The operative site of the fixed hernia will generally exhibit swelling, stiffness and bruising secondary into the tissue fluid and blood under the wound, the wound is pulled together by the stitches and lastly by scar formation. All that will settle in a few weeks as healing progresses. Bruising tends to track as the blood moves under the effect of gravity so at times the genital area can become blue and black in color, but again will settle.
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Occasionally bruising can be very extensive. Sometimes bleeding from a small blood vessel under the skin or close to the fix can generate a selection of blood, visible as a bulge below the wound, called a haematoma. This may settle on its own but occasionally needs to be let out with a further operation.
During the operation a small nerve which travels round the incision line may be cut through, causing a minor area of numb feeling at the inner end of the incision. To do the surgery nicely this nerve needs to be trimmed but because the numb region gets smaller with time and can be concealed beneath the pubic hair it doesn't normally cause any issues.
A chronic pain problem within the area of the repair can develop in one in twenty-five patients and can be a significant problem. Nerve stretch because the operation has been done or the nerve becoming tethered as the healing profits are possible reasons for this pain. A painkiller may be injected into the painful area to reduce the pain but in some cases, the surgeon will have to re-explore the area to obtain the trapped nerve and then release it.