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Dr Muffazzal Rassiwala

Scar Care Management After Abdominal or Inguinal Incisions 

A scar is what you see after hernia surgery and the way it looks depends on both the hernia surgery and the care you give it. No scar will disappear completely, but good wound care and sensible habits can help it heal into a fine, flat, less noticeable line. 

How Scars Are Formed 

When you cut the skin, the body repairs it by laying down collagen. In the first weeks the scar is raised and red. It continues to improve for up to a year or more, and over several months it softens and fades. 

Treating the Wound early on 

Keep the incision clean and dry, change the dressings as directed by your surgeon, and do not go in baths or pools until the wound is completely closed. Do not pick at scabs or peel off skin closure strips until they fall off on their own. Look for spreading redness, pus, worsening pain or fever, which may indicate infection. 

When the wound has closed 

Once your surgeon is happy that you have healed, gentle massage with a plain moisturizer may help to soften the scar and increase flexibility. You’ll often see silicone gel sheets or gels, which can help flatten raised scars if used consistently as directed . 

Shield the Scar from the Sun 

New scars are easily sun-darkened. Dress the area or use a high SPF sunscreen for at least the first year to avoid permanent discoloration. 

Healing from the Inside Out 

  • Have enough protein, fruits and vegetables 
  • Keep well hydrated 
  • Do not smoke as it can affect blood flow and healing 
  • Manage your blood sugar if you have diabetes 

Learning About Odd Scars 

Some people develop hypertrophic scars that remain raised within the line of the incision, or keloids that grow beyond the edges. They are more common in certain skin types, and in people with a personal or family history. Some of these options include steroid injections or other treatments that a doctor may suggest early on. 

Open Scars vs Keyhole Scars 

Laparoscopic surgery leaves multiple small scars instead of one long cut, which many patients find less visible. The choice of approach should be guided by what is safest for your hernia. Consult a hernia surgeon in Indore before you decide. 

When to seek help If your scar becomes painful, itchy, hard, or visibly raised, or if the wound reopens or drains, contact your doctor. 

Most hernia scars heal well over time with sun protection and gentle care. Good habits in the first year make the most difference. 

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