Girlfriend has a transverse surgical scar below the pubic bone, what kind of surgery could it be?
First, let’s correct the terminology. The pubic bone is at the very bottom of the trunk, so there’s no ‘below’ to it. It should be referred to as above the pubic symphysis. It’s clear what the gentleman is asking without beating around the bush. Rest assured, it’s not a cesarean section surgery scar. A cesarean section scar would be over ten centimeters long; otherwise, the baby wouldn’t be able to come out. Typically, it’s about 10 to 15 centimeters long, but we can’t rule out a traditional abdominal tubal ligation surgery. The scar from this procedure would also be above the pubic bone, roughly just above the genital area (the uterus is about at that height), with a scar length of about 2 to 4 centimeters, which matches the length described. However, this procedure is rarely chosen today, as there is now the option for scarless laparoscopic minimally invasive surgery. Who would choose traditional abdominal surgery when that’s available? Unless the woman is older, someone who went through the strict family planning era, which would put her age at around 40 now. It’s possible that the surgery wasn’t voluntary, and if the age matches, it’s likely that she’s infertile, which, at that age, is not a necessity for childbearing. If she’s a younger woman, tubal ligation can be ruled out because it’s not the era of family planning anymore. Hospitals don’t easily provide tubal ligations unless the woman is married and has children. Whether she’s married and had children is easy to discern, especially if she’s been pregnant; many pregnancy-related signs are quite obvious. If none of these fit, it could be a urinary system disease, such as urinary stones or cysts. Women are naturally more concerned about their appearance, so asking about a scar would make her feel embarrassed. Intestinal diseases generally don’t have incisions in this area. The incisions for intestinal diseases are usually in the lower abdomen and above the navel, depending on the location of the illness. However, another possibility in the lower abdomen is hernia surgery, which also makes a 3 to 5 centimeter opening, depending on the severity. So many people are looking at this; I feel like I haven’t been rigorous enough in my writing, but I won’t change it. You can see some of my additional comments in the comment section, but I think it’s necessary to write about minimally invasive surgery because many people overlook the issue of scar hyperplasia! Patients often relax and forget about this after their successful surgery and the scar falls off. I myself have undergone laparoscopic minimally invasive surgery. Laparoscopic minimally invasive surgery typically involves making three holes in the lower abdomen. However, these instrument puncture wounds heal differently from ordinary skin injuries. The same applies to other minimally invasive surgeries that involve instrument puncture. Because these small wounds are not sutured, they are more prone to hyperplasia than ordinary injuries. The image below shows the wound after the first healing: after the scar falls off, it looks like this (same location wound). That’s right, it’s a hole because puncture wounds have depth, so they require secondary healing. After the scar falls off, the wound may appear split, and this state of the wound might seep some tissue fluid but will not bleed because the interior has healed to some extent. However, this split state is very prone to scar hyperplasia! Even if you’re not predisposed to scarring, people who had the exact same surgery at the same hospital with the same doctor as me have had scars that widened to two fingers. This happens because the wound heals from both sides of the split, and the wound naturally protrudes gradually. At this point, it needs to be closed to minimize hyperplasia as much as possible. You can use wound-closing strips, and anti-hyperplasia medication can also be started and should be used until the wound is stable. It’s not something you apply once or twice and then forget about; the wound should no longer be red. Scar hyperplasia is not just a cosmetic issue. Although these small problems are not considered serious in medical terms, the hyperplastic areas can be accompanied by itching and pain. They are not significant issues but are persistent. The hyperplastic tissue can remain active for life, and it’s unpredictable— you never know when it will suddenly become active, so it’s crucial to try to avoid hyperplasia. A wound that heals to a white color is a sign of good healing.
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