquido si no se reabsorbe por sí solo.

Mientras tanto, usar ropa interior de soporte para reducir el movimiento y la presión en el área y evitar actividades extenuantes puede ayudar a aliviar el malestar.
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